Profile of Human Immunodeficiency Virus Patients with Opportunistic Mycobacterium Tuberculosis Pulmonary Infection at Keramat Jati Community Health Center, Jakarta, Indonesia

Abstract

Aims: To determine the profile of co-infected patients with Human immunodeficiency virus and mycobacterium tuberculosis at Keramat Jati Community Health Center for the period January 2018 - January 2023 based on age, educational status, employment status, history of CD4 levels, and clinical stage. Methodology: This research uses a retrospective methodology. The study population comprised patients who were diagnosed with HIV and TB infection at the Kramat Jati Community Health Center, East Jakarta. Based on calculations using the Slovin method, the research sample consisted of 34 HIV-TB patients. All sampling approaches are used to carry out the sampling process. HIV-TB patient medical records are one source of data. A total of 5 years, from January 2018 - January 2023. Results: It was observed that the age group of 18-65 years recorded the highest rate at 94.1%, men recorded the highest lift at 79.9%, most worked as private employees at 79.4%, most got hemoglobin <11g/dL at 61.7%, Most high school education was higher with 58.8%, most patients with CD4 count <200 cells/mm3 at 58.8%, most got total lymphocyte count <1000 cells/mm3 at 82.4%, all patients got clinical stage III at 100%, most were get a positive BTA staining result of 100%. Key populations such as homosexuals, customers of FSW (female sexual workers), PWID (Injecting Drug Users), FSW customers (Female Sexual Workers), constituents (injecting drug users), discordant couples, children with ODHIV (people in the Human Immunodeficiency Virus) are one of the factors that have the potential to influence the number of HIV positive cases. The prevalence of HIV cases in Indonesia in the Homosexual group is 41.2%, in the FSW Customer group it is 11.8%, in FSW is 11.8%, in IDUs it is 23.5%, in discordant couples it is 8.8%, in PLHIV children it is 2.9%. Most of the HIV/AIDS cases with pulmonary TB co-infection in the Kramat Jati District Health Center for the period January 2018 - January 2023 were aged > 18-65 years, male, at least high school education level, and working status as private employees. Apart from that, the majority had Hb levels < 11 g/dl, CD4 count < 100 cells/mm3, total lymphocyte count < 1000 cells/mm3, BTA staining results positive, clinical stage III, and for the Key Population most frequently in homosexuals.