14th ICID - Poster Abstracts - International Society for Infectious ...

When citing these abstracts please use the following reference:
Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number.
Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1
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Final Abstract Number: 27.007
Session: HIV: Epidemiology and Prevention
Date: Wednesday, March 10, 2010
Time: 12:30-13:30
Room: Poster & Exhibition Area/Ground Level
Type: Poster Presentation
The features of HIV-infected patients at A. Wahab Sjahranie General Hospital Samarinda,
Indonesia
C. gunawan
Mulawarman University School of Medicine/ A. Wahab Sjahranie General Hospital, Samarinda,
Indonesia
Background: Indonesia is a country with rapid growth of HIV cases. With population of more
than 230 millions, it is estimated there will be one to five million people infected with HIV in 2010.
In East Kalimantan Province, until August 2009, more than 1100 cases of HIV are reported,
although the exact number of cases must me much higher.
Objectives. To know the features of HIV-infected patients who come to Voluntary Counseling
and Testing (VCT) Clinic and treated at the Infectious Diseases Ward of A. Wahab Sjahranie
General Hospital Samarinda, East Kalimantan, Indonesia.
Methods:
An observational study was performed at VCT Clinic and Infectious Diseases Ward of A. Wahab
Sjahranie General Hospital Samarinda from December 2005 to August 2009. Data collected were
included number of visits to VCT Clinic, number of positive HIV test, sex, age, specific groups,
route of transmission, stages of HIV, CD4 counts on admission, opportunistic infections, ARV
treatment, mortality.
Results: During the period of study there were 2591 visits to VCT Clinic, 2176 people were
tested for HIV, and positive results were 143 (6.6 %). Most patients with positive HIV were 25-34
years old (55.2 %). Male patients were 87 (60.8 %) and females 36 (39.2 %). Specific groups of
infected patients were customers of sex workers (32.2 %), injecting drug users (IDUs) (23.8 %),
female sex workers (19.6 %), housewives (18.2 %), children born from HIV positive mothers (4.9
%), male sex workers (1.4 %). Routes of transmission were vaginal sex (69.9 %), shared needles
use (22.4 %), perinatal (4.9 %), tattoo (2.1 %), anal sex (0.7 %). Stages of infection while
diagnosed were stage IV (60.1 %), stage I-III (39.9 %). Most patients came to hospital with
opportunistic infections (72 %), including pulmonary tuberculosis (50.5 %), chronic diarrhea due
to parasitic infections (40.8 %), oral candidiasis (16.5 %). Patients on ARV treatment were 67
(46.9 % of total patients). Initial CD4 counts were 1 - 458. Most patients had initial CD4 counts <
50 (62.5 %), while others with CD4 50 – 100 (15.6 %), 101 – 200 (9.4 %), 201 – 350 (9.4 %), >
350 (3.1 %). Total mortality was 44 (10 on ARV treatment, 34 had not got ARV).
Conclusion:
The majority of HIV patients are young people 25-34 years old (55.2 %). Vaginal sex is the main
route of transmission (69.9 %), while shared needles use is 22.4 %. Most patients come to
hospital in late stage (stage IV) (60.1 %) that correlates with high mortality rate. Opportunistic
infections are found in 72 % of patients when first diagnosed and the most common opportunistic
infection is pulmonary tuberculosis (50.5 % of cases).