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Profil gonore dan non-gonore di Poliklinik Kulit dan Kelamin RSUP Prof. dr. I G. N. G. Ngoerah periode januari 2018 - desember 2020

Abstract

Introduction: The most common sexually transmitted disease is urethritis. Urethritis, or inflammation of the urethra, is a multifactorial disease, which is sexually acquired in the majority of cases. Symptoms of urethritis include discharge, dysuria and/or urethral discomfort but may be asymptomatic. Urethritis is classified under N. gonorrhoeae urethritis (GO urethritis) and nongonococcal urethritis (non-GO urethritis). Non-gonococcal urethritis in about 20-50% of cases is caused by infection with Chlamydia trachomatis and 10-30% of Mycoplasma genitalium. Other causes are Ureaplasma urealyticum, Trichomonas vaginalis, anaerobic bacteria, Herpes simplex virus (HSV) and adenovirus. Gonorrhea is the second most common sexually transmitted infection (STI) worldwide. This study aims to determine the profile and clinical characteristics of patients with GO and Non-GO who visited the Dermatology and Venereology Clinic, Sanglah Hospital, Denpasar, Bali.

Method: This type of research is retrospective descriptive using research subject data taken from patient registers at the Dermatology and Venereology Polyclinic, Sanglah Hospital, Denpasar for the period January 2018 - December 2020.

Results: The number of urethritis patients in this study was 102 patients. The total cases of GO urethritis were 63.4% of patients and 36.6% of patients were diagnosed with non-GO urethritis. Most of the GU and NGU patients were in the age group of 25-44 years, most of the GO urethritis subjects were unmarried while the non-GO urethritis subjects were mostly married. The percentage of HIV positive status was found to be higher in non-GO urethritis patients. The main treatment given to patients with GO urethritis is cefixime, while in non-GO urethritis patients is azithromycin or doxycycline.

Conclusion: The majority of GO and non-GO urethritis patients were in the 25-44 year age group, most of the GO urethritis subjects were unmarried while the non-GO urethritis subjects were mostly married. The percentage of HIV positive status was found to be higher in non-GO urethritis patients.

 

Pendahuluan: Uretritis, atau radang uretra, adalah penyakit multifaktorial, yang didapat secara seksual pada sebagian besar kasus. Gejala uretritis seperti keluarnya discharge, disuria dan/atau urethral discomfort tetapi mungkin tanpa gejala. Uretritis diklasifikasikan dalam uretritis N. gonorrhoeae (uretritis GO) dan uretritis nongonococcal (uretritis non-GO). Uretritis non-gonokokal sekitar 20-50% kasus disebabkan oleh infeksi Chlamydia trachomatis dan 10-30% Mycoplasma genitalium. Penyebab lainnya adalah Ureaplasma urealyticum, Trichomonas vaginalis, bakteri anaerob, Herpes simplex virus (HSV) dan adenovirus. Gonore adalah infeksi menular seksual (IMS) kedua yang paling umum di seluruh dunia. Penelitian ini bertujuan untuk mengetahui profil dan karakteristik klinis pasien dengan GO dan Non-GO di Poliklinik Kulit dan Kelamin Rumah Sakit Sanglah, Denpasar, Bali.

Metode: Jenis penelitian ini adalah deskriptif retrospektif menggunakan data subjek penelitian yang diambil dari rekam medis pasien di Poliklinik Kulit dan Kelamin RSUP Sanglah Denpasar periode Januari 2018 – Desember 2020.

Hasil: Jumlah pasien uretritis dalam penelitian ini adalah 102 pasien. Total kasus uretritis GO adalah 63,4% pasien dan 36,6% pasien didiagnosis uretritis non-GO. Sebagian besar pasien uretritis GO dan non-GO berada pada kelompok usia 25-44 tahun, sebagian besar subjek uretritis GO belum menikah sedangkan subjek uretritis non-GO sebagian besar sudah menikah. Persentase status HIV positif ditemukan lebih tinggi pada pasien uretritis non-GO. Pengobatan utama yang diberikan pada pasien uretritis GO adalah sefiksim, sedangkan pada pasien uretritis non-GO adalah azitromisin atau doksisiklin.

Simpulan: Sebagian besar pasien uretritis GO dan non-GO berada pada kelompok usia 25-44 tahun, sebagian besar subjek uretritis GO belum menikah sedangkan subjek uretritis non-GO sebagian besar sudah menikah. Persentase status HIV positif ditemukan lebih tinggi pada pasien uretritis non-GO.

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How to Cite

Giantoro, M., & Indira, I. G. A. E. (2023). Profil gonore dan non-gonore di Poliklinik Kulit dan Kelamin RSUP Prof. dr. I G. N. G. Ngoerah periode januari 2018 - desember 2020 . Intisari Sains Medis, 14(3), 993–996. https://doi.org/10.15562/ism.v14i3.1700

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Marvin Giantoro
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I Gusti Ayu Elis Indira
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