PERBANDINGAN PEMBERIAN ARV PADA PASIEN HIV/AIDS DENGAN DAN TANPA KOINFEKSI TB BERDASARKAN PARAMETER HEMATOLOGI DAN IMUNOLOGI DI RS PELNI

Rania Refanessa Dalila Putri, . (2025) PERBANDINGAN PEMBERIAN ARV PADA PASIEN HIV/AIDS DENGAN DAN TANPA KOINFEKSI TB BERDASARKAN PARAMETER HEMATOLOGI DAN IMUNOLOGI DI RS PELNI. Skripsi thesis, Universitas Pembangunan Nasional Veteran Jakarta.

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Abstract

Background: HIV/AIDS remains a major global health challenge, with tuberculosis (TB) being the most common opportunistic infection. TB-HIV coinfection accelerates disease progression and worsens hematological and immunological parameters. Antiretroviral therapy (ARV) is essential for immune restoration, but evidence comparing its effects between HIV/AIDS patients with and without TB coinfection in Indonesia remains limited. Methods: A retrospective cross-sectional study was conducted using medical records of HIV/AIDS patients receiving ARV therapy at RS Pelni during 2022-2024. A total of 53 patients were included through total sampling method: 19 patients without TB coinfection and 34 patients with TB coinfection. Data on hemoglobin, platelets, total leukocytes, and CD4+ count were collected after six months of ARV therapy. Statistical analysis used independent t-test and Mann-Whitney U test depending on data distribution. Results: After six months of ARV therapy, patients without TB coinfection showed significantly higher hemoglobin levels compared to those with TB coinfection (p = 0.001). However, there were no significant differences in platelet count (p = 0.767), total leukocyte count (p = 0.897), or CD4+ count (p = 0.317) between the two groups. Conclusion: ARV therapy effectively improves hematological and immunological parameters in both HIV/AIDS patient groups. However, TB coinfection significantly hampers hemoglobin recovery after six months of therapy. These findings emphasize the need for enhanced monitoring and management strategies for HIV-TB coinfected patients.

Item Type: Thesis (Skripsi)
Additional Information: [No. Panggil: 2210211048] [Pembimbing 1: Erna Harfiani] [Pembimbing 2: Ima Maria] [Penguji: Hany Yusmaini]
Uncontrolled Keywords: antiretroviral therapy, CD4+ count, hematological parameters, HIV/AIDS, immunological parameters, TB coinfection
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
R Medicine > RM Therapeutics. Pharmacology
R Medicine > RZ Other systems of medicine
Divisions: Fakultas Kedokteran > Program Studi Kedokteran (S1)
Depositing User: RANIA REFANESSA DALILA PUTRI
Date Deposited: 20 Apr 2026 04:59
Last Modified: 20 Apr 2026 04:59
URI: http://repository.upnvj.ac.id/id/eprint/41381

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