Spo Tb Dot Terbaru

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    Jl. Raya Bogor, Kramat Jati,Telp. !"#$% &a' !#() !$*!+EMail - Http-///.p012i''e1.3om

    PROSEDUR

    No. Do'0me4 - No. Re5i1i - Halama4 -

    STANDAR PROSEDUROPERASIONAL ( SPO )

    Ta4ggal ter6it -

    Ditetap'a4Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, S.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    PENGRTIAN Mer0pa'a4 0paya 04t0' me4:ari4g pa1ie4pa1ie4 ya4g 2i30rigaime42erita TB ;101pe' pa1ie4 TB) 2i RS DIK PUSDIKKES ya4g2ila'0'a4 1e3ara promotive case finding  

    TUJUAN Se6agai t0:0a4 tatala'1a4a me4:ari4g pa1ie4 2i30rigai me42eritaTB ;101pe' pa1ie4 TB)

    KEBIJAKAN Ba7/a 1el0r07 pela'1a4aa4 pelaya4a4 2i tiap 04it pelaya4a4 2iRS DIK PUSDIKKES memp04yai 'e/a:i6a4 04t0' me4:ari4gpa1ie4pa1ie4 ya4g memili'i ge:ala pe42erita TB ;101pe' pa1ie4TB)

    PROSEDUR (. pa1ie4 2e4ga4 ge:ala 1e6agaima4a 2i 6a/a7 i4i 7ar012ia4ggap 1e6agi 1eora4g 101pe' pa1ie4 TB -

    a.. Ba4t0' ter01 me4er01 < # mi4gg06. Bat0' 6er2a7a', 'a2a4g 6i1a 2i1ertai 2ara73. Dapat 2i1etai- 2emam, meria4g < ( 60la4, 4a=10 ma'a4

    me40r04, 6erat 6a2a4 me40r04, malai1e, 6er'eri4gat malam2. pa1ie4 2e4ga4 ge:ala TB e'1tra par0 ;1e10ai ora4g ya4g

    2i1ertai - pem6e1ara4 'ele4:ar limpe, gi6601, 1'ro=0lo2erma,2ll)

    #. pela'1a4a4 pelaya4a4 'e1e7ata4 ;1ta= me2i1 2o'ter 1ta= pera/at), apa6ila me4em0'a4 pa1ie4 2e4ga4 ge:ala1e6agaima4a 2e4ga4 ter1e60t 2iata1 -a. 2i'li4i''li4i' ra/at :ala4 -

    • 3atat 2ata i2e4tita1 101pe' pa1ie4 TB pa2a =orm TB!9, 'olom ( 1.2 9

    60at'a4 lem6ar permi4taa4 pemeri'1aa4 2a7a' SPS

     

    http://www.pusdikkes.com/http://www.pusdikkes.com/http://www.pusdikkes.com/

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR PENJARINGAN SUSPEK PASIEN TB

    No. Do'0me4 -  No. Re5i1i - Halama4 -

    • ; =orm TB!%), 04t0' pe4ega''a4 2iag4o1i1• B0at'a4 lem6ar permi4taa4 pemeri'1aa4 pe404:a4g

    lai44ya, 1e10ai i42i'a1i ;=oto t7ora> 7i1topatologi patologia4atomi, 2ll)

    • Dila'0'a4 'o41eli4g 2a4 e20'a1i -• Pe4ti4g4ya 2ila'0'a4 $> pemeri'1aa4 2a7a'2a4 3ara

    me4gel0ar'a4 2a7a' ya4g 6e4ar•

    Da4 pa1ie4 2iper1ila7'a4 'e la6oratori0m ra2iologi• Setela7 2iperole7 7a1il pemeri'1aa4 2a7a' SPS, ma'a

    7a1il pemeri'1aa4 2a7a' 2i3atat pa2a =orm TB!9, 'olom 1.2 (+

    • Mele4g'api 3atata4 re'ame2i' pa1ie4•  Apa6ila pa1ie4 ter2iag4o1i1 1e6agai pa1ie4 T06er'0lo1i1

    r0:0' 'e Poll DOTS 2e4ga4 me4gg04a'a4 =orm0lir r0:0'a4i4ter4al

    6. Dir0a4g r0a4g ra/at i4ap -• 8atat 2ata i2e4 tita1 101pe' pa1ie4 TB pa2a =or4 TB!9,

    'olom ( 1.2 'olom 9• B0at'a4 lem6ar permi4taa4 pemeri'1aa4 2a7a' SPS

    ; =orm TB!% ), 04t0' me4ega''a4 2iag4o1i1• B0at'a4 lem6ar permi4taa4 pemeri'1aa4 pe404:a4g

    lai44ya, 1e10ai 2e4ga4 i42i'a1i ; =oto t7ora> 7i1topotologi potologia4atomi, 2ll )

    • S01pe' pa1ie4 TB 2e6eri'a4 pot 2a7a', 2a4 2i6a4t0 04t0'me4gel0ar'a4 2a7a' ya4g 6e4ar, SPS

    • Pot 2a7a' SPS 101pe' pa1ie4 TB 2i1era7'a4 'ela6oratori0m

    • Setela7 2iperole7 7a1il pemeri'1aa4 2a7a' SPS , ma'a2ari 7a1il pemeeri'1aa4 2a7a' 2i3atat pa2a =orm TB!9,'olom 1.2 'olom (+

    • Mele4g'api 3atata4 re'ame2i' pa1ie4• Pa2a 1aat 1etiap p0la4g 2ari ra/at i4ap, 2ia4:0r'a4 04t0'

    'o4trol ra/at :ala4 2i 'li4i' ra/at :ala4 SM& ter'ait

     

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PENJARINGAN SUSPEK PASIEN

    No. Do'0me4 - No. Re5i1i - Halama4 -

    $.101pe' pa1ie4 TB 1ela4:0t4ya 2ila'0'a4 pe4ega''a4 2iag4o1i1ole7 1ta= me2i1 2o'ter pe4a4gg04g :a/at pera/ata4 pa1ie4ter1e60t.

