Studi Literatur: Faktor Risiko Multidrug-Resistant Tuberculosis pada Anak
Abstract
Abstract. Tuberculosis (TB) is a contagious disease caused by Mycobacterium tuberculosis and poses a significant global health issue. This study aims to explore the incidence of Multidrug-Resistant Tuberculosis (MDR-TB) in children, as well as the risk factors contributing to its prevalence. The methodology employed is a literature review, with data collection conducted through library searches via EBSCOhost and manual web searches using the search keywords “multidrug-resistant” AND “children” to obtain articles containing both keywords, and “multidrug-resistant” OR “MDR-TB” to broaden the search scope. The combination of AND and OR operators was utilized to obtain the most desired articles with the search keywords (multidrug-resistant OR MDR) AND (children OR pediatric). The articles central to this research were sourced from the WHO Global Report 2023, CDC, EBSCO, Elsevier, Lancet, and PubMed, totaling twenty seven articles. Results indicate that in 2019, there were over 360,000 cases of MDR-TB globally, with Indonesia ranking fourth in terms of the highest incidence. Significant risk factors include age, previous history of TB, co-infection with other diseases, and close contact with MDR-TB patients. This study emphasizes the importance of early detection and appropriate management to reduce mortality rates from TB in children.
Abstrak. Tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis dan menjadi masalah kesehatan global yang signifikan. Penelitian ini bertujuan untuk mengeksplorasi kejadian Multidrug-Resistant Tuberculosis (MDR-TB) pada anak, serta faktor risiko yang berkontribusi terhadap prevalensinya. Metode yang digunakan adalah studi literatur dengan pengumpulan data yang dilakukan dengan penelusuran pustaka melalui EBSCOhost dan web pencarian secara manual dengan kata kunci pencarian “multidrug-resistant” AND “children” untuk mendapatkan artikel dengan kedua kata kunci tersebut dan kata kunci “multidrug-resistant” OR “MDR-TB” untuk memperluas cakupan pencarian. Penggabungan operator AND dan OR digunakan untuk mendapatkan artikel yang paling diinginkan dengan kata kunci pencarian (multidrug-resistant OR MDR) AND (children OR pediatric). Artikel yang dimuat sebagai pustaka dalam penelitian ini didapat dari laman WHO Global Report 2023, CDC, EBSCO, Elsevier, Lancet, dan PubMed dengan jumlah dua puluh tujuh artikel. Hasil menunjukkan bahwa pada tahun 2019, terdapat lebih dari 360.000 kasus MDR-TB secara global, dengan Indonesia menempati peringkat ke-4 dalam insidensi tertinggi. Faktor risiko signifikan meliputi usia, riwayat TB sebelumnya, koinfeksi dengan penyakit lain, dan kontak dekat dengan pasien MDR-TB. Penelitian ini menekankan pentingnya deteksi dini dan penanganan yang tepat untuk mengurangi angka kematian akibat TB pada anak.
References
[2] Salari N, Kanjoori AH, Hosseinian-Far A, Hasheminezhad R, Mansouri K, Mohammadi M. Global prevalence of drug-resistant tuberculosis: a systematic review and meta-analysis. Vol. 12, Infectious Diseases of Poverty. BioMed Central Ltd; 2023.
[3] Yan W, Zheng Y, Dou C, Zhang G, Arnaout T, Cheng W. The pathogenic mechanism of Mycobacterium tuberculosis: implication for new drug development. Molecular Biomedicine. 2022 Dec 22;3(1):48.
[4] Adigun R, Singh R. Tuberculosis. 2024.
[5] CDC. Drug-Resistant Tuberculosis [Internet].
[6] Dheda K, Gumbo T, Maartens G, Dooley KE, McNerney R, Murray M, et al. The epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant, extensively drug-resistant, and incurable tuberculosis. Lancet Respir Med. 2017 Apr;5(4):291–360.
[7] Song WM, Li YF, Liu YX, Liu Y, Yu CB, Liu JY, et al. Drug-Resistant Tuberculosis Among Children: A Systematic Review and Meta-Analysis. Vol. 9, Frontiers in Public Health. Frontiers Media S.A.; 2021.
[8] Smith SE, Pratt R, Trieu L, Barry PM, Thai DT, Ahuja SD, et al. Epidemiology of Pediatric Multidrug-Resistant Tuberculosis in the United States, 1993-2014. Clin Infect Dis. 2017 Oct 16;65(9):1437–43.
