Research Article

Gambaran karakteristik pasien kondiloma akuminata dengan infeksi HIV/AIDS di RSUP Sanglah, Denpasar, Indonesia tahun 2011-2015

Ida Bagus Gede Jayadharma , Anak Agung Gde Putra Wiraguna

Ida Bagus Gede Jayadharma
Mahasiswa Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Udayana, Bali, Indonesia. Email: jayadododharma@gmail.com

Anak Agung Gde Putra Wiraguna
Departemen Ilmu Kulit dan Kelamin, Fakultas Kedokteran, Universitas Udayana, RSUP Sanglah, Bali, Indonesia
Online First: December 01, 2020 | Cite this Article
Jayadharma, I., Wiraguna, A. 2020. Gambaran karakteristik pasien kondiloma akuminata dengan infeksi HIV/AIDS di RSUP Sanglah, Denpasar, Indonesia tahun 2011-2015. Intisari Sains Medis 11(3): 1308-1312. DOI:10.15562/ism.v11i3.735


Background: Condyloma acuminata, known as genital warts, is a sexually transmitted infection caused by a virus, namely Human Papilloma Virus (HPV). HPV infections are related to other sexually transmitted infections such as the Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS). This study aims to know the patient characteristics of condyloma acuminata in patients with HIV infection in Sanglah General Hospital, Denpasar, from January 2011 to December 2015.

Methods: This research is a retrospective descriptive study with a cross sectional method. This research analyzed 58 patients of condyloma acuminata with HIV infection in Sanglah Public Hospital from January 2011 to December 2015. Research variables were based on age, sex, level of education, marital status, and work level. Data were analyzed using SPSS version 17 for Windows.

Results: This study found that the prevalence of condyloma acuminata with HIV infection based on age was 15-24 years old (17.2%), 25-44 years old (81.0%), and 45-64 years old (1.7%). The results based on sex were 91.4% for males and 8.6% for females. The results based on education level were elementary school (8.6%), high school (53.4%), higher education (37.9%). The results based on work level were government employee (3.4%), private employee (77.6%), entrepreneur (10.3%), and do not have a job (8.6%). And the results based on marital status were married (13.8%) and single (86.2%).

Conclusion: The highest prevalence of condyloma acuminata with HIV infection based on age was 25-44 years old, males gender, high school level of education, and working in the private sector.

 


Latar Belakang: Kondiloma akuminata atau dikenal sebagai genital wart (kutil kelamin) adalah infeksi menular seksual yang disebabkan oleh virus, yaitu Human papilloma virus (HPV). Infeksi HPV kerap dikaitkan dengan infeksi menular seksual lainnya seperti Human Immunodeficiency Virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS). Tujuan penelitian ini untuk mengetahui karakteristik pasien kondiloma akuminata pada pasien yang terinfeksi HIV di Rumah Sakit Umum Pusat Sanglah Denpasar dari bulan Januari 2011 sampai dengan bulan Desember 2015.

Metode: Penelitian ini merupakan penelitian deskriptif retrospektif, dengan metode cross sectional. Penelitian ini menganalisis 58 pasien dengan kondiloma akuminata dengan HIV di Poliklinik RSUP Sanglah pada periode Januari 2011 sampai dengan Desember 2015. Variable pada penelitian ini yaitu berdasarkan umur, jenis kelamin, tingkat pendidikan, status perkawinan, dan tingkat pekerjaan. Data dianalisis dengan SPSS versi 17 untuk Windows.

Penelitian: Hasil dari penelitian ini didapatkan bahwa berdasarkan umur 15-24 tahun (17,2%), 25-44 tahun (81,0%), dan 45-64 tahun (1,7%). Berdasarkan jenis kelamin, yaitu laki-laki (91,4%) dan perempuan (8,6%). Hasil penelitian berdasarkan tingkat pendidikan, kelompok pendidikan dasar (8,6%), pendidikan menengah (53,4%), dan pendidikan tinggi (37,9%). Berdasarkan pekerjaan, yaitu kelompok PNS (3,4%), pegawai swasta (77,6%), wiraswasta (10,3%), dan kelompok tidak bekerja (8,6%). Dan berdasarkan status perkawinan didapatkan hasil yaitu kelompok menikah (13,8%) dan yang belum menikah (86,2%).

Kesimpulan: Prevalensi kondiloma akuminata dengan HIV paling banyak berdasarkan kelompok umur yaitu kelompok usia 25-44 tahun, jenis kelamin laki-laki, kelompok pendidikan menengah, dan bekerja di sektor swasta.

References

Moss JA. HIV/AIDS Review. Radiol Technol. 2013;84(3):247-p.270.

Simon V, Ho DD, Abdool Karim Q. HIV/AIDS epidemiology, pathogenesis, prevention, and treatment. Lancet. 2006;368(9534):489-504.

Palefsky J. Human papillomavirus-related disease in people with HIV. Curr Opin HIV AIDS. 2009;4(1):52-56.

