TUBERKULOSIS No Dokumen : 445/VII.SOP.ICDX.001/402.102.03/2017 N o Revisi :0 SOP T!Te"#i$ : 23 Ok$o#e" 2017 % & ! & m& n : 1/5
'PT P'S()S*+S *+DI'N
1. Pene ene"$ "$ii&n
,". *+RI+ +RI + )V+RIST )V+R IST+ + NIP.1-071 200212 2 001
Tu#e" u#e"ku ku!!osis osis T T &,&! &,&!& & en en&k &kii$ menu menu!!&" !&n !&nsu sun n &n &n ,ise#k&n
o!e
kum&n
T
&i$u
*o#&$e"ium
$u#e" $u#e"u!o u!osis sis.. Se#&i Se#&i&n &n #es&" #es&" kum&n kum&n T mene" mene"&n &n &"u6 &"u6 n&mun ,&&$ u& menen&i o"&n $u#u !&inn&.In,onesi& me"u&k&n ne&"& &n $e"m&suk se#&&i 5 #es&" ,&"i 22 ne&"& ,i ,uni& ,en&n #e#&n T. (on$"i#usi T ,i In,onesi& se#e se#es& s&"" 5689 5689.. S&&$ S&&$ ini ini $im# $im#u! u! ke,& ke,&"u "u"& "&$& $&n n #&"u #&"u ,&!& ,&!&m m en&n en&n u! u!&n &n&n &n T6 T6 &i$ &i$u u T Resi Resis$ s$en en O#&$ O#&$ *u! *u!$i $i D"u D"u 2. Tuu&n
Resis$&ne/ *DR. Se#&&i &u&n ene"&&n !&nk&!&nk& un$uk *en&n&ni T P&"u
3. (e#i& (e#i&k&n k&n
Su"&$ Su"&$ (eu$us (eu$us&n &n (e&!& (e&!& 'PT Puskes Puskesm&s m&s *&,iun *&,iun Nomo" Nomo" 445/VII.S(.001/402.102.03/2017
4. Re;e Re;e"e "ensi nsi 5. =&n =&nk& k& !&nk&
Pe!&&n&n (!inis uku uku P&n P&n,u ,u&n &n
P"& P"&k$ k$ik ik
(!i (!ini nis s
$en$&n #&i #&i Dok$ Dok$e" e"
(e#i&k&n ,i ,i
<&si <&si!i !i$& $&s s
Pe!&&n&n (ese&$&n P"ime" Tink&$ Pe"$&m& $&un 2015 1. +n&mn +n&mnes es& & 2. Peme"iks&&n Peme"iks&&n
P"insi"insi $e"&i a. P"&k$isi &"us mem&s$ik&n #&>& o#&$o#&$&n $e"se#u$
,iun&k&n s&m&i $e"&i se!es&i. Semu& & &si &sien en $e" $e"m&s m&suk uk &si &sien en ,en& ,en&n n in;e in;eks ksii %IV %IV b. Semu &n $i,&k e"n& ,i$e"&i se#e!umn& &"us men,&&$ $e"& $e"&i i O#&$ O#&$ +n$i +n$i T O+T O+T !ini !ini e"$ e"$&m &m& & sesu sesu&i &i ISTC ISTC
Te! 2. <&se +>&! +>&! se!& se!&m& m& 2 #u!& #u!&n6 n6 $e", $e",i" i"ii ,&"i ,&"i:: Ison Isoni& i&?i ?i,6 ,6 1. <&se Ri;&misin6 Pi"&?in&mi,6 ,&n )$&m#u$o!. 2. <&se !&nu$&n se!&m& 4 #u!&n6 $e",i"i ,&"i: Isoni&?i,
,&n Ri;&misin Dosis s O+T O+T &n &n ,iu ,iun& n&k& k&n n &"u &"us s sesu sesu&i &i ,en ,en&n &n 3. Dosi Te"&i "ekomen,&si in$e"n&sion&!6 s&n&$ ,i&nu"k&n un$uk
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Dosis
Te$&
(DT/ fixed-dose combination/ FDC) &n FDC) &n $e",i"i ,&"i 2 $!e$ IN% ,&n RI<6 3 $!e$ IN%6 RI< ,&n P@+ ,&n 4 $!e$ IN%6 RI<6 P@+6 )*. Te! 2. Dosis O#&$ T Rekomen,&si ,osis ,&!&m m/k O#&$
%&"i&n
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m&A
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m/,osis
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20 203 30
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m/" )*
15 m&A
15 152 20 100
30 2535 m&A 2400 m/,osis
m/" No$e: T&& !&nu$&n ,i #e#e"&& !i$e"&$u" ,i&nu"k&n un$uk se$i& &"i. c. 'n$uk mem#&n$u ,&n menev&!u&si ke&$u&n6 &"us
,i!&kuk&n "insi eno#&$&n ,en&n: Sis$em Patient-centred strategy, &i$u strategy, &i$u memi!i #en$uk 1. Sis$em o#&$6 &"& em#e"i&n &"& men,&&$k&n o#&$ se"$& kon$ kon$"o "o!!
