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Karakteristik epidemologi ibu hamil dengan infeksi human immunodeficiency virus di RSUP Sanglah Denpasar periode Januari 2014 - Desember 2017

  • Komang Juni Artawan ,
  • I Wayan Artana Putra ,

Abstract

Introduction: The cumulative rate of AIDS in pregnant women in the world is reported to increase dramatically, giving the consequent increase in morbidity and mortality from mothers and children. The purpose of this study is to provide a descriptive picture of pregnant women with HIV in Sanglah Hospital Denpasar during the period January 2014 to December 2017.

Methods: This study used a descriptive retrospective design in the population of pregnant women with HIV in Sanglah Hospital Denpasar during the period January 2014 to December 2017.

Results: During the study period a total of 218 cases of mothers with HIV were obtained in Sanglah Hospital Denpasar, with the majority characteristics being 20-29 years (56.80%), with the most dominant parity being 1 (48.16%), multipartner husband risk factors (56.43), housewife occupation (63.76%), origin of the area found in Jebmbrana Regency (20.64%), referral origin of Jembrana Regional Hospital (24.31%), age >28 weeks of pregnancy (47.70%), duration of antiretroviral therapy ≥6 months (55.51%), clinical stage I (79.35%), birth method of caesarean section (70.22%), birth weight of children >2500 grams (82.58% ), experienced mild anemia (Hb 9.5 to 10.9 g/dL) (84.12%), an undetectable viral load (66.7%), and a CD4 count of 200-500 / mm3 (49.08%) .

Conclusion: HIV prevalence in pregnant women which has an increasing trend in Bali requires more attention from all lines, not only from health workers, but government involvement and public education are needed to prevent new cases of pregnant women with HIV infection.

 

 

Pendahuluan: Angka kumulatif AIDS pada wanita di dunia dilaporkan meningkat secara dramatis, memberikan konsekuensi peningkatan akan morbiditas dan mortalitas dari ibu dan anak. Tujuan dari penelitian ini adalah memberikan gambaran deskriptif pada ibu hamil dengan HIV di RSUP Sanglah Denpasar selama periode Januari 2014 hingga Desember 2017.

Metode: Penelitian ini menggunakan rancangan retrosepktif deskriptif pada populasi ibu hamil dengan HIV di RSUP Sanglah Denpasar selama periode Januari 2014 hingga Desember 2017.

Hasil: Selama periode studi didapatkan total 218 kasus ibu dengan HIV di RSUP Sanglah Denpasar, dengan karakteristik mayoritas berupa 20-29 tahun (56,80%), dengan paritas paling dominan adalah para 1 (48,16%), faktor risiko suami multipartner (56,43), pekerjaan ibu rumah tangga (63,76%), asal daerah ditemukan Kabupaten Jebmbrana (20,64%), asal rujukan RSUD Jembrana (24,31%), usia >28 minggu kehamilan (47,70%), lama terapi ARV ≥6 bulan (55,51%), stadium klinis I (79,35%), metode kelahiran seksio caesaria (SC) (70,22%), berat lahir anak >2500 gram (82,58%), mengalami anemia ringan (Hb 9,5- 10,9 g/dL) (84,12%), viral load tidak terdeteksi (66,7%), dan hitung CD4 200-500 /mm3 (49,08%).

Simpulan: Prevalensi HIV pada ibu hamil yang memiliki tren semakin meningkat di Bali membutuhkan perhatian lebih dari segala lini, tidak hanya dari tenaga kesehatan, namun keterlibatan pemerintah serta edukasi masyarakat sangat dibutuhkan untuk mencegah timbulnya kasus baru ibu hamil dengan infeksi HIV.

