562CG A8AL5<;P R *
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$ R
'6=6;:9<9: 9<= ;
#%.+@<)*" *@&'"& ! '6AM=:K<9: ;8D56=6C:9 M<5<=8= ?8;C<; =D<9;B< :;78K9: ?8;C<; 6;98F B<;C AD=F:7<9:KP ! URd A:;CCD 98F8=
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
,")J#@'"'
! 28AD<; W<:5<; 9858L569M:;<= A:5:M ?8;C<; 9:;?56A< &D:==<;R *<558P ! S:97D;C9: MD9
*%+)<"
! $;F:F6K9:; ?:L85:K<; L85?<9<5 ?:
J@-, '*)#,)+*G 1BC:B8 257482: 3259;2843? *BKB23 :08274G ! A8;CD5<;C: 758KD8;9: M<56K9:9A ! A8;C
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$ F85
&98:4195:0894A F:?
&@/<-"&)'"
! !
<+@J#@'"'
! ! !
<%#D%J)F)#
!
!
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$ R R
,%$"#"'"
%*"@-@J"
<%#M%()+)#
<)*@J%#%'"'
(=<;C KD=FD5 U A:;CCD 98F8=
*( )#)& 2DL85KD=69:9 A85DM
$+j-,+0
)
S-.2#('.0 '-)*$+0 ,+-4 )$'#,3$&
S89F5DK9: A8;B8L
A8;B8L<5
F85L8;FDK;B< FDL85K8=H
#-/+0'$.0 0%2#$.-+(+-#
+BAME<;C:F:9
+BAME8;:F:9
/252 431BO254G A284 625B1 1B623 526724 46B34:25 50CBC08 O0108K2_ '0C262 6252 431BO254 623:9BY :05: PRQN 21=48 6252 431BO254 BK4 :BO08HBC43 P]Q
?:98LDF 3,Y(. /#0)-# ',)/+-| 4-)$2,&-%0Y
$'(2 GKDA<; 98K<=:CD9 L<;B
,Y(+2 GKDA<; A<9DK 98?:K:FUJ
/#0)-# 0)(%02$. .-+(+-# *-'-#X$
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$ Y_ 2* A:=:85 '-%$/$ $%$' 20S$' *$2(' T K<58;< <=>86=D9 20S$' )-)/(%p$0 #-3+-' *$2(' L8?< ?C; L56;KD9P
.L" *.(%+&.-"# G5] E:M8598;9:F:7:F<9 F:M8 =
<<, +*WX
.8:L85F 91#)" 1-"$#2$310"$
G9F<;?<5? ?698J
" 2(
" 2(
^R"f 2(
UR^ 2(
)$'&-3 U^f 2( S:
&-)'"$"&)'"
TB: • infeksi tanpa sakit / infeksi TB laten • infeksi DAN sakit • sakit, pasca terapi • 2. Imunisasi BCG • 3. Infeksi Mycobacterium atypic • 1. Infeksi
<<, ' !"#$-,"5
GQJ
"ff 2(
&0C25
&93:21
"3;0154
'214:
*2:2C215232
f
R
R
R
R
"
]
R
R
M56ME 0
U
]
]
R
M56ME 00}
d
]
]
]
285
• Tidak ada infeksi TB • Anergi • Dalam masa inkubasi
GRJ
! 0;78K9:@ DN: FDL85KD=:; GQJH K=:;:9 GRJH #6 GRJ ! .
