Profil Pasien Infeksi Menular Seksual di Poliklinik Kulit dan Kelamin RSUD Dr. Moewardi Surakarta Periode Januari 2016 - Desember 2020

Penulis

  • Achmad Satya Negara Departemen Ilmu Kesehatan Kulit dan Kelamin RSUD Dr. Moewardi, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta
  • Ammarilis Murastami Departemen Ilmu Kesehatan Kulit dan Kelamin RSUD Dr. Moewardi, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta

DOI:

https://doi.org/10.56951/8bjbj417

Kata Kunci:

IMS, kondiloma akuminata, ulkus genital, cairan genitalia

Abstrak

Latar belakang: Infeksi menular seksual (IMS) merupakan infeksi yang disebabkan oleh bakteri, virus, maupun parasit yang sebagian besar ditularkan melalui hubungan seksual secara vaginal, anal, atau oral. Prevalensi IMS di seluruh dunia diperkirakan mencapai 333 juta kasus per tahun dan setiap hari terjadi lebih dari 1 juta kasus IMS. Pelaporan data IMS saat ini diestimasikan hanya mewakili 50-80% dari total keseluruhan penyakit IMS di Amerika Serikat, yang mencerminkan keterbatasan screening, kurangnya informasi mengenai transmisi penyakit, serta rendahnya tingkat pelaporan data. Data mengenai IMS penting diketahui sebagai bahan kajian perencanaan dalam upaya pencegahan dan pengendalian penyakit. Tujuan: Mengetahui profil penyakit IMS di Poliklinik Kulit dan Kelamin RSUD Dr. Moewardi periode Januari 2016 sampai Desember 2020. Metode: Penelitian ini merupakan penelitian retrospektif dengan menggunakan data sekunder berupa rekam medis dan buku registrasi di Poliklinik Kulit dan Kelamin RSUD Dr. Moewardi, Surakarta, periode Januari 2016 - Desember 2020. Hasil: Didapatkan jumlah kasus baru IMS rawat jalan di Poliklinik Kulit dan Kelamin RSUD Dr. Moewardi sebanyak 275 kasus selama 5 tahun terakhir. Terdapat 192 kasus kondiloma akuminata, 16 kasus ulkus genital, 35 kasus keluarnya cairan dari genitalia laki-laki, dan 20 kasus keluarnya cairan dari genitalia perempuan. Kesimpulan: Penderita IMS yang berobat di RSUD Dr. Moewardi mayoritas berjenis kelamin laki-laki dengan diagnosis terbanyak adalah kondiloma akuminata. Data ini dapat menjadi acuan dalam upaya pengendalian IMS dengan meningkatkan anamnesis, pemeriksaan fisik dan penunjang, serta memberikan edukasi terkait tindakan preventif pada pasien.

Referensi

Wagenlehner FME, Brockmeyer NH, Discher T, Friese K, Wichelhaus TA. The presentation, diagnosis and treatment of sexually transmitted infections. Dtsch Arztebl Int. 2016;113(1):11-22. DOI: https://doi.org/10.3238/arztebl.2016.0011

Diez M dan Diaz A. Sexually transmitted infections: epidemiology and control. Rev Esp Sanid Penit. 2011;13:58-66. DOI: https://doi.org/10.4321/S1575-06202011000200005

Assi R, Hashim PW, Reddy VB, Einarsdottir H, Longo WE. Sexually transmitted infections of the anus and rectum. World J Gastroenterol. 2014;20(41):262-8. DOI: https://doi.org/10.3748/wjg.v20.i41.15262

Ginindza TG, Stefan CD, Gwegweni JMT, Dlamini X, Jolly PE, Weiderpass E, Broutet N, Sartorius B. Prevalence and risk factors associated with sexually transmitted infections (STIs) among women of reproductive age in Swaziland. Infect Agent Cancer 2017;12(29):1-12. DOI: https://doi.org/10.1186/s13027-017-0140-y

Gewirtzman A, Bobrick L, Conner K, Trying S. Epidemiology of sexually transmitted infection. Dalam: Holmes K, Sparling P, Stamm W, Piot P, Wasserheit J, Corey L, dkk., editor. Sexually Transmitted Disease. New York: McGraw Hill Medical; 2008.h.27-40.

