Agung Waluyo, SKp, MSc, PhD.

Terinfeksi HIV (+) AIDS

virus HIV

3 – 10 tahun
 Perjalanan Infeksi HIV
1200 Infeksi
Primer Sindrom HIV Primer Kematian
1100
1000 Infeksi
Oportunistik
900 1:512
Infeksi laten
800 1:256

Plasma Viremia Titer

CD4 T Cells/mm3

700 1:128
)

)
600 Gejala 1:64
(

konstitusi

(
500 1:32
400 1:16
300 1:8
200 1:4
100 1:2
0 0
0 3 6 9 12 1 2 3 4 5 6 7 8 9 10 11
Weeks Years
DIAGNOSIS
1. Perilaku beresiko
2. Voluntary Counselling and Testing (VCT) atau
Provider Initiated Counselling and Testing
(PICT)
3. Gejala klinis
TESTING
1. Tes anti HIV:
• Rapid test: disediakan 3 rapid di RS rujukan  akurat
100% (???)
• ELISA: tidak di semua tempat
• Western Blot: hanya ada di RSCM
2. Tes Viral load (jumlah virus): hanya di RSCM,
Dharmais, Prodia, RS Sutomo
3. Kultur virus: di FKUI (tidak rutin dipakai)
 Growing HIV epidemics in Indonesia
Cumulative cases of HIV in Indonesia

1987 2000 2004 2007

CDC Indonesia
Estimation Trend of HIV Epidemic in
Indonesia by 2020
2,000,000

1,800,000
limited intervention
1,600,000

1,400,000 effective program in high risk population 40%

1,200,000
effective program in high risk population 80%
1,000,000

800,000

600,000

400,000

200,000

0
1990 1995 2000 2005 2010 2015 2020
Say No to Drug !
 Status
Imunologi
Kognitif Putus Obat

Endokarditis Overdosis
Infektif

Adiksi
Kehamilan

HIV
Dispepsia
HCV, HBV
Kel. hematologi
Pneumonia
Infeksi : Kulit drug abuse

Miopati SSP Emboli paru

Terima Kasih