pemeriksaan sputum bta

7/25/2019 Pemeriksaan Sputum BTA

1/25

PEMERIKSAAN SPUTUM TERHADAP

BAKTERI BASIL TAHAN ASAM

Referat

Oleh :

Eko Alperio Almi, S.Ked!!"!!!#

Pem$im$i%& :dr. I%dr' B('%', Sp. P

BAGIAN/SMF ILMU PARU FAKULTASKEDOKTERAN

UNIVERSITAS MALIKUSSALEHRSUD CUT MEUTIA

ACEH UTARA2015


2/25

TUBERKULOSIS (TB)

Se$'&i'% $e)'r me%*er'%& p'r(

Dp+ (&' me%*er'%& or&'% +($(h l'i%

K(m'% $er$e%+(k $'+'%& Si-'+ : +'h'% +hd ')'m pd pe'r%''%

Sehi%&&' di)e$(+ : BTA

M'+i oleh )i%'r m'+'h'ri l'%&)(%& Dp+ $er+'h'% hid(p di+emp'+ lem$'$

Dlm +($(h : dp+ dorm'%+ /$$rp +h0


3/25

CARA PENULARAN

S(m$er pe%(l'r'% : pe%deri+' TBBTA po)i+i-

S''+ $'+(k '+'( $er)i%me%*e$'rk'% k(m'% ke (d'r'/ drople+0

D'p'+ +eri%-ek)i $il' k(m'%+erhir(p d'l'm )'l(r'%per%'-')'%


4/25

P'd' 'k+( $'+(k

'+'( $er)i%, p')ie%me%*e$'rk'%k(m'% ke (d'r'd'l'm $e%+(k

per1ik'% d'h'k/droplet nuclei0.


5/25

Manfaa P!"!#$%&aanS'"

me%e&'kk'% di'&%o)i),

me%il'i ke$erh')il'% pe%&o$'+'% d'%

me%e%+(k'% po+e%)i pe%(l'r'%.


6/25

2'r' Pe%&'m$il'% Sp(+(m/Keme%ke) RI, 3!0.

4'k+( *'%& diperl(k'% (%+(kpe%&'m$il'% )p(+(m 'd'l'h 5 k'lipe%&'m$il'% )p(+(m d'l'm 3 k'li

k(%(%&'%.

Capek Zus !!!Periksa dahaksaja kok harus

3 kali . !!!


7/25

Sp(+(m )e'k+( /S0, *'i+( ke+ik'pe%deri+' per+'m' k'li d'+'%&

S

S


8/25

Sp(+(m p'&i /P0 kee)ok'% h'ri%*'ke+ik' pe%deri+' d'+'%& l'&i de%&'%mem$'' )p(+(m p'&i /)p(+(m

per+'m' )e+el'h $'%&(% +id(r0

P

P


9/25

Sp(+(m )e'k+( /S0, *'i+( )''+pe%deri+' +i$' di l'$or'+ori(m,pe%deri+' dimi%+' me%&el('rk'%

)p(+(m%*' kem$'li

S

S


10/25

6ik' )p(+(m +id'k $i)'kel('r 777


11/25

A)pir')i +r'%)+r'1he'l


12/25

Bronchoalveolar lavage


13/25

Lung biopsy


14/25

Akhir%*'...

S P S


15/25

Me+ode 8iehl Neel)e%


16/25

Al'+9'l'+

Pho+o : M(li'%' H, L'$. Biolo&i ;MIPA UNM

OSE BULAT PIPET TETESHOLDER

KACA OBEK

BUNSEN MIKROSKOP


17/25

B'h'%9$'h'%

SPUTUMCARBOLFUCHSIN

METH*LENE BLUE

ALKOHOLOIL

IMERSI


18/25

2'r' ker'

. Sp(+(m di 'm$il de%&'% o)e d'% di$('+ )edi''% de%&'% $e%+(k )e)('i pol'de%&'% (k(r'% 3 < 5.

3. B('+ k(il k(il ke1il me%&elili%&i ole)'% '&'r d'h'k me%*e$'r )e1'r' mer'+'.

5. Prep'r'+ dikeri%&k'%

#. Le+'kk'% )edi''% di'+') r'k pe'r%''%.

=. e%'%&i )el(r(h perm(k''% )edi''% de%&'% carbol fuchsin.

". P'%')i )edi''% de%&'% 'pi $(%)e% di)e+i'p )edi''% )'mp'i kel('r ('p '%&'%)'mp'i me%didih.

>. Di'mk'% = me%i+.

?. Bil') )edi''% de%&'% h'+i9h'+i me%&&(%'k'% 'ir me%&'lir.

@. e%'%&i de%&'% ')'m 'lkohol )'mp'i +id'k +'mp'k 'r%' mer'h carbol fuchsin.

!.e%'%&i perm(k''% )edi''% de%&'% me+h*le% $l(e )el'm' 3!95! de+ik.

.Bil') )edi''% de%&'% 'ir me%&'lir.3.Keri%&k'% )edi''% di (d'r'

5.N*'l'k'% Mikro)kop

#.Sedi''% di$eri mi%*'k imer)i

=.B'1' h')il de%&'% le%)' o$ek+i- pem$e)'r'% !!


