Download - Infeksi Neonatorum - Kuliah Akbid Poltekkes
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INFEKSI NEONATORUMDR.Dr.Tb. Rachmat Sentika, Sp.A, MARS
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PENDAHULUANNEONATUS BBL – 28 HARI
•MORBIDITAS ▫10 -15 %▫TERUTAMA BBLR▫TINGGI DI RUMAH SAKIT
KUMAN RUMAH SAKITVIRULENRESISTEN THD BANYAK ANTIBIOTIKA
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PATOGENESIS•INFEKSI ANTE NATAL
▫SIRKULASI IBU UMBILIKUS JANIN(VIRUS, LUES, TREPONEMA PALIDUME.COLI, LISTERIA MONOCYTOGENES)
TUBERKULOSIS: PLASENTA PARU
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•INFEKSI INTRA NATAL
▫SERING MELALUI CARA INI▫KUMAN DARI JALAN LAHIR▫PADA KETUBAN PECAH DINI (12 JAM)▫MANIPULASI MELALUI JALAN LAHIR
(PERIKSA DALAM)▫KONTAK DGN JALAN LAHIR (JAMUR)
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INFEKSI POST NATAL
•KONTAK ALAT (RESUSITASI, NICU) • PERAWATAN YANG TIDAK STERIL•INFEKSI NOSOKOMIAL•ANGKA KEMATIAN TINGGI KUMAN
RESISTEN DGN AB / VIRULEN
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KLASIFIKASI•INFEKSI BERAT
▫SEPSIS, MENINGITIS, PNEUMONIA, DIARE, TETANUS NEONATORUM
•INFEKSI RINGAN▫INFEKSI KULIT, OFTALMIA, OMFALITIS
DAN MONILIASIS
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SEPSIS •SINDROMA KLINIK PENYAKIT
SISTEMIK DIJUMPAI BAKTERIEMIA
•KLASIFIKASI▫EARLY ONSET: DALAM 5-7 HARI▫LATE ONSET : > 1 MINGGU
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FAKTOR RISIKO•BBLR•KETUBAN PECAH DINI (12 JAM)• IBU DEMAM •CAIRAN AMNION KERUH, BERBAU•RESUSITASI•KEMBAR•PROSEDUR INVASIF•SOSIO-EKONOMI RENDAH
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GAMBARAN KLINIS SEPSIS•GAMBARAN KLINIS TIDAK KHAS•“NOT DOING WELL”•TEMPERATUR HIPO/HIPERTERMI•PERUBAHAN KEBIASAAN: LETARGI,
IRITABEL, TONUS/GERAK BERKURANG•KULIT: PERFUSI PERIFER KURANG,
SIANOSIS, PUCAT, PTEKIE, SKLEREMA, IKTERUS
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•SALURAN CERNA: MUNTAH, DIARE, PERUT KEMBUNG
•KARDIOPULMONER: TAKHIPNU, RESPIRATORY DISTRESS (GRUNTING, FLARING, RETRAKSI DINDING DADA), APNE, TAKHIKARDIA, HIPOTENSI
•METABOLIK ASIDOSIS
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LABORATORIUM•KULTUR CAIRAN TUBUH (DARAH, CSF,
URIN)•PEWARNAAN GRAM•NETROPENIA, TROMBOSITOPENIA•CRP POSITIF•X RAY: RESPIRATORY DITRESS•ISK : RENAL ULTRA SOUND/ SCAN
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PENGOBATAN
•PROFILAKSIS: AMPISILIN + GENTA MISIN
•KULTUR + : AB DISESUAIKAN
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•PENGOBATAN SUPORTIF:
▫ OKSIGEN▫ KARDIOVASKULER: IVFD, DOPAMIN▫ HEMATOLOGIK: DIC (TROMBOSITOPENIA, PT
DAN APTT MEMANJANG, FDP, D-DIMER MENINGKAT)
▫ BERIKAN TROMBOSIT, FRESH FROZEN PLASMA▫ ATASI ASIDOSIS▫ PENANGANAN KEJANG
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MENINGITIS
•DICURIGAI APABILA ADA SEPSIS•SEPSIS --- LUMBAL PUNGSI CAIRAN
LIQUOR (SEL & PROTEIN)•FONTANELLA MENONJOL•KEJANG,OPISTOTONUS, KUDUK KAKU
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TETANUS NEONATORUM
•CLOSTRIDIUM TETANI MASUK MELALUI LUKA TALI PUSAT
•GEJALA DINI TIBA-TIBA TAK MAU MENETEK
•GEJALA SPASME OTOT▫KEJANG, HIPERTONUS, TRISMUS,
MULUT MENCUCU, OPISTOTONUS▫SADAR
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PENGOBATAN TETANUS NEONATORUM•ATS•ANTIBIOTIK•ANTIKONVULSAN DIAZEPAM I.V•OKSIGEN•ISOLASI•PERAWATAN YANG BAIK
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PROGNOSIS•BURUK
▫BERAT▫MASA INKUBASI KURANG 1 MINGGU▫PERIODE OF ONSET (TRISMUS –
KEJANG): KURANG 48JAM▫DEMAM▫KOMPLIKASI SEPSIS, PARU
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PENCEGAHAN•MEMOTONG / MERAWAT TALI PUSAT
DGN STERIL•TIDAK MENARUH RAMUAN PADA TALI
PUSAT•IBU DIBERI IMUNISASI TETANUS
TOKSOID WAKTU HAMIL 2 x
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PENCEGAHAN INFEKSI NEONATAL•ANTENATAL YANG BAIK•PERSALINAN YANG BERSIH•PERALATAN YANG STERIL•ASI• IMUNISASI•PEMISAHAN BAYI INFEKSI TERMASUK
ALAT & PETUGAS•PETUGAS DI BAGIAN PERINATOLOGI
TIDAK BEKERJA DI TEMPAT LAIN
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KASUS YANG PERLU RUJUKAN DINI
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KASUS YANG PROGNOSIS BURUK
22
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HAL YANG PERLU DIPERHATIKAN• Kontak sebelumnya dengan tempat tujuan rujukan
• Lakukan stabilisasi bayi sesuai dengan kemampuan yang ada
• Pertahankan suhu optimal:- Perawatan Metode Kanguru- Membungkus bayi dengan plastik, bersih
dan hangat- Menutup kepala bayi dengan topi- Usahakan bayi tetap mendapatkan ASI
• Posisi leher harus optimal agar jalan napas tetap terbuka
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