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All Journal Jurnal Ilmu Kesehatan Masyarakat Global Medical and Health Communication Public Health of Indonesia Jurnal Ilmiah Kedokteran Wijaya Kusuma Jurnal Kesehatan Komunitas The Indonesian Journal of Infectious Diseases Media Keperawatan Indonesia Medica Hospitalia Jurnal Ilmiah Keperawatan Imelda JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Narra J Indonesian Journal of Cancer
Murtiani, Farida
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary Other

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Journal : Public Health of Indonesia

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Anemia in Human Immunodeficiency Virus Infection: Exploring the Interplay Between Antiretroviral Therapy, Opportunistic Infections, Iron Status, and Anemia Murtiani, Farida; Tanjungsari, Dian Wahyu; Shidiq, Achmad; Herlina, Herlina; Dinar Widiantari, Aninda; Nurhayati, Nurhayati; Wirasmi, Sundari; Despitasari, Mieska; Yulianto, Aris; Hendarwan, Harimat
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.848

Abstract

Background:Anemia is a prevalent hematological complication among individuals with Human Immunodeficiency Virus (HIV), contributing significantly to increased morbidity and mortality. This study investigates the intricate relationships between antiretroviral therapy (ART), opportunistic infections (OIs), iron metabolism, and anemia in HIV-positive patients in Indonesia. Objective:To elucidate the multifactorial associations among ART regimens, opportunistic infections, iron biochemical parameters, and anemia development in individuals living with HIV. Method:A cross-sectional epidemiological study was conducted at Sulianti Saroso Infectious Disease Hospital, Indonesia, from July to November 2023. The study involved 300 adult HIV-positive patients undergoing ART, with exclusion criteria encompassing pregnant or postpartum individuals, those with recent blood transfusions, and patients with chronic kidney diseases. Data collection included anemia status, ART regimen details, history of opportunistic infections, and iron metabolic profiles (serum iron, total iron-binding capacity [TIBC], and ferritin levels). These were obtained through systematic medical record reviews and laboratory diagnostics. Descriptive statistics, bivariate, and multivariate analyses were employed to explore predictive factors for anemia. Results:The study identified an anemia prevalence of 24.3%, with significantly higher rates among female patients (p = 0.004) and older age groups (p = 0.031). Multivariate regression analysis highlighted critical predictors of anemia: second-line ART (adjusted odds ratio [AOR]: 2.536, p = 0.028), serum iron concentrations (AOR: 0.984, p < 0.001), ferritin levels (AOR: 1.002, p = 0.023), and absolute lymphocyte count (AOR: 0.516, p = 0.003). Conclusion:The findings emphasize the necessity of longitudinal monitoring of hematologic and biochemical parameters to enhance anemia management in HIV-infected populations. The complex interplay between ART regimens, immune status, and iron metabolism underscores the importance of tailored, patient-centered clinical interventions.  Keywords:anemia; HIV; antiretroviral therapy; opportunistic infections; iron metabolism
The Combination Diagnostic Test for Tuberculosis Screening in HIV Patients in Referral Hospitals in Indonesia Murtiani, Farida; Rosamarlina, Rosamarlina; Purnama, Asep; Farhanah, Nur; Utama, Made Susila; Agustin, Heidy; Sarif, Armaji Kamaludi; Widiantari, Aninda Dinar; Hasugian, Armedy Ronny
Public Health of Indonesia Vol. 11 No. 3 (2025): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i3.1094

