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Prevalensi dan Faktor Risiko Anemia pada HIV-AIDS
Anemia has an important role in morbility and mortality among HIV-AIDS patients. The study of anemia among HIV-ids pattuent in Indonesia was not much done. A cross-sectional study has been done in Teratai Clinic Hasan Sadikin Hospital Bandung to evaluate the prevalence and risk factors of anemia in HIV-AIDS patients between 1 January to 30 June 2008. There were 534 HIV-AIDS patients, anemia occured in 222 patients, the prevalence was 41.6%. Mild anemia or Hb level 10-14 g/dL in man or 10-12 g/dL in woman was found in 188 (35%), moderate anemia or Hb 8-10 g/dL in 28 (5,2%) and severe anemia or Hb less than 8 g/dL in 6 (1,1%) patients. Risk factors were gender, age, BMI, IDU, WHO staging, oral candidiasis, chronic inflammation, ARV, tuberculosis, CD4, and viral load. Statistical analysis showed that the important risk factors were BMI between 18.5-22.9 OR 0,368 (95% CI 0.99-3.248), use of ARV OR 0.905 (95% CI 0.555-1,474), and CD41-50OR 8.666 (95% CI4,407-13.522). The chanse of anemia was great in combination of BMI ≤ 18,5 with CD4 ≤ 50, oral candidiasis with or without ARV. This study showed that the prevalence of anemia in HIV-AIDS patients is prominent and the important risk factors for anemia are BMI, oral candidiasis, ARV and CD4.
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