8/18/2019 Kuliah12_13

1/14

KLB KERACUNAN MAKANAN

(Food-borne Poisoning )1. PENDAHULUAN

2. MAKSUD DAN TUJUAN PENYELIDIKAN3. KEGIATAN SURVEILANS FOODBORNE POISONING

4. PENYELIDIKAN KLB

5. DEFINISI OUTBREAK6. PROSEDUR PENYELIDIKAN

8/18/2019 Kuliah12_13

2/14

1. PENDAHULUAN

S !"#" $"%&' *+'%,- /0*!" "/ #"%"/"/ / +-""// -# "/"/ "&"' / " -"/ , &-" #"%"/"/ #-/'#"/ +" "&

# /0"!"#- %*/&"#-/",- + /0"/ "& "& 7 "8'/ "&"' *! 7"%& -"&*0 / 9- ', +"/ " ",-& !"-// ".

Y"/0 +-#"%,'+ + /0"/ F**+7* / P*-,*/-/0 -"!" &-#7'!/ " ,-/+ *#"0 "!" %!-/-% +-, 7"7%"/ %" /" # #"%"/ #"%"/"/ & & /&'.

K !"-/"/ & , 7'& +" "& +-0*!*/0%"/ , 7"0"- 7 -%'&:1. K "8'/"/ (-/&*%,-%",-) %" /" # /0%*/,'#,- #"%"/"/ "/0

# /0"/+'/0 "& "& %-#-" 7 "8'/ "&"' &*%,-/ "/0 +- ",-!%"/#-% ** 0"/-,# "&*0 /

2. I/; %,- %" /" 7"%& - "/0 # #7'"& /& *&*%,-/ , !"#"#"," %*!*/-,",- +"/ &'#7' "/ +- #'%*," ',',

3. I/; %,- %" /" #-% ** 0"/-,# "/0 # /0"+"%"/ -/9",- +"/7 % #7"/0 7-"% +- #'%*," ',', "&"' " -/0"/ !"-// ".

8/18/2019 Kuliah12_13

3/14

2. MAKSUD DAN TUJUAN PENYELIDIKAN

1. identifikasi macam makanan/min man !an" te#san"kamen"and n" #ac n/mik#$$#"anisme %at$"en

2. Men"eta& i %en!e'a' sakit ( causative agents ) dan

s m'e#n!a (#ese#*$i#)

+. Menent kan fakt$#,fakt$# !an" mem'ant ( contributingfactors ) te#-adin!a %e#isti a ke#ac nan

. Mence"a& te#-adin!a %e#isti a !an" sama dikem dian &a#i.

8/18/2019 Kuliah12_13

4/14

+. Ke"iatan s #*ei0ans foodborne poisoning

1. Men" m% 0kan data/0a%$#an %e#isti a ke#ac nan makananata 0et san %en!akit 0ainn!a !an" dise'a'kan ka#enamakanan

2. Pen!e0idikan e%idemi$0$"i %e#isti a/0et san

+. K$m%i0asi ana0isis dan inte#%#etasi data

. Pen!e'a#0 asan data se#ta &asi0 %enem an %ada ' ti# +

. Mem' at #ek$mendasi nt k %enan"" 0an"an dan%ence"a&an

8/18/2019 Kuliah12_13

5/14

L" * "/ "+"/ " -,&-$" % "8'/"/ #"%"/"/ +-!" * %"/ % "+" ;",-!-&",% , "&"/ & + %"& , &- ',% ,#", +-/", % , "&"/. L" * "/ -/-7-","/ " 7 ,'#7 +" -

#", " "%"& '#'# #", " "%"& %*/,'# / 0"$"- # -/&" +" " #'%" #", " "%"& 0' ' +*%& "%& % &'0", % , "&"/ '#" #"%"/ -/+',& - #"%"/"/ #-/'#"/ "7 -% ", "#"

, %*!" '#" ,"%-& +"/ !"-/ !"-/

P &'0", % , "&"/ 7 % $" -7"/ # /0 8 % % #7"!- !" * "/ & , 7'&. B-!"7 /" / !-+-%"/ -+ #-*!*0- , !"/ '&/ " , 0 " +-!"%'%"/.

8/18/2019 Kuliah12_13

6/14

T 0"/&'/0 7 ," % 8-!/ " ! &',"/ / !-+-%"/ +" "& +-!"%'%"/ *!,'"&' &-# "/0 & +- - +" - -+ #-*!*0-,& & %/-,- !"7* "&* -'# "$"&,"/-&" -"/ +"/ !"-/ !"-/ "/0 +-"#7-! +" - ',% ,#", +-/", % , "&"/ 7-!"

!' +" - D-& J /. P2M PLP D % ,.B-!" / !-+-%"/ -+ #-*!*0- & !" , ! ,"- #"%" +-7'"& !" * "/ "/0

" ', +-%- -#%"/ % "+" * "/0 -/,&"/,- "/0 # # !'%"/ +"/ % "+" '/-&S' 9 -!"/, D-&

8/18/2019 Kuliah12_13

7/14

8/18/2019 Kuliah12_13

8/14

. DE4INISI LETUSAN B +"," %"/ +-& #'%"/ "&"' &-+"%/ " / 7"7 , ,'+"

# -%,""/ !"7* "&* -'# +-7 +"%"/:1. P / 7"7 +-% &" '- (L"7* "&* -'# 8*/;- # +)2. P / 7"7 &-+"% +" "& +-& /&'%"/ # -%,""/ !"7* "&* -'# &-+"% # /'/ "/0

B +"," %"/ #"," -/%'7",-:". ? 1 "# (% #'/0%-/"/ % "8'/"/ "& %-#-")7. 1 @ "# (% #'/0%-/"/ ,&";-!*%*%',)8. 14 "# (% #'/0%-/"/ !*,& -+-'# ; -/0 /,)+.