[9] CDC. Drug-Resistant Tuberculosis [Internet]. Available from: http://www.fda.gov/Drugs/DrugSafety/ucm500143.htm
[10] Seddon JA, Johnson S, Palmer M, van der Zalm MM, Lopez-Varela E, Hughes J, et al. Multidrug-resistant tuberculosis in children and adolescents: current strategies for prevention and treatment. Expert Rev Respir Med. 2021 Feb 1;15(2):221–37.
[11] Gaensbauer JT, Dash N, Verma S, Hall D, Adler-Shohet FC, Li G, et al. Multidrug-resistant tuberculosis in children: A practical update on epidemiology, diagnosis, treatment and prevention. J Clin Tuberc Other Mycobact Dis. 2024 Aug;36:100449.
[12] Pradipta IS, Forsman LD, Bruchfeld J, Hak E, Alffenaar JW. Risk factors of multidrug-resistant tuberculosis: A global systematic review and meta-analysis. Journal of Infection. 2018 Dec;77(6):469–78.
[13] Maitra A, Munshi T, Healy J, Martin LT, Vollmer W, Keep NH, et al. Cell wall peptidoglycan in Mycobacterium tuberculosis : An Achilles’ heel for the TB-causing pathogen. FEMS Microbiol Rev. 2019 Sep 1;43(5):548–75.
[14] Danilchanka O, Pires D, Anes E, Niederweis M. The Mycobacterium tuberculosis Outer Membrane Channel Protein CpnT Confers Susceptibility to Toxic Molecules. Antimicrob Agents Chemother. 2015 Apr;59(4):2328–36.
[15] Gupta A, Jacobson KR. Fishman’s Pulmonary Diseases and Disorders [Internet]. 2024.
[16] Zhuang Z, Sun L, Song X, Zhu H, Li L, Zhou X, et al. Trends and challenges of multi-drug resistance in childhood tuberculosis. Front Cell Infect Microbiol. 2023 Jun 2;13.
[17] Yerramsetti S, Cohen T, Atun R, Menzies NA. Global estimates of paediatric tuberculosis incidence in 2013–19: a mathematical modelling analysis. Lancet Glob Health. 2022 Feb;10(2):e207–15.
[18] Aslam H, Hanif A, Rasool U. Prevalence and risk factors of multi drug resistant tuberculosis in children. J Pak Med Assoc. 2023 Oct 1;73(10):1978–80.
[19] Ramalho DMP, Miranda PFC, Andrade MK, Brígido T, Dalcolmo MP, Mesquita E, et al. Outcomes from patients with presumed drug resistant tuberculosis in five reference centers in Brazil. BMC Infect Dis. 2017 Dec 15;17(1):571.
[20] Marx FM, de Villiers A. Decentralising screening and preventive treatment among children exposed to tuberculosis in the household. Lancet Glob Health. 2023 Dec;11(12):e1836–7.
[21] Setyoningrum RA, Maharani RA, Hapsari R, Chafid APP. Risk factors of tuberculosis in children with adult household tuberculosis contact. Paediatr Indones. 2024 Aug 2;64(4):287–92.
[22] Mol A, Sánchez-Montalvá A, Espinosa-Pereiro J, Aznar ML, Salvador F, Bosch-Nicolau P, et al. Usefulness of Xpert MTB/RIF and Xpert Ultra to Categorize Risk of Tuberculosis Transmission to Household Contacts. Open Forum Infect Dis. 2024 Jul 30;11(8).
[23] Dodd PJ, Sismanidis C, Seddon JA. Global burden of drug-resistant tuberculosis in children: a mathematical modelling study. Lancet Infect Dis. 2016 Oct 1;16(10):1193–201.
[24] Schaaf HS. Diagnosis and Management of Multidrug-Resistant Tuberculosis in Children: A Practical Approach. The Indian Journal of Pediatrics. 2019 Aug 17;86(8):717–24.
[25] Detjen AK, DiNardo AR, Leyden J, Steingart KR, Menzies D, Schiller I, et al. Xpert MTB/RIF assay for the diagnosis of pulmonary tuberculosis in children: a systematic review and meta-analysis. Lancet Respir Med. 2015 Jun;3(6):451–61.
[26] Cohen KA, Manson AL, Desjardins CA, Abeel T, Earl AM. Deciphering drug resistance in Mycobacterium tuberculosis using whole-genome sequencing: progress, promise, and challenges. Genome Med. 2019 Dec 25;11(1):45.
[27] Outhred AC, Jelfs P, Suliman B, Hill-Cawthorne GA, Crawford ABH, Marais BJ, et al. Added value of whole-genome sequencing for management of highly drug-resistant TB. Journal of Antimicrobial Chemotherapy. 2015 Apr 1;70(4):1198–202.