Kenyon C, Buyze J, Colebunders R. Classification of incidence and prevalence of certain sexually transmitted infections by world regions. Int J Infect Dis. 2014;18(1):73-80. DOI: https://doi.org/10.1016/j.ijid.2013.09.014

Widyanthini DN, Widyanthari DM, Kurniasari NMD. Kejadian infeksi menular seksual di kota Denpasar tahun 2016. BPK. 2019;47(4):237-44. DOI: https://doi.org/10.22435/bpk.v47i4.2117

Badan Pusat Statistik Provinsi Jawa Tengah. Jumlah Kasus HIV/AIDS, IMS, DBD, Diare, TB, dan Malaria Menurut Kabupaten/Kota di Provinsi Jawa Tengah 2017-2018. Dinas Kesehatan Provinsi Jawa Tengah. 2018. Dikutip dari: https://jateng.bps.go.id/ pada tanggal 13 April 2021

Sarrerwhite CL, Torrone E, Meites E. Sexually transmitted infections among US women and men: prevalence and incidence estimates. Sex Trans Dis. 2013;40(3):187-93. DOI: https://doi.org/10.1097/OLQ.0b013e318286bb53

Nirmalasari NPC, Adiguna S, Puspawati NMD. Prevalensi dan karakteristik infeksi menular seksual di klinik anggrek UPT Ubud II pada bulan Januari - Desember 2016. Med Udayana. 2018;7(4):169-75.

Rosita F, Risman M, Fatimah F, Diana EDN, Mawardi P. Pola distribusi infeksi menular seksual di poliklinik kulit dan kelamin RSUD Dr. Moewardi periode Januari 2016 - Desember 2018. Unpublished. 2020:1-10.

Ortayli N, Ringheim K, Collins L, Sladden T. Sexually transmitted infections: progress and challenges since the 1994 International Conference on Population and Development (ICPD). Contraception. 2014;90(6):22-31. DOI: https://doi.org/10.1016/j.contraception.2014.06.024

Da Ros CT dan Schmitt CS. Global epidemiology of sexually transmitted diseases. Asian J Androl. 2008;10(1):110-4. DOI: https://doi.org/10.1111/j.1745-7262.2008.00367.x

Maujudah SA dan Susanna D. The incidence of sexually transmitted disease at Ciracas Primary Health Care, East Jakarta. KnE Life Sci. 2019;10(1):96-104. DOI: https://doi.org/10.18502/kls.v4i10.3774

Panchanadeswaran S, Johnson SC, Mayer KH, Srikrishnan AK, Sivaram S, Zelaya CE, dkk. Gender differences in the prevalence of sexually transmitted infections and genital symptoms in an urban setting in southern India. Sex Transm Infect. 2006;82(1):491-5. DOI: https://doi.org/10.1136/sti.2006.020768

Panonsih RN. Profil pasien penyakit menular seksual pada layanan primer tingkat I di Kota Bandar Lampung tahun 2015. J Medika Malahayati 2016;3(3):159-64.

Siracusano S, Silvestri T, Casotto D. Sexually transmitted diseases: epidemiological and clinical aspect in adults. Urologia. 2014;81(4):200-8. DOI: https://doi.org/10.5301/uro.5000101

Shannon CL dan Klausner JD. The growing epidemic of sexually transmitted infections in adolescents: a neglected population. Curr Opin Pediatr. 2018;30(1):137-43. DOI: https://doi.org/10.1097/MOP.0000000000000578

Genz N, Meincke SMK, Carret MLV, Correa ACL, Alves CN. Sexually transmitted diseases: knowledge and sexual behavior of adolescents. Texto Contexto Enferm. 2017;26(2):1-12. DOI: https://doi.org/10.1590/0104-07072017005100015

Steinberg. Cognitive and affective development in adolescence. Trends in Cognitive Sci. 2005;9(2):69-74. DOI: https://doi.org/10.1016/j.tics.2004.12.005

Borawski EA, Tufts KA, Trapl ES, Hayman LL, Yoder LD, Lovegreen LD. Effectiveness of health education teachers and school nurses teaching sexually transmitted infections / human immunodeficiency virus prevention knowledge and skills in high school. J Sch Health. 2015; 85(3):189-96. DOI: https://doi.org/10.1111/josh.12234

Nelson LE, Tharao W, Husbands W, Sa T, Zhang N, Kushwaha S, dkk. The epidemiology of HIV and other sexually transmitted infections in African, Caribbean and Black men in Toronto, Canada. BMC Infect Dis. 2019;19(1):1-10. DOI: https://doi.org/10.1186/s12879-019-3925-3

Rahayu YP, Ramadhan AM, Rijai L. Kajian karakteristik dan pola pengobatan pasien infeksi menular seksual di RSUD AW Sjahranie Samarinda. Proceeding of Mulawarman Pharmaceutical Conference. 2016;4(1):396-406. DOI: https://doi.org/10.25026/mpc.v4i1.211

Center for Disease Control and Prevention. HIV: gay and bisexual Men. 2021. Dikutip dari https://www.cdc.gov/hiv/group/msm/index.html pada tanggal 12 Juli 2021.