• • •
*%+)<" <),) *( &%-)' X &%-)' V D.&.< <+@$"-)&'"'
•
–
• • • • •
M;8DA6;:
2*
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
*)*)-)&')#)
•
-><=D<9: K=:;:9 @ /<;
S,.0. ,*$2 2*@
–
U#4bG"]E<5:JQi#4Gd]"A:;CCDJ
– –
•
– – –
<+@$"-)&'"'
/#0)-# • • • • • •
)8;W8C
.-'(%S-# (;FDK A8;W8C
• •
– – – –
• •
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
,%$"#"'" <)*@$"'"@-@J" G;8=96;J
)'/) )#)& ! '%$$@ ?:?DC< <9A< L:=<@ L
)85<;C9<;C 98= A<9F 9:;F89:9 A8?:
mRkN
4:M85589M6;9:7 N<=<; ;<7<9
#89M6; :AD;
'56A6=:;_;8?6K56A:=
V 98=8KF:7
0;7:=F5<9: 8D9:;67:= ?<; ;8F567:=
L56;K6K6;9F5:K9:
,L9F5DK9: N<=<; ;<7<9
$F8=8KF
'8F:?
4:M6K9:<
E:M85:;7=<9:
4:M6>8;F:=<9: <=>86=<5
K8=8;FD5<;q
28K<;<; :;F5
K<58;< K85N
)8;CC<;CD M85DL
4:M85K
$9
$9:?69:9 A8F
$9:?69:9 589M:5
28K<;<; :;F5
)8;CC<;CCD <=:5<; L<=:K >8;
/D=9D9 M<56K9D9
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
&-)'"$"&)'"
<%#)*)-)&')#))#
/$#$)-2-# #0%&$% .-S$%& *-#$2 $%Y$)$% &&+ %$3$. *85N<=<;GA8;<; C:9 K85<9J *85L:W<5
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$ 0&S
%:=<: ?85<
.85<;C<; #:;C<;@ G;8LD=:9<9: "]H
.85<;C<; 98?<;C@ G;8LD=:9<9: URd K<=:H
.85<;C<; *85
58M6; L<:KJP *85F
589M6; M<59:<=P *85:K<; 6K9:C8;P %:=<: D=<;CT985<;C<; 98?<;CT5D<;C 5
LD5DKJP ,K9:C8; 98N
*6=8E /D=<;C@ L8K<=: V
#D<;C 5
#D<;C 5
F85D9K<;P X:K< :;78K9: >:5D9 GQJ T 9F856:? 65<=P UiRikN
kR"U N
.F856:? 0j mRkN
M568><=D<9:P
D2:2:23G • • •
%8LD=:9<9: iRm]TL<:K G:;F85><= iRmNAJP UiN:=:; 0j F8F
L<:KT0Y( X:K< A8;D5DF M8;:=<:<; 985<;C<;;B< L85
<28260:08 1C4345N 10OB:B=23 9O2: A23 ;22C 728B
)562 07459A41 K2823?
)562 07459A41 50843?
)562 708545:03
358KD8;9: 985<;C<;
Z "]_LD=<;
e "]_LD=<;
.85:;C
+
Z " A:;CCD
u " A:;CCD
4
0;F8;9:F<9 985<;C<;
*:<9<;B< 5:;C<;
*:<9<;B< 98?<;C
*:<9<;B< L85
S: <;F<5< 985<;C<;
2<;M< C8N<=<
.85:;C < C8N<=<
&8N<=< 9:<;C ?<;
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$ A<=
2:?
.85:;C F85C<;CCD
.<;C
/8A85:K9<<; 7:9:9 ?:=D<5 985<;C<;
%65A<= GF:?
)D;CK:; F85C<;CCD G?:F8ADK<; K8=<:;<;J
2:?
,L
2:?
/85=D
/85=D
/-3_3-j" e kfh
/-3_3-j" mfRkfh
(N: 7<<= M<5D G?: =D<5 985<;C<;J j<5:
/-3_3-j" Z mfh j<5:
j<5:
j<5:
j<5:
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
@()* )'/) ),+%#%+J"& V_ %<"#%$+"# ! .<;C
e)#*"# <%#JF)/()* /%,")*@+ (+@#&@&@#'*+"&'" -78K L56;K6?:=
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
!
! !
R $L965L9 M8565<= L<:K R S
X_ "'@<+@*%+%#@! %:F<9 6L
! ! !
