Main Article Content
Abstract
Purpose: This study aimed to identify the treatment profile and the type and severity of anti-tuberculosis drug (OAT) side effects in pulmonary tuberculosis patients at Bhina Bhakti Husada Rembang Hospital. It was hypothesized that most patients would receive first-line OAT regimens and experience side effects predominantly of moderate severity.
Research Method: This study used a descriptive observational method with a cross-sectional design. Data were obtained retrospectively from the medical records of 106 patients with pulmonary tuberculosis receiving first-line OAT therapy at Bhina Bhakti Husada Rembang Hospital. The variables included patient characteristics, treatment patterns, types of OAT side effects, and severity of adverse drug reactions. Data were analyzed using univariate descriptive analysis.
Results and Discussion: Most patients were aged 41-60 years (43.4%), male (64.2%), had a body weight of 30-49 kg (61.3%), and underwent treatment for 1-3 months (42.5%). The most common regimen was category 1 RHZE 2 FDC (39.6%). The most frequent side effects were reddish urine (100.0%), nausea and vomiting (83.0%), and flu syndrome (70.8%). Most side effects were categorized as moderate (56.6%).
Implications: The findings emphasize the importance of routine monitoring and early management of OAT side effects, particularly during the early treatment phase. Further studies are needed to examine risk factors associated with severe adverse reactions and their impact on treatment adherence.
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References
- Agus Khoirul Anam1, Sri Winarni2, A. S. (2023). Complaints of Tuberculosis Patients About Side Effects of Anti-Tuberculosis Drugs and Factors Affecting Them at the Blitar City Health Uptd. 3(2).
- Azis. (2024). The Role of Thoracic X-rays in Pulmonary Tuberculosis Screening. Copyright © 2019 Bali. https://wartabalionline.com/2024/01/10/peran-foto-rontgen-toraks-dalam-skrining-tuberkulosis-paru/
- Azkia, N., Nur Indira, Z., Fauzi, H., & Budi Lestari, U. (2024). Analysis of Diagnosis of Pulmonary Tuberculosis in Inpatients in November 2023 at Banyumas Hospital. Journal of Medical Records and Health Information, 5(3), 234–242. https://doi.org/10.25047/j-remi.v5i3.4718
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- Fortuna, T. A., Rachmawati, H., Hasmono, D., & Karuniawati, H. (2022). Study of Continuation Phase Anti Tuberculosis Drugs (OAT) in New Patient with Smear-Positive. 19(1).
- Ministry of Health of the Republic of Indonesia. (2020a). National Guidelines for Medical Services for Tuberculosis Management.
- Ministry of Health of the Republic of Indonesia. (2020b). National Guidelines for Tuberculosis Management Medical Services.
- Ministry of Health of the Republic of Indonesia. (2025a). A book on the combination of medical personnel and tuberculosis health workers.
- Ministry of Health of the Republic of Indonesia. (2025b). The Indonesian Movement to End TB. 2025. https://kemkes.go.id/id/indonesias-movement-to-end-tb
- Laíse, E. T. (2022). Risk factors associated with adverse reactions to antituberculosis drugs. J Bras Pneumologia, 41, 77–89. https://doi.org/10.1590/S1806-37132015000100010
- Nasichah, S. N. A., & Kristinawati, B. (2024). The Relationship of Side Effects of Anti-Tuberculosis Drugs and Comorbidities with the Quality of Life of Pulmonary Tuberculosis Patients. Journal of Telenursing (JOTING), 6(1), 104–112. https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8565
- Nirahua, J. B., Pandapotan, R. A., Layanto, N., Health, I., Kristen, U., Discourse, K., Dalam, I. P., Medicine, F., Christian, U., Discourse, K., Microbiology, D., Medicine, F., & Krida, U. K. (2021). Successful Pulmonary Tuberculosis Treatment with Comorbid Diabetes Mellitus Type 2. Journal of Clinical Medicine, 27(3), 289–296. http://ejournal.ukrida.ac.id/ojs/index.php/Meditek/article/view/2007/2080
- Nurhikma, E., Bina, P., Kendari, H., & Pharmacy, P. D. (2021). SIDE EFFECTS OF ANTI-TUBERCULOSIS DRUGS (OATS) AND THEIR TREATMENT IN TUBERCULOSIS (TB) PATIENTS IN 4(1), 67–73.
- Oliviera, I., Kholis, F. N., & Ngestiningsih, D. (2020). Patterns of Comorbid Disease Incidence and Side Effects. Journal of Diponegoro Medicine, 5(4), 1081–1091.
- Rosnarita, I. A. (2025). Research Methodology: Concept, Design, and Data Analysis. 1, 348. https://scholar.google.com/citations?view_op=view_citation&hl=id&user=zoet2_UAAAAJ&sortby=title&citation_for_view=zoet2_UAAAAJ:Se3iqnhoufwC
- Ruben, S. D., Tondok, S. B., & Suprayitno, G. (2023). Correlation of Side Effects of Anti-Tuberculosis Drugs with Treatment Compliance of Pulmonary TB Patients. Journal of Pharmaceutical and Health Research, 4(3), 413–420. https://doi.org/10.47065/jharma.v4i3.3670
- Setyowati, E., Mila, E., Prayitno, F., Mundriyastutik, Y., & Isnaeni, D. (2021). COMPARISON OF THE EFFECTIVENESS OF BLOOD PRESSURE MEDICATION WITH THE COMBINATION OF AMLODIPINE WITH CAPTOPRIL AND AMLODIPINE WITH LISINOPRIL IN PATIENTS WITH HYPERTENSION. 6(2), 40–49.
