Uji Sensitivitas dan Spesifisitas Kuesioner Autopsi Verbal untuk Mendapatkan Kasus Kematian karena Tuberkulosis  

Oleh:

Wiryawan, Yuana ; Irianto, Joko ; Pangaribuan, Lamria ; Soemantri, Soeharsono ; Suhardi ; Djaja, Sarimawar

Jenis: Article from Journal - ilmiah nasional - tidak terakreditasi DIKTI - atma jaya
Dalam koleksi: Majalah Kesehatan Perkotaan vol. 14 no. 01 (Jun. 2007), page 1-12.
Topik: Validation; Autopsy Verbal; Tuberculosis
Fulltext: 1-12 ( Bernard ).pdf (3.68MB)

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM49 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada	Lihat Detail Induk
Perpustakaan PKPM Nomor Panggil: M49 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada	Lihat Detail Induk
Perpustakaan FK Nomor Panggil: M20.K.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada	Lihat Detail Induk

Isi artikel

Tuberculosis (TB) death rate is an indicator for TB prevention monitoring progress through Directly Observed Treatment Strategy to reach reducing 50 percent of TB mortality toward the MDGs in year 2015. Verbal autopsy questionnaire is used as a tool for TB surveillance, where as the tool should be tested to asses the sensitivity and specificity. For the test, mortality TB and non TB data were derived from selected hospitals; i.e. three public hospitals (Pasar Rebo, Persahabatan, Tarakan) and one private hospital (Sint Carolus). The data were reviewed by the research team, finally 122 cases were defined as a study cases. Diagnoses certified by hospital for these cases are ascribed as 'gold standard' diagnoses. The interviewers are paramedic from health centers, were trained verbal autopsy (VA) technique prior to interviewed the family of the death cases. Two VA reviewers were assigned to ascertain the most probable cause of death for each death case based on VA. The referee team judged unmatched diagnoses cases by the two reviewers, and decided final cause of death. Blind techniques were applied to avoid any bias during the test. Ninety eight death cases were successfully interviewed, 42 cases were categorized by the hospitals (clinical and Ro) as true TB and the remaining 56 cases as non TB cases. Out of 42 death cases defined as true TB, 32 cases are able to be decided as the same true TB based on interview, this gives sesitivity 76 percent. Forty one cases are defined as non TB by VA interview, this gives specificity 73 percent. Out of 42 TB cases diagnose by clinical and Ro, 14 cases confirmed by BTA +. This will increase sensitivity value to 93 percent.

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