&si &sien en sesu sesu&i &i ,en ,en&n &n &"& &"& &n &n &!i &!in n
m&mu !&ks&n& #&i &sien. Pen&> &>&s &s&n &n =&n =&nsu sun n mene mene!& !&n n o#&$ o#&$ DOT DOT/ /direct 2. Pen observed therapy d. Semu& &sien ,imoni$o" "eson $e"&i6 eni!&i&n $e"#&ik
&,&! &,&!& & followup mik"oskois ,&&k 2 sesimen &,& s&&$: 2/5
1. +ki" ;&se &>&! se$e!& 2 #u!&n $e"&i6 2. 1 #u!&n se#e!um &ki" $e"&i6 ,&n &,& &ki" $e"&i. 3. P&sien ,en&n &si! eme"iks&&n ,&&k osi$i; &,&
1 #u!&n se#e!um &ki" $e"&i ,i&n& &&! ;&i!u"e ,&n &"us mene"usk&n $e"&i mo,i;ik&si &n sesu&i. )v&!u& u&si si 4. )v&!
,en ,en&n &n
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eme"iks&&n "io"i$&s ,&!&m ;o!!o> u T &"u. e. C&$&$&n $e"$u!is &"us &,& menen&i: 1. Semu& eno#&$&n &n $e!& ,i#e"ik&n6 2. Reson &si! mik"o#io!oi 3. (on,isi ;isik &sien 4. );ek s&min o#&$ f. Di
,&e"& &e"&
"e "ev&! v&!ensi ensi
in;ek n;eksi si
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$in ini6 i6
in;e in;ek ksi
Tu#e"ku!osis %IV se"in #e"s&m&&n6 konsu!$&si ,&n $es %IV ,iin,ik&sik&n se#&&i #&i&n ,&"i $&$&!&ks&n& "u$in. Semu& &sien &sien ,en&n ,en&n in;eks in;eksii Tu#e"k Tu#e"ku!o u!osis sis%IV %IV &"us &"us g. Semu& ,iev&!u&si un$uk: 1. *enen$uk&n in,ik&si +RV &,& $u#e"ku!osis. 2. Inis&si $e"&i $u#e"ku!osis $i,&k #o!e ,i$un,&.
