Latar Belakang : Tuberkulosis (TB) adalah penyakit infeksi menular yang merupakan
masalah kesehatan di dunia dan salah satu penyebab utama kematian oleh agen
infeksius. Disebabkan oleh bakteri Mycobacterium tuberculosis, dan penularannya
melalui udara dalam bentuk droplet atau percikan dahak. Tuberkulosis paru pada orang
dewasa diagnosisnya dapat ditegakkan berdasarkan gejala klinis, pemeriksaan
bakteriologis seperti pemeriksaan sputum basil tahan asam (BTA), dan pemeriksaan
foto toraks. Pemeriksaan bakteriologis sputum BTA dibagi menjadi lima kategori
berdasarkan skala International Union Against Tuberculosis and Lung Disease
(IUATLD) yaitu negatif, scanty, +1, +2, dan +3. Pemeriksaan foto toraks dilakukan
untuk melihat gambaran luas lesi yang diklasifikasikan menjadi tiga kategori
berdasarkan American Tuberculosis Association (ATA) yaitu minimal lesion,
moderately advance, dan far advance.
Tujuan : Mengetahui hubungan antara hasil pemeriksaan sputum BTA dengan
gambaran luas lesi foto toraks pasien TB paru di RSUD Gunung Jati Cirebon periode
Januari – Desember 2021.
Metode : Penelitian observasional analitik dengan desain penelitian cross sectional,
pengambilan data menggunakan data sekunder yang diambil dari rekam medis pasien
tuberkulosis paru di RSUD Gunung Jati Cirebon periode Januari – Desember 2021.
Analisis data dilakukan dengan uji korelasi Spearman menggunakan aplikasi SPSS
versi 25 untuk mengetahui hubungan antara hasil pemeriksaan sputum basil tahan asam
dengan gambaran luas lesi foto toraks pada pasien tuberkulosis paru.
Hasil : Hasil analisis data pada penelitian ini didapatkan nilai p = 0,00 (p<0,05) dengan
koefisien korelasi atau nilai r = 0,730.
Kesimpulan : Terdapat hubungan yang signifikan antara hasil pemeriksaan sputum
basil tahan asam dengan gambaran luas lesi foto toraks pada pasien tuberkulosis paru
di RSUD Gunung Jati Cirebon periode Januari – Desember 2021.
Kata Kunci : Tuberkulosis Paru, Pemeriksaan Sputum Basil Tahan Asam, Foto
Toraks, Luas Lesi

Introduction : Tuberculosis (TB) is a infectious disease which is a global health
problem and one of the main causes of death by infectious agents. Caused by the
bacterium named Mycobacterium tuberculosis, and transmitted through the air in the
form of droplets. Pulmonary tuberculosis in adults can be diagnosed based on clinical
symptoms, bacteriological examinations such as sputum examination of acid-resistant
bacilli, and chest x-ray examination. Sputum examination of acid-resistant bacilli is
divided into five categories based on the International Union Against Tuberculosis and
Lung Disease (IUATLD) scale, namely negative, scanty, +1, +2, and +3. A chest x-ray
examination was performed to see the radiological lesions grading which were
classified into three categories based on the American Tuberculosis Association (ATA),
namely minimal lesion, moderately advanced, and far advanced.
Aim of The Study : This study aims to determine the correlation between sputum
examination of acid-resistant bacilli and radiological lesions grading of pulmonary
tuberculosis at Gunung Jati Hospital Cirebon in January – December 2021.
Methods : An analytical observational study with a cross sectional research design,
using secondary data taken from the medical records of pulmonary tuberculosis
patients at Gunung Jati Hospital Cirebon in January – December 2021. Statistical
analysis was performed by Spearman correlation test using the SPSS 25 version to
determine the correlation between sputum examination of acid-resistant bacilli and
radiological lesions grading of pulmonary tuberculosis.
Results : The results of data analysis in this study obtained a p value = 0.00 (p <0.05)
with a correlation coefficient (r) = 0.730.
Conclusion : There is a significant correlation between sputum examination of acid�resistant bacilli and radiological lesions grading of pulmonary tuberculosis at Gunung
Jati Hospital Cirebon in January – December 2021.
Key words : Pulmonary Tuberculosis, Sputum Examination of Acid-resistant Bacilli,
Chest x-ray, Radiological Lesions Grading