Deaselia CP, Zahroh S, Kusyogo C, Priyadi NP. Analisis faktor-faktor yang berhubungan dengan praktik skrining IMS oleh lelaki seks lelaki (LSL) sebagai upaya pencegahan penularan HIV (studi kasus pada semarang gaya community. Jurnal Kesehatan Masyarakat (e-Journal). 2017;5(3):486-95.

Engelshofen BMC, Marsela E, Engelshberger N, Guertler A, Schauber J, French LE, Reinholz M. Condyloma acuminata: a retrospective analysis on clinical characteristics and treatment options. Heliyon. 2020;6(3):17. DOI: https://doi.org/10.1016/j.heliyon.2020.e03547

Patel H, Wagner M, Singhal P, Kothari S. Systematic review of the incidence and prevalence of genital warts. BMC Infect Dis. 2013;39(13):1-14. DOI: https://doi.org/10.1186/1471-2334-13-39

Silva MC, Fernandes I, Rodrigues AG, Lisboa C. Anogenital warts in pediatric population. An Bras Dermatol. 2017;92(5):675-81. DOI: https://doi.org/10.1590/abd1806-4841.201756411

Park IU, Introcaso C, Dunne EF. Human papillomavirus and genital warts: a review of the evidence for the 2015 centers for disease control and prevention sexually transmitted diseases treatments guidelines. Clin Infect Dis. 2015;61(8):849-55. DOI: https://doi.org/10.1093/cid/civ813

Lee CB, Choe HS, Hwang SJ, Lee SJ, Cho YH. Epidemiological characteristics of genital herpes and condyloma acuminata in patients presenting to urologic and gynecologic clinics in Korea. J Infect Chemother. 2011;17(1):351-7. DOI: https://doi.org/10.1007/s10156-010-0122-0

Kalichman SC, Pellowski J, Christina T. Prevalence of sexually transmitted co-infection in people living with HIV/AIDS: systematic review with implication for using HIV treatments. Sex Transm Infect. 2011;87(3):183-90. DOI: https://doi.org/10.1136/sti.2010.047514

Puspawati NMD, Sissy, Gotama D. A retrospective study of condyloma acuminata profile in outpatient clinic of dermato-venereology Sanglah General Hospital Denpasar, Bali-Indonesia period 2015-2017. BDV 2018;1(1):1-3. DOI: https://doi.org/10.15562/bdv.v1i1.1

Pitasari DA dan Martodiharjo S. Studi retrospektif: profil infeksi gonore. Berkala IKKK. 2019;31(1):41-5.

Kirkcaldy RD, Weston E, Segurado AC, Hughes G. Epidemiology of gonorrhea: a global perspective. Sex Health. 2019;16(5):401-11. DOI: https://doi.org/10.1071/SH19061

Hananta IPY, Dam AP, Bruistem SM, Loeff MFS, Soebono H, Vries HJC. Gonorrhea in Indonesia: high prevalence but asymptomatic urogenital gonorrhea but no circulating extended spectrum cephalosporins-resistant neisseria gonorrhoeae strains in Jakarta, Yogyakarta and Denpasar, Indonesia. Sex Transmit Dis. 2016;43(10):608-16. DOI: https://doi.org/10.1097/OLQ.0000000000000510

Budkaew J, Chumworathayi B, Pientong C, Ekalaksananan T. Prevalence and factors associated with gonorrhea infection with respect to anatomic distribution among men have sex with men. PLoS One. 2019;14(4):1-19. DOI: https://doi.org/10.1371/journal.pone.0211682

Xiong M, Lan L, Feng T, Zhao G, Wang F, Hong F, dkk. Analysis of the sex ratio of reported gonorrhoea incidence in Shenzhen, China. BMJ Open. 2016;6(3):1-8. DOI: https://doi.org/10.1136/bmjopen-2015-009629

Kissinger P. Epidemiology and treatment of trichomoniasis. Curr Infect Dis Rep. 2015;17(6):1-14. DOI: https://doi.org/10.1007/s11908-015-0484-7