     Al0r Pa1ie4 Bar0Poli 2alam /a4ita pria

    Poli ?a1tro Poli P0lmo Poli lai44ya

      UNIT DOTSALUR PELAYANAN PASIEN RAWAT INAP

    Bero6at 'e RSRawat jalan

    TB 01 → lap ke unit DOTS

    Selama dirawat → obat resep

    Pilang dari rawat inap

    Kontrol di poli paru

    → unit DOTS mulai buka obat

    Tidak menggunakan obat

     program tidak dicatat di TB

    01

    Pulang dari rawat inap

    Pasien dibuatkan TB 09 dan

    dicatat di buku rujuk

    diagnosa

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    UNIT TERKAIT (. Ra/at :ala4#. Ra/at i4ap

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR DIAGNOSIS PASIEN TB

    No. Do'0me4 - No. Re5i1i - Halama4

    STANDAR PROSEDUROPERASIONAL ( SOP )

    Ta4ggal ter6itDitetap'a4

    Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, S.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    PROSEDUR DIAGNOSIS PASIEN TB

    PENGERTIAN Mer0pa'a4 'egiata4 04t0' me4ega''a4 2iag4o1i1 TB pa2apa1ie4 ya4g 2i30rigai pe42erita TB ; 101pe' , ole7 1ta= me2i12o'ter pe4a4gg0a4g :a/a6 pera/ata4 pa1ie4, RS DIKPUSDIKKES .

    TUJUAN Se6agai a30a4 tatala'1a pe4ega''a4 2iag4o1i1 TB pa2a pa1ie4ya4g 2i30rigai me42erita TB ; 101pe' pa1ie4 TB ), 04t0'me4em0'a4 pa1ie4 TB

    KEBIJAKAN R0ma7 1a'it mela'1a4a'a4 pe4a4gg0la4ga4 TB 1e10ai 2e4ga4pe2oma4 1trategi DOTS

    PROSEDUR

    (. Pe4ega''a4 2iag4o1i1 pa1ie4 TB 2i2a1ar'a4 pa2a -a. A4am4e1i1 ; 'el0ra7a4 0tama, ri/ayat pe4ya'it

    1e'ara4g, ri/ayat pe4ya'it 2a70l0, 2a4 ri/ayat pe4ya'it'el0arga )

    6. Pemeri'1aa4 =i1i' ya4g me420'04g3. Ha1il pemeri'1aa4 2a7a' SPS2. Ha1il pemeri'1aa4 pe404:a4g lai44ya ; 1e10ai i42i'a1i -

    =oto t7ora> 0:i t06er'0li4 7i1topatologi patoligia4atomi )

    e. Ha1il pem6o6ota4 ; 1i1tem 1'or ) pa2a 'a101 TB a4a'

    #. 04t0' pa1ie4 TB par0 2e/a1a, apa6ila -a. Pa2a 101pe' pa1ie4 TB, 2item0'a4 BTA ; @ ) pa2a ≥ 2

    hasil pemeriksaan dahak S-P-S, maka ditegakkan :diagnosis pasien TB, dan selanjutnya penetapanklasifkasi dan tipe pasien TB, untuk menentukanregimen pengobatan !T-nya

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR DIA?NOSIS PASIEN TB

    No.Do'0me4 -

    No. Re5i1i - Halama4

    PROSEDUR

    6. Pada suspek pasien TB, ditemukan BT! "#$pada hanya % hasil pemeriksaan dahak S-P-S,maka dilakukan pemeriksaan &oto thora' :

    • Bila 7a1il =otot7ora> me4g042a4g 'elai4a4TB, ma'a 2itega'a4 2iag4o1i1 pa1ie4 TB,1ela4:0t4ya 2ila'0'a4 pe4etapa4 'lari=i'a1i2a4 tipe pa1ie4 TB, 04t0' me4e4t0'a4regime4 pe4go6ata4 OAT4ya.

    • Bila =oto t7ora' ti2a' me4g042a4g 'elai4a4TB, ma'a 2apat 2i0la'0a4 pemeri'1aa42a7a' SPS 0la4g -

    3. pa2a 101pe' pa1ie4 TB, 2item0'a4 BTA ;) pa2a 'e$ 7a1il pemeeri'1aa4 2a7a' SPS, ma'a2i6eri'a4 pe4go6at4 a4ti6ioti' 1pe'tr0m l0a1 terli6i7

    2a70l0. Da4 6ila a2a per6ai'a4, ma'a 2itega''a42iag4o1i1 60'a4 pa1ie4 TB, apa6ila 2e4ga4a4ti6ioti' 1pe'tr0m l0a1 ti2a' a2a per6ai'a4, ma'a2ila'0'a4 pemeri'1aa4 =oto t7ora> -

    • Bila 7a1il pemeri'1aa4 =oto t7ora>me420'04g 'elai4a4 TB, 2a4 ma'a2itega''a4 2i2iag4o1i1 pa1ie4 TB1ela4:0t4ya 2ila'0'a4 pe4etapa4 'lari=i'a1i2a4 tipe pa1ie4 TB, 04t0' me4e4t0'a4regime4 pe4go6ata4 OAT4ya

    • Bola 7a1il pemeri'1aa4 =oto t7ora> ti2a'me420'04g 'elai4a4 TB, 2a4 ma'a

    2itega''a4 2iag4o1i1 60'a4 pa1ie4 TB$. 04t0' pa1ie4 TB a4a', apa6ila e4ga4 pem6o6ota4 -

    • S'or. 9 ata0

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR DIAGNOSIS PASIEN TB

    NO. Do'0me4 No. Re5i1i Halama4

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR DIAGNOSIS PASIEN TB

    No. Do'0me4 - 

    No. Re5i1i - Halama4 -

    Suspek pasien

    Pemerisandaak S!P!S

    "asil BT# $ % %% & % % !

