presentasi ai case4
DESCRIPTION
modul aiTRANSCRIPT
![Page 1: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/1.jpg)
PRIA DENGAN KASUS SUSPEK H5N1
Kelompok V
![Page 2: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/2.jpg)
PendahuluanFLU burung (avian influenza) adalah penyakit flu yang
disebabkan oleh virus yang terdapat pada burung liar atau unggas.
Penyebab FLU BURUNG adalah Virus Influenza tipe AVirus Influenza tipe A dapat berubah-ubah bentuk (Drift or
Shift).Berdasarkan sub tipenya terdiri:
H: Hemaglutinin dan N: NeuramidasePada manusia hanya terdapat jenis H1N1, H2N2, H3N3,
H5N1, H9N2, H1N2 dan H7N7Strain yang sangat virulens dan ganas dan menyebabkan
Flu Burung adalah Sub tipe A H5N1
![Page 3: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/3.jpg)
Laporan KasusIdentitas PasienNama: Tn.KUsia : 22 tahunJenis Kelamin : Laki-
laki
Keluhan UtamaDemamBatukSakit tenggorokanSesak nafas
![Page 4: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/4.jpg)
Laporan KasusRiwayat Penyakit SekarangDemam 7hari yang laluObat Penurun Demam tidak membaikBatuk, sakit tenggorokan, sesak nafas 4hari
yang laluAntibiotik gejala malah memburuk
![Page 5: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/5.jpg)
Perjalanan Penyakit
![Page 6: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/6.jpg)
Laporan KasusRiwayat LingkunganKakak Tn.K mengidap penyakit yang sama
(dirawat)Kakak Tn.K bekerja pada tempat pemotongan
unggas 7 hari sebelum dirawat, mengunjungi Tn. K + menginap 4 hari
Tn.K sering mengunjunginya di rumah sakit
![Page 7: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/7.jpg)
Laporan KasusPemeriksaan FisikKesadaran
menurun,gelisahSuhu : 390CTD : 110/70 mmHgNadi : 100x/menitRespirasi : 40x/menitPernafasan cuping
hidungPemeriksaan paru :
tanda-tanda pneumonia
Pemeriksaan labHb : 12g/dlLeukosit : 5000/ulTrombosit : 100000/ulEritrosit : 4juta/ul
Pemeriksaan PenunjangRontgen thorax :
terdapat infiltrat bilateral
![Page 8: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/8.jpg)
PEMBAHASAN
![Page 9: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/9.jpg)
Permasalahan1. Infeksi keluhan utama :
Demam Batuk Sakit tenggorokan Sesak napas
2. Infeksi non-bakterial A.B. yang tidak manjur
3. Pasien RISTI terpajan mell. kontak erat (<1m) dengan pasien suspek H5N1
![Page 10: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/10.jpg)
Permasalahan4. Pasien kasus suspek H5N1 gejala klinis
+ PF dan Lab sbb:Penurunan kesadaranDemam > 38°C Batuk, sakit tenggorokan, sesak nafas (RR 40x/menit)Tanda-tanda pneumonia dan pernafasan cuping hidungPemeriksaan laboratorium: trombositopenia (<150.000/
µl)Rontgen thorax : pneumonia
![Page 11: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/11.jpg)
![Page 12: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/12.jpg)
Patogenesis1. Droplet air borne disease RISTI :
![Page 13: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/13.jpg)
Patogenesis2. Sifat – sifat virus:
![Page 14: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/14.jpg)
Patogenesis
![Page 15: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/15.jpg)
![Page 16: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/16.jpg)
![Page 17: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/17.jpg)
![Page 18: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/18.jpg)
![Page 19: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/19.jpg)
![Page 20: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/20.jpg)
![Page 21: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/21.jpg)
Penatalaksanaan1. Rujuk ke RS + isolasi pasien kriteria
rawat:
![Page 22: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/22.jpg)
Penatalaksanaan2. Uji konfirmasi
Kultur dan identifikasi virus H5N1Uji Real Time Nested PCR (Polymerase Chain
Reaction) untuk H5Uji Serologi
3. Pemeriksaan lain AGD Kadar albumin / globulin, SGPT/SGOT,
kreatinin, ureum, keratin kinase
![Page 23: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/23.jpg)
Uji SerologiImunofluorescence (IFA) test : ditemukan
antigen positif dengan menggunakan antibodi monoclonal Influenza A H5N1
Uji netralisasi : didapatkan kenaikan titer antibodi spesifik influenza A/H5N1 sebanyak 4 kali dalam paired serum dengan uji netralisasi.
Uji penapisan: a) Rapid Test untuk mendeteksi Influenza A. b) HI Test dengan darah kuda untuk mendeteksi H5N1. c) Enzyme Immunoassay (ELISA) untuk mendeteksi H5N1
![Page 24: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/24.jpg)
Penatalaksanaan
![Page 25: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/25.jpg)
Obat Antiviral1. (-) M2a) Amantadineb) Rimantadine 2x/hari 100 mg atau 5 mg/KgBB/hari selama 3 – 5
hari
2. (-) Neuraminidasea) Zanamivirb) Oseltamivir2x75 mg selama 1 minggu
![Page 26: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/26.jpg)
KesimpulanVirus H5N1 mampu mengubah antigen
permukaannya sehingga belum ada vaksin untuk virus H5N1 ini.
Upaya pencegahan lebih berguna yakni:Jauhi unggas yang sudah mati mendadakJaga kondisi tubuh agar tetap fitMemasak daging unggas hingga matangMencuci tangan setelah kontak dengan unggasSegera laporkan jika terdapat kasus flu burung
di daerah sekitar tempat tinggal
![Page 27: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/27.jpg)
Daftar Pustaka1. Departemen Kesehatan RI. Pedoman
tatalaksana klinis flu burung di sarana pelayanan kesehatan. Jakarta, 2005.
2. Danzig L. Influenza. Current Diagnosis & Treatment in infectious disease. Toronto:Mc Graw-Hill; 2001. p.380-7
3. WHO. Avian influenza frequently asked questions, revised 5 December 2005. Avaiable from http://www.cdc.gov (cited February, 4 2010)
![Page 28: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/28.jpg)
4. Hayden FG. Influenza. Cecil textbook of Medicine; 22nd ed. Toronto: Saunders; 1974-78.
5. Tortora GJ. Influenza (Flu). Microbiology. Amsterdam: Addison Wesley Longman, Inc, 1998; 646-48.
6. Moscona A. Neuraminidase inhibitors for influenza. N Engl J Med 2005; 353(13): 1363-73.
7. Madigan MT. Respiratory Infection: Viral. Biology of Microorganisms; 8th ed. Toronto: Prentice Hall; 1997. p.940-44.
8. Dolin R. Influenza. Harrison’s principles of Internal Medicine; 16th ed. Toronto: Mc Graw-Hill; 2005. p. 1066-77.
![Page 29: Presentasi AI case4](https://reader035.vdocuments.site/reader035/viewer/2022062218/5695cfb01a28ab9b028f1f3e/html5/thumbnails/29.jpg)
Terimakasih