?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=%0D%0A+%0D%0AIDENTIFIKASI+FAKTOR+RISIKO+PENYEBAB+KEGAGALAN+TERAPI%0D%0AANTIRETROVIRAL+PADA+PASIEN+ANAK+PENGIDAP+HIV+DI+RSUD++%0D%0ADr.+H.+ABDUL+MOELOEK+BANDAR+LAMPUNG+TAHUN+2024%0D%0A+&rft.creator=MOHAMAD%2C+FADHLI+JONIS&rft.subject=600+Teknologi+(ilmu+terapan)&rft.subject=602+Aneka+ragam+tentang+teknologi+dan+ilmu+terapan&rft.subject=610+Ilmu+kedokteran%2C+ilmu+pengobatan+dan+ilmu+kesehatan&rft.description=Background%3A+Human+Immunodeficiency+Virus+(HIV)+is+an+infection+that+causes+a+%0D%0Adecline+in+the+immune+system%2C+making+the+body+more+vulnerable+to+diseases.+The%0D%0AWorld+Health+Organization+(WHO)+recommends+viral+load+(VL)+testing+using+a%0D%0Acutoff+point+of+1000+copiesRNA%2Fml+to+assess+the+effectiveness+of+antiretroviral%0D%0A(ARV)+therapy.+The+aim+of+this+study+is+to+identify+the+risk+factors+for+ARV+therapy%0D%0Afailure+in+children+diagnosed+with+HIV+at+Dr.+H.+Abdul+Moeloek+General+Hospital%2C%0D%0ABandar+Lampung%2C+in+2024.%0D%0AMethods%3A+This+study+used+a+cross-sectional+design+with+data+collected+from+medical%0D%0Arecords+and+a+medication+adherence+questionnaire.+The+study+was+conducted+at+Dr.%0D%0AH.+Abdul+Moeloek+Regional+General+Hospital+from+July+to+December+2024.+The%0D%0Aresearch+sample+consisted+of+all+children+living+with+HIV+who+received+treatment%0D%0Aat+the+VCT+clinic+of+Dr.+H.+Abdul+Moeloek+Regional+General+Hospital+in+2024%2C%0D%0Atotaling+50+samples.+Bivariate+statistical+analysis+was+performed+using+the+ChiSquare%0D%0Atest%0D%0Awith%0D%0AFisher's%0D%0Aalternative%2C%0D%0Aand%0D%0Amultivariate%0D%0Aanalysis%0D%0Awas%0D%0Aconducted%0D%0Ausing%0D%0A%0D%0Alogistic%0D%0Aregression.%0D%0A%0D%0AResults%3A%0D%0A%0D%0AIn+this+study%2C+6+(12%25)+out+of+50+samples+experienced+virological+therapy%0D%0Afailure.+There+was+a+significant+association+with+medication+adherence+(p-value%3D%0D%0A0.000)%2C+while+no+association+was+found+with+the+clinical+stage+of+HIV+at+diagnosis%0D%0A(p-value%3D+0.575)%2C+age+at+diagnosis+(p-value%3D+0.069)%2C+and+nutritional+status+(p-value%3D%0D%0A0.201).+Multivariate+analysis+showed+that+medication+adherence+was+the+most%0D%0Asignificant+factor+(p-value+%3D+0.003%3B+OR+%3D+20.000).%0D%0AConclusion%3A+Noncompliance+with+medication+is+a+risk+factor+for+antiretroviral%0D%0Atherapy+failure+in+children+with+HIV.%0D%0A%0D%0AKeywords%3A+Viral+load%2C+HIV%2C+Children%0D%0A%0D%0A+Latar+Belakang%3A+Human+Immunodeficiency+Virus+(HIV)+merupakan+infeksi+yang+%0D%0Amenyebabkan+sistem+kekebalan+tubuh+menurun+sehingga+rentan+terhadap+penyakit.%0D%0AWorld+Health+Organization+(WHO)+merekomendasikan+pemeriksaan+viral+load%0D%0A(VL)+menggunakan+cut+off+point+1000+copiesRNA%2Fml+untuk+melihat+keberhasilan%0D%0Aterapi+antiretroviral+(ARV).+Penelitian+ini+bertujuan+untuk+mengidentifikasi+faktor%0D%0Arisiko+kegagalan+terapi+ARV+pada+anak+yang+terdiagnosis+HIV+di+RSUD+Dr.+H.%0D%0AAbdul+Moeloek+Bandar+Lampung+pada+tahun+2024.+%0D%0AMetode%3A+Penelitian+ini+menggunakan+desain+cross+sectional+dengan+pengambilan%0D%0Adata+mengunakan+rekam+medis+dan+kuesioner+kepatuhan+minum+obat.+Penelitian+ini%0D%0Adilakukan+di+RSUD+Dr.+H.+Abdul+Moeloek+pada+bulan+Juli+%E2%80%93+Desember+2024.%0D%0ASampel+penelitian+terdiri+dari+seluruh+anak+pengidap+HIV+yang+berobat+di+poli+VCT%0D%0ARSUD+Dr.+H.+Abdul+Moeloek+pada+tahun+2024+berjumlah+50+sampel.+Uji+statistik%0D%0Abivariat+mengunakan+Chi-Square+dengan+alternatif+fisher+dan+uji+statistik%0D%0Amultivariat+dengan+uji+regresi+logistik%0D%0AHasil+dan+Pembahasan%3A+Pada+penelitian+ini%2C+6+(12%25)+dari+50+sampel+mengalami%0D%0Agagal+terapi+virologi.+Terdapat+hubungan+antara+kepatuhan+minum+obat+(pvalue%3D0%2C000)%0D%0Asedangkan%0D%0Astadium%0D%0Aklinis%0D%0AHIV%0D%0Asaat%0D%0Aterdiagnosis%0D%0A(p-value%3D0%2C575)%2C%0D%0Ausia%0D%0A%0D%0Asaat%0D%0A%0D%0Aterdiagnosis+(p-value%3D0%2C069)%2C+dan+status+gizi+(p-value%3D0%2C201)+tidak+terdapat%0D%0Ahubungan.+Hasil+multivariat+didapatkan+kepatuhan+minum+obat+merupakan+faktor%0D%0Aterbesar+(p-value%3D+0%2C003%3B+OR%3D+20%2C000)%0D%0ASimpulan%3A+Ketidakpatuhan+minum+obat+merupakan+faktor+risiko+kejadian+gagal%0D%0Aterapi+antiretroviral+pada+pasien+anak+pengidap+HIV.%0D%0A%0D%0AKata+Kunci%3A+Viral+load%2C+HIV%2C+Anak%0D%0A%0D%0A+&rft.publisher=FAKULTAS+KEDOKTERAN&rft.date=2025-05-14&rft.type=Skripsi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F88957%2F1%2FABSTRAK.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F88957%2F2%2FSKRIPSI%2520FUL.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F88957%2F3%2FSKRIPSI%2520FUL%2520TANPA%2520PEMBAHASAN.pdf&rft.identifier=++MOHAMAD%2C+FADHLI+JONIS++(2025)++IDENTIFIKASI+FAKTOR+RISIKO+PENYEBAB+KEGAGALAN+TERAPI+ANTIRETROVIRAL+PADA+PASIEN+ANAK+PENGIDAP+HIV+DI+RSUD+Dr.+H.+ABDUL+MOELOEK+BANDAR+LAMPUNG+TAHUN+2024.++FAKULTAS+KEDOKTERAN%2C+UNIVERSITAS+LAMPUNG.+++++&rft.relation=http%3A%2F%2Fdigilib.unila.ac.id%2F88957%2F