penyakit tropis sgd 9

7/25/2019 Penyakit Tropis Sgd 9

1/30

SGD 9ABDI TRY UTOMO

ISMI HABIBAH PARINDURI

MAYA RIZKI LUBIS

RIHHADATUL AISY LUBIS

SITI AMANAH

YULIA RIZKI HASIBUAN

SITI AISYAH


2/30

SKENARIO

Seorang mahasisa !" #ah$n% &a#ang 'er$mah sa'i#'arena &emam se(a' ) hari *ang +a+$, Pen&eri#ase-e+$mn*a #e+ah .ernah -ero-a# &i.o+i'+ini' 'am.$s#em.a#n*a '$+iah% #e#a.i &emamn*a masih #er$s nai'

#$r$n &an s$h$ #$-$h *ang sanga# #inggi #er$#ama.a&a sore men(e+ang ma+am hari &iser#ai &iare, Pa&a.emeri'saan /si' *ang &i+a'$'an &o'#er &i&a.a#0 s$h$#$-$h 1234% TD "52672 mmHg% HR 986meni# %+i&ah'e+iha#an -er:a' 'o#or% -ra&i'ar&i re+a#i; &an .er$#

'em-$ng, Do'#er *ang memeri'sa .en&eri#a&isaran'an $n#$' &iraa# ina. &i RS g$na .emeri'saan&an .engo-a#an in#ensi;, An($ran 0 .emeri'saan '$+#$r&arah $n#$' menen#$'an -a'#eri gram &an gram


3/30

STEP "

", Pemeri'saan '$+#$r &arah 0

@aa- 0 Tes $n#$' men&e#e'si '$man se.er#i -a'#eria#a$ (am$r &a+am sam.e+ &arah

!, Demam 0

@aa- 0 Kenai'an s$h$ #$-$h &ia#as norma+


4/30

1,Bra&i'ar&i re+a#i;0

C .ening'a#an s$h$ "34 #i&a' &ii'$#i .ening'a#an

&en*$# na&i 76meni#,

, Ba'#eri Gram Posi#i;0

", Ba'#eri *ang &in&ing se+ n*a men*era. arna

io+e#,!, Din&ing se+ .e.#i&og+i'an -er+a.is?+a.is

5, Asam #ei'oa# #erh$-$ng &engan mem-ran

si#o.+asma a#a$ 'e &in&ing se+ .e.#i&og+i'an,Asam #ei'oa# 'has $n#$' -a'#eri gram?.osi#i; &an-er.eran .a&a .er+e'a#an &an memi:$ ren(a#angram?.osi#i; (i'a &in&ing se+n*a .e:ah,


5/30

8, Ba'#eri Gram Nega#i;0

", Ba'#eri *ang &in&ing se+n*amen*era. arna merah

!, memi+i'i +a.isan .e.#i&og+i'an *ang

#i.is,5, Mem-ran +$arn*a memi+i'i

+i.o.o+isa'ari&a% *ang .a+ing sering

&i'e+$ar'an .a&a saa# 'ema#ian se+&an mami+i'i 'om.onen #o'si' +i.i&A


6/30

STEP !

", Seorang mahasisa !" #ah$n &a#ang 'e RS'arena &emam se(a' ) hari *ang +a+$

!, Demamn*a nai' #$r$n s$h$ #$-$h #inggi#er$#ama sore men(e+ang ma+am

harim&iser#ai &engan &iare5, Li&ah 'e+iha#an -er:a' 'o#or &an -ra&i'ar&i

re+a#i; ($ga .er$# 'em-$ng

1, Di+a'$'an .emeri'saan '$+#$r &arah $n#$'

menen#$'an gram .osi#i; &an gram nega#i;

, Disaran'an $n#$' &iraa# ina. &i RS g$na.emeri'saan &an .engo-a#an in#ensi;


7/30

STEP 5

", Bagaimana :ara .emeri'saan '$+#$r&arah F

!, A.a *ang men*e-a-'an s$h$ #$-$h OS

sanga# #inggi #er$ma .a&a soremen(e+ang ma+am hari F

5, Menga.a &emam .asien nai' #$r$n F

1, A.a?a.a sa(a *ang #ermas$' -a'#erigram .osi#i; &an gram nega#i;

, Menga.a .asien &iareF


8/30

8, A.a #$($an &i+a'$'an .emeri'saan'$+#$r &arah F

), Menga.a +i&ah .asien 'e+iha#an-er:a' 'o#or%-ra&i'ar&i re+a#i; &an.er$# 'em-$ng F

7, A.a sa(a *ang #ermas$'.emeri'saan &an .engo-a#anin#ensi; F

9, A.a DD &an &iagnosa &ari 'as$s.a&a s'enario #erse-$# F


9/30

STEP 5

", Bagaimana :ara .emeri'saan '$+#$r&arah &an in&i'asin*a me+a'$'an'$+#$r &arah F