P&sien en 3. P&si
in;e in;eks ksii
$u#e $u#e"k "ku! u!os osis is% %IV IV
&"u &"us s
,i$e ,i$e"& "&i i
(o$"imoks&?o! &i!& CD 4 200. Se!&m& $e"&i : ev&!u&si ;o$o se$e!& eno#&$&n 2 #u!&n ,&n #u!&n. Peno#&$&n T +n&k
3/5
E&m# E&m#&" &" 1. +!u" +!u" $&$& $&$&!& !&ks ks&n& &n& &si &sien en T +n&k +n&k &,& &,& s&"& s&"&n& n& e!&&n&n kese&$&n ,&s&" Te! 3. O+T (DT &,& &n&k sesu&i "ekomen,&si ID+I e"&$
2 #u!& #u!&n n $i& $i& &"i &"i
4 #u!&n $i& &"i
#&,&n k
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75/50/150
75/50
5-
1 $!e$
1 $!e$
1014
2 $!e$
2 $!e$
151-
3 $!e$
3 $!e$
4 $!e$
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2032 (e$e"&n&n:
+n&k
R%
a. &i ,en&n #e"&$ #&,&n ku"&n ,&"i 5 k &"us
,i"uuk ke "um& s&ki$ b. +n&k ,en&n F33 k 6 &"us ,i"uuk ke "um&
s&ki$. O#&$ &"us &"us ,i#e"i ,i#e"ik&n k&n se&"& se&"& u$u6 u$u6 $i,&k $i,&k #o!e #o!e c. O#&$ ,i#e!&. d. O+T (DT ,&&$ ,i#e"ik&n ,en&n &"& : ,i$e!&n
se&"& u$u &$&u ,ie"us ses&&$ se#e!um ,iminum.
Finding T +n&k h. Sum#e" enu!&"&n ,&n Case Finding T + +i! i!& & ki$& ki$& mene menemuk muk&n &n seo" seo"&n &n &n&k &n&k ,en ,en&n &n T6 T6 m&k&
&"us
men mene# e# k& k&n n
,i&"i &n&k &n&k
sum#e"
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$e"$ $e"$u! u!&" &"
T. T.
& n Sum# Sum#e" e"
enu!&"&n &,&!& o"&n ,e>&s& &n men,e"i$& T &k$i; ,&n ,&n kon$ kon$&k &k e"&$ e"&$ ,en ,en&n &n &n&k &n&k $e"s $e"se# e#u$ u$.. Pe!& Pe!&& &k& k&n n sum# sum#e" e" in;e in;eks ksii ,i!& ,i!&ku kuk& k&n n ,en ,en&n &n &"& &"& eme eme"i "iks ks&& &&n n "&,io!ois ,&n T+ su$um e!&&k&n sen$"ie$&!. 4/5
. Di& Di&"& "&m m &!i" &!i" +n&mnes&
Peme"iks&&n ;isik
Pene&k&n ,i&nos&: Pen&n&n&n T P&"u
T&$&!&ks&n& $e"&i T P&"u
7. 'ni$ Te"k&i$ 8. -.
Dokumen $e"k&i$ Rek&m&n is$o"i e"u#&&n
No
(onse!in ,&n G&n ,i"u#& e,uk&si
Isi e"u#&&n
T&n&! mu!&i ,i#e"!&kuk&n
5/5
P)*)RINT+% (+'P+T)N *+DI'N DIN+S ()S)%+T+N
UPT PUSKESMAS MADIUN H&!&n R&& Puskesm&s No. - Ti"on (e&m&$&n *&,iun Te!. 0351 458271 )m&i! : kmm&,iunm&i!.om *+DI'N 3151
Daftar Tilik Kesesuaian Prosedur S0P TUBERKULOSIS Sesuai Den!an Tahaan ke!iatan"lan!kah
No
Prosedur #a
Keteran!an
Tidak
+&k& Pe$u&s me!&kuk&n +n&mnes&J +&k +&k& &
Pe$u Pe$u& &s s
me!& me!&ku kuk& k&n n
Pene Pene& &k& k&n n
,i&no ,i&nos&: s&: Pen&n Pen&n&n&n &n&n $e"&i $e"&i en&k en&ki$ i$ T &"uJ +&k +&k& & Pe$u Pe$u& &s s
mem# mem#e" e"ik ik&n &n $&$& $&$&!& !&ks ks&n& &n&
$e"&i en&ki$ T &"uJ +&k& +&k& Pe$u& Pe$u&s s me!&kuk me!&kuk&n &n e,uk&s e,uk&sii ,&n konse!in ke &sienJ
$o%lien&e rate '$R( ) ................X 1009
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