Tuberculosis Immune Drug Focus Attention

Reztya - Tuberculosis drug resistance a priority in the management of tuberculosis in Indonesia. Manual handling of the treatment of tuberculosis continue to be socialized in order to increase public awareness.

Director General of Disease Control and Environmental Health (P2PL) Ministry of Health Tjandra Yoga Aditama said that after opening the Commemoration Symposium on Tuberculosis (TB) Day, Saturday (30/3), in Jakarta. Resistant tuberculosis drugs (multidrug resistant tuberculosis / MDR TB) is caused by Mycobacterium tuberculosis bacteria that are resistant to at least two anti-TB drugs isoniazid (INH) and rifampicin (RMP).

In addition to MDR TB, the government gave priority to TB-HIV. Based on data from the WHO Global Report 2012, Indonesia is ranked 9th out of 27 countries with the highest burden of MDR TB in the world. Chance of MDR TB patients in Indonesia reached 6620 people. Details, MDR TB among new TB cases and 5700 cases of TB among MDR TB cases who had received treatment 920 cases.

WHO Chief Representative of Indonesia Khancit Limpakarnjanarat said the current attention to the handling of tuberculosis in the world focusing on MDR TB. The good news, there have been laboratory for culture as well as perform drug sensitivity testing of anti-TB first and second line.

"In Indonesia there in some provinces. MDR TB treatment hope for the better future, "he said. The lab is Surabaya Central Health Laboratory, Laboratory of Microbiology Faculty of Medicine, Microbiology Laboratory Jakarta Friendship Hospital, Central Health Laboratory Development of West Java, and Laboratory NHCR-Hasanuddin University, Makassar.

Managing Director RS Friendship Syahril Mansyur said, MDR TB is difficult to detect because it has to go through the test sensitivity. The second difficulty lies in the treatment. "If you take TB treatment for six months, MDR TB takes 18-24 months," says Syahril.

In addition to Friendship Hospital, there are eight hospitals as the reference MDR TB, the RSU Soetomo, Saiful Anwar dr, dr Moewardi, RS Labuang Baji, Hasan Sadikin Hospital, Dr Adam Malik, Sanglah and RSUP Sardjito.

Until the year 2012, there were 4297 netted suspected MDR TB patients with MDR TB 1005. A total of 825 patients were undergoing treatment. Treatment success rate of MDR TB patients 71 percent.

Socialization guide

Tjandra said the manual handling of existing TB treatment. It seeks to guide it socialized. "Through this event invite health officials as many as 1,200 people are expected to guide well known and properly. Hopefully, some of those who come from the spread in their respective areas, "said Tjandra.

He emphasized that the most important thing in the treatment of MDR TB is TB patients since the beginning of how medicine is given properly. "TB patients must take medication until healed and not infect anyone else that does not happen with all MDR TB problem," said Tjandra.

According Suseno Fortunately, Chief Country Coordinating Mechanism (team that manages global funds), funds allocated to TB control in Indonesia is 90 million U.S. dollars. Year 2014-2016 the amount of 75 million U.S. dollars. "The assistance given increasingly smaller adjusted Indonesia's ability to better economy that the government's role was much bigger," said Lucky. (DOE)