Diagnostic Value of Un-Growing Body Weight and Fail to Grow in Children Tuberculosis Diagnostic Base on Indonesia Modifications Scoring System
Keywords:
weight loss does not rise, failure to thrive, scoring system, a toddler, the seven star doctors, elimination of TB.Abstract
In developing countries, the difficulty of diagnosis of TB Children are not resolved by the application of the scoring system. Application of new diagnostic tool is limited because it requires high cost and technology. As a result, developing countries still bear the heavy burden of TB Children.
Objective: To determine the diagnostic value of the weight does not go up and failure to thrive in the diagnosis of TB Toddler unfounded Indonesia Modified Scoring System. This study was an observational study with retrospective cohort design. Subjects were toddlers who were enrolled in the Registry of TB Children in the clinic in the period 2014-2016. Retrospective cohort study KMS explore the subject of research to identify the presence of markers of body weight did not rise (T) and failure to thrive (2T) as a baby (0-12 months).
Results indicated that after checking the Register of TB Kids 8 PHC then found as many as 127 TB patients Toddlers who met the inclusion criteria of the study. Everything (total sampling) have been selected as sample, but does not meet the pre-specified sample of 153 toddlers. Retrospective cohort study markers of T and 2T explore research on the subject that have KMS. From (84.2%, 101/127) the subject of research, it signified T and 2T was found in 101 (100%) during the study subjects aged 1-12 months. So the research subjects had impaired growth occurs in infancy, including the good nutritional status. In conclusion, weight is not up (T) and failure to thrive (2T) has a high diagnostic value and has been used as a parameter in the implementation of SSIM. Markers of T and 2T can be used as a proxy by the physician in the diagnosis of tuberculosis Toddlers, both clinical diagnosis based on clinical criteria or scoring systems and diagnostic confirmation. If so, a major contribution "the seven star doctors" in the discovery of TB Toddlers. The impact, the target of elimination of TB in 2050.
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