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The Combination Diagnostic Test for Tuberculosis Screening in HIV Patients in Referral Hospitals in Indonesia

Public Health of Indonesia · Vol. 11 No. 3 (2025) · hlm. 172–180

DOI
10.36685/phi.v11i3.1094
ISSN
2477-1570, 2528-1542
Terbit
2025-08-30
Penerbit
YCAB Publisher
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-nc/4.0

Abstrak

Background: Screening tests are needed to help screen suspected Tuberculosis (TB) pulmonary with HIV positive. With the limitation of specificity of the screening test and the need for combination with laboratory tools to increase that, a combination with standard examination is still needed, especially for limited healthcare facilities. Objective: This study aimed to determine Pulmonary TB screening tests with Human Immunodeficiency Syndrome (HIV) positive. Method: This observational study with a cross-sectional design was conducted in four government hospitals. Study subjects were inpatients and outpatients who met study inclusion criteria (> 14 years of age, HIV positive based on HIV test results, had clinical symptoms of episodic history of fever, and volunteered to take part in the study). Total subjects were 193 people, with episodic history of fever from 85%. Still, only the complete combination has a specificity of> 70%. The combination of “Night Sweat + Enlargement of Lymph Nodes + Left Rhonchi + Infiltrates in the Upper Lobe” and then “Enlargement of Lymph Nodes + Left Rhonchi + Infiltrates in the Upper Lobe” can be an alternative for screening Pulmonary TB-HIV positive with history of fever. Conclusion: Pulmonary TB screening in HIV patients with a history of fever can be used by completely combining clinical manifestation, physical examination, and X-ray. the variables "Night Sweat, Enlarged Lymph Nodes, left rhonchi breath sounds and pulmonary upper lobe infiltrates" in a gradual manner. Keywords: Diagnostic Combination Test; HIV-Tb Coinfection; Tuberculosis Screening; Clinical Manifestations in TB-HIV; Pulmonary TB in HIV Patients

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  • Kementerian Kesehatan Republik Indonesia
  • National Research and Innovation Agency
  • Universitas Airlangga
  • Sebelas Maret University
  • Diponegoro University
  • University of Indonesia
  • Rumah Sakit Dokter Soetomo
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Rekan penulisOrganisasiArtikel bersama
Nurhayati NurhayatiUniversitas Islam Negeri Ar-Raniry2
Aris YuliantoNational Research and Innovation Agency2
Dian Wahyu TanjungsariKementerian Kesehatan Republik Indonesia2
Achmad ShidiqNational Research and Innovation Agency2
Herlina HerlinaKementerian Kesehatan Republik Indonesia2
Sundari WirasmiNational Research and Innovation Agency2
Mieska DespitasariNational Research and Innovation Agency2
Harimat HendarwanNational Research and Innovation Agency2
Sultana MH FaradzDiponegoro University1
Muhammad Hussein GasemDiponegoro University1
Adang BachtiarUniversity of Indonesia1
Jaslis IlyasUniversity of Indonesia1
Harimat HendrawanNational Research and Innovation Agency1
Siti Rahayu NadhirohUniversitas Airlangga1
Erwin Astha TriyonoRumah Sakit Dokter Soetomo1
Alfadhila Khairil SinatryaUniversitas Airlangga1
Hazreen Abdul MajidUniversity of Malaya1
Lailatul FitriaUniversitas Airlangga1
Nono Tri NugrohoRumah Sakit Dokter Soetomo1
Indria HafizahUniversitas Halu Oleo1
Siti WahyuniSebelas Maret University1
Rohmaningtyas Hidayah SetyaningrumSebelas Maret University1
Emika Ambar PangestiSebelas Maret University1

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Sumber metadata: OAI-PMH (metadata jurnal) http://stikbar.org/ycabpublisher/index.php/PHI/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">The Combination Diagnostic Test for Tuberculosis Screening in HIV Patients in Referral Hospitals in Indonesia</dc:title>
	<dc:creator>Murtiani, Farida</dc:creator>
	<dc:creator>Rosamarlina, Rosamarlina</dc:creator>
	<dc:creator>Purnama, Asep </dc:creator>
	<dc:creator>Farhanah, Nur </dc:creator>
	<dc:creator> Utama, Made Susila</dc:creator>
	<dc:creator> Agustin, Heidy</dc:creator>
	<dc:creator>Sarif, Armaji Kamaludi </dc:creator>
	<dc:creator>Widiantari, Aninda Dinar</dc:creator>
	<dc:creator>Hasugian, Armedy Ronny</dc:creator>
	<dc:subject xml:lang="en-US">Diagnostic</dc:subject>
	<dc:subject xml:lang="en-US">HIV</dc:subject>
	<dc:subject xml:lang="en-US">Screening</dc:subject>
	<dc:subject xml:lang="en-US">Tuberculosis</dc:subject>
	<dc:description xml:lang="en-US">Background: Screening tests are needed to help screen suspected Tuberculosis (TB) pulmonary with HIV positive. With the limitation of specificity of the screening test and the need for combination with laboratory tools to increase that, a combination with standard examination is still needed, especially for limited healthcare facilities.
Objective: This study aimed to determine Pulmonary TB screening tests with Human Immunodeficiency Syndrome (HIV) positive.
Method: This observational study with a cross-sectional design was conducted in four government hospitals. Study subjects were inpatients and outpatients who met study inclusion criteria (&amp;gt; 14 years of age, HIV positive based on HIV test results, had clinical symptoms of episodic history of fever, and volunteered to take part in the study). Total subjects were 193 people, with episodic history of fever from &amp;lt;24 hours to 120 hours.
Result: This study assessed a subject's clinical manifestation, physical examination and X-ray test. The “Night Sweat”, Infiltrates in the Upper Lobe”, “Enlargement of Lymph Nodes and “Left Rhonchi” and their combination have a sensitivity of&amp;gt;85%. Still, only the complete combination has a specificity of&amp;gt; 70%. The combination of “Night Sweat + Enlargement of Lymph Nodes + Left Rhonchi + Infiltrates in the Upper Lobe” and then “Enlargement of Lymph Nodes + Left Rhonchi + Infiltrates in the Upper Lobe” can be an alternative for screening Pulmonary TB-HIV positive with history of fever.
Conclusion: Pulmonary TB screening in HIV patients with a history of fever can be used by completely combining clinical manifestation, physical examination, and X-ray. the variables "Night Sweat, Enlarged Lymph Nodes, left rhonchi breath sounds and pulmonary upper lobe infiltrates" in a gradual manner.
Keywords: Diagnostic Combination Test; HIV-Tb Coinfection; Tuberculosis Screening; Clinical Manifestations in TB-HIV; Pulmonary TB in HIV Patients</dc:description>
	<dc:publisher xml:lang="en-US">YCAB Publisher</dc:publisher>
	<dc:date>2025-08-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/1094</dc:identifier>
	<dc:identifier>10.36685/phi.v11i3.1094</dc:identifier>
	<dc:source xml:lang="en-US">Public Health of Indonesia; Vol. 11 No. 3 (2025): July - September; 172 - 180</dc:source>
	<dc:source>2477-1570</dc:source>
	<dc:source>2528-1542</dc:source>
	<dc:source>10.36685/phi.v11i3</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/1094/603</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2025 Farida Murtiani, Rosamarlina Rosamarlina, Asep  Purnama, Nur  Farhanah, Made Susila  Utama, Heidy  Agustin, Armaji Kamaludi  Sarif, Aninda Dinar Widiantari, Armedy Ronny Hasugian</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-nc/4.0</dc:rights>
</oai_dc:dc>