Skripsi

Prevalensi keluhan duh tubuh pada pasien wanita yang datang ke poli Infeksi Menular Seksual dan hubungannya dengan trikomoniasis di Departemen IKKK RSUPN Dr Cipto Mangunkusumo periode 2007-2009. = Prevalence of vaginal discharge and its relation with trichomoniasis in woman at the subdivision of sexually transmitted disease of dermatovenerologist departement Ciptomangunkusumo Hospital period 2007-2009.

Abstrak: Salah satu tanda dan gejala wanita yang datang mengunjungi pelayanan kesehatan adalah keluhan duh tubuh. Duh tubuh adalah gejala berupa cairan yang keluar dari alat genitalia yang dapat bersifat fisiologis atau patologis dan survei penelitian menemukan etiologi duh tubuh patologis banyak disebabkan oleh infeksi menular seksual dan salah satunya adalah trikomoniasis. Namun, laporan data prevalensi masih terbatas. Tujuan: mengetahui prevalensi keluhan duh tubuh vagina dan hubungannya dengan trikomoniasis wanita yang datang ke poli divisi IMS. Desain dan Metode: Studi desain dengan metode cross sectional deskriptif analitik. Penelitian ini dirancang untuk mengetahui prevalensi keluhan duh tubuh pada wanita yang datang ke poli IMS dan hubungannya dengan penyakit IMS terutama trikomoniasis. Sampel berasal dari data rekam medis yang diambil dan telah memenuhi kriteria inklusi dan eksklusi di Unit Rekam Medis Rumah Sakit Cipto Mangunkusumo yang terdaftar selama periode 2007-2009. Hasil: Dari 475 sampel, wanita dengan duh tubuh fisiologis 99 sampel (20,8%), keluhan duh tubuh patologis positif 234 sampel (49,3%),keluhan duh tubuh patologis negatif disebabkan karena penyakit non IMS 142 sampel (29,9%). Berdasarkan rentang usia, duh tubuh patologis positif tertinggi pada rentang usia 18-24 tahun, 75 sampel (15,8%) dan terendah pada rentang usia 40-50 tahun sebanyak 21 sampel (4,4%). trikomoniasis 7 sampel (1,5%), Kesimpulan : Hasil uji Chi-square menunjukkan p = 0.007 yang menunjukkan adanya terdapat perbedaan trikomoniasis yang bermakna antara duh tubuh patologis positif dan duh patologis negatif.
Kata kunci: duh tubuh, wanita, fisiologis, patologis, infeksi menular seksual, infeksi genital non spesifik, trikomoniasis, servisitis gonorhea, trikomoniasis, bakterial vaginosis.



Background : Sexually transmitted diseases are still a serious medical, social and cultural problem in Indonesia. One of the sign and symptoms from woman who went to hospitals is vaginal discharge. Vaginal discharge can be physiological or pathological and based on surveys found many pathological symptoms of vaginal discharge etiologically is because of sexually transmitted diseases. But, it is still difficult to obtain population-based data on the prevalence and incidence because of limited reports from some teaching and other hospitals are available. Aim : To better understand the prevalence, incidence, and risk factors for sexually transmitted diseases (STDs) among female adolescents and its significant relationship with trichomoniasis in women who visit to the subdivision of sexually transmitted disease with the outcome of sexually transmitted disease diagnosis. Design and Method: This is an analytical descriptive of cross –sectional study designed to find the prevalence of vaginal discharge in women who came to subdivision of STD and the prevalence of various STD based on complaint of vaginal discharge. Sample was conducted from 475 who fulfilled inclusion and exclusion criteria taken from medical record data, from 2007 - 2009 in Medical Record Unit of CiptoMangunkusumo Hospital Result: Of the 475 samples,woman with physiological vaginal discharge is 99 samples (20.8%), positive pathological vaginal discharge is 234 samples (49.3%), negative pathological vaginal discharge caused by non-STD is 142 samples (29.9 %). Based on age range,positive pathological vaginal discharge from the highest age range 18-24 years with 75 samples (15.8%) and lowest in the 40-50 year with 21 samples (4.4%).trichomoniasis had about 7 samples (1.5%). Conclusion: Chi-square test results showed p = 0.007 indicate there are significant differences between disease trichomoniasis with positive pathological vaginal discharge and pathologically negative vaginal discharge.
Key words: vaginal discharge, woman, sexually transmitted disease, trichomoniasis, prevalence.