Descriptive Epidemiology of Tuberculosis-Diabetes Mellitus Co-Infection in Respira Paru Hospital: A Study of Incidence from 2021 to 2023

Bunga Bilbina Rizkika, Liena Sofiana, Ardyawati Wira Oktaviana

Abstract


Background: Tuberculosis (TB) and Diabetes Mellitus (DM) are global problems, especially in countries with high TB endemicity. The relationship between TB and DM is more dominant in developing countries where TB is endemic, and the prevalence of DM is increasing. The risk of death during TB treatment and the risk of relapse after treatment is higher in TB patients with comorbid DM. More than 10% of TB patients are also known to have DM. This study aims to determine the epidemiological picture of TB-DM incidence based on time, place and person. Methods: This study uses a descriptive quantitative design with a case study approach; the analysis used is univariate analysis using proportions. The population of TB-DM patients in 2021-2023 was recorded in medical records, with a purposive sampling technique obtained from 110 people. Results: The epidemiological picture of TB-DM cases based on the characteristics of the person is age ≥ 45 years (80.9%), male gender (71.8%), type of pulmonary TB (98.2%), bacteriologically confirmed TB diagnosis (73.6%), the final result of TB treatment is cured (52.7%), type of DM therapy is insulin injection (76.4%) and high random blood sugar levels > 200 mg/dL (64.5%). Conclusions: The epidemiological picture of TB-DM cases for three years (2021-2023) has an upward trend and the highest cases in 2022; the majority of TB-DM cases are male, aged > 45 years, with the most cases coming from Bantul Regency.


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References


Mabula PL, Kazinyingi KI, Chavala EC, Mosha VE, Msuya S, John Leyaro B. Prevalence and risk factors for diabetes mellitus among tuberculosis patients in Moshi Municipal Council, Kilimanjaro Tanzania. East African Health Research Journal. 2021;5(1):69–74. http://dx.doi.org/10.24248/eahrj.v5i1.658

Yorke E, Atiase Y, Akpalu J, Sarfo-Kantanka O, Boima V, Dey ID. The Bidirectional Relationship between Tuberculosis and Diabetes. Tuberculosis Research and Treatment. 2017;2017:1–6. http://dx.doi.org/10.1155/2017/1702578

Bisht MK, Dahiya P, Ghosh S, Mukhopadhyay S. The cause–effect relation of tuberculosis on incidence of diabetes mellitus. Frontiers in Cellular and Infection Microbiology. 2023;13. http://dx.doi.org/10.3389/fcimb.2023.1134036

Banilai PAS, Sakundarno M. Systematic Review: Faktor-Faktor Yang Berhubungan Dengan Kejadian Diabetes Melitus (DM) Pada Penderita Tuberkulosis (TB). Healthy Tadulako Journal (Jurnal Kesehatan Tadulako). 2023;9(2):205–17. http://dx.doi.org/10.22487/htj.v9i2.739

Arliny Y. Tuberkulosis dan Diabetes Melitus Implikasi Klinis Dua Epidemik. Jurnal Kedokteran Syiah Kuala. 2015;15(1):36–43.

WHO. TB and Diabetes. World Health Organization. 2021. Available from: https://www.who.int/publications/digital/global-tuberculosis-report-2021/featured-topics/tb-diabetes (Accessed on 11 Nov 2024)

Abbas A. Epidemiologi Kejadian Tuberkulosis-Diabetes Mellitus (TB-DM) di Kota Kediri. Jurnal Ilmu Kesehatan Masyarakat. 2022;11(03):279–86. https://doi.org/10.33221/jikm.v11i03.1439

Dinas Kesehatan DIY. Percepat Eliminasi TBC tahun 2030, Dinas Kesehatan DIY Latih 170 Petugas dan Kader TBC. 2022. Available from: https://dinkes.jogjaprov.go.id/berita/detail/percepat-eliminasi-tbc-tahun-2030-dinas-kesehatan-diy-latih-170-petugas-dan-kader-tbc (Accessed on 11 Nov 2024)

Kemenkes RI. Pedoman Panduan Pengelolaan TB-DM di Fasilitas Kesehatan Tingkat Pertama (FKTP). 2015. p. 0–39. Available from: https://perpustakaan.badankebijakan.kemkes.go.id//index.php?p=show_detail&id=36408 (Accessed on 11 Nov 2024)

Savitri AR, . M, . Y. Karakteristik Penderita Tuberkulosis Paru Dengan Diabetes Melitus di Kabupaten Badung Tahun 2017-2018. E-Jurnal Medika Udayana. 2021;10(1):60. http://dx.doi.org/10.24843/mu.2021.v10.i1.p11

Tampubolon PY, Rondo AGEY, Simanjuntak ML. Gambaran Foto Toraks Pasien Tuberkulosis Paru dengan Diabetes Melitus di RSUP Prof. Dr. R. D. Kandou Periode Januari – Juni 2022. Medical Scope Journal. 2023;4(1):72–8. http://dx.doi.org/10.35790/msj.v4i1.44724