Scheurer ME, Tortolero-Luna G, Adler-Storthz K. Human papillomavirus infection: biology, epidemiology, and prevention. Int J Gynecol Cancer. 2005;15(5):727-746.

Brianti P, De Flammineis E, Mercuri SR. Review of HPV-related diseases and cancers. New Microbiol. 2017;40(2):80-85.

Hawkins MG, Winder DM, Ball SL, Vaughan K, Sonnex C, Stanley MA, et al. Detection of specific HPV subtypes responsible for the pathogenesis of condylomata acuminata. Virol J. 2013;10:137.

Yanofsky VR, Patel RV, Goldenberg G. Genital warts: a comprehensive review. J Clin Aesthet Dermatol. 2012;5(6):25-36.

Anic GM, Lee JH, Villa LL, Lazcano-Ponce E, Gage C, Silva RJC, et al. Risk factors for incident condyloma in a multinational cohort of men: the HIM study. J Infect Dis. 2012;205(5):789-793.

Fleischer AB Jr, Parrish CA, Glenn R, Feldman SR. Condylomata acuminata (genital warts): patient demographics and treating physicians. Sex Transm Dis. 2001;28(11):643-647.

Patel H, Wagner M, Singhal P, Kothari S. Systematic review of the incidence and prevalence of genital warts. BMC Infect Dis. 2013;13:39.

Manning WD, Longmore MA, Copp J, Giordano PC. The complexities of adolescent dating and sexual relationships: fluidity, meaning(s), and implications for young adults' well-being. New Dir Child Adolesc Dev. 2014;2014(144):53-69.

Lazcano-Ponce E, Sudenga SL, Torres BN, Stoler M, Leon-Maldonado L, Allen-Leigh B, et al. Incidence of external genital lesions related to human papillomavirus among Mexican men. A cohort study. Salud Publica Mex. 2018;60(6):633-644.

Kyriakis KP, Balamotis AK, Katsarou-Katsari A, Tosca AD. Recurrent condylomata acuminata: how routine immediate and delayed hypersensitivity parameters might provide a clue to their immunopathogenesis. Eur J Clin Invest. 1995;25(12):906-909.

Castellsagué X, Cohet C, Puig-Tintoré LM, Acebes LO, Salinas J, Martin MS, et al. Epidemiology and cost of treatment of genital warts in Spain. Eur J Public Health. 2009;19(1):106-110.

Cho CY, Lo YC, Hung MC, Lai CC, Chen CJ, Wu KG. Risk of cancer in patients with genital warts: A nationwide, population-based cohort study in Taiwan. PLoS One. 2017;12(8):e0183183.

Luis H, Fridayantara WD, Mahariski PA, Wignall FS, Irwanto I, Gedela K. Evolving ART crisis for people living with HIV in Indonesia. Lancet HIV. 2020;7(6):e384-e385.

Camenga DR, Dunne EF, Desai MM, Gee J, Markowitz LE, Desiliva A, et al. Incidence of genital warts in adolescents and young adults in an integrated health care delivery system in the United States before human papillomavirus vaccine recommendations. Sex Transm Dis. 2013;40(7):534-538.

Lau JT, Wong WS. Behavioural surveillance of sexually-related risk behaviours for the cross-border traveller population in Hong Kong: the evaluation of the overall effectiveness of relevant prevention programmes by comparing the results of two surveillance surveys [published correction appears in Int J STD AIDS. 2001 Mar;12(3):210]. Int J STD AIDS. 2000;11(11):719-727.

Silitonga JT, Gambaran Infeksi Menular Seksual (IMS) di RSUP H. Adam Malik Medan Tahun 2009 [Skripsi]. Fakultas Kedokteran Universitas Sumatera Utara. 2010.

Stefanaki C, Rozakou A, Stefanaki K, Christofidou E, Antoniou C. Giant perianal seborrhoeic keratosis mimicking Condylomata acuminata. Int J STD AIDS. 2009;20(3):213-214.

Nelwan SR, Niode NJ, Kapantow MG. Profil Kondiloma Akuminata di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R.D. Kandou Manado Periode Januari 2012-Desember 2012. Jurnal E-Clinic (ECL). 2014;2(1):1-7.

Giuliano AR, Lee JH, Fulp W, Villa LL, Lazcano E, Papenfuss MR, et al. Incidence and clearance of genital human papillomavirus infection in men (HIM): a cohort study. Lancet. 2011;377(9769):932-940.

Wen LM, Estcourt CS, Simpson JM, Mindel A. Risk factors for the acquisition of genital warts: are condoms protective?. Sex Transm Infect. 1999;75(5):312-316.

Finer LB. Trends in premarital sex in the United States, 1954-2003. Public Health Rep. 2007;122(1):73-78.


No Supplementary Material available for this article.
Article Views      : 23
PDF Downloads : 9