CLINICAL–EPIDEMIOLOGICAL DATA ON HIV/AIDS PATIENTS ADMITTED TO A TOP REFERRAL HOSPITAL DURING 1997-2005. A DATABASE FOR ACTION IN THE FUTURE, REFERRING TO ANOTHER DEVELOPING COUNTRIES

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ABSTRACT: HIV/AIDS, a frightened disease, was detected worldwide both in under developed, developing and developed country. The route of infection was similar in almost all countries, although differs in frequencies. The fate of the patient differed from each countries, with better outcome in the developed countries and worse in  underdeveloped  and developing countries. This report aims to collect epidemiology data  of HIV/AIDS patients who was admitted to a top referral hospital in East Java, Surabaya Dr Soetomo Hospital. In this retrospective study, during the period of 1997 – 1905 it was found that 477 patients had been admitted to Dr Soetomo Hospital. First case was registered in 1997, but the number was increasing rapidly in the following years. The youngest patient was new born and the oldest was 54 years old man. The majority of patients were 20–40 year group of age. The ratio man to woman was 7:1. The most common risk factor was drug abuse and free-sex behavior. The most common co morbid was infectious disease, as diarrhea disease, tuberculosis. A large number of patients died in hospital. In seem that HIV/AIDS is unavoidable and uncontrollable yet. The increasing number of patients year by year must give alert for everyone the potential of the outbreak of disease in community. From literature study, it was four points should be born in mind : 1. Comprehensive health care for people infected with HIV. 2. Need for partnerships 3. Need for research. 4. Health Promotion. The high rate of hospital mortality showed us that the clinical management should be strengthened. As a crippling and deadly disease, the program of prevention should be strengthened, recruiting all of component of the public, private and community sectors. Research for better knowledge about HIV/AIDS should to be stimulated. Education for better health, by officially or non-government organization and family should be encouraged.
Keyword: HIV/AIDS, epidemiological study, Dr Soetomo Hospital, infectious diseases, health care, partnership, health promotion, research 
Author: Suharto
Journal Code: jpkedokterangg050045

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Jp Kedokteran gg 2005