TATALAKSANA DEMAM TIPOID
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TATALAKSANA DEMAM TIPOID
WAHYU ADHITYA PRAWIRASATRAPEGGY RAHMAT
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TATA LAKSANA
A. SUPORTIF Cairan
Rumatan : Larutan D5 : NaCl 0,9% Koreksi kenaikan suhu tiap 1º tambah 12,5%
Diet Makanan lunak Kurangi serat, hindari zat yg merangsang Tidak terlalu ketat
Koreksi asam basa Koreksi elektrolit
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a. Kloramfenikol • Dosis : 100 mg/kg BB/ hari IV/PO
tiap 6 jam (Maks. 2.000 mg)
• Hati-hati terhadap
anemia dan lekopeni
• Lama pengobatan : 14 hari
• Tidak direkomendasikan jika
lekosit < 2.000/UI
B. TERAPI KAUSATIF1. FIRST LINE DRUG
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b. Ampisilin/ Amoksisilin
Dosis : 100 mg/KgBB/hari, slm 10 hari
c. Cotrimoxazole
Dosis : 6 mg/KgBB/hari, selama 10 hari
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2. SECOND LINE
a. Ceftriaxone (cephalosporin 3rd gen) � Dosis 80 mg/kgBB/hari selama 5 hari, IV �b. Cefixime (cephalosporin 3rd gen) � Dosis 15 mg/kgBB/hari selama 10 hari, PO�c. Azithromycin � Dosis 20 mg/kgBB/hari, perOral
d. Fluoroquinolone � Tidak direkomendasikan utk
anak usia < 14 th
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TATA LAKSANA KOMPLIKASI
Encephalopaty � Dexametason 1‐3 mg/ KgBB/hari,
3‐5 hari � Fluid restriction � Acid‐base and electrolyte correction �
Peritonitis, intestinal hemorrhage � Fasting, parenteral nutrition,
blood transfusion (if indicated) �Parenteral antibiotic
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Prognosis pada umumnya baik pada
demam tifoid tanpa komplikasi
PROGNOSIS
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PENCEGAHAN Higiene sanitasi Kebersihan perseorangan Sanitasi Lingkungan Pengobatan karier dan vaksinasi
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Sumber referensi• KMK-No-364-Ttg-Pedoman-Pengendalian-Demam-Tifoid