    "asil BT# $ % ! ! "asil BT# $ ! ! !

    'oto tora(

    Pemeriksaan ulang daak $ S!P!S

    "asil BT# % %%) % % !) % ! !

    "asil mendukung "asil tak  mendukung

    *oto tora(

    #da perbaikan

    Beri antibiotik 

    Tak ada perbaikan

     pasien

    "asil BT# $ !! !

    "asilmendukung

    "asil tak mendukung

     bukan pasienTB

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    Si1tem 1'or 04t0' 2iag4o1i1 pa1ie4 TB a4a' -

    Ko4ta' TB Ta' :ela1 A2a. BTAta' ta70

     A2a BTApo1iti= 

    Ui:i t06er'0li4 Negati= A2a, BTAta' ta70

     A2a, BTApo1iti= 

    BB 'ea2aa4gii

    !C po1iti=  

    Bemam ta4pa1e6a6 :ela1

    # mg

    Bat0' $ mgPem6e1ara4

    I44 ( 3m, <( ta' 3m

    Pem6e4g'a'a4t0la4g 1e42i

    a2a

    Ro4tge4 t7ora> Normal Me420'04g

    TB

     U4it Ter'ait (. Ka Pol0m F Spe1iali1a1i

    #. Para Kar0 Pera/ata4 I4ap

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR KLASIFIKASI DAN TIPE PASIEN TB

    No. Do'0me4 - No. Re5i1i - Halama4 -

    Paramater 1'or

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    STANDAR PROSEDUROPERASIONAL ; SOP )

    Ta4ggal ter6eit -Ditetap'a4

    Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, S.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    PENGETIAN Pa1ie4 ya4g 2itega''a4 2iag4o1i1 TB la4:0ta4 perl02itetap'am 'lari=i'a1i2a4 tepe4ya, 6er2a1ar'a4 - orga4 t0607 ya4g ya4g 1a'it ; par0 ata0e'1tra par0 ), 7a1il pemeri'1aa4 2a7a' 1e3ara mi'ro1'opi' la4g104g ; BTApo1iti= BTA 4egati= ), ri/ayat pe4go6ata4 1e6el0m4ya ; 6ar0 102a7102a7 per4a7 2io6ati ), 2a4 ti4g'at 'epara7a4 pe4ya'it ; ri4ga4 6erat ),ole7 1ta= me2i1 2o'ter pe4a4gg04g :a/a6 per/at pa1ie4 2i RS DIKPUSDIKKES

    TUJUAN Se6agi a30a4 04t0' me4etap'a4 pa20a4 regime4 o6at a4ti TB ; OAT )

    ya4g 7ar01 2i6eri'a4 'epa2a pa1e4 ter1e60t

    KEBIJAKAN

    Ba7/a pe4etapa4 'lari=i'a1i 2a4 tipe pa1ie4 TB 2i2a1ar'a4 pa2a - orga4ya4g 2i1era4g, 7a1il pemeri'1aa4 2a7a' mi'ro1'opi1, ri/ayat pe4go6ata41e6el0m4ya 2a4 ti4g'at 'epara7a4 1a'it, 2ila'0'a4 ole7 1ta= me2i1 2o'ter pe4a4gg04g :a/a6 pera/ata4 pa1ie4 ter1e60t 

    PROSEDUR

    (. 6er2a1ar'a4 7a1il a4am4e1a, pemeri'1aa4 =i1i', pemeri'1aa4 2a7a',mi'ro1'opi',2a4 pemeri'1aa4 pe404:a4g lai44ya, ma'a pa1ie4 TBa'a4 2itetap'a4 'la1i=i'a1i 2a4 tipe4ya-a. Ber2a1r'a4 orga4 t0607 ya4g 2i1era4g - pa1ie4 TB par0pa1ie4 TB

    e'1tra par0

    6. Ber2a1ar'a4 7a1il pemeri'1a4 2a7a' 1e3ra mi'ro1'opi1 - paa1ie4TB par0 BTA ;@)pa1ie4 TB par0 BTA ;) =oto t7ora' ;@)3. Ber2a1ar'a4 ri/ayat pe4go6ata4 TB 1e6el0m4ya - pa1ie4 TB par0

    BTA ;@) 6ar0pa1ie4 TB par0 BTA ;@) 'am607gagal2e=a0lt'ro4i12. Ber2a1ar'a4 'epara7a4 pe4ya'it - pa1ie4 TB e'1tra par0

    ri4ga4pa1ie4 TB e'1tra par0 6eratpa1ie4 TB par0 BTA ;) =otot7ora> ;@) ri4ga4pa1ie4 TB par0 BTA ;) =otop t7ora> ;@) 6erat

