Page 133 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
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14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
Department of Oral & Maxillofacial Hospital Kajang, Jalan Semenyih 43000 Kajang, Selangor

BACKGROUND: A wound is defined as a disruption in the continuity of the epithelial lining of
the skin or mucosa resulting from physical damage, thermal damage and pathological
changes. Management of wounds at oral and maxillofacial region can be particularly daunting
to surgeon as it is located at a highly aesthetic zone. The aim of wound management is to
restore the function and aesthetics in the shortest possible period of time.
CASE SERIES: We reported a case series of 5 oral & maxillofacial infection cases with
complicated wound healing seen at Hospital Kajang. The classic protocol for management of
infection were performed accordingly which includes antibiotic therapy, incision and drainage,
removal of source of infection, wound debridement and wound dressing. For the initial phase,
conventional wound dressing was done until it is purulent-free. Subsequently, modern
dressing was used until satisfactory wound healing achieved. All wounds were closed
primarily without the need for split-skin graft.
CONCLUSION: It is vital to understand the principle of wound healing as all wound heals
differently. Early management and appropriate usage of modern wound dressing will reduce
healing time, eliminate the need of reconstruction, provide cost-effective care, reduce
morbidity and improves patient’s quality of life.

ID 171 LTBI TREATMENT: WHAT CAN WE DO NEXT? FROM PATIENTS’ AND HEALTHCARE
PRACTITIONERS’ PERSPECTIVES

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Siti Nur Farhana Harun , Koh Wen Ming , Anusha Manoharan , Noorlaile Jasman , Norrafizah Jaafar , Zanariah
1
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1
1
1
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Zaini , Mohd Hairmansah Mohd Shah
1 Institute for Health Behavioural Research, Ministry of Health, Malaysia
2 Rawang Perdana Health Clinic, Ministry of Health, Malaysia
3 Bandar Botanik Health Clinic, Ministry of Health, Malaysia

INTRODUCTION: To reduce Tuberculosis (TB) related mortality; various guidelines
recommend the treatment of Latent Tuberculosis (LTBI). As part of its end TB strategy, the
Ministry of Health Malaysia (MOH) has started aggressively treating LTBI among high-risk
populations. Studies show many factors influence treatment uptake among patients. This
study aims to explore facilitators and barriers that may influence patients’ decision to receive
or not treatment for LTBI and explore their opinion on improving treatment uptake.
METHODS: Patients diagnosed with LTBI were purposively recruited from primary healthcare
clinics in Petaling District which had the highest incidence of Tuberculosis in the year 2018.
In-depth interviews were done physically prior to the COVID19 pandemic and phone
interviews during COVID-19 pandemic. A semi-structured topic guide developed from the
Common-Sense Model of Self-Regulation (CSM-SR) and literature review. Audio recordings
were transcribed verbatim and analyzed thematically.
RESULTS: 44 interviews were conducted with five themes emerging. Suggestions to improve
healthcare practitioners’(HCP) competency and consultation skills, increase public awareness
and LTBI knowledge, screening method and procedure, contact tracing, and service
management.
DISCUSSION/CONCLUSION: Addressing the suggestions from HCP and patients can facilitate
treatment uptake. In our study, we have explored the opinions of both HCP and patients and
the information they require to make their decision, and the easiest way to increase the

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