Abstract
INTRODUCTION: In Labuan, smear positive tuberculosis (TB) is one of the major health problems. Smear positive tuberculosis carries high morbidity and mortality. Sputum smear conversion at the end of the intensive phase is also an indicator of TB programme performance. The rationale of the study is to describe the sociodemographic characteristic of smear positive and to determine factors associated with delayed sputum conversion among smear positive PTB in WP Labuan. METHODS: A cross-sectional study with universal sampling of all smear positive PTB cases from January 2015 to September 2017 excluding smear positive PTB that did not complete intensive phase and MDR TB. RESULTS: Among 176 smears positive PTB cases, 68.9% cases are Malaysian with majority are male (73.2%), non smokers (62.5%,) non substance abuser (96.6%) and with no past history of tuberculosis (92.6%). We found that in delayed sputum conversion cases (51 cases), majority present with high smear grading (3+) (49.0%) with absent cavitation (60.8%) in radiological findings but what strike out to be significant factor is the present of bilateral radiological involvement (76.5%). DISCUSSION: From the study, males and bilateral radiologic lesion are identified as significant factors associated with delayed sputum conversion among patients with smear positive pulmonary tuberculosis in WP Labuan. Therefore, enhance community screening and empower community awareness are important steps in controlling tuberculosis at WP Labuan.
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@proceedings{APCPH-2019-171,
title = {Factors Associated with Delayed Sputum Conversion Among Smear Positive Pulmonary Tuberculosis in WP Labuan},
author = {NORMASLINA MUSTAZA and Viviane Vincy Lodin and Mizah Sulaiman and Chow Pei Ling and Mohd Zaki Abd Hamid and Ismuni Bohari},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: In Labuan, smear positive tuberculosis (TB) is one of the major health problems. Smear positive tuberculosis carries high morbidity and mortality. Sputum smear conversion at the end of the intensive phase is also an indicator of TB programme performance. The rationale of the study is to describe the sociodemographic characteristic of smear positive and to determine factors associated with delayed sputum conversion among smear positive PTB in WP Labuan. METHODS: A cross-sectional study with universal sampling of all smear positive PTB cases from January 2015 to September 2017 excluding smear positive PTB that did not complete intensive phase and MDR TB. RESULTS: Among 176 smears positive PTB cases, 68.9% cases are Malaysian with majority are male (73.2%), non smokers (62.5%,) non substance abuser (96.6%) and with no past history of tuberculosis (92.6%). We found that in delayed sputum conversion cases (51 cases), majority present with high smear grading (3+) (49.0%) with absent cavitation (60.8%) in radiological findings but what strike out to be significant factor is the present of bilateral radiological involvement (76.5%). DISCUSSION: From the study, males and bilateral radiologic lesion are identified as significant factors associated with delayed sputum conversion among patients with smear positive pulmonary tuberculosis in WP Labuan. Therefore, enhance community screening and empower community awareness are important steps in controlling tuberculosis at WP Labuan.},
note = {Type: POSTER PRESENTATION; Organisation: Pejabat Kesihatan WP Labuan},
keywords = {labuan, smear positive pulmonary tuberculosis},
pubstate = {published},
tppubtype = {proceedings}
}