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1. Some tourists would like to visit Labuan Bajo, what is chemoprophylaxis that will be
recommended to them? One of them is a breastfeeding mother, her child is 1.5 y.o. and
10kg.
Penelusuran Pustaka : (Pustaka termasuk Primary Literature dan Secondary Resource)
1. Google.com pencarian mengenai penggunaan obat pada ibu menyusui.
2. Website https://wwwnc.cdc.gov/travel/page/yellowbook-home-2014 (Center for
Disease Control and Prevention)
3. Pencarian di Table of Content
4. Chapter 7 Family Travel bagian Travel & Breastfeeding (Erica H. Anstey, Katherine
R. Shealy)
5. Pada bibliography terdapat beberapa sitasi terkait :
World Health Organization. Vaccines and vaccination against yellow fever. WHO
position paper—June 2013. Wkly Epidemiol Rec. 2013 Jul 5;88(27):269–83.
Answer : Because in Labuan Bajo, East Nusa Tenggara (NTT) as an endemic area of
dengue fever (DB) mostly in rainy season, since early January 2020. Some vaccine may
have more advantages but breastfeeding mother and infants (6-8months) is a precaution
for yellow fever vaccine administration because 3 infants were diagnosed with
encephalitis and aged <1 month at the time of exposure.
Specific research data are available, yellow fever vaccine should be avoided in
breastfeeding women. However, when they must travel to a yellow fever–endemic area,
they should be vaccinated. Although there are no data, some experts recommend that
breastfeeding women who receive yellow fever vaccine should temporarily suspend
breastfeeding, pump, and discard milk for at least 2 weeks after vaccination before
resuming breastfeeding.
4. A prescriber needs your recommendation for treating a 7 y.o child who is suffering from
Lyme disease?
Penelusuran Pustaka : (Pustaka termasuk Primary Literature)
1. Pencarian di Google.com dengan keyword “Child or Infant” and “Lyme Disease”
2. Membuka laman https://www.cdc.gov/lyme/treatment/index.html
3. Melakukan penelusuran pustaka terkait pada Index
4. Membaca abstraksi yang tersedia melalui https://pubmed.ncbi.nlm.nih.gov/
5. Mencopy DOI pada sci-hub.tw dan penelusuran artikel “Kowalski TJ, Tata S, Berth
W, Mathiason MA, Agger WA. Antibiotic treatment duration and long-term
outcomes of patients with early Lyme disease from a Lyme disease-hyperendemic
area”
Answer : Lyme disease is most often treated with antibiotics, such as doxycycline,
amoxicillin or cefuroxime. If your child has been diagnosed early, he or she will probably
take antibiotics by mouth for two to three weeks.
5. What is recommendation for diabetic patient who is elderly and has hypertension?
Penelusuran Pustaka : (Pustaka termasuk Tertiary Resource)
1. Review article “Management of diabetic hypertensives”
Answer : While treating diabetic hypertensives, first-line agents used must be an ACEI
or ARB (if intolerant to ACEI) or a combination of both or a thiazide diuretic
6. A mother asks a pharmacist to recommend a cold preparation that is sugar free and
alcohol free for her 12-years old son who is diabetic. What is your recommendation?
Penelusuran Pustaka : (Pustaka termasuk Tertiary Resource)
1. Textbook Pharmacy Practice for Technicians 5th edition. Durgin & Hanan. Chapter 24
Nonprescription Medications : Dosage Forms page 503
Answer : The alternative dosage form is available, the pharmacist should make a
recommendation that the patient take that rather than effervescent tablet, there is some
sugar-free and alcohol-free formulations are also more appropriate for certain patients,
such as the children and people with diabetes. For example Robitussin syrup
7. On a recent trip to the United states, a patient purchased Aleve for migraine. He returns
home and asks the pharmacist whether an equivalent product is available in Indonesia.
Penelusuran Pustaka : (Pustaka termasuk Web-based Resource)
http://pionas.pom.go.id/
Answer :
While the patient has been stayed in Indonesia, pharmacist considered to make a
recommendation other than Aleve that’s contain Naproxen, perhaps the best known of the
NSAIDs that are often used for this purpose are ibuprofen (for example, Advil, Motrin).