Abstract

Background: Screening tests are needed to help screen suspected Tuberculosis (TB) pulmonary with HIV positive. With the limitation of specificity of the screening test and the need for combination with laboratory tools to increase that, a combination with standard examination is still needed, especially for limited healthcare facilities. Objective: This study aimed to determine Pulmonary TB screening tests with Human Immunodeficiency Syndrome (HIV) positive. Method: This observational study with a cross-sectional design was conducted in four government hospitals. Study subjects were inpatients and outpatients who met study inclusion criteria (> 14 years of age, HIV positive based on HIV test results, had clinical symptoms of episodic history of fever, and volunteered to take part in the study). Total subjects were 193 people, with episodic history of fever from <24 hours to 120 hours. Result: This study assessed a subject's clinical manifestation, physical examination and X-ray test. The “Night Sweat”, Infiltrates in the Upper Lobe”, “Enlargement of Lymph Nodes and “Left Rhonchi” and their combination have a sensitivity of>85%. Still, only the complete combination has a specificity of> 70%. The combination of “Night Sweat + Enlargement of Lymph Nodes + Left Rhonchi + Infiltrates in the Upper Lobe” and then “Enlargement of Lymph Nodes + Left Rhonchi + Infiltrates in the Upper Lobe” can be an alternative for screening Pulmonary TB-HIV positive with history of fever. Conclusion: Pulmonary TB screening in HIV patients with a history of fever can be used by completely combining clinical manifestation, physical examination, and X-ray. the variables "Night Sweat, Enlarged Lymph Nodes, left rhonchi breath sounds and pulmonary upper lobe infiltrates" in a gradual manner. Keywords: Diagnostic Combination Test; HIV-Tb Coinfection; Tuberculosis Screening; Clinical Manifestations in TB-HIV; Pulmonary TB in HIV Patients
Co-Authors Abdul Khamid, Abdul Achmad Shidiq, Achmad Adria Rusli, Adria Afrina, Yeni Agustin Agustin Agustin, Heidy Aliza, Nur Ambarwati, Desi Amin, Desrinawati Muhammad Apriliani, Isnawati Armedy Ronny Hasugian Aryanto, Dara Tyas Putri Asep Purnama, Asep Asri C. Adisasmita Ciuputri, Pauline Dadang Darmawan Darmawan, Flora Honey Dinar Widiantari, Aninda Djajaningrat, Husjain Dyna Apriany Endang Sri Roostini Hardjolukito Fajrunni’mah, Rizana Fitri Nurhayati Fitri, Desi Yulia Fitrianur Laili, Fitrianur Hadayna, Saila Hana Yuliana Hanum, Sitti Fatimah Harimat Hendarwan Hendrawati, Nunung Herawati, Ita Herlina Herlina Heryandi, Dadang Hutabarat, Veronika Ika WAHYUNI Indawati, Eli Jahiroh, Jahiroh Kunti Wijiarti, Kunti Kusmardi Kusmardi Lisna Anisa Fitriana, Lisna Anisa Maemun, Siti Maryani Maryani Matondang, Faisal Mauliku, Novie Mieska Despitasari Mochammad Hatta Mochartini, Tri Muhammad Atoillah Isfandiari Nina Mariana, Nina Norma Norma Novi Malisa, Novi Nugroho, Anita Puspitasari Dyah Nur Farhanah, Nur Nuraidah Nuraidah, Nuraidah Nurhayati Nurhayati PERTIWI, INTAN Pratiwi, Tiara Z. Pujiantana, Artetha Mutiara Purnama, Tri B. Rahmawani, Atika Rakhmawati, Arifah Rivaldiansyah, Rivaldiansyah rosamarlina, rosamarlina Sahrudi, Sahrudi Saputra, Mohamad Hendra Sarif, Armaji Kamaludi Septian Andriyani, Septian Setianingsih, Tri Yuli Setiawan, Guling Suci Tuty Putri, Suci Tuty Sudarto Ronoatmodjo Suliati Suliati Sumaryati Sumaryati Syafendra, Mega Oktariena Tampubolon, Maria L. Tanjungsari, Dian W. Tanjungsari, Dian Wahyu Titi Sundari Upik Rahmi, Upik Utama, Made Susila Vivi Setiawaty Wahyuning, Indah Wasilah Wasilah Widiantari, Aninda D. Widiantari, Aninda Dinar Wirasmi, Sundari Yoenoes, Dedet Hidayati Yogasara, Yoseph Yulianto, Aris