bahan kuliah pakar 1

8/19/2019 Bahan Kuliah Pakar 1

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KULIAH SKENARIO 1KULIAH SKENARIO 1

FLU BURUNGFLU BURUNG


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DATADATA

Wilayah : 1 kecaa!a"Wilayah : 1 kecaa!a"

1 #$la" !e%akhi% #a"yak aya1 #$la" !e%akhi% #a"yak aya

a!i &e#a# !ak 'ela&a!i &e#a# !ak 'ela& ( )a%*a +ea !i"**i( )a%*a +ea !i"**i &e&ak&e&ak

"a,a&- k."+i&i e#e%a!- !i+ak"a,a&- k."+i&i e#e%a!- !i+ak

e#aik +*" ,e"*.#a!a"e#aik +*" ,e"*.#a!a"


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IDENTIFIKASI MASALAHIDENTIFIKASI MASALAH

D$*aa" ka&$& a,akah i"i /D$*aa" ka&$& a,akah i"i /

Ba*aia"a ea&!ika" ka&$&Ba*aia"a ea&!ika" ka&$&

!e%&e#$! /!e%&e#$! / Se#e%a,a #e&a% a&alah"ya /Se#e%a,a #e&a% a&alah"ya /

La"*kah a,a ya"* ha%$&La"*kah a,a ya"* ha%$& segerasegera

+i!e,$h- ka%e"a &$+ah a+a+i!e,$h- ka%e"a &$+ah a+ak.%#a" 'a!$h /k.%#a" 'a!$h /


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DUGAAN KASUS A0AKAH /DUGAAN KASUS A0AKAH /

( )a%*a +ea !i"**i #e#e%a,a( )a%*a +ea !i"**i #e#e%a,aha%i- #e%ke#a"* &e&ak "a,a&ha%i- #e%ke#a"* &e&ak "a,a& ,.la i"ek&i 2i%$&- e"ye%a"* &al$%a",.la i"ek&i 2i%$&- e"ye%a"* &al$%a"

"a,a& 3i"l$e"4a5"a,a& 3i"l$e"4a5 ,e%'ala"a" ,e"yaki! #e%a!,e%'ala"a" ,e"yaki! #e%a!

1 #$la" !e%akhi% #a"yak aya a!i1 #$la" !e%akhi% #a"yak aya a!i&e#a# !ak 'ela&&e#a# !ak 'ela& ,e"yaki! e"$la% ,a+a $"**a&,e"yaki! e"$la% ,a+a $"**a&

I"l$e"4a e#e%a! 6 li"*k$"*a"I"l$e"4a e#e%a! 6 li"*k$"*a"#a"yak aya a!i &e#a# !i+ak 'elaa"yak aya a!i &e#a# !i+ak 'ela& +$*aa" l$ #$%$"* 7 a2ia" i"l$e"4a 7+$*aa" l$ #$%$"* 7 a2ia" i"l$e"4a 7

i"ek&i 2i%$& H8N1i"ek&i 2i%$& H8N1


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FLU BURUNG 7 A9IANFLU BURUNG 7 A9IAN

INFLUENZAINFLUENZA

0e"yaki! e"$la% 34..".&i&50e"yaki! e"$la% 34..".&i&5

E!i.l.*i 2i%$& i"l$e"4a A +a%iE!i.l.*i 2i%$& i"l$e"4a A +a%i

$"**a&- &$#!i,e H8N1$"**a&- &$#!i,e H8N1 Ba#i- k$ci"*- a"'i"* #e%,e%a"Ba#i- k$ci"*- a"'i"* #e%,e%a"

&e#a*ai&e#a*ai mixing vessel mixing vessel 2i%$&2i%$&

,a+a $"**a& +a" a"$&ia,a+a $"**a& +a" a"$&ia


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ETIOLOGIETIOLOGI

S,e&ie& : I"l$e"4a !i,e A- &$#!i,eS,e&ie& : I"l$e"4a !i,e A- &$#!i,e

H8N1H8N1 9i%$& RNA9i%$& RNA

Ge"$& : I"l$e"4aGe"$& : I"l$e"4a

Faili : O%!h.y.2i%i+aeFaili : O%!h.y.2i%i+ae

I"ak!i ,a+a ,ea"a&a" :I"ak!i ,a+a ,ea"a&a" : Da*i"* ayaDa*i"* aya ; &elaa 1 e"i!-; &elaa 1 e"i!-

?


