DESCRIPTION OF SPUTUM EXAMINATION WITH ZIEHL-NEELSEN AND GENEXPERT METHOD IN TUBERCULOSIS SUSPECT PATIENTS AT KABILA PUSKESMAS 2020

Abstract

Tuberculosis is a chronic infectious disease caused by the group of bacteria Mycobacterium tuberculosis which usually attacks the lung organs and then can attack all parts of the body and can cause a disease known as TB disease. TB examination can be done with several techniques, namely microscopic examination with Zhiel-Neelsen staining to detect Acid-Resistant Bacteria (BTA) and GeneXpert examination as a Molecular Rapid Test (TCM) to diagnose Drug-Resistant TB (TB RO).

The purpose of this study was to describe the results of sputum examination using the Zhiel-Neelsen and GeneXpert methods in suspected tuberculosis patients at Kabila Health Center. Quantitative research methods with a descriptive approach. The population in this study were all suspected patients who were examined in the Kabila Public Health Center laboratory with a total sample of 23 people, microscope instruments and GeneXpert with univariate data analysis. The results obtained showed more negative results, namely 12 of 23 examination samples (52. 2%) with GeneXpert results showing 11 MTB samples not detected from 23 samples (47.8%).

From the results shown, it can be seen that the picture of the different examination results from these two examinations is that there are samples with negative results on the Zhiel-Neelsen method and tested positive (MTB Detected Low) with the GeneXpert examination. We recommend that the sample be referred to a place where there is a GeneXpert health facility so that the patient can be diagnosed more quickly so that the spread of TB disease is not wider and treatment can be given immediately.