- Verencia, A., Rizki, G., & Farizi, A. (2021). Study of Anti Tuberculosis Drugs Used In Pulmonary Tuberculosis Patients.
- Yati, D., Agustin, R., & Wulanningrum, D. N. (2023). Overview of Drug Side Effects (ESO) in Tuberculosis Patients in the Working Area of the Jatiroto Health Center, Wonogiri Regency. Thesis, 1–10.
References
Agus Khoirul Anam1, Sri Winarni2, A. S. (2023). Complaints of Tuberculosis Patients About Side Effects of Anti-Tuberculosis Drugs and Factors Affecting Them at the Blitar City Health Uptd. 3(2).
Azis. (2024). The Role of Thoracic X-rays in Pulmonary Tuberculosis Screening. Copyright © 2019 Bali. https://wartabalionline.com/2024/01/10/peran-foto-rontgen-toraks-dalam-skrining-tuberkulosis-paru/
Azkia, N., Nur Indira, Z., Fauzi, H., & Budi Lestari, U. (2024). Analysis of Diagnosis of Pulmonary Tuberculosis in Inpatients in November 2023 at Banyumas Hospital. Journal of Medical Records and Health Information, 5(3), 234–242. https://doi.org/10.25047/j-remi.v5i3.4718
BPS. (2024). Disease Cases by Regency/City and Type of Disease in Central Java Province, 2023. 2023. https://jateng.bps.go.id/id/statistics-table/3/YTA1Q1ptRmhUMEpXWTBsQmQyZzBjVzgwUzB4aVp6MDkjMw%3D%3D/kasus-penyakit-menurut-kabupaten-kota-dan-jenis-penyakit-di-provinsi-jawa-tengah--2023.html?year=2023&utm
Fortuna, T. A., Rachmawati, H., Hasmono, D., & Karuniawati, H. (2022). Study of Continuation Phase Anti Tuberculosis Drugs (OAT) in New Patient with Smear-Positive. 19(1).
Ministry of Health of the Republic of Indonesia. (2020a). National Guidelines for Medical Services for Tuberculosis Management.
Ministry of Health of the Republic of Indonesia. (2020b). National Guidelines for Tuberculosis Management Medical Services.
Ministry of Health of the Republic of Indonesia. (2025a). A book on the combination of medical personnel and tuberculosis health workers.
Ministry of Health of the Republic of Indonesia. (2025b). The Indonesian Movement to End TB. 2025. https://kemkes.go.id/id/indonesias-movement-to-end-tb
Laíse, E. T. (2022). Risk factors associated with adverse reactions to antituberculosis drugs. J Bras Pneumologia, 41, 77–89. https://doi.org/10.1590/S1806-37132015000100010
Nasichah, S. N. A., & Kristinawati, B. (2024). The Relationship of Side Effects of Anti-Tuberculosis Drugs and Comorbidities with the Quality of Life of Pulmonary Tuberculosis Patients. Journal of Telenursing (JOTING), 6(1), 104–112. https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8565
Nirahua, J. B., Pandapotan, R. A., Layanto, N., Health, I., Kristen, U., Discourse, K., Dalam, I. P., Medicine, F., Christian, U., Discourse, K., Microbiology, D., Medicine, F., & Krida, U. K. (2021). Successful Pulmonary Tuberculosis Treatment with Comorbid Diabetes Mellitus Type 2. Journal of Clinical Medicine, 27(3), 289–296. http://ejournal.ukrida.ac.id/ojs/index.php/Meditek/article/view/2007/2080
Nurhikma, E., Bina, P., Kendari, H., & Pharmacy, P. D. (2021). SIDE EFFECTS OF ANTI-TUBERCULOSIS DRUGS (OATS) AND THEIR TREATMENT IN TUBERCULOSIS (TB) PATIENTS IN 4(1), 67–73.
Oliviera, I., Kholis, F. N., & Ngestiningsih, D. (2020). Patterns of Comorbid Disease Incidence and Side Effects. Journal of Diponegoro Medicine, 5(4), 1081–1091.
Rosnarita, I. A. (2025). Research Methodology: Concept, Design, and Data Analysis. 1, 348. https://scholar.google.com/citations?view_op=view_citation&hl=id&user=zoet2_UAAAAJ&sortby=title&citation_for_view=zoet2_UAAAAJ:Se3iqnhoufwC
Ruben, S. D., Tondok, S. B., & Suprayitno, G. (2023). Correlation of Side Effects of Anti-Tuberculosis Drugs with Treatment Compliance of Pulmonary TB Patients. Journal of Pharmaceutical and Health Research, 4(3), 413–420. https://doi.org/10.47065/jharma.v4i3.3670
Setyowati, E., Mila, E., Prayitno, F., Mundriyastutik, Y., & Isnaeni, D. (2021). COMPARISON OF THE EFFECTIVENESS OF BLOOD PRESSURE MEDICATION WITH THE COMBINATION OF AMLODIPINE WITH CAPTOPRIL AND AMLODIPINE WITH LISINOPRIL IN PATIENTS WITH HYPERTENSION. 6(2), 40–49.
Verencia, A., Rizki, G., & Farizi, A. (2021). Study of Anti Tuberculosis Drugs Used In Pulmonary Tuberculosis Patients.
Yati, D., Agustin, R., & Wulanningrum, D. N. (2023). Overview of Drug Side Effects (ESO) in Tuberculosis Patients in the Working Area of the Jatiroto Health Center, Wonogiri Regency. Thesis, 1–10.