Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
To
The
For
Risk
Age
Low family income
Attendance at day care
Head trauma
Splenectomy
Chronic disease
Children with facial cellulitis, periorbital
cellulitis, sinusitis, and septic arthritis
have an increased risk of meningitis.
Maternal infection and pyrexia at the
time of delivery are associated with
neonatal meningitis.
E. coli
S. pneumoniae
H. influenzae
N. meningitis
0
12
MONTHS
10
YEARS
AGE
20
40
60 or >
irritability
fever
sleeping more
than usual
poor feeding
high-pitched cry
arching back
cries when picked
up or being held
inconsolable crying
bulging fontanelle
(soft spot on an
infant's head)
noticeably
different
temperament
refusing to eat
decreased level of
consciousness
seizures
photophobia
(sensitivity to
light)
nausea and
vomiting
neck stiffness
1.
2.
1.
2.
Other serious
complications can
include:
1.
Brain damage
1.
Epilepsy
2.
Changes in eye
sight
Encephalitis
is a similar disease of
the central nervous system. This
disease is an inflammation of brain
parenchyma. Often, a viral agent is
responsible. Viral entry occurs
through hematogenous or neuronal
routes.
HSV
Severe headache
Sudden fever
Drowsiness
Vomiting
Confusion
Seizures
CSF
1.
2.
3.
4.
5.
6.
7.
DIET
CAIR
LUNAK
1.
2.
PERAWATAN MENINGITIS
PENGOBATAN
a. Homeostasis cairan iv
b. Konvulsi / st. konvulsius
Berantas kejang secepatnya
Oksigenasi yang adekuat
c. Kortikosteroid
d. Antibiotik
OBAT
Ampisilin 200 400 mg/kg BB
Kloramfenikol 100 mg/lg BB
atau
PD. NEONATUS
KUMAN
N. Influensa
S. Pneumonia
N. Meningitis
Gram Negatif
Staphylococus
OBAT
- Kloramfenikol, ampisilin
- Seftriakson, Sefotaksim
- Penisilin, Kloramfenikol
- Sefuroksim, Seftriakson
- Vankomisin
- Penisilin, Kloramfenikol
- Sefuroksim, Seftriakson
- Sebutaksim, Septazidin
- Seftriakson, Amikasin
- Gentamysin, netilmisin
- Nafsilin, Vankomisin
- Rifampisin
Arachnoid membrane
Choroid plexus epithelium
Endothelial cells dari serebral
microvasculature
Memisahkan
Intravascular compartment dari otak & cairan
serebro spinal
1.
2.
3.
4.
a.
b.
a.
TERGANTUNG
1. Umur
2. Jenis kelamin
3. Berat ringan infeksi
4. Lama sakit seb. Pengobatan
5. Kepekaan bakteri thd AB
6. Status gizi
SUPORTIF
PERAWATAN
Radang
CBC
LP : -
PCR
ELISA
Latex Particle Agglutination
CT Scan atau MRI : lesi parenkim dasar otak,
infark, tuberkuloma
Ro foto : TB paru.
mg/hr
Etambutol 15-25 mg/kgBB/hari max
2500mg/hr
Prednison 1-2 mg/kgBB/hari, selama 23 mgg, dilanjutkan dg tapp-off.