Nomor SOP Tgl Pembuatan Tgl Revisi Tgl E!e"#! $isa%"an ole%
Nama SOP
01 1 MEI 2013 18 OKTOBER 201 KEPALA DINAS KESEHATAN KAB. WAJO
&r' &r' (' B)SO R)(M)N*$$IN+ MM+M'Kes NIP' 1,-20.01 200212 1 00, MANAJEMEN TERPADU TERPADU PENGENDALIAN TUBERKULOSIS TUBERKULOSIS RESISTEN OBAT ( MTPTRO )
DasarHukum 1. Undang-undang Undang-undang Noo! Noo! " Ta#un Ta#un 1$%" 1$%" &'n&ang &'n&ang Wa(a# P'n)a*+ P'n)a*+& M'nu,a! M'nu,a! . UndangUndang UndangUndang Noo! Noo! /0 Ta#un Ta#un $ $ &'n&ang &'n&ang K'2'#a&an K'2'#a&an /. P'!a&u!an P'!a&u!an M'n&'!+ M'n&'!+ K'2'#a&a K'2'#a&ann Noo! 1/3MENK 1/3MENKES3PER ES3PER3II31 3II31// K!#!rkai#a"
Kualikasi P!laksa"a 1. D+na D+na22 K'2' K'2'#a& #a&an an . 4a2)an 4a2)an*'2 *'2 Sa&',+ Sa&',+&& TB TB MDR MDR /. 4a2) 4a2)an an*' *'22 Ru5u Ru5u*a *ann ". La(o! La(o!a& a&o! o!+u +u Ru5u Ru5u*a *ann P!rala#a" P!rl!"$ka%a" 1. . /. ".
P!ri"$a#a" TB R'2+2&'n o(a& ada,a# *'adaan d+ana *uan )7o(a7&'!+u &u('!7u,o2+2 2uda# &+da* da6a& ,ag+ d+(unu# d'ngan o(a& an&+ &u('!7u,o2+2 8OAT9 8OAT9
ATK 4o! 4o!u, u,+! +! 6'n7a 6'n7a&a& &a&an an A,a& A,a& 6''! 6''!+* +*2a 2aan an Pa7* Pa7*+n +ngg 2'& 2'& da#a da#a**
P!"&a#a#a" 'a" P!"'a#aa" 1' S'(+,an 8$9 K!+&'!+a &'!duga TB !'2+2&'n o(a& . A,u! A,u! d+agno d+agno2+2 2+2 TB TB !'2+2& !'2+2&'n 'n o(a& o(a&
1
P'n'uan &'!duga TB !'2+2&'n o(a& ('!da2a!*an $ *!+&'!+a &'!duga TB !'2+2&'n o(a& 8RO9
M'+,+*+ 2a&u 819 da!+ S'(+,an 8$9 7!+&'!+a &'!duga TB !'2+2&'n o(a&
/ #a!+
4o!. TB.:
;'!+<+*a2+ da&a &'!duga TB RO
Ka!&u 6'ngo(a&an TB.1
1 #a!+
Do*u'n TB.1
/
M'n'&a6*an &'!duga TB RO
Do*u'n !+=a)a& 6'ngo(a&an
1 'n+&
M''nu#+ 7!+&'!+a &'!duga TB RO
"
M',a*u*an KIE dan +n
4o!. Da&a da2a! dan In
0 'n+&
Su!a& &uga2 dan SPPD &',a# d+&anda &angan+
:
M',a*u*an 6'nga(+,an da#a* 2'=a*&u dan 6ag+
Po& da#a*
#a!+
S6'7+'n da#a* da,a 6o&
0
M'ng+2+ da&a da2a! dan '(ua& 2u!a& !u5u*an 6''!+*2aan da#a*
Da&a da2a! dan 4o! !u5u*an
1 'n+&
Da&a da2a! &'!+2+ ,'ng*a6
>
M'n)+a6*an *','ng*a6an ('!*a2 &'!duga
Da&a da2a!? +n
1 'n+&
Da&a 6a2+'n ,'ng*a6
%
M',a*u*an 6a7*+ng da#a*
Pa7*+ng 2'&
1: 'n+&
Da#a* 2+a6 d+*+!+
$
M'ngan&a! 26'7+'n da#a* &'!duga TB RO
Su!a& &uga2? SPPD? 26'7+'n dan do*u'n &'!duga
1 #a!+
S6'7+'n &+(a d+ RS
1
P''!+*2aan d+agno2&+7 3 u5+ *'6'*aan
A,a& 6''!+*2aan
1 'n+&
Ha2+, d+agno2&+7
11
M'n'!+a #a2+, d+agno2&+7
4o! 6''!+*2aan
: 'n+&
Ha2+, 6''!+*2aan
1
M'n+nda*,an5u&+ #a2+, 3 6',a7a*an 6a2+'n
Ha2+, 6''!+*2aan
1 #a!+
Pa2+'n 'ng'&a#u+ #a2+, 6''!+*2aann)a
1/
M',a*u*an KIE dan +n
Pa2+'n
/ 'n+&
