Vania Felicia1, Iceu Dimas Kulsum2, Susantina Prodjosoewojo3
1Faculty of Medicine, Universitas Padjadjaran, Bandung
2Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung
3Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung
Abstract
Background: The burden of tuberculosis (TB) and Human Immunodeficiency Virus (HIV) co-infection is still alarming with high number of cases and mortality especially in West Java. This is affected by delayed treatment in these patients due to difficulty in diagnosis of TB in HIV patients. Clinical presentations were commonly atypical.
Objective: This study aims to identify sociodemographic characteristics, clinical manifestations, and additional findings of outpatients with TB and HIV at Dr. Hasan Sadikin General Hospital Bandung in 2019.
Methods: A retrospective descriptive-observational study on medical records of outpatients in Directly Observed Treatment Short-course (DOTS) and HIV units of Dr. Hasan Sadikin General Hospital Bandung was conducted at 1 January-31 December 2019. Results: There were 22 outpatients with the diagnosis of TB with first category of treatment and HIV, mean age of 34,91 ± 7,68 years, 9,87 ± 19,07 months since HIV diagnosis, BMI of 17,9 ± 2,95. Majority were male (86,4%), married (55%), working (70,6%), in high school (88,2%). Chronic cough (18,6%) was commonly found. There were equal number of patients with positive and negative AFB sputum smear. Most were pulmonary TB (53.3%), Rifampicin sensitive (25%), CD4 cell count of <200 cells/mm3 (77,3%) and stage IV of HIV (72,7%). Most patients had available chest x-ray results (85%), with pulmonary TB (60%) and unilateral infiltrate (40%).
Conclusion: Most of the patients were male in productive age with low BMI, stage IV HIV with low CD4 cell count. Most patients were found with common cough, diagnosed as pulmonary TB, with chest x-ray results showed pulmonary TB with unilateral infiltrate. There were equal number of positive and negative results on AFB sputum smear and most were rifampicin sensitive.
Keywords: tuberculosis, HIV, characteristics
