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Abstrak :
Pendahuluan : Pekerja industri gula memiliki risiko terkena gangguan fungsi paru akibat pajanan debu, khususnya debu bagasse ( tebu ). Penelitian ini bertujuan untuk mengetahui prevalensi kejadian gangguan fungsi paru pada pekerja pabrik gula di Kabupaten Lampung Tengah, serta hubungannya dengan faktor - faktor karakteristik pekerja dan pekerjaan. Metode : Desain penelitian adalah comparative cross sectional melibatkan 144 pekerja pabrik gula : 72 pekerja bagian factory dan 72 pekerja bagian plantation. Pengumpulan data dilakukan dengan wawancara, pengamatan dan pemeriksaan meliputi pengukuran kadar debu lingkungan dan pemeriksaan spirometri pada pekerja. Variabel yang diteliti meliputi usia, kebiasaan merokok, status gizi, penggunaan alat pelindung diri (APD) masker, masa kerja, jam kerja per minggu dan lokasi pekerjaan. Analisis data menggunakan uji chi square. Hasil dan Kesimpulan : Kadar debu total di lingkungan bagian factory 0,0586 mg/m3 lebih rendah dibandingkan bagian plantation 0,0843 mg/m3. Kedua nilai tersebut jauh dibawah nilai ambang batas. Prevalensi gangguan fungsi paru 8,33 %. Di bagian factory 5,56 % dan di bagian plantation 11,1 %. Gangguan fungsi paru terbanyak ditemukan adalah gangguan fungsi paru obstruktif. Variabel yang berhubungan dengan gangguan fungsi paru adalah penggunaan APD (masker) (ORadj = 12,15; 95% CI: 1,14 - 102,62) dan status perokok (ORadj = 9,73; 95% CI: 1,14 - 82,75). Saran : Perlu dilakukan evaluasi fungsi paru berkala, konseling bagi pekerja agar berhenti merokok dan selalu menggunakan alat pelindung diri. Perlu dilakukan penelitian lebih lanjut untuk menilai kadar debu respirabel, komposisi debu, dan pengaruhnya terhadap fungsi paru pekerja. ......Introduction : Workers in sugar factory are at risk to suffer from lung functon disorder due to exposure to dust, especially bagasse dust. The objective of this study is to identify the prevalence of lung function disorder among workers in a sugar factory in Central Lampung district and associated individual- and work- related factors. Method : The study design used a comparative cross sectional method, involving 144 sugar factory workers 72 among them were from factory department and 72 other workers from plantation. Data collection used interview, observation, measuring of dust in work environment and lung function measurement using spirometry. The variables which studied were age, smoking habbit, nutritional status, use of personal protective equipment (PPE) mask, time of work, working hours in week, and job location. Data was analyzed with chi square test. Result and Conclusion : Total dust level in the factory department was 0.0586 mg/m3, lower compared to the level in plantation department which was 0.0843 mg/m3. Both level were below the TLV. The prevalence of lung function disorders was 8.33 %. in the factory department 5.56 % and in the plantation 11.1 %. the most lung function disorder cases found among workers was obstructive lung function disorder. Variables associated to lung function disorders found were use of PPE (mask) (ORadj = 12.15; 95% CI: 1.44 - 102.62) and smoking status (ORadj = 9.73; 95% CI: 1.14 - 82.75). Recommendation : Periodic lung function evaluation, workers counseling to stop smoking and use of PPE. Another study should be conducted to on respirable dust, dust composition and it's effect on workers lung function.

Abstrak :
Pendahuluan : Pemeriksaan high resolution computer tomography (HRCT) menjadi pilihan metode pemeriksaan penunjang untuk penegakan diagnosis hipersensitif pneumonitis. Dengan belum adanya pemeriksaan baku emas penegakan diagnosis maka perlu ditelaah mengenai keakuratan penggunaan metode penunjang penegakan diagnosis tersebut. Metode : metode pencarian artikel menggunakan pubmed dan scopus serta melakukan skrining artikel berdasarkan kriteria inklusi dan eksklusi yang telah ditentukan sebelumnya. Hasil pencarian artikel tersebut kemudian dilakukan telaah dengan menggunakan kriteria penilaian validitas, tingkat pentingnya hasil yang didapat pada penelitian tersebut, dan kemampu-terapan. Hasil : Hasil pencarian didapatkan sebanyak 415 artikel dari Pubmed dan 343 artikel dari Scopus. Ditemukan hanya 2 (dua) artikel uji diagnosis yang memenuhi kriteria inklusi, eksklusi dan metode PICO yang ditetapkan sebelumnya. Artikel pertama oleh Lynch dkk (1992) ditemukan sensitivitas 45 %, spesifisitas 90 % dan akurasi diagnosis sebesar 74 %. Artikel kedua oleh Rival G (2016) dkk menemukan nilai sensitivitas 66 %, spesifisitas 96 % dan akurasi diagnostik sebesar 86 %. Sehingga terbukti bahwa pemeriksaan high resolution computer tomography (HRCT) sebagai metode / alat penegakan diagnosis hipersensitif pneumonitis memiliki tingkat akurasi yang baik namun tidak cukup akurat sebagai alat skrining diagnosis hipersensitif pneumonitis. ......Introduction : High resolution computer tomography (HRCT) examination becomes the preferred method of investigation for the diagnosis of hypersensitivity pneumonitis. In the absence of a gold standard of diagnosis, it is important to examine the sensitivity and specificity of this method. Method : The articles searching methods by using Pubmed and Scopus and screening the articles with inclution and exclution criteria which were predetermined, articles were than performed using the assesment criteria of validity, importance, and ability applied. Result : The results were 415 articles from Pubmed and 343 articles from Scopus. 2 (two) articles diagnostic test were found in accordance with the inclution, exclution criteria and PICO methods which were predetermined. These articles were than performed a systematic review of articles and the result was valid. The first Article by Lynch et all (1992) found 45 % sensitivity, 90 % specificity and the accuration of diagnose was 74 % and the second article by Rival G et all (2016) found 66 % sensitivity, 96 % specificity and the accuration of diagnose was 86 %. There were found an evidence about using the accuration of high resolution computer tomography (HRCT) as a tool for diagnosis hypersensitivity pneumonitis was good. But the accuracy was not accurate enough as a screening tool for hypersensitivity pneumonitis. Conclusion : using high resolution computer tomography (HRCT) is more acurate as a diagnostic examination than a screening method.