    #. Diag4o1i1, 'la1i=i'a1i 2a4 tipe-a. TB par0 BTA ;@) 6ar0- # ata0 le6i7 1e2iaa4 ata0 ap01a4 7a2a'

    2item0'a4 BTA ;@), ata0 ( 1e2ia4 ap01a4 2a7a' BTA ;@) =otot7ora>1 me420'04g TB, pa1ie4 6el0m per4a7 me42apatpe4go6ata4 OAT 1e6el0m4ya ata0 mi40m OAT G ( 60la4

    6. TB par0 BTA ;) =oto t7ora> ;@)- $ 1e2iaa4 7ap01a4 2a7a' BTA ;)

    7a1il =oto t7ora>1 me420'04g TB, ata0 TB a4a', ata0 'a101 TBya4g ti2a' 2iperole7 7a1il ap01a4 2a7a' pa1ie4

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR KLASIFIKASI DAN TIPE PASIEN TB

    No. Do'0me4 - No. Re5i1i- Halama4-

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    3. T6 par0 BTA ;@) 'am607- pa1ie4 102a7 me42apatpe4go6ata4 OAT 2a4 102a7 2i4yata'a4 1em607 ya4g 'em02ia42i2iag4o1a lagi 2e4ga4 BTA ;@)2. T6 par0 BTA ;@) gagal- pa1ie4 1e42iria4 ap01a4 a/al4ya BTA4egati= 'em02ia4 2e4ga4 pe4go6ata4 me4:a2i BTA ;@), ata0pa1ie4 TB ya4g pe4go6ata4 1.2 60la4 'e% 2e4ga4 BTA ya4gtetap ;@)e. TB par0 'ro4i1 - pa1ie4 TB BTA ;@) ya4g 1.2 a'7ir pe4go6ata4 BTA 4yatetap ;@)=. TB par0 1etela7 2e=a0lt - pa1ie4 'em6ali 6ero6at 2e4ga4 TBBTA ;@) 1etela7 p0t01 o6at < # 60la4g. TB e'1tra par0- 'a101 TB ya4g me4yera4g orga4 1elai4par0 ;'0lit,'ele4:ar,t0la4g,1yara=,2ll) ri4ga4 ma0p04 6erat

    $. Do'ter pe4a4gg04g :a/a6 pera/ata4 pa1ie4 TB ter1e60t1ela4:0it4ya me4etap'a4 pa20a4 regime4 o6at a4ti TB , 1e10ai2e4ga4 'la1i=i'a1i 2a4 tipe pa1ie4, 1e10ai 1ta42ar HO 2a4IST8 ;i4ter4atio4al 1ta42art o= t06er3olo1i1 3are)

     Al0r pe4etapa4 'la1i=i'a1i 2a4 tipe pa1ie4 TB

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR KLASIFIKASI DAN TIPE PASIEN TB

    No. Do'0me4- No. Re5i1i- Halama4-

    +ikroskopis

    BT#

    Paru

    BaruBelum perna

    Organ Riwa,at pengobatan

    -kstra paru

    gagal

    Kambu 

    Suda perna

    Kronis

    keparaan

    BT# .!/

    Berat

    Ringan

    K#SS

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    UNIT TERKAIT (. Ka Pol0m F Spe1iali1a1i#. Para Kar0 Pera/ata4 I4ap

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    ALUR PASIEN TUBERKULOSISDI INSTALASI GAWAT DARURAT

    No. Do'0me4- No. Re5i1i- Halama4-

    Ditetap'a4

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    STANDAR PROSEDUROPERASIONAL ; SOP )

    Ta4ggal ter6it

    Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, S.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    ALUR PASIEN TUBERKULOSIS DI INSTALASI GAWAT DARURAT

    PENGERTIAN S0at0 al0r pe4atala'1a4aa4 pa1ie4 ata0 101pe' pa1ie4T06er'0lo1i1

    TUJUAN   Se6agai a30a4 pe4atala'1a4aa4 pa1ie4 ata0 101pe' pa1ie4T06er'0lo1i1 1elama 1elama me42apat'a4 pelaya4a4 2i i41tala1i

    ga/at 2ar0rat, 2it0:0'a4 ter7a2ap pe4i4g'ata4 m0t0 laya4a4,'em02a7a4 a'1e1 04t0' pe4em0a4 2a4 pe4go6ata4 1e7i4ggamamp0 mem0t01'a4 ra4tai pe40lara4 T06er'0lo1i1

    KEBIJAKAN Setiap pet0ga1 'e1e7ata4 RS DIK PUSDIKKES me4geta70i te4ta4g Al0r pa1ie4 t06er'0lo1i1 2i i41tala1i ga/at 2ar0rat 

    PROSEDUR   • Setiap pa1ie4 ya4g 2i'eta70i ata0 2i30ragai me42eritaTUBERKULOSIS PARU 7ar01 2i6ri ma1'er 04t0' 2ipa'ai

    m0lai 1aat pe42a=tara4 1elama me4:ali4 pemeri'1aa41ampai me42apat'a4 2iag4o1i1• Seora4g pa1ie4 2i30rigai me42erita TB PARU apa6ila ge:ala

    1e6agai 6eri'0t-(. Bat0' ya4g par1i1te4 < $ mi4gg0#. Nyeri 2a2a$. Bat0' 2ara7 ata0 6at0' 2e4ga4 2a7a' 6er3amp0r 2ara7+. Berat 6a2a4 me40r04%. Na=10 ma'a4 me40r049. Ber'eri4gat 6a4ya' 1aat malam 7ari*. 8epat lela7. A2a ge:ala malai1e

