GALLBLADDER DISEASES AMONG HIV/AIDS PATIENTS IN CIPTO MANGUNKUSUMO HOSPITAL JAKARTA

Indah Gianawati. THESIS. Faculty of Medicine University of Indonesia. Jakarta 2007.

Background
Diseases of the biliary tree and gallbladder are being described with increasing frequency Among patients with the acquired immunodeficiency syndrome (AIDS). HIV/AIDS patients have clinically mild symptoms compared to non HIV/AIDS patients with similarly gallbladder disease. Cacciarelly et al found that the most frequent abnormality of gallbladder is acalculaus cholecystitis which can cause abdominal pain, To determine those abnormalities we performed ultrasonography examination which is non-invasive, relatively cheap, and available in most hospital. The factors that are assumed to have an association with gallbladder disease are abdominal pain, location of the pain, jaundice, and the use of ARV therapy. In Indonesia, especially Cipto Mangunkusumo hospital, there are no data about the prevalence and risk factors of gallbladder disease. Therefore there is a need to do a research about the risk factors of gallbladder diseases in HIV/AIDS patients. So it can be useful to clinicians to predict the possibility of a patient having gallbladder disease and consider the options of further plans.

Objective
To find the prevalence and variaties of gallbladder diseases in HIV/AIDS patients.

Methods
A cross sectional study was performed in patients with HIV/AIDS who visited the Pokdisus AIDS clinic in Cipto Mangunkusumo Hospital. After that the risk factors were studied and ultrasonography examinations were performed. Chi¬square tests were used for statistical analysis.

Result
There were 68 patients with HIV/AIDS who underwent ultrasonography examination in September to Desember 2007. The prevalence of gallbladder diseases among HIV/AIDS patients in Cipto Mangunkusumo hospital is 32,4%. The most frequent abnormality of gallbladder is acalculous cholecystitis (27,9%) followed with cholecystitis and cholelithiasis (4,4%).

Conclusion
The prevalence of gallbladder diseases is 32,40%. The most frequent abnormality is Acalculous Cholecystitis 27,90%. Abdominal pain, icteric, and the use of ARV therapy are related to incidence of gallbladder diseases, However age, sex, uwismission rute of HIV, history of having hepatitis, and CD4 count are, not associated with gallbladder dispases.

Keyword. Abdominal pain, gallbladder diseases, acalculous cholerystitis, CD4 counts.

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