Poole DN dan McClelland RS. Global epidemiology of trichomonas vaginalis. Sex Transm Infect. 2013;89(1):418-22. DOI: https://doi.org/10.1136/sextrans-2013-051075

Johnston VJ dan Mabey DC. Global epidemiology and control of trichomonas vaginalis. Curr Opin Infect Dis. 2008;21(1):56-64. DOI: https://doi.org/10.1097/QCO.0b013e3282f3d999

Alfari N, Kapantow MG, Pandaleke T. Profil Trikomoniasis di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2011 - 31 Desember 2015. Jurnal e-Clinic. 2016;4(2):1-7. DOI: https://doi.org/10.35790/ecl.4.2.2016.14478

Ummah HH, Pradini GW, Dwiyana RF, Hamda ME. Prevalence of trichomonas vaginalis based on clinical manifestation and polymerase chain reaction among reproductive women. Int J Integ Health Sci. 2019;7(1):9-15.

James C, Harfouche M, Welton NJ, Turner KME, Raddad LJA, Gottlieb SL, Looker KJ. Herpes simplex virus: global infection prevalence and incidence estimates, 2016. Bull World Health Organ 2020;98(5):315-29. DOI: https://doi.org/10.2471/BLT.19.237149

Sudenga SL, Kempf MC, McGwin G, Wilson CM, Hook E, Shrestha S. Incidence, prevalence and epidemiology of herpes simplex virus-2 in HIV-1 positive and HIV-1 negative adolescents. Sex Transm Dis. 2012;39(4):300-5. DOI: https://doi.org/10.1097/OLQ.0b013e318244a90f

Looker KJ, Welton NJ, Sabin KM, Dalal S, Vickerman P, Turner KME, dkk. Global and regional estimates of the contribution of herpes simplex virus type 2 infection to HIV incidence: a population attributable fraction analysis using published epidemiological data. Lancet Infect Dis. 2020;20(2):240-9. DOI: https://doi.org/10.1016/S1473-3099(19)30470-0

Bonita L dan Murtiastutik D. Penelitian retrospektif: gambaran klinis herpes simpleks genitalis. Berkala IKKK. 2017;29(1):30-5.

Fatahzadeh M dan Schwartz RA. Human herpes simplex virus infections: epidemiology, pathogenesis, symptomatology, diagnosis and management. J Am Acad Dermatol. 2007;57(5):737-63. DOI: https://doi.org/10.1016/j.jaad.2007.06.027

Fernandes A dan Ervianti E. Secondary syphilis in human immunodeficiency virus (HIV)-infected men who have sex with men (MSM): a case report. BIKKK 2020;32(1):75-84. DOI: https://doi.org/10.20473/bikk.V32.1.2020.75-84

Fuchs W dan Brockmeyer NH. Sexually transmitted infections. J Dtsch Dermatol ges. 2014; 12(6):451-63.

Kojima N dan Klausner JD. An update on the global epidemiology of syphilis. Curr Epidemiol Rep. 2018;5(1):24-38. DOI: https://doi.org/10.1007/s40471-018-0138-z

Fuchs W dan Brockmeyer NH. Sexually transmitted infections. J Dtsch Dermatol ges. 2014;12(6):451-63. DOI: https://doi.org/10.1111/ddg.12310

Dewi KIP dan Silayukti AAAA. Gambaran prevalensi penderita sifilis laten, sekunder dan primer pada pasien infeksi menular seksual (IMS) di poliklinik kulit dan kelamin RSUD Mangusada, Badung, Bali periode 2017-2018. Intisari Sains Med. 2020;11(2):457-60. DOI: https://doi.org/10.15562/ism.v11i2.586

Morineau G, Nugrahini N, Riono P, Nurhayati, Girault P, Mustikawati DE, dkk. Sexual Risk Taking, STI and HIV Prevalence Among Men Who Have Sex with Men in Six Indonesian Cities. AIDS Behav. 2011;(15):1033–44. DOI: https://doi.org/10.1007/s10461-009-9590-6

Diterbitkan

14-12-2023

Unduhan

Data unduhan tidak tersedia.

Cara Mengutip

[1]
Profil Pasien Infeksi Menular Seksual di Poliklinik Kulit dan Kelamin RSUD Dr. Moewardi Surakarta Periode Januari 2016 - Desember 2020. MEDICINUS 2023;36:13-24. https://doi.org/10.56951/8bjbj417.