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    ALUR PASIEN TUBERKULOSISDI INSTALASI GAWAT DARURAT

    No. Do'0me4 No. Re5i1i Halama4 -

    ##

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    Seora4g pa1ie4 TB ya4g ma10' I?D 2i30rigai mer0pa'a4pa1ie4 ya4g i4=e'1i01 6ila 2item0'a4 a2a4ya

    (. Bat0' ya4g par1i1te4 < $ mi4gg0#. Pa2a =oto t7ora'1 2item0'a4 a2a4ya 'a5ita1

    $. BTA 1p0t0m+. Pa1ie4 ti2a' me42apat terapi a2e'0at%. Pa1ie4 2i'eta70i 1e6el0m4ya 1e6agai pa1ie4 TB

    Par0, TB 1al0ra4 4a=a1 TB lari4g9. Pa1ie4 ya4g 1e2a4g ya4g me4:ala4i pro1e20r i420'1i

    1p0t0m 1eperti 6ro4'7o1'opi, pe4go6ata4 aero1ol*. Pe42erita TB e'1tra par0 6ia1a4ya ti2a' me40lar 

    'e30ali pa2a 'a101 TB pa2a lari4g, ro4gga m0l0t ata0TB e'1tra par0 2e4ga4 a61e4 ter60'a 1epertiS3ro=0lo2erma. Pe40lara4 ter:a2i melal0i me'a4i1me'o4ta'.

    • Ma1'er ter1e60t 7ar01 1elal0 2ipa'ai 1elamame4:ala4i pemeri'1aa4 1ampai ter60'ti 6a7/apa1ie4 ya4g 6er1a4g'0ta4 ti2a' me42eritaT06er'0lo1i1 Par0.

    • Pa1ie4 ya4g 2i'eta70i ata0 2i30rigai me42eritaT06er'0lo1i1 par0 7ar01 2itempa'a4 terpi1a7 2ari'elompo' priorita1 04t0' 2iperi'1a terle6i7 2a70l0.

    • Do'ter ata0 pet0ga1 lai44ya ya4g me4a4ga4ipa1ie4 ata0 101pe' T06er'0lo1i1 /a:i6me4gg04a'a4 re1pirator ;ma1'er N"%) 1etiap 'ali

    6eri4tera'1i 2e4ga4 pa1ie4. Pa1ie4 ya4g ole72o'ter 2i 2iago1i1 T06er'0lo1i1 par0 2a4me40lar'a4 pera/ata4 7ar01 2ira/at 2ir0a4gpera/ata4 i1ola1i '70101 T06r'0lo1i1.

    UNIT TERKAIT• I41tala1i ?a/at Dar0rat• I41tala1i Ra/at Jala4• I41tala1i Ra/at I4ap

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PEN8E?AHAN DAN PEN?ENDALIAN IN&EKSI PASIENTUBERKULOSIS DI INSTALASI RAAT INAP

    No. Do'0me4 No. Re5i1i Halama4 -

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    ((

    STANDAR PROSEDUROPERASIONAL ; SOP )

    Ta4ggal ter6it

    Ditetap'a4Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, S.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    PEN8E?AHAN DAN PEN?ENALIAN IN&EKSI PASIEN TUBERKULOSIS DI INSTALSI RAAT INAP

    PENGERTIAN S0at0 al0r pe4atala'1a4aaa4 pa1ie4 ata0 101pe' pa1ie4T06er'0lo1i1 Par0 1elama me42apat'a4 pera/ata4 2ira/at i4ap 2iRS DIK PUSDIKKES

    TUJUANSe6agai a30a4 pe4atala'1a4aa4 pa1ie4 101pe' T06er'0lo1i1 Par01elama me42apat'a4 pera/ata4 2ira/at i4ap 2i RS DIKPUSDIKKES

    KEBIJAKANSetiap pet0ga1 'e1e7ata4 RS DIK PUSDIKKES /a:i6 mem6eri'a4pelaya4a4 pera/ata4 2ir0a4g ra/at i4ap

    PROSEDUR

    pa1ie4 ya4g ole7 2o'ter 2i2iag4o1i1 T06er'oli1 Par0 2a4memerl0'a4 pera/ata4 7ar01 2ira/at 2ir0a4g pera/at4 i1ola1i

    '7101 T06er'0lo1i1. 1elama me4:ala4i pera/ata4 pa1ie4 /a:i6 me4ge4a'a4 ma1'er. Pet0ga1me2i1 2a4 parme2i3 /a:i6 me4ge4a'a4 re1pirator ;ma1'er N"%) 1etiap 'ali mema10'i r0a4g ra/at i1ola1i ti2a'2iper'e4a4'a4 2it04gg0i ole7 'el0arga ata0 pi7a' lai44ya, 'e30aliata1 i:i4 2o'ter pe4agg04g :a/a6 pa1ie4 pi4t0 r0a4g ra/at i1ola1i 7ar01 1elal0 tert0t0p 2a4 '043i4ya2ipega4g ole7 pet0ga1

    UNIT TERKAIT U4it ?a/at Dar0rat U4it ?a/at I4ap

    U4it ?a/at Jala4

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    TRANSPORTASI PASIEN TUBERKULOSIS PARU

    No. Do'0me4 No. Re5i1i Halama4 -

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    ((

    STANDAR PROSEDUROPERASIONAL ; SOP )

    Ta4ggal ter6itDitetap'a4

    Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, S.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    TRANSPORT TASI PASIEN TUBERKULOSIS BARU

    PEN?ERTIAN S0at0 pe4girima4 pa1ie4 t06er'0lo1i1 pari a4tar 04it 2i li4g'04ga4RS DIK PUSDIKKES