@aa-0


10/30

!, A.a *ang men*e-a-'an s$h$ #$-$hOS sanga# #inggi #er$ma .a&a soremen(e+ang ma+am hari F


11/30

",Bagaimana :ara .emeri'saan '$+#$r &arah&an in&i'asin*a me+a'$'an '$+#$r &arah F

@aa- 0:ara .emeri'saan

'$+#$r &arah &iam-i+ +a+$ &i-eri +a-e+ &an&i'irim 'e +a-ora#ori$m

K$+#$r &asar &iin'$-asi se+am "1 hari

B+in& :$+#$re &i+a'$'an "1 segera se#e+ah a&a#an&a?#an&a .er#$m-$han @i'a a&a .er#$m-$han% &i+a'$'an s$-'$+#$r &ans#ain Gram

La+$ +a'$'an #es .earnaan Gram


12/30

In&i'asi '$+#$r &arah 0


13/30

!, A.a *ang men*e-a-'an s$h$ #$-$h OS sanga##inggi #er$ma .a&a sore men(e+ang ma+am hari F

@aa- 0

5, Menga.a &emam .asien nai' #$r$n Fa, Karena &emam i#$ &ise-a-'an o+eh a&an*ain;e'si &a+am #$-$h%(a&i &emam &a.a# #im-$+-erhari?hari se+ama .roses in;e'si masih

-er+angs$ng &a+am #$-$h &an -i+a in;e'si s$&ah#era#asi ma'a s$h$ #$-$h a'an 'em-a+i #$r$n


14/30

1, A.a?a.a sa(a *ang #ermas$' -a'#erigram .osi#i; &an gram nega#i; F

BAKTERI GRAM POSITIF BAKTERI GRAM NEGATIF

S#re.#o:o::$s .ne$moniae Neisseria gonorrhoease

S#a.h*+o:o::$s a$re$s Es:heri:hia :o+i

Ba:i++$s an#hra:is Sa+mone++a #h*.osa

4+os#ri&i$m #e#ani Pse$&omonas aer$ginosa


15/30

, Menga.a .asien menga+ami &iareF@e+as'an

@aa- 0

ma'anan% min$man &an air #er:emar

.asien #erin;e'si -a'#eri Sa+mone++a #h*.i

-a'#eri mengin;e'si sa+$ran .en:ernaan &i $s$sha+$s

Diare


16/30

8, A.a #$($an &i+a'$'an .emeri'saan'$+#$r &arah F

@aa- 0

Mengin;ormasi .en*e-a- in;e'si

Mengi&en#i/'asi agen .en*e-a-

Meman&$ #era.i an#i-io#i'


17/30

), Menga.a +i&ah .asien 'e+iha#an-er:a' 'o#or%-ra&i'ar&i re+a#i; &an

.er$# 'em-$ng F

LI


18/30

7, A.a sa(a *ang #ermas$' .emeri'saan &an.engo-a#an in#ensi; F

@aa- 0a, Pemeri'saan in#ensi; 0

? iso+asi -a'#eri

? &e#e'si an#igen mi'ro-a

? #i#rasi an#i-o&i #erha&a. organisme .en*e-a-

-, Pengo-a#an in#ensi; 0

? .emi+ihan an#i-io#i'

? is#iraha# #o#a+

? #era.i s$.or#i;


19/30

9, A.a DD &an &iagnosa &ari 'as$s .a&as'enario #erse-$# F

@aa- 0DBD MALARIA DEMAM TIFOID

Di#$+ar'an o+ehn*am$'AedesAegypti

Di#$+ar'an o+ehn*am$'Anopheles

Terin;e'si o+eh-a'#eri Salmonellathypi me+a+$i

ma'anan &an air#er:emar

Masa in'$-asi "?5mingg$

Masa in'$-asi 5?1hari

Masa in'$-asi ?9hari

Ge(a+a 0 &emam%

menggigi+% n*eri%r$am% &an.er&arahan

Ge(a+a 0 &emam%

sa'i# 'e.a+a%menggigi+%-er'eringa#% &ange+isah,

Ge(a+a 0 &emam%

n*eri% m$a+% &an&iare,


20/30

STEP 1


21/30

LO

Mahasisa mam.$ men(e+as'an.enger#ian e#io+ogi%ge(a+a%#an&a.en*a'i#%.a#ogenesis%&iagnosis%'om.

