HOLISTIC APPROACH of THE FIRST TWO MONTHS TREATMENT MANAGEMENT for TUBERCULOSIS NEW CASE PATIENT

Galih Wicaksono

Abstract


Background. Tuberculosis (TB) is one of the main causes of death. There are about one third of the world's population has been infected by Mycobacterium tuberculosae. WHO data in 2012 in the Global TB Report 2012, showed  that in 2011, there were ± 8.7 million detected new cases of tb where 1.4 million cases of experienced the death. Results. Mr. AM, 45 years old, itinerant food vendors, weight: 50 kg, TB: 165 cm (BMI: 18.4 kg/m2), BP 110/80 mmHg was diagnosed with pulmonary tuberculosis new case and came to the Clinic with his wife to take the anti-TB drugs for the first 2 months. The patient had a history of intermittent dry cough of ± 1 years ago accompanied by intermittent symptoms of fever, chest pain and shortness of breath and felt the cold sweats, especially at night. About 2 months ago, the patient has a dry cough accompanied by patches of fresh blood. In addition, the patient also complained of weight loss. He reported experiencing weight loss of 8 kg in ± 2 months. The patient has no exercise habits, smoking history ± 30 years. The Hygiene and condition of bedroom found dark and dirty. The patient then went to the health center X and had a sputum microscopic examination with smear positive +3 result. Patient diagnosed as new case of pulmonary tuberculosis, then treated by anti-TB drugs. Patient and family are also received education related to tuberculosis, TB treatment recommendation to perform on a regular basis, and implementing lifestyle modification. Based on the results, it can be concluded that patient management with the principles of holistic family doctor services and plenary, has been conducted . Improvement can be evaluated after completing treatment of intensive phase, which showed by reduced smear positve on microscopic examination of smear.

Keywords. Tuberculosis, Evidance Based Medicine, family physician services

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