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TRANSMISITRANSMISI

U"**a&U"**a& $"**a&$"**a&

U"**a&U"**a& a"$&iaa"$&ia

Ai% li$%- le"+i%- k.!.%a" $"**a& Ai% li$%- le"+i%- k.!.%a" $"**a&ya"* &aki!ya"* &aki! k."!ak a"$&iak."!ak a"$&ia

K.!.%a"K.!.%a" e"cea%i $+a%ae"cea%i $+a%a

i"hala&ii"hala&i


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SIA0A KELOM0OK RISIKOSIA0A KELOM0OK RISIKO

TINGGI /TINGGI /

K."!ak +*" ,a&ie"K."!ak +*" ,a&ie"

K."!ak +*" $"**a&- aka"K."!ak +*" $"**a&- aka"

$"**a& !i+ak +ia&ak +*" #aik$"**a& !i+ak +ia&ak +*" #aik

K."!ak +*" #i"a!a"* lai" ,.&i!iK."!ak +*" #i"a!a"* lai" ,.&i!i

H8N1H8N1

K."!ak +*" &a,elK."!ak +*" &a,el


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GEALA DAN TANDA /GEALA DAN TANDA /

UNGGASUNGGAS e"**e%- ,ial- k$li!-e"**e%- ,ial- k$li!-

kaki #e%)a%"a #i%$kaki #e%)a%"a #i%$ke$"*$a"ke$"*$a"

0e#e"*kaka" $ka0e#e"*kaka" $ka ke,ala ke,ala

0e%+a%aha" !i!ik +a+a-0e%+a%aha" !i!ik +a+a-kaki- !ela,ak kakikaki- !ela,ak kaki

Dia%eDia%e

MANUSIAMANUSIA Dea !i"**i- &aki!Dea !i"**i- &aki!

!e"**.%.ka"- &aki!!e"**.%.ka"- &aki!ke,ala- "ye%i !$la"*-ke,ala- "ye%i !$la"*-#a!$k ,ilek#a!$k ,ilek

0e%#$%$ka" *e'ala0e%#$%$ka" *e'ala &e&ak "a,a&&e&ak "a,a&

A+a %i)aya! k."!ak A+a %i)aya! k."!ak+*" he)a" $"**a& y*+*" he)a" $"**a& y*&aki!7a!i !a",a &e#a#&aki!7a!i !a",a &e#a#

'ela& a!a$ +i 'ela& a!a$ +ili"*k$"*a" !e%+a,a!li"*k$"*a" !e%+a,a!$"**a& &aki!7a!i$"**a& &aki!7a!i


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BAGAIMANA MEMASTIKANBAGAIMANA MEMASTIKAN

KASUS TERSEBUT /KASUS TERSEBUT /

Ke"ali +ei"i&i ka&$&Ke"ali +ei"i&i ka&$& S$&,ec! l$ #$%$"*S$&,ec! l$ #$%$"* 0%.#a#le l$ #$%$"*0%.#a#le l$ #$%$"* Ka&$& k."i%a&iKa&$& k."i%a&i

K.#i"a&i ,ee%ik&aa"K.#i"a&i ,ee%ik&aa"

A"a"e&i&7%i)aya! k."!ak A"a"e&i&7%i)aya! k."!ak 0ee%ik&aa" i&ik0ee%ik&aa" i&ik La# +a%ah %$!i" : lek.&i!La# +a%ah %$!i" : lek.&i! F.!. !.%akF.!. !.%ak Te& ELISA 7 $'i H1Te& ELISA 7 $'i H1 Ke"aika" !i!e% ELISA7H1Ke"aika" !i!e% ELISA7H1 U'i "e!%ali&a&iU'i "e!%ali&a&i Ke"aika" !i!e% $'i "e!%ali&a&iKe"aika" !i!e% $'i "e!%ali&a&i I&.la&i 2i%$&I&.la&i 2i%$& 0>R0>R

S$&,ec! l$ #$%$"*

0%.#a#le l$ #$%$"*

K."i%a&i l$ #$%$"*


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0ROBABLE FLU BURUNG0ROBABLE FLU BURUNG

0a&ie" e"i"**al ka%e"a0a&ie" e"i"**al ka%e"a

,e"yaki! &al$%a" "a,a& ak$! y*,e"yaki! &al$%a" "a,a& ak$! y*

!ak +a,a! +i'ela&ka"!ak +a,a! +i'ela&ka"

,e"ye#a#"ya,e"ye#a#"ya

&eca%a e,i+ei.l.*i& #e%kai!a"&eca%a e,i+ei.l.*i& #e%kai!a"

+*" a&,ek )ak!$- !e,a!- +a"+*" a&,ek )ak!$- !e,a!- +a"

,a'a"a" !e%ha+a, &$a!$ ka&$&,a'a"a" !e%ha+a, &$a!$ ka&$&,%.#a#le a!a$ k."i%a&i H8N1,%.#a#le a!a$ k."i%a&i H8N1


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ANAMNESIS 7 RIWACAT ANAMNESIS 7 RIWACAT

