Analysis of the Use of Bags and Bottle Plastic Containers and Drug Compliance Based on Drug Swallowing Supervisor (DSS) in Reducing the Risk of Pulmonary Tuberculosis Transmission

Abstract

Tuberculosis (TB) is still prevalent in Indonesia. In 2016, TB's incidence rate is estimated 129 per 100,000 population. In order to reduce the incidence, reducing the risk of transmission through the patient sputum drug compliance is essential. This is quasi-experimental study design. There are 3 groups, which are the intervention group that receives bag waterproof plastic container, bottle waterproof plastic container that both contains a 4-chloroalphaphenyl-o-cresol (klorofenol) desinfectant with concentration of 5% as a killer of TB bacilli accompanied by promotional messages and control group (without intervention). The population is all patients with pulmonary TB Acid Fast Bacilli positive (AFB+) aged > 12 years old who come for treatment to all community health centers that have Microscopic Reference Center (MRC) facility and use Directly Observed Treatment Shortcourse (DOTS) strategy in Medan. The sample is selected by consecutive sampling.There is a significant difference (p<0.05) of the risk of pulmonary TB transmission according to the role of the DSS between the treatment groups using plastic bags containers and plastic bottles with control group. There is a significant difference (p<0.05) the risk of pulmonary tuberculosis transmission based on drug compliance between the treatment groups using plastic bagcontainers and plastic bottles with control group. The use of containers containing the killer disinfectant of TB bacilli in sputum accompanied by promotional messages on the walls of the container is effective in reducing the risk of TB transmission from patients with Acid Fast Bacilli positive (AFB+) pulmonary TB.