Thorax Examination Procedure for TB in Supine and Erect Positions and Efforts to Prevent TB Virus Transmission to Radiographers
Abstract
Introduction: Chest radiology examination is an important procedure in diagnosing tuberculosis (TB); however, it may expose radiographers to radiation and increase the risk of infection transmission, making it necessary to evaluate the implementation of examination procedures and protective measures.
Objective: This study aimed to evaluate clinical chest examination procedures for TB using supine and erect positions and to assess efforts to prevent TB transmission to radiographers at Hospital X.
Methods: This study employed a qualitative descriptive design with a sample of 10 TB patients. Data were collected through direct observation, interviews with radiographers, and documentation review of standard operating procedures (SOPs) from January to May 2025, and were analyzed descriptively.
Results: The findings indicated that the erect position produced more optimal image quality, while the supine position was used for patients with limited mobility. Transmission prevention measures included the use of personal protective equipment (PPE), masks, gloves, and equipment disinfection; however, compliance was not yet consistent. Education for patients and companions was also limited.
Conclusion: It is concluded that optimization of examination procedures and improved adherence to safety protocols are essential. Strengthening safety education and continuous monitoring of PPE use are recommended.
Downloads
References
World Health Organization. Global tuberculosis burden overview (2023–2024). https://www.who.int/teams/global-tuberculosis-programme
World Health Organization. Global Tuberculosis Report 2024. https://www.who.int/publications/i/item/9789240101532
World Health Organization. Chest radiography in TB detection and screening. https://www.who.int/publications/i/item/9789240032690
Munjal, P. et al. Artificial intelligence-based TB screening using chest X-ray. npj Digital Medicine (2025). https://www.nature.com/npjdm/
World Health Organization. High TB burden countries profile (Indonesia). https://www.who.int/teams/global-tuberculosis-programme/data
Stop TB Partnership. Digital chest radiography implementation guidance (2023). https://www.stoptb.org
CDC. TB infection control in healthcare settings. https://www.cdc.gov/tb/topic/infectioncontrol/
European Society of Radiology. Chest radiography positioning and image quality guidance. https://www.myesr.org
World Health Organization. Chest radiography in tuberculosis detection and screening. Geneva: WHO; 2022. Tersedia pada: https://www.who.int/publications/i/item/9789240032690
American College of Radiology. ACR–SPR practice parameter for the performance of chest radiography. Reston: American College of Radiology; 2022. Tersedia pada: https://www.acr.org/Clinical-Resources/Practice-Parameters
Nachiappan, A. C., Rahbar, K., Shi, X., Guy, E., Barbosa, E. J. M., Shroff, G. S., Ocazionez, D., Schlesinger, A. E., Katz, S. I., & Hammer, M. M. (2017).
Yen, Y., Feng, J., Pan, S., Chuang, P., Su, V. Y., & Su, W.-W. (2017). Determinants of Mortality in Elderly Patients With Tuberculosis: A Population-Based Follow- Up Study. Epidemiology and Infection, 145(7), 1374–1381. https://doi.org/10.1017/s0950268817000152
Soekardi, A., Icksan, A. G., & Ernes, A. (2023). The Role of Chest HRCT in Diagnosis Active Tuberculosis &Amp; Lung Destruction. Jurnal Prima Medika Sains, 5(2), 169–174. https://doi.org/10.34012/jpms.v5i2.4466
Cadena, J., Castro-Pena, N. A., Javeri, H., Hernandez, B., Michalek, J., Arzola, A. F., Shroff, M., Jinadatha, C., Valero, G., Bowling, J. E., Przykucki, J., Adams, M., Jorgensen, J. H., Patterson, J. E., & Sreeramoju, P. (2017). Tuberculosis Patients Who Are a Potential Source for Unprotected Exposure in Health Care Systems: A Multicenter Case Control Study. Open Forum Infectious Diseases, 4(4). https://doi.org/10.1093/ofid/ofx201
Centers for Disease Control and Prevention. Guidelines for preventing the transmission of Mycobacterium tuberculosis in healthcare settings. Atlanta: CDC; 2022 update. Tersedia pada: https://www.cdc.gov/tb/topic/infectioncontrol/
Copyright (c) 2025 Achmad Hasmy
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice
Pernyataan Hak Cipta dan Lisensi
Dengan mengirimkan manuskrip ke Jurnal Kesehatan Cendikia Jenius, penulis setuju dengan kebijakan ini. Tidak diperlukan persetujuan dokumen khusus.
Hak Cipta :
Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional
Hak cipta atas artikel apa pun di Jurnal Kesehatan Cendikia Jenius dipegang penuh oleh penulisnya di bawah lisensi Creative Commons CC BY-NC-SA 4.0.
- Hak cipta pada setiap artikel adalah milik penulis.
- Penulis mempertahankan semua hak mereka atas karya yang diterbitkan, tak terbatas pada hak-hak yang diatur dalam laman ini.
- Penulis mengakui bahwa Jurnal Kesehatan Cendikia Jenius sebagai yang pertama kali mempublikasikan dengan lisensi Creative Commons Atribusi 4.0 Internasional (CC BY-NC-SA-4.0).
- Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini kedalam versi yang lain (misal: dikirim ke respository institusi penulis, publikasi kedalam buku, dll), dengan mengakui bahwa naskah telah terbit pertama kali pada Jurnal Kesehatan Cendikia Jenius.
- Penulis menjamin bahwa artikel asli, ditulis oleh penulis yang disebutkan, belum pernah dipublikasikan sebelumnya, tidak mengandung pernyataan yang melanggar hukum, tidak melanggar hak orang lain, tunduk pada hak cipta yang secara eksklusif dipegang oleh penulis.
- Jika artikel dipersiapkan bersama oleh lebih dari satu penulis, setiap penulis yang mengirimkan naskah menjamin bahwa dia telah diberi wewenang oleh semua penulis bersama untuk menyetujui hak cipta dan pemberitahuan lisensi (perjanjian) atas nama mereka, dan setuju untuk memberi tahu rekan penulis persyaratan kebijakan ini. Jurnal Kesehatan Cendikia Jenius tidak akan dimintai pertanggungjawaban atas apa pun yang mungkin timbul karena perselisihan internal penulis.
Lisensi :
Jurnal Kesehatan Cendikia Jenius diterbitkan berdasarkan ketentuan Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional (CC BY-NC-SA 4.0). Lisensi ini mengizinkan setiap orang untuk :
Menyalin dan menyebarluaskan kembali materi ini dalam bentuk atau format apapun serta menggubah, memperbaiki, dan membuat ciptaan turunan, bahkan untuk kepentingan komersial, selama mereka mencantumkan kredit kepada Penulis atas ciptaan asli.