KONTAK : ,a+a ha%i l *e'alaKONTAK : ,a+a ha%i l *e'ala

K."!ak e%a! 3e%a)a!- #ica%a-K."!ak e%a! 3e%a)a!- #ica%a-#e%&e"!$ha"5 ,a&ie" &$&,ec!-#e%&e"!$ha"5 ,a&ie" &$&,ec!-,%.#a#le- a!a$ k."i%a&i FB,%.#a#le- a!a$ k."i%a&i FB

Te%,a'a" !e%"ak aya- $"**a& lia%-Te%,a'a" !e%"ak aya- $"**a& lia%-#a"*kai $"**a&- li"*k$"*a" y*#a"*kai $"**a&- li"*k$"*a" y*!e%cea% !e%cea%

K."&$&i ,%.+$k $"**a& e"!ah 7K."&$&i ,%.+$k $"**a& e"!ah 7

!i+ak +ia&ak &e,$%"a +i )ilayah y*!i+ak +ia&ak &e,$%"a +i )ilayah y*+ic$%i*ai 7 +i,a&!ika" a+a"ya $"**a& 7+ic$%i*ai 7 +i,a&!ika" a+a"ya $"**a& 7a"$&ia !e%i"ek&i H8N1 +l 1 #$la"a"$&ia !e%i"ek&i H8N1 +l 1 #$la"!e%akhi% !e%akhi%


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ANAMNESIS 7 RIWACAT ANAMNESIS 7 RIWACAT

KONTAKKONTAK

K."!ak e%a! #i"a!a"* lai"K."!ak e%a! #i"a!a"* lai"

3k$ci"*- #a#i5 !e%i"ek&i H8N13k$ci"*- #a#i5 !e%i"ek&i H8N1

Mee*a"*7e"a"*a"i &a,elMee*a"*7e"a"*a"i &a,el


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0EMERIKSAAN FISIK0EMERIKSAAN FISIK

Dea @;=> +i&e%!aiDea @;=> +i&e%!ai

&e!i+ak"ya &a!$ +a%i&e!i+ak"ya &a!$ +a%iBa!$kBa!$k

Saki! !e"**.%.ka"Saki! !e"**.%.ka"

0ilek0ilek

Se&ak "a,a&Se&ak "a,a&


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LAB DARAH RUTIN DANLAB DARAH RUTIN DAN

FOTO TORAKFOTO TORAK

Da%ah %$!i" : lek.,e"iaDa%ah %$!i" : lek.,e"ia

F.!. !.%ak : ,"e$."ia ya"*F.!. !.%ak : ,"e$."ia ya"*

e#$%$k ce,a! ,+ &e%ial .!.e#$%$k ce,a! ,+ &e%ial .!.


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TES ELISA 7 UI HITES ELISA 7 UI HI

ELISA : +i+a,a!ka" !i!e% a"!i#.+iELISA : +i+a,a!ka" !i!e% a"!i#.+i

!e%ha+a, i"l$e"4a A !a",a!e%ha+a, i"l$e"4a A !a",a

&$#!i,e&$#!i,e

U'i HI : +i+a,a!ka" !i!e% a"!i#.+iU'i HI : +i+a,a!ka" !i!e% a"!i#.+i

!e%ha+a, H8!e%ha+a, H8


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KENAIKAN TITER TES ELISAKENAIKAN TITER TES ELISA

7HI +a" UI NETRALISASI7HI +a" UI NETRALISASI

ELISA : ke"aika" !i!e% i"l$e"4aELISA : ke"aika" !i!e% i"l$e"4a

A kali A kali

HI : ke"aika" !i!e% !e%ha+a, H8 HI : ke"aika" !i!e% !e%ha+a, H8

kalikali

NETRALISASI : ha&il la#NETRALISASI : ha&il la#

!e%#a!a& $"!$k i"l$e"4a H8!e%#a!a& $"!$k i"l$e"4a H8


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KENAIKAN TITER UIKENAIKAN TITER UI

NETRALISASI- ISOLASI 9IRUS-NETRALISASI- ISOLASI 9IRUS-

0>R0>R 0e"i"*ka!a" kali !i!e%0e"i"*ka!a" kali !i!e%

"e!%ali&a&i $"!$k H8N1 a&a"e!%ali&a&i $"!$k H8N1 a&a

k."2ale&e" +i#a"+i"* ak$!- !i!e%k."2ale&e" +i#a"+i"* ak$!- !i!e%

a"!i#.+i "e!%ali&a&i k."2ale&e"a"!i#.+i "e!%ali&a&i k."2ale&e"

17;R H8N1 ,.&i!i 0>R H8N1 ,.&i!i


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SEBERA0A BESARSEBERA0A BESAR

MASALAHNCA /MASALAHNCA /

I"+."e&ia- +a!a Mei- (


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0e%'ala"a" kli"i& ,e"yaki! #e%a!-0e%'ala"a" kli"i& ,e"yaki! #e%a!-

aki#a! ak!i2i!a& &i!.ki" e"i"*ka!aki#a! ak!i2i!a& &i!.ki" e"i"*ka! 0"e$."ia0"e$."ia

