International Conference of Health Polytechnic Surabaya, International Conference

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MALARIA DIAGNOSTIC TESTS IN HEALTH CLINIC MANGANITU SANGIHE ISLANDS REGENCY
Dismo Katiandagho, Risman S. Duka, Elne Vieke Rambi

Last modified: 2016-12-07

Abstract


Instoduction: Subdistrict Manganitu of 1933 cases of malaria were examined blood clots, there were 852
cases with a value of API = 6.1 ‰. The purpose of this study is to perform diagnostic testing of malaria clinic
at the health center Manganitu. This study is expected to provide information on malaria diagnostic tests based
on the gold standard and could be material to the evaluation of malaria control programs in the area of District
Sangihe Islands, particularly in health center Manganitu.
Method: This study is observational analytic study is to perform diagnostic tests with the development of
methods to find the microscopic Plasmodium malariae based gold standard. Population, namely malaria which
came Manganitu treatment at the health center during the last 6 months in 2015, and was diagnosed with
malaria based on clinical symptoms and examination of blood clots. The data were analyzed using univariate
and bivariate univariate analysis, frequency distribution describes the proportion of positive and negative
results of microscopic methods. The bivariate analysis to describe and assess the sensitivity and specificity,
positive predictive value and negative predictive value.
Results: The discovery of the malaria plasmodium in blood clots (SD) through Microscopic examination is 18
SD (14.4%) and 8 species of plasmodium falciparum SD (6.4%) species of plasmodium vivax malaria
plasmodium discovery in elementary through Rapit examination Diagnostic Test (RDT ) which is 13 SD
(10.4%) and 10 species of plasmodium falciparum SD (8%) species of plasmodium vivax. Discussion: Gold
standard SD test results with clinical symptoms are chills, headache, sweating and fever with a temperature of
380C. Diagnostic tools have value Sensifisitas and Specificity good, but the Receiver Operator Curve (ROC)
is located in the intersection and is located right under a diagonal line, the value of area under the curve (AUC)
by 39%, which means the results of diagnostic testing of malaria on clinical symptoms of malaria are very
weak. Kappa coefficients obtain value = 55% in terms of inspection methods malaria with the medium
category.
Conclusion: It is necessary to have training or refreshing for officers microscopic puskesmas as a diagnostic
tool in malaria-endemic areas.

Keywords: Malaria Diagnostic Test

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