Gula Darah Sewaktu Tidak Dapat Memperkirakan Kejadian TB pada Pasien DM Tipe 2

Siti Salma Nurhaliza Fitriadi, Ratna Damailia, Wida Purbaningsih

Abstract


Abstract. Tuberculosis (TB) the world’s leading cause of death from a single infectious disease. Indonesia is ranked 3rd out of the 30 countries with the most TB cases Hyperglycemic exposure in Type 2 DM patients can affect the immune system, making it more susceptible to TB.This study aims to look at the relationship of random blood sugar levels at the first time patient diagnosed as type 2 DM in pulmonary TB patients with Type 2 DM at Al-Ihsan Hospital Bandung. This study used an analytic observasional method in case control study. The sample of this study was a group of 34 dm type 2 patients experienced TB, while the control group were 59 Type 2 DM patients without TB.. The research was obtained from secondary data from medical record. This collection and processing data were taken in the inclusion criteria. The results of the study conducted on 93 people showed that in Al-Ihsan Hospital there is 54 patients (15%) had hyperglycemia and 39 patients (42%) had normoglycemia. Type 2 DM patients who experienced TB were 34 patients (37%), the results of analytical tests obtained that type 2 DM patients who had Pulmonary TB percentage was more common in patients with normal random blood sugar at 38.5% (15 patients). From the results of this study known p value > 0.746 with alpha 5% (0.05) with odd ratio 0,868. Based on this study shows that there is no relationship between blood sugar levels of dm type 2 patients and the incidence of pulmonary TB.

Keyword:, Blood glucose, Type 2 Diabetes Mellitus, Tuberculosis

Abstrak. Tuberkulosis (TB) merupakan penyakit infeksi yang menempati peringkat utama penyebab kematian di dunia. Indonesia berada pada peringkat ke-3 dari 30 negara yang memiliki kasus TB terbanyak. Diabetes Melitus (DM) Tipe 2 merupakan salah satu faktor resiko terjadinya TB. Paparan hiperglikemi pada pasien DM Tipe 2 dapat mempengaruhi sistem imun, sehingga lebih rentan menderita TB. Penelitian ini bertujuan untuk menganalisis hubungan gula darah sewaktu pada saat pertama didiagnosis  DM Tipe 2 dengan kejadian TB Paru pada pasien DM Tipe 2 di RSUD Al-Ihsan Bandung. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan kasus kontrol. Kelompok kasus berjumlah 34 orang pasien DM Tipe 2 yang mengalami TB, sedangkan kelompok kontrol berjumlah 59 pasien DM Tipe 2 tanpa TB. Data penelitian merupakan data sekunder yang berasal dari rekam medis pasien. Pengumpulan dan pengolahan data diambil sesuai dengan kriteria inklusi dan ekslusi. Hasil penelitian terhadap 93 orang subjek di RSUD Al-Ihsan menunjukan bahwa pasien yang memiliki hiperglikemi berjumlah 19 pasien (56%) pada kelompok kasus dan 35 pasien (59%) pada kelompok kontrol . Hasil uji chi square didapatkan bahwa p value adalah 0,746 (p > 0,05) dengan alpha 5% (0,05), odd ratio sebesar 0,868.  Berdasar atas hasil uji analitik terhadap data penelitian dapat disimpulkan bahwa gula darah sewaktu pada pasien DM Tipe 2 belum dapat menilai kemungkinan terjadinya kejadian TB.

Kata kunci: Diabetes Mellitus Tipe 2, Gula darah, Tuberkulosis


Keywords


Diabetes Mellitus Tipe 2, Gula darah, Tuberkulosis

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DOI: http://dx.doi.org/10.29313/kedokteran.v7i1.25954

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