8/18/2019 Kuliah12_13

9/14

5. P67SEDU6 PENYELIDIKAN

1. Mene"akkan dia"n$sis". M # *! -$" "& /+ -&"7. M /0"#7-! , 8-# / /+ -&"8. M /0"#7-! , ,-# / #"%"/"/

2. Mem' at as$siasi seca#a e%idemi$0$"is

". M / /&'%"/ & "+-/ " ! &',"/7. F* #'!",- - *& ,-, , # /&" "

+. Pen!e0idikan 0e'i& 0an- t". M #-/&" 7"/&'"/7. M /8" - +"/ # $"$"/8" "- /+ -&" +"/ * "/0 * "/0 "/0

"& -,% "/0 #'/0%-/ 7 !'# +-& #'%"/

8/18/2019 Kuliah12_13

10/14

. Pen!e0idikan di tem%at makanan di%#$ses

B"0"-#"/" #"%"/"/ #"%"/"/ +- *+'%,- +-*!" +-,-# "/ +-," -%"/+"/ , 7"0"-/ "C B 0-&' '!" 7"0"-#"/" *, , %*/&"#-/",- & "+-CF"%&* ;"%&* "/0 # # /0" ' - & "+-/ " %*/&"#-/",-C

Yan" %e#0 di0ak kan8". P /0"#7-!"/ ,"# ! #"%"/"/ "/0 +-8' -0"-

7. "$"/8" " + /0"/ food handlers & /&"/0 7"0"-#"/" #"%"/"/+-*!" +-," -%"/ +-,-# "/ +"/ , 7"0"-/ ".

8. M /8" - ,'#7 -/;* #",-+. P # -%,""/ ;**+ "/+! , $* % , '/&'% # /0 &" '- "+"/ "

% !"-/"/ , 7"0"- ,'#7 %*/&"#-/",- , &- / "%-& %'!-&

(#-,"!/ " 7-,'!) +"/ -/; %,- !"-// "). M /0-+ /&-;",- "+"/ " ;"%&* "/0 # # /0" ' - & "+-/ "%*/&"#-/",- "/&" " !"-/:

8/18/2019 Kuliah12_13

11/14

. M /0-+ /&-;",- "+"/ " ;"%&* "/0 # # /0" ' - & "+-/ " %*/&"#-/",-"/&" " !"-/:

M #7-" %"/ #"%"/"/ & &" "/0"& "+" & # "&' +-#"/" 7"%& - "&*0 /+" "& 7 % #7"/0 7-"%

P / +-""/ / " -"/ #"%"/"/ 7 7 " " "# " - , 7 !'# +-#"%"/ &"/ ""+"/ " / -# "/"/ "/0 7"-%.

P *, , #","%"/ #"/","/ "/0 %' "/0 , # ' /" "+" #"%"/"/ "/0#'/0%-/ ,'+" & %*/&"#-/",-

A+"/ " % " (;**+ "/+! ,) "/0 ,"%-& "&"' &-+"% # # "%& %"/ 0- /* "/0"/.

8/18/2019 Kuliah12_13

12/14

. M /0-+ /&-;",- "+"/ " ;"%&* "/0 # # /0" ' - & "+-/ " %*/&"#-/",-"/&" " !"-/ (lanjutan)

M # 0'/"%"/ 7" "/ 7" "/ "/0 ,'+" & %*/&"#-/",- '/&'% # #7'"&#"%"/"/

A!"& "!"& +" ' +"/ "!"& /0*!" #"%"/"/ !"-// " %' "/0 7 ,-

M /+" "&%"/ 7" "/ 7" "/ #"%"/"/ +" - ,'#7 "/0 &-+"% ,#-

8" " / -# "/"/ "/0 &-+"% , # ' /"

& # "& /0*!" "/ / " -"/ #"%"/"/ "/0 # /0"/+'/0 "& "8'/ (&* -8#"& -"!,)

/"#7" "/ , 8" " , /0" " "&"' 7&-+"% 7" "/ 7" "/ "/0 7 "8'/ (&* -88 #-8"!,) "+" #"%"/"/

8/18/2019 Kuliah12_13

13/14

. Ana0isis data

K*# -!",- +"/ /00*!*/0"/ +"&" "/0 & !" +-%'# '!%,/ +" -/ !-+-%"/ +- "&", #-,"!/ ":

$"$"/8" " + /0"/ * "/0 ,"%-& #"' '/ "/0 &-+"% ,"%-& ("& -,%) #7'"&"/ &"7 ! ;**+ , 8-;-8 "&&"8% "& #7'%&-"/ - *& ,-, " "%" ! &',"/ -/- 8*##*/ ,*' 8 "&"'7'%"/ (# #7'"& %' 9" -+ #-%)

/ /&'"/ "+"/ " 7 /+" "/&" " (9 -8! ,) +"/ # -%,""/!"7* "&* -'# ! 7- !"/ '&

". M #7'"& %' 9" -+ #-%7. M / /&'%"/ 0 "!" &"/+" / "%-& "/0 # /*/ *!

8. M /0 -&'/0 #"," -/%'7",-+. M /0 -&'/0 ;**+ , 8-;-8 "&&"8% "&

8/18/2019 Kuliah12_13

14/14