Folia Medica Indonesiana
ISSN 0303-7932
Vol. 46 / No. 1 / Published : 2010-01
Order : 1, and page :1 - 6
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Original Article :
Comparison between the results of acid fast bacilli obtained from spontaneous sputum with sputum induction by saline 0.9 % and by salbutamol nebules in the diagnosis of sputum smear negative pulmonary tuberculosis
Author :
- Kusdiantoro*1
- M Jusuf Wibisono*2
- Department of Pulmonology, Faculty of Medicine, Airlangga University, Dr Soetomo General Hospital, Surabaya
- Department of Pulmonology, Faculty of Medicine, Airlangga University, Dr Soetomo General Hospital, Surabaya
Abstract :
The aim this study was to evaluate Sputum induction with Saline 0.9% and Salbutamol nebules in comparison with spontaneous sputum in the diagnosis of sputum smear negative, X-ray positive pulmonary tuberculosis. The design used in this study was Experimental Quasy, time series before and after design to all patients hospitalized with sputum smear negative, X-ray positive pulmonary tuberculosis during periode 3 months in the Department of Pulmonology, Dr Soetomo Hospital. In all, a total of the 29 patients were enrolled in the study, of these 2 patients exclude for reasons: 1 drop out and 1 dead et caused asphyxia. They are divided in 2 groups at random with system randomized permuted block use random statistic table. Each patient undergoing sputum smear examination and compared between spontaneous sputum by education effective cough and chest physiotherapy with sputum induction by Saline 0.9 % and by Salbutamol nebulas. Among Saline 0.9 % induction and Salbutamol induction performed wash out for 48 hours. Before and after sputum induction performed PEFR examination has been done and compared the result of it. During induction with Salbutamol nebules is performed heart rate and oxygen saturation monitoring by Oxymetri. There is significant difference PEFR before and after Saline 0.9 % induction and Salbutamol nebules induction ( p= 0,000 and p= 0,000 each for Saline 0.9 % and Salbutamol nebules respectively. The results of induction Saline0.9% and Salbutamol nebules in compared with spontaneous sputum there is no significant difference ( p= 1,000 and p= 0,317, each for Saline 0.9 % and Salbutamol nebules respectively ). In conclusion, there is no increase significant between spontaneous sputum by effective cough education and chest physiotherapy with induction Saline 0.9% and Salbutamol nebules to patients of pulmonary tuberculosis with sputum smear negative and X-ray positive. Effective cough education and chest physiotherapy can be obtained proper sputum.
Keyword :
sputum induction, Saline 0.9%, Salbutamol, pulmonary tuberculosis,
References :
Blanc, L, Chaulet, P, Espinal, M et. al.,(2003) Treatment of tuberculosis: guidelines for national programmes, 3rd edn Geneva : World Health Organization
Garay, SM,(2004) Pulmonary tuberculosis, in WN Rom & SM Garay (eds) Tuberculosis, 2nd edn Philadelphia : Lippincott Williams & Wilkins
Glassroth, J, Crnich, CJ et. al.,(2004) Pulmonary infection mycobacterial spesies, in Baum’s textbook of pulmonary diseases, 7th edn Philadelphia : Lippincott Williams & Wilkins
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Volume : 46 / No. : 1 / Pub. : 2010-01 |
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