Ga*al "a,a&Ga*al "a,a& Acute respiratory distress syndrome / Acute respiratory distress syndrome /

multiple organ failuremultiple organ failure

Te%a,i a"!i2i%al 3.&el!ai2i%5 ha"yaTe%a,i a"!i2i%al 3.&el!ai2i%5 ha"ya

eek!i #ila +i#e%ika" &e'ak ha%iha%ieek!i #ila +i#e%ika" &e'ak ha%iha%i,e%!aa i"ek&i,e%!aa i"ek&i


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H8N1 ,.!e"&ial e"*aki#a!ka"H8N1 ,.!e"&ial e"*aki#a!ka",a"+ei,a"+ei ha,i% &e$a "e*a%a +iha,i% &e$a "e*a%a +i+$"ia !e%'a"*ki!+$"ia !e%'a"*ki!

0a"+ei +i,e%ki%aka" !e%'a+i 'ika0a"+ei +i,e%ki%aka" !e%'a+i 'ika2i%$& a,$ elak$ka" !%a"&i&i2i%$& a,$ elak$ka" !%a"&i&ia"!a%a"$&iaa"!a%a"$&ia 0e%$#aha" &!%$k!$% 2i%$& !ak +,!0e%$#aha" &!%$k!$% 2i%$& !ak +,!

+i,%e+ik&i+i,%e+ik&i

Se'a%ah ,a"+ei l$Se'a%ah ,a"+ei l$ Fl$ S,a"y.l 1J1;Fl$ S,a"y.l 1J1;


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Si"yal e,i+ei.l.*i& $"!$kSi"yal e,i+ei.l.*i& $"!$ke"*e"ali $"c$l"ya ,a"+ei l$e"*e"ali $"c$l"ya ,a"+ei l$#$%$"*#$%$"* ka&$& kla&!e% ka&$& kla&!e%

Ka&$& kla&!e% : ( a!a$ le#ih ka&$& y*Ka&$& kla&!e% : ( a!a$ le#ih ka&$& y*#e%h$#$"*a" &eca%a e,i+ei.l.*i&-#e%h$#$"*a" &eca%a e,i+ei.l.*i&-+ia"a+ia"a Se!i+ak"ya a+a ( ka&$& k."i%a&iSe!i+ak"ya a+a ( ka&$& k."i%a&i

H8N1H8N1 O"&e! ka&$&ka&$& !e%'a+i +ala (O"&e! ka&$&ka&$& !e%'a+i +ala (

i"**$i"**$ Ka&$& #e%h$#$"*a" +a%i &e*i l.ka&iKa&$& #e%h$#$"*a" +a%i &e*i l.ka&i


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LANGKAH A0A CANGLANGKAH A0A CANG

HARUS SEGERA DITEM0UHHARUS SEGERA DITEM0UH

Re"ca"a S!%a!e*i Na&i."al 0e"*e"+alia"Re"ca"a S!%a!e*i Na&i."al 0e"*e"+alia"FBFB 0e"*e"+alia" ,e"yaki! ,+ he)a"0e"*e"+alia" ,e"yaki! ,+ he)a" 0e"a!alak&a"aa" ka&$& ,+ a"$&ia0e"a!alak&a"aa" ka&$& ,+ a"$&ia

0e%li"+$"*a" kel.,.k %i&ik. !i"**i0e%li"+$"*a" kel.,.k %i&ik. !i"**i S$%2eila"& e,i+ei.l.*i ,+ he)a" +a" a"$&iaS$%2eila"& e,i+ei.l.*i ,+ he)a" +a" a"$&ia Re&!%$k!$%i&a&i &i&!e i"+$&!%i ,e%$"**a&a"Re&!%$k!$%i&a&i &i&!e i"+$&!%i ,e%$"**a&a" K.$"ika&i %i&ik.- e+$ka&i- +a" ,e"i"*ka!a"K.$"ika&i %i&ik.- e+$ka&i- +a" ,e"i"*ka!a"

ke&a+a%a" a&ya%aka!ke&a+a%a" a&ya%aka!

0e"*$a!a" +$k$"*a" ,e%a!$%a"0e"*$a!a" +$k$"*a" ,e%a!$%a" 0e"i"*ka!a" ka,a&i!a&0e"i"*ka!a" ka,a&i!a& 0e"eli!ia" ka'i!i"+ak0e"eli!ia" ka'i!i"+ak M."i!.%i"* +a" e2al$a&iM."i!.%i"* +a" e2al$a&i


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ALHAMDULILLAHI ALHAMDULILLAHI

ROBBIL ALAMIENROBBIL ALAMIEN

SCUKRONSCUKRON

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