+i'asi &an ren:ana .engo-a#an &an.emi+ihan o-a# *ang #e.a# $n#$'.en*a'i# #ro.is 'arena in;e'si -a'#eri

gram .osi#i; &an gram nega#i;


22/30

PERBEDAAN BAKTERI GRAM POSITIDAN BAKTERI GRAM NEGATI

Karakteristik Bakteri GramPositif

Bakteri GramNegatif

Din&ing se+ Homogen &an #e-a+ ser#ase-agian -esar

#ers$s$n &ari.e.#i&og+i'an,Po+isa'ari&a +ain &anasam #ei'oa# &a.a#i'$# men*$s$n&in&ing se+,

Pe.#i&og+i'an &ian#aramem-ran &an +$ar%

ser#a a&an*amem-ran +$ar *ang#er&iri &ari +i.i&%.ro#ein% &an+i.o.o+isa'ari&a

Ben#$' se+ B$+a#% -a#ang a#a$/+amen

B$+a#% oa+% -a#ang+$r$s% he+i's a#a$/+amen% -e-era.amem.$n*ai se+$-$nga#a$ 'a.s$+

Re.ro&$'si Pem-e+ahan -iner Pem-e+ahan -iner%'a&ang?'a&ang


23/30

Pen*a'i# *ang &a.a# &i#im-$+'an-a'#eri gram nega#i; &an -a'#erigram .osi#i;Gram Genus Penyakit

Gram Posi#i; S#a.h*+o:o::$sS#re.#o:o::$sEn#ero:o::$sLis#eria

Ba:i++$s4+os#ri&i$mNi:o-a:#eri$mPro.ioni-a:#eri$mN*:o.+asma

Im.e#igo% 'era:$nanma'ananBron'i#isPne$monia% meningi#is

Karies gigiEn#eri#isLis#eriosisAn#haraTe#an$s% -o#$+ismeDi;#eri% #$-er'$+osis%

.ne$monia


24/30

Gram Negatif SamoneaEs!"eri!"iaS"igeaNeiss"eriaBor#eteaLegioneaPseu#omonas$i%rio&am'yo%a!ter(ei!o%a!ter(aemo'"iusTre'onema&"amy#ia

SamoneosisGastroenteritisDisentriMeningitis)gonoreaBatuk re*anLegionnaries#iseaseInfeksi uka %akarKoeraGastroenteritisTukak am%ungBronkitis)'neumoniaSi+isPneumonia)uretritis) trakoma


25/30

BAKTERI GRAM POSITI

", GENUS0 S#a.h*+o:o::$s

si;a#0

? 'o'$s gram?.osi#i; -iasan*a #am.a'

-er'e+om.o' se.er#i -$ah angg$r? 'a#a+asa .osi#i;% meme:ah'an hi&rogen.ero'si& men(a&i air &an o'sigen

? anaero- ;a'$+#a#i; *ang mem.ro&$'sienergi +e-ih e/sien &a+am 'ea&aan aero-,

? ha+o&$ri'


26/30

!, Gen$s0 S#re.#o:o::$s

si;a#0

? 'o'$s gram .osi#i; #ers$s$n se.er#i ran#ai a#a$-er.asangan, Ben#$'n*a :en&er$ng +on(ong,

? s#re.#o'o'$s 'a#a+asa?nega#i;% anaero- aero#o+eran*ang #$m-$h &a+am s$asana o'sigen .en$h #e#a.imeragi'an s$-s#ra# -ai' &a+am s$asana a&a a#a$#an.a o'sigen,

? s#re.#o'o'$s #er$#ama -ersi;a# o.or#$nis#i' #e#a.i&a.a# men*e-a-'an .en*a'i# .a&a .asien *ang+emah a#a$ (i'a -a'#eri ini mem.ero+eh a'ses mas$''e &a+am #$-$h,


27/30

5, Gen$s0 En#ero:o::$s

si;a#0

? 'o'$s gram .osi#i; #ers$s$n se.er#i ran#ai *ang

memi+i'i 'ar-ohi&ra# &in&ing se+ s#re.#o'o'$sgr$. D

? -agian &ari ora norma+ sa+$ran :erna man$sia

? #o+eran #erha&a. 'onsen#rasi #inggi garam

em.e&$ &an Na4+? memi+i'i resis#ensi o-a# &era(a# #inggi *ang#er$s mening'a#


28/30

1, Gen$s0 Pe.#os#re.#o:o::$s


29/30

Pen*a'i# *ang &ise-a-'an -a'#erigram .osi#i; &an -a'#eri gram nega#i;

:on#oh -a'#eri gram .osi#i; 0

Pne$monia 0&ise-a-'an -a'#eri -a:i++$s an#hra:is

Te#an$s 0 &ise-a-'an -a'#eri:+os#ri&i$m #e#ani


30/30

4on#oh -a'#eri gram nega#i; 0

Gonorrhoeae

penyakit tropis sgd 9

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