Harahap FZ. Hubungan Diabetes Melitus dengan Kejadian Tubekulosis (Study Case Control di RSUD Kotapinang). Vol. 1, Kesehatan Masyarakat. 2021. Available from: http://repository.uinsu.ac.id/13344/ (Accessed on 11 Nov 2024)

Singal G, Katuuk ME, Bataha YB. Hubungan Pengetahuan Tentang Terapi Insulin Dengan Inisiasi Insulin Pada Pasien Diabetes Melitus Tipe 2 Di Rumah Sakit Pancaran Kasih Gmim Manado. e-Journal Keperawatan. 2017;5(1):1–7. https://doi.org/10.35790/jkp.v5i1.15893

Utomo R, Nugroho HKH, Margawati A. Hubungan Antara Status Diabetes Melitus Tipe 2 Dengan Status Tuberkulosis Paru Lesi Luas. Jurnal Kedokteran Diponegoro. 2016;5(4):1536. https://doi.org/10.14710/dmj.v5i4.15782

Workneh MH, Bjune GA, Yimer SA. Assessment of health system challenges and opportunities for possible integration of diabetes mellitus and tuberculosis services in South-Eastern Amhara Region, Ethiopia: a qualitative study. BMC Health Services Research. 2016;16(1). http://dx.doi.org/10.1186/s12913-016-1378-6

Sasmita HY, Prasetyowati I, Wahjudi P. Prevalence and Risk Factors of Diabetes Mellitus in Tuberculosis Patient at Patrang District Indonesia. Indonesian Journal of Tropical and Infectious Disease. 2019;7(4):79. http://dx.doi.org/10.20473/ijtid.v7i4.7534

Pavlović JM, Pavlovic AD, Bulajić MV, Pešut DP. Prevalence of diabetes mellitus (DM) in tuberculosis (TB) patients: clinical and radiologic features in the TB-DM association based on a five-year hospital study. Le Infezioni in Medicina. 2018;26(1):22-27.

Noureen. Diabetes Mellitus and Associated Risk Factors among Tuberculosis Patients in Rawalpindi, Pakistan. Anatomy Physiology & Biochemistry International Journal. 2017;1(4). http://dx.doi.org/10.19080/apbij.2017.01.555570

Alavi SM, Khoshkhoy MM. Pulmonary tuberculosis and diabetes mellitus: Co-existence of both diseases in patients admitted in a teaching hospital in the southwest of Iran. Caspian Journal of Internal Medicine. 2012;3(2):421–424.

Baghaei P, Marjani M, Javanmard P, Tabarsi P, Masjedi MR. Diabetes mellitus and tuberculosis facts and controversies. Journal of Diabetes & Metabolic Disorders. 2013;12(1). http://dx.doi.org/10.1186/2251-6581-12-58

Ditjen P2P Kemenkes RI. Modul Pelatihan Penanggulangan Tuberkulosis (TBC) bagi Petugas Kesehatan di Fasyankes Tingkat Pertama (FKTP) Materi Inti 1: Penemuan Pasien Tuberkulosis. Dirjen Pencegah dan Pengendali Penyakit. 2020;1–26. Available from: https://siakpel.kemkes.go.id/upload/akreditasi_kurikulum/modul-1-34323434-3537-4431-b839-333834393731.pdf (Accessed on 13 Nov 2024)

Gofur NRP, Gofur ARP, Soesilaningtyas, Gofur RNRP, Kahdina M, Putri HM. Tuberculosis Pathophysiology and Diagnosis: A Review Article. Journal of Current Emergency Medicine Reports. 2022;2(1).

Soelistijo S. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021. Global Initiative for Asthma. 2021. Available from: https://pbperkeni.or.id/wp-content/uploads/2021/11/22-10-21-Website-Pedoman-Pengelolaan-dan-Pencegahan-DMT2-Ebook.pdf (Accessed on 13 Nov 2024)

Sa’adah N, Prasetyowati I, Bumi C. Hubungan Riwayat Kontak dengan Pasien Tuberkulosis Paru pada Kejadian TB-DM di Wilayah Kerja Puskesmas Kalisat. Media Kesehatan Masyarakat Indonesia. 2022;21(3):184–9. http://dx.doi.org/10.14710/mkmi.21.3.184-189

Pemkab Bantul. Desiminasi Hasil Active Case finding Tuberkolosis di Kabupaten Bantul tahun 2023. Pemerintah Kabupaten Bantul. 2023. Available from: https://rejogja.republika.co.id/berita/s4mszq291/sepanjang-2023-dinkes-bantul-temukan-1144-kasus-tbc (Accessed on 13 Nov 2024)

Kemenkes RI. Laporan Program Penanggulangan Tuberkulosis Tahun 2022. Kemenkes RI (Indonesian Ministry of Health). 2023;1–147. Available from: https://www.tbindonesia.or.id/pustaka---program-la/laporan-program-penanggulangan-tuberkulosis-tahun-2022/ (Accessed on 13 Nov 2024)




DOI: https://doi.org/10.33846/hd20103

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