<;F::;7=
X_ &%*@*"$%# ! )8;CE
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
@()* ()*.& *
R *:<9< ?:CD;
3P '0%-20'@ R
R /8A
-. @ R S=A ?9 F85
R -K9M8KF65<; FD< R )8;D5D;K<; >:9K69:F<9 ADKD9 R '6;F5<:;?:K<9:@ E
dP
'$+0() p,S0S$
R ?:CD;
#)')- ,%&@#J%'*)# R )8;CE:=<;CK<; K6;C89F: E:?D;C R S:CD;
! '"/<)*@/"/%*"& "P 3-%0+-3#0% R )8K '85N<@
UP 3-%0+/#,/$%,+$)0% UP $)*#,'.,+ R -78K;B< A:5:M 878?5:;H K8WD<=: 878K R .D
0%S0'$.0 @ L
R /8;CCD;<<; F6M:K<=@ 5<9< ;B85: ADK69< E:?D;CH 58L6D;? W6;C89F:6; G5:;:F:9 A8?:K
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
dP 3,+',S0% &8N<=< MDFD9 6L
'0 @ E:M85F8;9:H <;C:;< M8WF65:9H C
! (%&%+L) <%+"$%+ $%-.2-.0 +,'$+ @ R ,L
+"#"*"' !
+434:45 21B: ?:98L
!
+434:45 2C08?412 A85DM
#
#
! # #
+434:45 I25969:98 @ F85?
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
)'$"&'") P1062:423 :08H072: g6034:Q %*"@-@J"
$)'%
*)#,) )'$"&'")G *+")' )'$"&'")
"P UP dP "P UP dP "P UP
$=
-
'/@*F%+"#J P<%/(%&)<)#Q ! 2<;?< K8K85<9<;T F85C<;FD;CTN8;:9 L8;?< \ K8KD
J)JJ"#J ` DF@&"#J ! .DAL
<%#D%&"&)# !
+DK< =8W8F K8W:=U L8;FDK LD=<; 9
<%#L%+)*)# ^'*+)#J.-)'" ! X85
J)#*.#J ^ F)#J"#J X8N<9 X85
*%#JJ%-)/ ^ ,+@E#"#J .D
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$ 656ME<5B;]P ! +DK< =8W8F C6589_F8K<; ! YE6K:;CT TKDKDT?: E:?D;CH M:M:H L:L:5H ?
! ! ! ! !
<%/(%&)<)# "P .D:W:?8 9A6FE85:;C @R A8;F<= M9BWE69:9 UP $WW:?8;F<= 9A6FE85:;C @ R 6>85=B:;C L
+DK< A8A<5 w KD=:F_6F6F =8E85 /
! !
=8E85 S:L
A8;CE:=<;C M< LP5
<%/(.#.F)# ` (.#.F ,"+" &)'.' J)#*.#J $=
?<=
*%#JJ%-)/ M)#J ," )"+ *)E)+ G PF>79:9341Q G 62:4 T 6034: S<5
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$ ?:=8E85HM85=
*.L.)# <%/%+"&'))# L%#)a)F
"P UP dP iP ^P
q )
28;FDK<; :?8;F:F<9 K65L<; $M
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
UP
dP
E:?DMP iP U +DK< =8W8F " C898K<; _ L8;FD5<; ^P ?<=
+
iP
/8AP ):K569K6M:K N<5:;C<;P
,")J#@') &%/)*")# )&"()* *%#JJ%-)/ U
/< A
#$%&'()$% *+,' #-./0#$.0 1 .020 3$#4$%$4 $(+0$
&%-)"#)# +),"@-@J" <)+. "#$-)/)'" <#%./@#")%
*( ! ! !
$@*@ +@G ! /;8A6;:< =6L<5:9 ! =89: 5:F<9 FL ! =89: ^ w "f WAH ?:;?:;C F8L<= 3:L569:9H W<=9:7:K<9: ! ;6;
L)/.+ )",' )5708?4C9545 ! 0;78K9: ! >:5D9 GWBF6A8C<=6>:5D9JH M<5<9:F GM;8DA6WB9F:9 W<5:;::JH N
.$#Y,)$ '$/,.0