Karakteristik Pasien Kondiloma Akuminata pada Anogenital Dengan Human Immunodeficiency Virus (Hiv) Di RSUP Haji Adam Malik Medan Periode Januari 2012 - Desember 2017

Abstract

Background: Condyloma acuminata (CA) is a sexually transmitted disease (STD) caused by Human Papilloma Virus (HPV) especially types 6 and 11, which can be found in 90-95% of cases. Clinical features may be papillomatous papules or nodules found on mucous membranes or skin of external genitalia, perineum and anus. Transmission through sexual contact, both genito-genital, oro-genital and genito-anal. Objective: To understand the characteristics of anogenital condyloma acuminata patients with HIV in the SMF Dermatovenereology Division of the Sexually Transmitted Infections Haji Adam Malik General Hospital Medan during the period of January 1st 2012 - December 31st 2017. Subject and method: The research subjects are the patient's medical record data at the SMF Dermatovenereology Division of the Sexually Transmitted Infection Haji Adam Malik General Hospital Medan for the period of January 1st 2012 – December 31st 2017 using the retrospective description method. Results: The number of patients with condyloma acuminata who transmitted HIV was 39 people, found the most in the group aged 26-35 years as many as 16 people (41.0%), male sex as many as 34 people (87.2%), at the location perianal as many as 21 people (53.8)%), giant forms as many as 15 people (38.5%), in the homosexual group as many as 17 people (43.6%), with a number of sexual partners of more than 1 person as many as 28 people (71.8 %), with CD4 + 500-200 counts as many as 19 people (48.7)%. Conclusion: The number of patients with condyloma acuminata who transmitted HIV was 39 people, most in the age group 26- 35 years, male sex, perianal location, giant shape, homosexual group, number of sexual partner couples more than 1, CD4+ 500-200 count.

Latar belakang : Kondiloma akuminata (KA) merupakan penyakit infeksi menular seksual (IMS) yang disebabkan oleh Human Papilloma Virus (HPV) terutama tipe 6 dan 11, yang dapat ditemukan terutama pada 90- 95% kasus. Gambaran klinisnya dapat berupa papul atau nodul papilomatosa ditemukan pada membran mukosa atau kulit genitalia eksterna, perineum dan anus. Penularannya melalui kontak seksual, baik genito-genital, oro-genital maupun genito-anal. Tujuan: Untuk mengetahui karakteristik pasien kondiloma akuminata pada anogenital dengan HIV di SMF Ilmu Kesehatan Kulit dan Kelamin Divisi Infeksi Menular Seksual RSUP Haji Adam Malik Medan selama periode 1 Januari 2012- 31 Desember 2017. Subyek dan metode : subyek penelitian adalah data rekam medik pasien di SMF Ilmu Kesehatan Kulit dan Kelamin RSUP. H. Adam Malik periode 1 Januari 2012-31 Desember 2017 dengan metode deskripsi retrospektif. Hasil : Jumlah pasien kondiloma akuminata disertai HIV sebanyak 39 orang, ditemukan terbanyak pada kelompok umur 26-35 tahun sebanyak 16 orang (41.0%), jenis kelamin laki-laki sebanyak 34 orang (87.2%), pada lokasi perianal sebanyak 21 orang (53.8%), bentuk giant sebanyak 15 orang (38.5%), pada kelompok homoseksual sebanyak 17 orang (43.6%), dengan jumlah pasangan seksual lebih dari 1 sebanyak 28 orang (71.8%), dengan jumlah CD4+ 500-200 sebanyak 19 orang (48.7%). Kesimpulan : Jumlah pasien kondiloma akuminata disertai HIV di RSUP Haji Adam Malik Periode 1 Januari 2012-31 Desember 2017 sebanyak 39 orang, terbanyak pada kelompok umur 26-35 tahun, jenis kelamin laki-laki, lokasi perianal, bentuk giant, kelompok homoseksual, jumlah pasangan seksual lebih dari 1, jumlah CD4+ 500-200.