    TUJUAN Se6agai a30a4 2alam pe4girima4 ata0 tra41porta1i pa1ie4 101pe't06er'0lo1i1 par0 1elama me42apat'a4 pelaya4a4 2i RS DIKPUSDIKKES 2ir0a4g pera/ata4

    KEBIJAKAN Setiap pet0ga1 'e1e7ata4 RS DIK PUSDIKKES me4geta70i'em02a7a4 a'1e1 04t0' pe4em0a4 2a4 pe4go6ata4 1e7i4ggamamp0 mem0t01'a4 ra4tai pe40lara4 2a4 me43ega7 ter:a2i4yaMDR TB

    PROSEDUR Ji'a mem04g'i4'a4 1erta =a1ilita1 ter1e2ia, 7e42a'4ya 1etiappemeri'1aa4 ter7a2ap pa1ie4 ata0 101pe' t06er'0lo1i1 par0,terma10' pemeri'1aa4 pe404:a4g, 2ila'0'a4 2i tempat pa1ie46era2a ;r0a4g i1ola1i) Ji'a pa1ie4 ata0 101pe' t06er'0lo1i1 par0 7ar01 me4:ala4ipemeri'1aa4 ata0 pera/ata4 ata0 2i 04it ata0 r0a4ga4 terte4t0,ma'a pa1ie4 7ar01 1elal0 me4ge4'a4 ma1'er 'eti'a 2i'irim 'e04it ata0 r0a4ga4 ya4g 2it0:0 2a4 2ia4tara pet0ga1 ya4gme4ge4a'a4 re1p0irator ;ma1'er N"%) 

    UNIT TERKAIT U4it ?a/at Dar0rat

    U4it Ra/at I4ap U4it Ra/at

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PEN?UMPULAN DAN PEN?IRIMAN SPUTUM

    No. Do'0me4 No. Re5i1i Halama4 -

    (#

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    STANDAR PROSEDUROPERASIONAL ; SOP )

    Ta4ggal ter6it Ditetap'a4Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, S.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    PEN?UMPULAN DAN PEN?IRIMAN SPUTUM

    PEN?ERTIAN S0at0 pro1e20r ya4g 1a4gat 2iperl0'a4 2alam pro1e1 pe4ega''a42iag4o1i1 TB

    TUJUAN Se6agai a30a4 04t0' me42apat'a4 1p0t0m ya4g '0a4tita1 2a4'0alita14ya 6ai' 04t0' 2ila'0'a4 pemeri'1aa4 mi'ro1'opi1 

    KEBIJAKAN RS.DIK PUSDIKKES mela'1a4a'a4 pelaya4a4, pemeri'1aa4 2a7a'1e3ara mi'ro1'opi'.

    PROSEDUR  Alat ya4g 2iperl0'a4 - pot 2a7a' 1teril 1e10ai 1ta42ar la6orat0ri0m 1ti'er1pi2ol Sa604 303i ta4ga4

    para=ilm pro1e20r ta4pa pe4g0mp0la4 2a7a' =orm TB !%TB !% MDR8ara 'er:a -Per1iapa4 pa1ie4 - 6erita70 pa1ie4 te4ta4g pe4ti4g4ya me42apat'a4 2a7a' ya4g6er'0alita1 04t0' me4e4t0'a4 pe4ya'it4ya. a4:0r'a4 pa1ie4 04t0' 6er2a7a' 2alam 'ea2aa4 per=0t 'o1o4g,2a4 mem6er1i7'a4 ro4gga m0l0t 2e4ga46er'0m0r 2e4ga4 air 6er1i7. 2a7a' a2ala7 6a7a4 i4=e'1i01, a4:0r'a4 pa1ie4 04t0' 6er7ati7ati1aat 6er2a7a' 2a4 me4303i ta4ga4 2e4ga4 1a604. a4:0r'a4 pa1ie4 04t0' mem6a3a pro1e20r tetap pe4g0mp0la42a7a' ya4g 6er1e2ia 2i 1p0t0m 6oot7 '70101 04t0' 6er2a7a'. 

    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PEN?UMPULAN DAN PEN?IRIMAN SPUTUM

    No. Do'0me4 No. Re5i1i Halama4 -

    ##

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    Per1iapa4 alat - 1iap'a4 pot 2a7a' 1teril 6eri i2e4tita1 pa2a 6a2a4 pot 2a7a'. Tempel'a4 i2e4tita1 pa1ie42a4 tam6a7'a4 ta42a A 04t0' pot 2a7a' 1e/a't0 2a4 B 04t0' pot2a7a' pagi pa2a 2i42i4g 6a2a4 pot :a4ga4 pa2a t0t0p4ya. 2a7a' 1e/a't0 2i'0mp0l'a4 pa2a /a't0 pa1ie4 2ata4g pertama'ali, 2a4 'em02ia4 pa1ie4 2i6eri'a4 pot 04t0' 2i6a/a p0la4g 04t0'me4amp04g 2a7a' pagi. Pe4gam6ila4 2a7a' 04t0' 2i2ia4o1i1 TBa2ala7 tiga 'ali ;SPSSe/a't0pagi1e/a't0), 1e2a4g'a4 04t0'TB MDR # 'ali ; SPSe/a't0pagi). T0li1 i2e4tita1 pa1ie4 2a4 ta4ggal pe4gam6ila4 2a7a' pa2a=orm0lir TB !%TB !% MDR 8arame4gel0r'a4 2a7a' ya4g 6ai' K0m0r'0m0r 2e4ga4 air 6er1i7 1e6el0m me4gel0ar'a4 2a7a' 6ila mema'ai gigi pal10, lepa1'a4 1e6el0m 6er'0m0r  tari' 4a=a1 2alam ;#$ 'ali)

