HOLISTIC APPROACH IN MANAGEMENT OF TUBERCULOSIS PATIENT IN 2 MONTHS TREATMENT OF A 12 YEARS OLD CHILD

Yeni Octaria

Abstract


Background.Reports of the tuberculosis number in children are rare. Based on the annual reports of TB cases in the world that 9 million people, approximately 1 million people (11%) averaged over the children (age <15 years). Data from the Tuberculosis Situation Report Latest Developments in Indonesia January to June 2011 found the proportion of TB patients among all TB cases in children 2008-2010 have a range of 9,4-11.2% (expected to be approximately 15%), the lowest is in 2010 and highest is in 2008. When compared between the years 2010 to 2011 a decline of only 0.1%.Result.An. N, 12 years old, weight: 34 kg, height: 142 cm, came to the health center with complaints of cough with blood spots ± 1 day before she came to  the clinic, with a history of intermittent cough of ± 2 months ago accompanied by complaints sweating especially at night and subfebrile fever, she lost her weight in 2 months but her appetite is still good, had a contact history with TB patients. Because of those reasons, it was necessary to do the management of the patient and family, with the principles offamily physician services based on the evidence based medicine, by educating about the tuberculosis disease, TB treatment recommendation to perform on a regular basis, and implementing lifestyle modification. The treatment of this patient has performedwith the principles offamily doctor services based on the evidence based medicine. Conclusion.Clinical improvement can not be evaluated at the end of the intervention period because it will take a long time.

 

Keywords. Tuberculosis, Evidance Based Medicine, family physician services

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