Laporan Kasus

Diagnosis Okupasi Penyakit Silikotuberkulosis pada Pekerja Grafir Kaca

dr.Zulkifli Dharma1, Dr.dr.Astrid W. Hardjono,MPH.,SpOk2

1) Peserta Program Pendidikan Dokter Spesialis Kedokteran Okupasi, Fakultas Kedokteran Universitas Indonesia

2) Divisi Kedokteran Okupasi, Departemen Ilmu Kedokteran Komunitas, Fakultas Kedokteran Universitas Indonesia

Abstrak
Pendahuluan: Lapangan kerja sektor informal di Indonesia semakin berkembang, salah
satunya adalah jasa grafir kaca. Pekerja yang menggrafir kaca berada dalam risiko
tinggi terkena penyakit paru Silikosis karena penggunaan pasir silika dalam
pekerjaannya. Salah satu komplikasi dari silikosis adalah Silikotuberkulosis. Penegakan
diagnosis okupasi pada pekerja grafir kaca dengan silikotuberkulosis ini menggunakan
metode 7 langkah Diagnosis Okupasi, sesuai konsensus PERDOKI, yang di dalamnya
termasuk metode Evidence Based.
Deskripsi Kasus: Kami menegakkan diagnosis okupasi pada seorang pekerja grafir
kaca, laki-laki, berumur 35 tahun, yang terpajan debu silika selama 5 tahun. Keluhan
dan gejala timbul pada tahun ke-6 sejak terpajan debu silika, dengan kondisi fisik yang
semakin menurun, disertai dengan adanya komplikasi infeksi tuberkulosis.
Diskusi: Dari informasi yang didapat mengenai deskripsi kerja, cara kerja, penggunaan
alat pelindung diri (APD) serta mengacu pada evidence yang ada di referensi,
disimpulkan pekerja ini mengalami Silikotuberkulosis Akibat Kerja.
Kata Kunci: diagnosis okupasi, grafir kaca, pekerja sektor informal, silikotuberkulosis.
 Case Report Abstract

Title: Occupational Diagnosis of Silicotuberculosis on A Glass Engraver

Author: dr. Zulkifli Dharma(1), Dr. dr. Astrid Widayati Hardjono, MPH., SpOk(2)
(1)
Occupational Medicine Specialist Study, Universitas Indonesia;
(2)
Occupational Medicine Division, Faculty of Medicine, Universitas
Indonesia
Introduction: The informal sector enterprises in Indonesia are expanding even more,
and glass engraver is one of them. The worker who does the engraving process is in the
risk of having a lung disease called Silicosis because of the use of silica sand in the
working process. One of the complication of silicosis is Silicotuberculosis. The
occupational diagnosis of Silicotuberculosis on this worker was performed by using The
Seven Steps of Occupational Diagnosis, a method that issued by PERDOKI (Indonesian
Occupational Medicine Association-IOMA), which is include The Evidence Based
method.
Case Presentation: We conducted an occupational diagnosis on a glass engraver, a 35
years old male, who had exposed to silica dust for 5 years. The first signs and symptoms
appeared six years after the first time of exposure, and his physical conditions were
deteriorating ever since, with complication of having a tuberculosis infection.
Discussion: From the information such as work description, working process, use of
personal protective equipment and according to the evidence based on refferences, it
was concluded that the worker had an Occupational Silicotuberculosis.
Keywords: glass engraving, informal sector worker, occupational diagnosis,
silicotuberculosis.