    60'a t0t0p pot, 2e'at'a4 'e m0l0t, 6er2a7a' 2e4ga4 '0at 2a4l02a7'a4 'e 2alam pot 2a7a'.  t0t0p pot ya4g 6eri1i 2a7a' 2e4ga4 rapat. 303i ta4ga4 2e4ga4 air 6er1i7 2a4 1a604 a4ti1epti' pa2a 1aat me42a4gi pa1ie4 6er2a7a', pet0ga1 7ar01me42ampi4gi pa1ie4 2e4ga4 memper7ati'a4 ara7 a4gi4 ya4g ti2a'me4gara7 'epa2a pet0ga1. apa6ila ter4yata 2a7a' ti2a' meme407i 1yaratpemeri'1aa4 ;air li0r ata0 5ol0me4ya '0ra4g), pa1ie4 7ar01 memi4ta 6er2a7a' lagi.

    UNIT TERKAIT U4it ra/at :ala4

    U4it ra/at i4ap

    PROSEDUR PEMANTAUAN PEN?OBATAN PASIEN TBRS DIK PUDIKKES KODIKLAT TNI AD

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    No. 2o'0me4 No. Re5i1i Halama4

    STANDAR PROSEDUROPERASIONAL

    ; SOP )

    Ta4ggal ter6itDitetap'a4

    Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, Sp.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    PEN?ERTIAN Pema4ta0a4 'eterat0ra4 2a4 'epat07a4 pe4ego6ata4 pa1ie4, 2aria/al pe4go6ata4 1.2 1ele1ai ma11a pe4go6ata4, terma10'pema4ta0a4 'o45er1i terapi 2a4 7a1il terapi

    TUJUAN (. me4ilai 'e6er7a1ila4 pe4go6ata4 pa1ie4 TB#. me4ilai 'e6er7a1ila4 program pe4a4gg0la4ga4 TB

    KEBIJAKAN RS DIK PUSDIKKES mela'1aa'a4 pe4a4gg0la4ga4 TB 1e10ai2e4ga4 pe2oma4 1trategi DOTS

    PROSEDUR(. pa2a 1etiap pa1ie4 TB ya4g me42apat'a4 pe4go6ata4 OAT

    2e4ga4 pa420a4 regime4 OAT 1e10ai 'etetapa4 HOIST8,ma'a 2it04:0' 1eora4g PMO ;pe4ga/a1 mi40m o6at)

    #. 2ila'0'a4 pema4ta0a4 'eterat0ra4 2a4 'epat07a4 '04:04ga4'o4trol pa1ie4 TB 2e4ga4 memperg04a'a4- TB!(TB!#'ale42er pa1ie4

    $. 2itetap'a4 :a2/al '04:04ga4 'o4trol- (># mi4gg0 ;(+7ari) pa2a=a1e i4te41i= 2a4 (>60la4 ;(# 7ari tiap- 1e4i4ra60:0mat ata01ela1a'ami11a6t0)

    2 pela'1a4aa4 pelaya4a4 'e1e7ata4 ;1ta= pera/at) 2ipoli'li4i'DOST a'a4 mem60at :a2/al '04:04ga4 'o4trol pa2a TB!( 2a4TB!# ;t0li1 2e4ga4 pe41il), 2a4 :0ga pa2a 'ale42er pa1ie4a. pa2a 1aat pa1ie4 2ata4g '04:04ga4 'o4trol, ma'a 6eri ta42a

    r0mp0t ;) pa2a TB!( 2i'olom ta4ggal ya4g 1e10ai, 3atat  ta4ggal '04:04ga4 pa2a TB!#4ya, 2a4 ta42ai pa2a 'ale42er   pa1ie4.  6. apa6ila pa2a :a2/al '04:04ga4 'o4trol pa1ie4 ma4g'irti2a'

    2apat 2ata4g 'o4trol, ma'a 7ar01 1egera 2i1ampai'a4  'epa2a  pela'1a4aa4 /a1or TB 2i 2i4a1 'e1e7ata4 1etempat 04t0'

    6a4t0a4 pela3a'a 'a101.%. 1elama ma1a pe4go6ata4, pa1ie4 TB par0 BTA ;@) a'a4

    2ila'0'a4 pemeri'1aa4 2a7a' 0la4g pa2a =ollo/ 0p pe4go6ata4a. pa2a 1aat 1ele1ei ma11a i4te41i= ;a'7ir 60la4 'e #)

     

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PROSEDUR PEMANTAUAN PEN?OBATAN PASIEN TB

    No. Do'0me4 No. Re5i1i Halama4

    6. pa2a 1aat ( 60la4 1e6el0m a'7ir pe4go6ata4 ;a'7ir 60la4 'e %*)3. pa2a 1aat a'7ir 60la4 pe4go6ata4 ;a'7ir 60la4 'e 9)

    pa2a pa1ie4 TB par0 BTA 4egati= a'a4 2ila'0'a4 pemeri'1aa42a7a' 0la4g 04t0' =ollo/ 0p pe4go6ata4 pa2a 1aat 1ele1ei ma1ai4te41i= ; a'7ir 60la4 'e # )

    pa1ie4 2i60at'a4 lem6ara4 pemeri'1aa4 2a7a' SP ;=orm TB!%),04t0' =ollo/ 0p pe4go6ata4 a'a4 tetapi 2i3atat 2i =orm TB!9

