Perbandingan Diagnosis Klinis dan Radiologis Pneumocystis Carinii Pneumonia pada Pasien HIV/AIDS di RSUP Sanglah Denpasar

Abstract

Background: Pneumocystis carinii pneumonia (PCP) is a lung infection caused by fungus Pneumocystis carinii. More than half (70 - 80%) of people with AIDS get at least one episode of PCP on their clinical course, with mortality ranging from 10% to 40%. Usually, there is no abnormality in pulmonary physical examination. Chest radiographic examination is one of the non-invasive examinations to make the diagnosis of PCP. Radiographic examination may find an abnormal picture or normal picture.Purpose: To compare the diagnosis of PCP in HIV/AIDS patients made by clinical versus radiology examination at Sanglah Hospital.Method: Type of this research is descriptive cross sectional study. The number of samples in this study were 51 samples obtained by total sampling technique. Data obtained from secondary data is from medical record.Result: After univariate and bivariate analyze, from 51 samples, 68.8% of the samples were radiologic diagnose with PCP and 76.5% were clinical diagnose with PCP. From bivariate analysis 82.9% were diagnosed PCP radiologically and clinically.Conclusion: Thorax imaging is a good imaging modality in early diagnosis and excludes the differential diagnosis of PCP.