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  • ARV di RSUD Cianjur

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    Putri Rafika Zahrah
    12 Ansichten27 Seiten
    The document reports on the results of HIV/AIDS screening and treatment activities at RSUD Cianjur hospital from 2002 to 2011. It shows that over this period the number of HIV tests increased from 1 per month to over 300 per month. The number of patients starting antiretroviral therapy (ART) also increased substantially over this time period, reaching 105 new patients in 2011. The document also provides details on first and second line antiretroviral regimens, including common side effects of different drug classes. It recommends that all HIV-positive patients with a CD4 count of 350 or less should start ART, and that first line therapy should consist of two nucleoside reverse transcriptase inhibitors (N

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    ARV

    Originaltitel

    ARV

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    The document reports on the results of HIV/AIDS screening and treatment activities at RSUD Cianjur hospital from 2002 to 2011. It shows that over this period the number of HIV tests increased from 1 per month to over 300 per month. The number of patients starting antiretroviral therapy (ART) also increased substantially over this time period, reaching 105 new patients in 2011. The document also provides details on first and second line antiretroviral regimens, including common side effects of different drug classes. It recommends that all HIV-positive patients with a CD4 count of 350 or less should start ART, and that first line therapy should consist of two nucleoside reverse transcriptase inhibitors (N

    Copyright:

    © All Rights Reserved
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    12 Ansichten27 Seiten

    ARV di RSUD Cianjur

    Hochgeladen von

    Putri Rafika Zahrah
    The document reports on the results of HIV/AIDS screening and treatment activities at RSUD Cianjur hospital from 2002 to 2011. It shows that over this period the number of HIV tests increased from 1 per month to over 300 per month. The number of patients starting antiretroviral therapy (ART) also increased substantially over this time period, reaching 105 new patients in 2011. The document also provides details on first and second line antiretroviral regimens, including common side effects of different drug classes. It recommends that all HIV-positive patients with a CD4 count of 350 or less should start ART, and that first line therapy should consist of two nucleoside reverse transcriptase inhibitors (N

    Copyright:

    © All Rights Reserved
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    Markieren Sie unangemessene Inhalte
    von 27

    ARV di RSUD Cianjur

    Dr Toton Suryotono SpPD

    HASIL KEGIATAN CST


    RSUD CIANJUR

    02

    04

    05

    06

    07

    08

    09

    10

    11

    CST
    VCT
    Test
    HIV(+)
    HIV (+)
    Komul
    atif
    ART
    PMTCT
    Wafat

    1
    1
    1

    1
    1
    2

    1
    2
    4

    17
    5
    9

    2
    1

    40 133 93 394 340


    37 133 93 394 340
    7 21 7 30 33
    16 36 42 72 105
    5

    15

    14

    32

    19

    ARV
    NRTI

    NNRTI

    PI

    Nucleoside
    Non Nucleoside
    Protease Inhibitor
    Reverse Transcriptase Reverse
    Inhibitor
    Transcriptase Inhibitor
    ES:
    Toksisitas Mitokondria

    ES:
    Hipersensitivitas

    ES:
    Gangguan Metabolik

    ARV
    NRTI

    NNRTI

    PI

    AZT (Zidovudin)
    3TC (Lamivudin)
    FTC (Amcitabrin)
    d4T (Stavudin)
    TDF (Tenofovir)

    NVP (Nevirapine)

    LPV/r
    (Lopinavir/Ritonavir)

    EFZ (Efavirenz)

    ARV

    NVP

    AZT
    3TC
    d4T

    EFV

    Anemia
    Netropeni
    a
    Asidosis
    laktat

    ARV
    Rash
    Diare
    Netropeni
    a

    NVP

    AZT
    3TC
    Lipoatrof
    Gangg
    metabolik
    Asidosis
    laktat

    d4T

    EFV

    Teratogenic
    Depresi
    Ansietas
    Diare
    Rash

    ARV

    NVP

    AZT
    3TC
    d4T

    EFV

    ARV

    NVP

    AZT
    3TC
    d4T

    EFV

    ARV

    NVP

    AZT
    3TC
    d4T

    EFV

    ARV

    AZT

    NVP
    3TC

    d4T

    EFV

    ARV

    AZT

    NVP
    3TC
    FTC

    d4T
    TDF

    EFV

    When to start
    All adolescents and adults
    including pregnant women with
    HIV infection and CD4 counts of
    350 cells/mm3, should start
    ART, regardless of the presence
    or absence of clinical
    symptoms.
    Those with severe or advanced
    clinical disease (WHO clinical
    stage 3 or 4) should start ART
    irrespective of their CD4 cell
    count.

    What to use in frst line


    therapy
    First-line therapy should
    consist of an NNRTI + two
    NRTIs, one of which should be
    zidovudine (AZT) or tenofovir
    (TDF).
    Countries should take steps
    to progressively reduce the
    use of stavudine (d4T) in
    frst-line regimens because of
    its well-recognized toxicities

    Co-trimoxazole
    Co-trimoxazole prophylaxis is a simple,
    well-tolerated and cost-effective
    intervention for people living with HIV.
    It should be implemented as an
    integral component of the HIV chronic
    care package and as a key element of
    preantiretroviral therapy care.
    Co-trimoxazole prophylaxis needs to
    continue after antiretroviral therapy is
    initiated until there is evidence of
    immune recovery (see subsections 6.4
    and 7.6).

    Co-trimoxazole

    Discontinuation of CTX

    Discontinuation of CTX

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