Gambaran Faktor Penyebab Multidrug-Resistent Tuberkulosis (Mdr-Tb) di RSUP Haji Adam Malik Medan Tahun 2022

Abstract


 Introduction : Multidrug-resistant TB (MDR TB) is a type of TB that is resistant to at least two of the first-line TB antimicrobials, isoniazid (INH) and rifampin (RMP), with or without resistance to other TB antimicrobials. The factors causing MDR-TB were age, gender, education level, income, occupation, medication adherence, knowledge, attitudes, stigma, smoking habits, the role of PMO, and side effects of treatment.Purpose : This study aims to identify the causative factors of multidrug resistant tuberculosis in Haji Adam Malik General Hospital Medan 2022.Method : This study used a descriptive research design. Sampling in this study used purposive sampling technique, the respondents were 27 peopleResult : The results obtained from the description of the Causes of Multidrug-Resistant Tuberculosis at Haji Adam Malik Hospital Medan 2022 aged 36-45 were 8 people (29.6%), 16 men (59.3%), 11 high school graduates (40.7%), working as self-employed as many as 9 people (33.3%), low income as many as 17 people (62.96%), smoking as many as 16 people (59.3%), the role of PMO is good as many as 27 people (100%), There are Drug Side Effects as many as 25 people (92.6%), Obedient to taking medication as many as 20 people (74.7%), good knowledge 20 people (74.7%), Good Attitude as many as 22 people (81.48%), Low Community Stigma as many as 16 people (59.26%), Stigma Patients Height of 15 people (55.56%). Conclusion : It is hoped that the results of this study can be a source of information and materials to increase patient knowledge.

Factors Associated With the Occurrence of Primary Multidrug-Resistant Tuberculosis in Medan

“…This can occur due to the high activity and mobility of the productive age group which provides a greater possibility of being infected and suffering from MDR-TB. Productive age and having many activities outside the home can cause patients to neglect treatment, for example neglecting to take proper medication and have other possibilities due to improper or incomplete treatment in the past due to lack of awareness which causes negligence so that patients become MDR-TB (16). MDR-TB patients are mostly in the productive age group, namely at the age of 15-55 years.…”

“…Higher levels of education do not always translate into better knowledge, which can lead to MDR-TB and may be caused by the absence of early prevention. Not all those with low education have poor knowledge about treatment, causing patients to become MDR-TB (16).…”

“…Good knowledge can accelerate healing. If there is no self-awareness and lack of knowledge to take regular medication and lack of motivation, the patient will suffer from MDR-TB (16). Strengthening the implementation of Find, Separate and Treat (TemPO) aims to improve the identification of suspected or actual TB patients in at-risk populations who are already attending services.…”