kencinasassg tikus

7/26/2019 KencinaSAsSg Tikus

1/19

Kencing Tikus(leptospirosis)


2/19


3/19


4/19


5/19


6/19


7/19


8/19

Cases of Leptospirosis in Malaysian Ministry of HealthHospitals 2004 to 2009 (Report of Morbidity and Mortality for Patients2004 to 2009, MOH Malaysia)

State 2004 2009

Perak 29 (4) 280 (19)

Selangor 16 (5) 208 (7)

Pahang 29 (1) 184 (5)

Kelantan 15 (1) 138 (4)Terengganu 7 (1) 126 (9)

Keah 15 (1) 106 (9)

!egeri Se"#ilan 27 (1) 91

Sara$ak 32 (2) 70 (4)

%ohor 30 (1) 59 (3)

&P K' 31 54

Sa#ah 13 (1) 35 (1)

P Pinang 9 32

elaka 7 (1) 20 (1)Perlis 2 (1) 1

ighest

NB : ( ) Death


9/19

*ase *luster in ala+sia

,ear Place -etails

2000 Sabah Eo!Challen"e!Sabahinternational #$ltisporte%pe&ition rae' S CDC fo$n&0 o$t of *9 (42+) ha&

illnesses that #et ase&e,nition -hile 29 -ere

hospitalise&(Emerg Infect Dis 200./9():102!1)

20*0 H$ran Lip$r L$b$

3$ Maran

Deaths

(all a#on" res$e tea#


10/19

A zoonotic disease

Caused byLeptospira interrogans

Geographically widespread

Most common in tropical and subtropicalareas with high rainfall

First detected in 1886 by Adolph Weil

ynonyms! "at fe#er$ mouse fe#er% rice field fe#er

&hat is 'e.tos.irosis/


11/19

Reservoire of Infection

ats

-ogs

'ie stocks oents incluing

ra##its

&il ani"als *ats


12/19

Leptospira interogans


13/19


14/19


15/19


16/19

S+".to"s


17/19


18/19

Treat"ent /nti#ioticsMost eeti5e if initiate& -ithin * -ee of &isease onsetMil&:

treate& as o$t!patient"i5en oral antibiotis

Drugs Adult Dose Children Dose

Doxycycline 100mg bd2 mg/kg/day in 2 equally

divided doses

Amoxycillin 1g qid 10 25 mg/kg tds

Ampicillin 1g qid 10 25mg/kg qid

Eyt!omycin 250 " 500 mg qid 10 " 25 mg/kg qid


19/19

kencinasassg tikus

Documents