M'n'!+a KIE dan 'n)'&u5u+ +n
1"
M'u,a+ 6'ngo(a&an 3 !a=a& +na6
Pa2+'n
> #a!+
Pa2+'n 'nda6a&*an 6'!a=a&an
1:
P'ng+!+an ,og+2&+7 dan 6'nd'!+&a
K'2+a6an 6a2+'n dan ,og+2&+*
1 #a!+
Pa2+'n dan ,og+2&+7 &+(a d+
10
M',an5u&*an 6'ngo(a&an 3 !a=a& 5a,an
K'2+a6an 6a2+'n dan ,og+2&+*
: 'n+&
P'ngo(a&an d+,an5u&*an d+
1>
P'nga=a2an? 6'an&auan 6'ngo(a&an 8 PMO 9
M'n'&a6*an PMO
1 'n+&
Pa2+'n 'nda6a&*an 6'nga=a2an 2',aa 6'ngo(a&an
1%
P'n7a&a&an dan 6',a6o!an
4o! TB RO
/ 'n+&
4o! TB RO &'!+2+ ,'ng*a6
1$
M',a6o!*an #a2+, *'g+a&an dan 6'nga!2+6an
La6o!an *'g+a&an
/ 'n+&
Do*u'n&a2+ &'!&u,+2 dan +n
MANAJEMEN TERPADU PENGENDALIAN TUBERKULOSIS RESISTEN OBAT ( MTPTRO ) MULAI P'n'uan &'!duga TB !'2+2&'n o(a& ('!da2a!*an $ *!+&'!+a &'!duga !'2+2&'n o(a& 8RO9 ;'!+<+*a2+ da&a &'!duga TB RO
M'n'&a6*an &'!duga TB RO
M',a*u*an KIE dan +n
M',a*u*an 6'nga(+,an da#a* 2'=a*&u dan 6ag+
M'ng+2+ da&a da2a! dan '(ua& 2u!a& !u5u*an 6''!+*2aan da#a*
M'n)+a6*an *','ng*a6an ('!*a2 &'!duga
M',a*u*an 6a7*+ng da#a*
M'ngan&a! 26'7+'n da#a* &'!duga TB RO
P''!+*2aan d+agno2&+7 3 u5+ *'6'*aan
M'n'!+a #a2+, d+agno2&+*
M'n+nda*,an5u&+ #a2+, d'ngan ',a*u*an 6',a7a*an 6a2+'n
M'('!+*an KIE dan +n
M'u,a+ 6'ngo(a&an d+ 4a2)an*'2 !u5u*an TB RO 3 !a=a& +na6
P'ng+!+an ,og+2&+7 dan 6'nd'!+&a
M',an5u&*an 6'ngo(a&an d+
Pengaasan+ emantauan engobatan PMO
Pen4atatan &an elaoran
Melaor"an %asil "egiatan &an engarsian
SE/ES)I
T'!duga TB !'2+2&'n o(a& ada,a# 2'ua o!ang )ang '6un)a+ g'5a,a TB )ang ''nu#+ 2a&u a&au ,'(+# 7!+&'!+a32u26'* d+ (a=a# +n+ @ 1. Pa2+'n TB gaga, 6'ngo(a&an *a&'go!+ . Pa2+'n T( 6'ngo(a&an *a&'go!+ )ang &+da* *on'!2+ 2'&',a# / (u,an 6'ngo(a&an /. Pa2+'n TB )ang '6un)a+ !+=a)a& 6'ngo(a&an TB )ang &+da* 2&anda! 2'!&a 'ngguna*an *u+no,on dan o(a& +n5'*2+ ,+n+ *'dua +n+a, 2',aa 1 (u,an ". Pa2+'n TB 6'ngo(a&an *a&'go!+ 1 )ang gaga, :. Pa2+'n TB 6'ngo(a&an *a&'go!+ 1 )ang gaga, )ang &'&a6 6o2+&+< 2'&',a# / (u,an 6'ngo(a&an 0. Pa2+'n TB *a2u2 *a(u# 8!',a629? *a&'go!+ 1 dan *a&'go!+ >. Pa2+'n TB )ang *'(a,+ 2'&',a# ,o22
Ter&uga TB Resisten Obat
Tes 5eat &engan 6ene 7ert
MTB Resisten Ri!ami4in
MTB sensi#ve Ri!ami4in
MTB Nega#!
Bia"an &an I&en#"asi "uman MTB
MTB tumbu%
*9i "ee"aan O)T lini 1 &an lini 2
MTB #&a" tumbu%
TB M$R 9i"a a&a tamba%an resistensi ter%a&a IN(+ lan9ut"an engobatan O)T M$R stan&ar Pre 7$R 9i"a a&a tamba%an resistensi ter%a&a o:o;sasin atau "anamisin
TB Resisten Ri!amisin TB
TB 7$R 9i"a a&a tamba%an reristensi ter%a&a o:o;sasin &an
RR+ obat &ebgab O)T M$R
"anamisin
stan&ar