References

  1. Kementrian Kesehatan Republik Indonesia. Pedoman Nasional Pencegahan Penularan HIV Dari Ibu Ke Anak (PPIA). Edisi kedua; 2012.
  2. WHO. 2015. Global Health Observatory (GHO) data: Number of people (all ages) living with HIV. World Health Organization. (serial online), [cited 2015 June 2015] Available from: URL: www.who.int/gho/hiv/epidemic_status/cases_all_text/en/
  3. Kementerian Kesehatan Republik Indonesia. Statistik Kasus HIV/AIDS di Indonesia. Kementarian Kesehatan Republik Indonesia. 2011; (artikel online), [dikutip 23 Februari 2011]. diunduh dari: URL: http://spiritia.or.id/Stats/StatCurr.pdf
  4. Poundstone KE, Strathdee SA, Celentano DD. The social epidemiology of human immunodeficiency virus/acquired immunodeficiency syndrome. Epidemiol Rev. 2004;26:22-35. doi:10.1093/epirev/mxh005.
  5. Sagay AS, Kapiga SH, Imade GE, Sankele JL, Idoko J, Kanki P. HIV infection among pregnant women in Nigeria. International Journal of Gynecology & Obstetrics. 2005;90(1):61-67.
  6. Pratomo H, Djauzi S, Naing AM, Anwar AD, Besar DS, Setiabudi D, Resmiati F. Faktor Risiko Penularan HIV Dari Ibu Ke Bayi. dalam: Pratomo, H., editor. Pedoman Nasional Pencegahan Penularan HIV Dari Ibu Ke Bayi. Departemen Kesehatan Republik Indonesia: Direktorat Jenderal Bina Kesehatan Masyarakat. 2006; h. 13-18.
  7. Kwiek JJ, Mwapasa V, Alker AP, et al. Socio-demographic characteristics associated with HIV and syphilis seroreactivity among pregnant women in Blantyre, Malawi, 2000-2004. Malawi Med J. 2008;20(3):80-85. doi:10.4314/mmj.v20i3.10965
  8. Simanjuntak M, Bukit LM. Dimensi budaya dan penyebaran penyakit HIV/AIDS di perkumpulan kasih rakyat. Perspektif Sosiologi. 2015;3(1):90-103.
  9. Kiptoo M, Mpoke S, Ng'ang'a Z, Mueke J, Okoth F, Songok E. Survey on prevalence and risk factors on HIV-1 among pregnant women in North-Rift, Kenya: a hospital based cross-sectional study conducted between 2005 and 2006. BMC Int Health Hum Rights. 2009;9:10. Published 2009 Apr 30. doi:10.1186/1472-698X-9-10.
  10. Sudewa SPA. Prevalensi dan Karakteristik Ibu Hamil Dengan HIV di Rumah Sakit Umum Pusat Sanglah Denpasar dalam periode tahun 2010 – 2013. [Deskriptif]. Universitas Udayana: Denpasar; 2014.
  11. Naidoo Y. South African Indians and HIV/AIDS: towards an understanding of HIV transmission dynamics in the Chatsworth community. (serial online). 2008. [cited 2014 Mar. 11]. Available from: URL: www.hsrc.ac.za/research/output/5494_Naidoo_SAIndiansandHIVAIDS.pdf
  12. Kementerian Kesehatan Republik Indonesia. Statistik Kasus HIV/AIDS di Indonesia. Kementarian Kesehatan Republik Indonesia. (artikel online). 2017. [dikutip 23 Februari 2011]. diunduh dari: URL: http://spiritia.or.id/Stats/StatCurr.pdf
  13. Depkes RI. Analisis Kecenderungan Perilaku Berisiko Terhadap HIV Di Indonesia: Laporan Survei Terpadu Biologis dan Perilaku Tahun 2007. Jakarta Pusat; Subdit AIDS & PMS Dit. P2ML Ditjen PP & PL Departemen Kesehatan.
  14. Minkoff HL. Prevention of mother-to-child transmission of HIV. Clinical Obstetrics and Gynecology. 2011;44:210-225
  15. Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. 2014. Human Immunodeficiency Virus (HIV) Infection. In: Twickler D, Wendell G, editors. Williams Obstetrics. 23rd. Ed. United States of America: McGraw-Hill. p. 1246-1253.
  16. Gangopadhyay R, Karoshi M, Keith L. Anemia and pregnancy: A link to maternal chronic disease. International Journal of Gynecology & Obstetrics. 2011;115(Supplement 1):S11-S15.
  17. Townsend C, Schulte J, Thorne C, et al. Antiretroviral therapy and preterm delivery-a pooled analysis of data from the United States and Europe. BJOG. 2010;117(11):1399-1410. doi:10.1111/j.1471-0528.2010.02689.x
  18. Working Group on Modelling of Antiretroviral Therapy Monitoring Strategies in Sub-Saharan Africa, Phillips A, Shroufi A, et al. Sustainable HIV treatment in Africa through viral-load-informed differentiated care. Nature. 2015;528(7580):S68-S76. doi:10.1038/nature16046
  19. Negara I, Anantasika A, Putra A, Wiradnyana A, Tunas I. Characteristics of Pregnant Women with HIV Infection Following Prevention of Mother to Child Transmission of HIV (PMTCT) Program in Sanglah General Hospital 2005-2014. Bali Medical Journal. 2016;5(1):147-151. DOI:10.15562/bmj.v5i1.291

How to Cite

Artawan, K. J., & Putra, I. W. A. (2020). Karakteristik epidemologi ibu hamil dengan infeksi human immunodeficiency virus di RSUP Sanglah Denpasar periode Januari 2014 - Desember 2017. Intisari Sains Medis, 11(2), 798–804. https://doi.org/10.15562/ism.v11i2.792

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Komang Juni Artawan
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I Wayan Artana Putra
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