    9. pa2a pa1ie4 TB a'a4 2ial'0'a4 pemeri'1aa4 ra2iologi =oto t7ora>1e6agai pemeri'1aa4 04t0' meme4ta0 'ema:0a4 pe4go6ata4 -

    a. pa2a a/al pe4go6ata4 ; 60la4 pertama )6. pa2a 1ele1ai ma1a i4te41i= ; 60la4 'e20a $ )3. pa2a a'7ir pe4go6ata4 ; 60la4 'e 9 )2. 6ila 2i30arigai a2a4ya 'ompi'la1i

    *. pemeri'1aa4 =04g1i =aal 7ati ; S?OT S?PT ) 2apat 2ila'0'a4

    pa2a -

    a. pa2a a/al pe4go6ata46. pa2a mi4gg0 'e # pe4go6ata43. pa2a 1aat 1ele1ei ma1a i4te41i= ; 60la4 'e # $ )2. 6ila 2i30rigai a2a4ya e=e' 1ampi4g o6at

     

    U4it Ter'ait (. Ra/at Jala4#. Ra/at I4ap

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PEN8ATATAN DAN PELAPORAN PASIEN TB

    No. Do'0me4 No. Re5i1i Halama4

    STANDAR PROSEDUROPERASIONAL

    ; SOP ) Ta4ggal ter6it

    Ditetap'a4Kepala R0ma7 Sa'it Pe42i2i'a4

    2r. &ia1, Sp.PDLet4a4 Kolo4el 8'm NRP (("9!!!!$9(#9%

    PEN?ERTIAN Mer0pa'a4 'egiata4 pe43atata4 2a4 pelapora4, ata1 1em0a'egiata4 pelaya4a4 2i RS DIK PUSDIKKES pa2a pa1ie4 TB par02e4ga4 me4gg0a4a'a4 =orm 6a'0 pe43atat pelapor 'a101 TB

    TUJUAN (. Mo4itori4g 2a4 e5al0a1i#. Me4ilai 'e6er7a1ila4 pe4go6ata4 pa1ie4$. Me4ilai 'e6er7a1ila4 program pe4a4gg0la4ga4 TB

    KEBIJAKAN RS DIK PUSDIKKES mela'0'a4 pe43atata4 2a4 pelapora4 pa1ie4TB me4ga30 pa2a 1ta42ar HO 2a4 IST8 ; I4ter4atio4al Sta42ar2o= T06er'0lo1i1 8are)

    PROSEDUR

    (. &orm TB ya4g 2iperg04a'a4, mi4imal melip0ti -a. TB!9 - 04yt0' me43atat 2ata :0mla7 101pe' pa1ie4 TB ya4g

    2iperi'1a 2a7a' 04t0' pe4ega''a4 2iag4o1i1, a2a 2i 1etiappoli'li4i' ra/at :ala4, r0a4g ra/at i4ap ata0 U?D, ya4g ya4gme4em0'a4 pa1ie4 ter1a4g'a TB, 2ii1i pela'1a4a pera/ata42i4a1 :aga 1aat it0.

    6. TB!% - 04t0' memi4ta pemeri'1aa4 2a7a' SPS, 6ai' 04t0'pe4ega''a4 2iag4o1i1 ma0p04 =ollo/ 0p pe4go6ata4, a2a2i1etiap poli'li4i' ra/at :ala4, ra/at i4ap, ma0ap04 U?D 2ii1iole7 pela'1a4a pera/at 2i4a1 :aga 1aat it0.

    3. TB!( - 04t0' me43atat per:ala4a4 pe4go6ata4 pa1ie42iag4o1i1 TB, ya4g 2i6eri'a4 pe4go6ata4 OAT, 6ai' per re1epma0p04 per program, a2a 2i poli'li4i' 2ii1i ole7 pela'1a4apera/ata4.

    2. TB!# - 04t0' 'o4trolpa1ie4 TB , a2a 2i poli'li4i' 2ii1i ole7pela'1a4 pera/ata4.

    e. TB!+ - 04t0' me43atat 2ata pa1ie4 ya4g 2ila'0'a4pemeri'1aa4 2a7a', 6ai' 04t0' pe4ega''a4 2iag4o1i1ma0p04 04t0' =ollo/ 0p pe4go6ata4, a2a 2ila6oratori0m, 2ii1iole7 pela'1a4a la6oratori0m 1aat it0.

    =. TB($ - 04t0' me43tat pe4erimaa4 2a4 pe4gel0ara4 OAT,program a2a 2i =arma1i poli'li4i' DOT, 2ii1i ole7 pela'1a4a=arma1i poli'li4i' DOST, 2ilapor'a4 'e2i4a1 'e1e7ata4 'otaBa4204g taip tri/0la4.

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    RUMAH SAKIT DIKPUSDIKKES KODIKLAT TNI AD

    PEN8TATAN DAN PELAPORAN PASIEN TB

    No. Do'0me4 No. Re5i1i Halama4

    PROSEDUR

    g. TB!$ - 04t0' re'ap 2ata pa1ie4 TB ya4g a2a 2i RS DIKPUSDIKKES a2a 2ipo:o' DOTS, 2ii1i ole7 pet0ga1 a2mi4i1tra1ipoli'li4i' DOTS.#. pe4a4gg04g :a/a6 pe4ataa4 2a4 pelapora4 a2ala7 'et0a timDOTS RS DIK PUSDIKKES. Koor2i4ator pela'1a4aa4

    UNIT TERKAIT