Demam Tifoid 1
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7/21/2019 Demam Tifoid 1
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Demam
TifoidJayanti Dwi Cahyani (11
Kafia Rakhmah (11020
Luthfia Rozanah (110
Putri Mutiara (1102
Tai! (1102011
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BACKGROUND
Demam tifoidDemamenteric
Endemik (90%)
Mda!men"ar
#a$a
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Demam tifoid
nfek&i &i&temik akt Salmonella typhi ata paratyphi &erot'e ABC
Enteric fe*er tif& aratif& a$domina"i&
Tifoid karier fece&+ rin men,andn, S.typhi - ta!n a&ca t'!oid fe*ertana ,e.a"a k"ini&
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/ato,ene&i& atofi&io"o,i
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K"ini&
nk$a&i-01-2 !ari
Min""u 1 Min""u 2
Demam intermitten (3ore 4 ma"am)N'eri kea"a/&in,N'eri ototAnorek&ia
Ma" mnta!O$&tia&i + diare/era&aan tidak enak ertBatkEitak&i&
DemamBradikardi re"ati*e ( T -↑ 0 nadi tidak
56)↑
7ida! $er&e"at (kotor ten,a! tei.n, mera! tremor)
8eatome,a"i3"enome,a"iMeteroi&m&Gan,,an menta"
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Dia,no&i&
/emerik&aan rtin
U.i ida"
U.i t$e6
U.i t'!idot
U.i ,M di&tick
K"tr dara!
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/emerik&aan rtin dara! erifer "en,ka "ekoenia norma" "eko&ito&i&
Anemia rin,an
Trom$o&itoenia
8itn, "eko&it aneo&inofi"ia "imfoenia
7ED menin,kat
3GOT 3G/T naik
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ida" Detek&i anti$od' ter!ada 3:t'!i
3emakin tin,,i titer kemn,kinan terinfek&i menin,kat
Ak!ir min,, ertama demam menin,kat ceat &amai ncak min,, ke 2 teta tin,,i $e$eraa min,,
Akt a,,"tinin 0 a,,"tinin 8
3em$! a,,"tinin O &t"! 21; $"an a,,"tinin 8 91-< $"an
Ada $e$eraa faktor 'an, memen,ar!i .i ida" 'ait=
/en,o$atan dini den,an anti$iotic
Gan,,an em$entkan anti$odi dan em$erian kortiko&teroid #akt en,am$i"an dara!
Daera! endemik ata non1endemik
Ria'at *ak&ina&i
Reak&i anamne&tic 'ait enin,katan titer a,"tinin ada infek&i $kan demam tifoid
aki$at infek&i demam tifoid ma&a "a" ata *ak&ina&i
>aktor teknik emerik&aan antar "a$oratorim aki$at a,"tina&i &i"an, dan &train3a"mone""a 'an, di,nakan ntk &&en&i anti,en
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U.i t$e6
U.i &emi1kantitatif ko"ometrik ceat mda!
Detek&i anti$od' anti 31t'!i 09
8a&i" = (?) infek&i &a"mone""a ,ro D
nfek&i 3:arat'!i !a&i" (1)
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U.i t'!idot
Detek&i anti$od' ,M dan ,G
8a&i" = (?) <1@ !ari &ete"a! infek&i identifika&i &e&ifik ,M ,G
3en&iti*ita& 95%
3e&ifita& ;:%
Efi&ien&i .i 52%
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U.i ,M di&tick
Mda! dan ceat (- !ari)
Akra&i - min,, &ete"a! ,e.a"a
K"tr dara!
8a&i" = (?) demam tifoid (1) tidak &in,kirkan demam tifoid
>a"&e (1) =
-: Terai anti$iotic
<: o"me dara! kran,
@: Ria'at *ak&ina&i
2: /en,am$i"an dara! &ete"a! min,, ertama
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TATA7AK3ANA
-: /enata"ak&anaan Umm
<: /enata"ak&anaan ada Demam Tifoid Karier
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/enata"ak&anaan mm
&tira!at daneraatan• Ce,a! kom"ika&i
• Memerceaten'em$!an
• Ke$er&i!an temat tidrakaian daner"en,kaan
Diet dan teraienn.an,• Diet $$r &arin,
Diet $$r ka&ar na&i
antimikro• K"oramfeniko"• Tiamfeniko"
• Kotrimok&ao"• Ami&i"in am• 3efa"o&orin ,o• >"orokino"on• aitromi&in
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Demam tifoid ada anita !ami"
Trime&ter @ tidak k"oramfeniko" &e$a$kan art& rematre kematianfet& intraterine ,re' &'ndrome neonate&
Trime&ter - tidak tiamfeniko" terato,enik ada fet&
>"orokino"on kotrimok&ao" tidak $o"e!
O$at i"i!an = ami&i"in amok&i&i"in &eftriak&on
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Demam Tifoid Karier
Tata"ak&ana
Anti$iotik $erda&arkan en'"it
Dia,no&i&Biakan fe&e& +rin Kman Salmonella typhii
Tanda k"ini& infek&i (1)
Biakan acak &eria" min ; ka"i
tidak ditemkan S.typhi
Demam Tifoid Karier>e&e& + rin men,andn, 3:t'!i - ta!n a&ca demam t'!oid tana di&erati ,e.a"a
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Kom"ika&i
nte&tina"
/erdara!aninte&tina"
/erfora&i &&
ek&trainte&tina"
Kom"ika&i!emato"o,i
8eatiti&tifo&a
Miokarditi&
Nero&ikiatri(tifoid tok&ik)
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/ence,a!an
dentifika&i dan eradika&i 3a"mone""a t'!i
/ence,a!an tran&mi&i "an,&n, dari a&ien
/rotek&i ada 'an, $ere&iko terinfek&i
ak&ina&i
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/ro,no&i&
itam = Bonam
>n,&ionam = Bonam
3anationam = D$ia ad $onam (en'akit daat $er"an,)
/ro,no&i& &an,at ter,antn, ada kondi&i a&ien &aat datan, ada tidakn'a
kom"ika&i dan en,o$atann'a: