tutorial klinik tetanus
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7/26/2019 Tutorial Klinik Tetanus
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DEVIANA SARIPUTRI
1420.2211.65
TUTORIAL KLINTETANUS
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DEFINISI Infeksi aku !" #en!e$an" SSP ka$ena $a%un
ean&s'as#in !" (i)asi*kan &*e) Clostridium tetani(i%i$ikan (" s'as#e (an $i"i(ias && !an" '$&"$esi
EPIDEMIOLOGI
Di ne"a$a ,e$ke#,an" se'e$i In(&nesia+ insi(en -an"ka ke#aian (a$i 'en!aki eanus #asi) %uku'in""i.
P$ea*ensi *aki/ 'e$e#'uan :13
TETANUS
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Clostridium tetani ake$i anae$&, 'en")asi* s'&$a
asi* "$a# 3
Die#ukan '( feses #anusia+
)ean (an ana) Eks&&ksin: Tean&s'as#in+
ean&*isin
7asa inku,asi: 820 )a$i
TETANUS - ETIOLOGI
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P&$(9en$ee
Lukae$,uka
infeksi"i"i
infeksie*in"a
,ekasineksi
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PATOG
TETAN
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Iniia**! ,in(s & 'ene$e e$#ina*s
T$ans'&$e( i)inan( a%$&ss s!na'
uni* i $ea%)es )ene$&us s!se#.
e%&#es $a'i(*! <"an"*i&si(es a )e'$es!na'i% in)i,ine$e en(in"s+ )e
in& )e a;&n ,! e
Blocks the release of inhibitory neurotransmitters (glycine and gammaacid) across the synaptic cleft, which is required to check the nervous If nervous impulses cannot be checked by normal inhibitory mechanisms,
unopposed muscular contraction and spasms that are characteristic of tet
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TETANUS7anifesasi k*inisTetanus generalisata:
8=i'e$&nus &&+s'as#e
8T$is#us
8Kaku *e)e$+ ,a)u+ e;$#
8A,(&#en 'a'an
8R)isus Sa$(&ni%us
8O'is&&nus
8S'as#e &&'e$na'asan
Tetanus lokal:
8kaku
8ken%en"
8n!e$i && sekia$ *uka
Tetan
8e$a(i ikke'a*a>
8ke*e#a)&& aa
8(isa$$ia
8(isfa"ia
8(isf&nia
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RISUSSARDONI!U
S
OPISTOTO
US
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7enu$u (e$aa $is#us+ eanus (' (i,a"i aas:
"# Tetanus ringan: $is#us %#+ ? (ise$ai kean" u#ua*au'un (i$an"san"
$# Tetanus se%ang: $is#us @%#+ (ise$ai kean" u#u#(i$an"san"
&# Tetanus 'erat: $is#us ku$an" (a$i 1 %# (an (ise$ai u#u# !an" s'&nan.
TETANUS
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Dia"n&sis eanus (ie"akkan ,e$(asa$kan : Ria!a a(an!a *uka !an" sesuai (en"an #asa inku,a
ea*a k*inis
Ria!a i#unisasi
P( 'e#e$iksaan DR *ek&si N aau B3
Pe#e$iksaan #ik$&,i&*&"i *uka ,e$u'a 'us>a$in"an nek Pe#e$iksaan LCS (,n+ aau (i(a'akan ekanan B aki,
k&n$aksi &&.
TETANUS8DIANOSIS
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7enin"iis ,a%e$ia*
Kean" e% )i'&ka*se#ia
E'i*e'si
TETANUS8DIANOSIS ANDIN
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Anti Tetanus To(in Se*a#a infeksi+ &ksin eanus ,e$e(a$ (a*a# 2 ,enuk:
T&ksin ,e,as (a*a# (a$a)
T&ksin !" ,$"a,un" (" a$in"an sa$af.
Se,e*u# 'e#,e$ian ani&ksin )a$us (i*akukan:
8 Ana#nesa a'aka) a(a $ia!a a*e$"i
8 Tes ku*i (an #aa
8 =a$us se*a*u se(ia A($ena*in 1:1.000.
