Influencing Factors of Adult Pulmonary Tuberculosis Patients's Clinical Improvement at the End of Intensive Phase at Public Health Care in Central Jakarta, Indonesia
Keywords:
Influencing Factors, Pulmonary Tuberculosis, Clinical Improvement, , Intensive Phase, Adult PatientsAbstract
Introduction:
Clinical improvement at the end of the intensive phase is one of the indicators of the Directly Observed Therapy Shortcourse (DOTS) program used to evaluate the success of tuberculosis (TB) therapy. This study aimed to identify factors influencing clinical improvement among adult pulmonary TB patients at the end of intensive phase in public health centers in Central Jakarta.
Methods:
This was an observational analytic study employing a case–control design with a convenience sampling method. The study population comprised 281 adult pulmonary TB patients who had completed the intensive phase of treatment at three health centers in Central Jakarta: Johar Baru, Tanah Abang, and Gambir. Data were obtained from medical records in the Sistem Informasi Tuberkulosis (SITB) database for the treatment period from July 2023 to June 2024. Bivariate analysis using the chi-square test was conducted to determine the association between variables.
Results:
Bivariate analysis revealed that age, comorbidities, and initial nutritional status were significantly associated with clinical improvement among pulmonary TB patients.
Conclusion:
Clinical improvement among adult pulmonary TB patients at public health centers in Central Jakarta is influenced by several factors, particularly age, comorbidities, and initial nutritional status.
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