19/25

In!#'#!a&$ +a&$,

BTA *'%& d'p'+ di%*'+'k'% po)i+i-'p'$il' di+em(k'% $'k+eri $er'r%'mer'h d'% $er$e%+(k $'+'%&,

)ed'%&k'% BTA *'%& di%*'+'k'%%e&'+i- 'p'$il' +id'k di+em(k'%%*'$'k+eri $er'r%' mer'h d'% *'%&

+erlih'+ h'%*' $'k+eri de%&'% 'r%'$ir( $er$e%+(k $'+'%&.


20/25

B')il T'h'% A)'m

Ap'$il' di+em(k'%%*' k(m'% TBp'd' )p(+(m +er)'%&k' mel'l(ipemerik)''% d'h'k 5 k'li /)e'k+(9p'&i9)e'k+(0.


21/25

I%+erpre+')i H')il

Sk'l' IUATLD/International Union

Against Tuberculosis andLung Disease0 )e$'&'i

$erik(+ /Keme%ke) RI,3!0

'. Tid'k di+em(k'% BTAd'l'm !! l'p'%&p'%d'%&, di)e$(+ %e&'+i-.

$. Di+em(k'% 9@ BTAd'l'm !! l'p'%&p'%d'%&, di+(li) (ml'hk(m'% *'%& di+em(k'%.

1. Di+em(k'% !9@@BTA d'l'm !! l'p'%&

p'%d'%&, di)e$(+ '+'( /0.

d. Di+em(k'% 93!BTA d'l'm l'p'%&

p'%d'%&, di)e$(+ '+'( /30, mi%im'ldi$'1' =! l'p'%&p'%d'%&.

e. Di+em(k'% !BTA BTA d'l'm l'p'%& p'%d'%&,di)e$(+ '+'(/50, mi%im'l di$'1'

3! l'p'%& p'%d'%&.


22/25

T($erk(lo)i) p'r( BTA po)i+i-

Sek(r'%&9k(r'%&%*' 3 d'ri 5 )pe)ime% d'h'k SPS h')il%*'BTA

po)i+i-.

H')il pemerik)''% )pe)ime% d'h'k SPS h')il%*' BTA

po)i+i- d'% -o+o +or'k) d'd' me%(%(kk'% &'m$'r'%+($erk(lo)i).

H')il pemerik)''% )pe)ime% d'h'k SPS h')il%*' BTApo)i+i- d'% $i'k'% k(m'% TB po)i+i-.

H')il pemerik)''% '+'( le$ih )pe)ime% d'h'k h')il%*'

po)i+i- )e+el'h 5 )pe)ime% d'h'k SPS p'd' pemerik)''%)e$el(m%*' h')il%*' BTA %e&'+i- d'% +id'k 'd' per$'ik'%)e+el'h pem$eri'% '%+i$io+ik' %o% OAT.


23/25

T($erk(lo)i) p'r( BTA %e&'+i-

K')() *'%& +id'k meme%(hi deC%i)i p'd' TB p'r( BTApo)i+i-. Kri+eri' di'&%o)+ik TB p'r( BTA %e&'+i- h'r()melip(+i:

P'li%& +id'k 5 )pe)ime% d'h'k SPS h')il%*' BTA %e&'+i-.

;o+o +or'k) '$%orm'l )e)('i de%&'% &'m$'r'%+($erk(lo)i).

Tid'k 'd' per$'ik'% )e+el'h pem$eri'% '%+i$io+ik' %o%OAT, $'&i p')ie% de%&'% HI %e&'+i-.

Di+e%+(k'% /diper+im$'%&k'%0 oleh dok+er (%+(k di$eri

pe%&o$'+'%.


24/25

Ke)imp(l'%

Me+ode pemerik)''% )p(+(m *'%& di&(%'k'% 'd'l'h 8iehlNeel)e%. P'd' me+ode i%i, BTA *'%& d'p'+ di%*'+'k'%po)i+i- 'p'$il' di+em(k'% $'k+eri $er'r%' mer'h d'%$er$e%+(k $'+'%&, )ed'%&k'% BTA *'%& di%*'+'k'% %e&'+i-'p'$il' +id'k di+em(k'%%*' $'k+eri $er'r%' mer'h d'%

*'%& +erlih'+ h'%*' $'k+eri de%&'% 'r%' $ir( $er$e%+(k$'+'%&.

Oleh k're%' pemerik)''% (%+(k ide%+i-k')i k(m'% TB p'r(m(d'h dil'k(k'% d'% k')() TB p'r( m')ih $'%*'k dim')*'r'k'+, m'k' dih'r'pk'% pe%e&'k'% di'&%o)i),me%il'i ke$erh')il'% pe%&o$'+'% d'% pe%e%+('% po+e%)ipe%(l'r'% d'p'+ +erl'k)'%' )e1'r' op+im'l di -')ili+')pel'*'%'% ke)eh'+'% primer.


25/25

pemeriksaan sputum bta

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