TETANUS8TATALAKSANA 7e(ika#en
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Tes )ata Pa(a k&nun"ia ,a"ian ,aa) (ieeskan 1 ees *a$u
ani&ksin eanus 1:10 (a*a# *a$uan "a$a# faa*i+ 3 20 #eni+ a#'ak ke#e$a)an - ,en"kak '( k&nun"i
Tes kulitSunikan 0+1 %% *a$uan 1>1000 ani&ksin eanus (a*a# faa*i se%a$a in$akuan. Reaksi 3 ,i*a (*# 20#n $a(ike#e$a)an (an in(u$asi *e,i) (a$i 10 ##.
TETANUS8TATALAKSANA 7e(ika#en&s
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ANTI TETANUS TO*SIN
ATS D&sis ATS u> (easa a(a*a) se,esa$ 10.000 20.000 IU I7
D&sis anak anak se,esa$ 10.000 IU I7
u)an Tetanus I)unnoglo'ulin +TIG#,./ertet D&sis (easa a(a*a) se,esa$ 00 IU 6000 IU I7
,a"i anak anak se,esa$ 000 IU I7.
Pe#,e$ian ani&ksin (&sis e$a'eik se*a#a 2 5 )a$i ,e$u$u
TETANUS8TATALAKSANA 7e(ika#en&C&n3
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Anti'iotik Peni%i**in '$&%ain 1+2 ua IU seia' )a$i se*a#a 10 )a$i
7e$&ni(a&* 4 ; 500 #" aau e$asik*in 2 "$>)a$i se*a)a$i
Pe)'erian 0ita)in 1"$
TETANUS8TATALAKSANA 7e(ika#en&sa
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Antikon2ulsan
TETANUS8TATALAKSANA 7e(ika#en&sa
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Pe#,e$si)an *uka (an (e,$i(e#en *uka !an" k&&$
Ruan" $aa "e*a' (an i(ak ,isin"
Pe#asan"an NT+ (i,e$ikan (ie in""i ka*&$i
Oksi"enasi
Pen"e%e"a)an (eku,ius
TETANUS8TATALAKSANA N&n7e(ika#en&sa
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7ena"a )!"iene (an saniasi
Penan"anan - Pe$aaan *uka !an" #e#a(ai E(ukasi enan" ,a)a!a 'en!aki eanus
I)unisasi aktif Teanus &ks&i( TFT G VST G aksin se$a' eanus3 (i,e$ikan
(en"an (&sis se,an!ak 0+5 %% I7+ (i,e$ikan 1 ; se,u*an se*a#,u*an ,e$u$u u$u.
DPT Dephteri Pertusis Tetanus3 e$ua#a (i,e$ikan 'a(a anakDi,e$ikan 'a(a usia 2 6 ,u*an (en"an (&sis se,esa$ 0+5 %% Ise,u*an se*a#a ,u*an ,e$u$u u$u. &&se$ (i,e$ikan 'a12 ,u*an+ 1 ; 0+5 %% I7+ (an ana$a u#u$ 5 6 a)un 1 ; 0+5 %
TETANUS8PENCEA=AN
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I)unisasi /asif
ATS Anti Tetanus Serum3 D&sis !an" (i,e$ikan unuk &$an" (eaa(a*a) 1500 IU 'e$ I7+ (an unuk anak a(a*a) 50 IU 'e$ I7.
Human Tetanus Immunoglobuline/ =!'e$e. D&sis !an" (i,e$ikan&$an" (easa a(a*a) 250 IU 'e$ I7 sea$a (en"an 1500 IU ATS3+
unuk anak anak a(a*a) 125 IU 'e$ I7. =!'e$e (i,e$ikan ,i*a'en(e$ia a*e$"i e$)a(a' ATS
Pe#,e$ian i#unisasi 'asif e$"anun" (a$i sifa *uka+ k&n(isi 'en((an saus i#unisasi.
TETANUS8PENCEA=AN
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Sa*. Na'as
• S'as#e
*a$in"• Pneu#&nia• As<ksia• as'i$asi
Ka$(i&asku*a
$
• Takika$(i
• =i'e$ensi• Vas&k&ns$ik
si 'e$ife$
Tu*an" (a&&
• F$. C&*u#e$e,$a*i• Pe$(a$a)a
KO7PLIKASI
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Te$"anun": 7asa inku,asi
U#u$ Pe$i&(e &nse
Pen"&,aan A(a i(akn!a k&#'*ikasi
F$ekuensi+ (u$asi kean"
TETANUS8PRONOSIS
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