KEBIJAKAN TATA KELOLA HEPATITIS VIRUS.pptx
Transcript of KEBIJAKAN TATA KELOLA HEPATITIS VIRUS.pptx
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KEBIJAKAN TATA KELOLA HEPATITIS VIRUS
BASKORO SETIOPUTRO
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TUGASHepatitis A, B, C, D, EEtiologi, cara penularan, tanda & gejala,
masa inkubasi, diagnosis, pencegahan spesifik & non-spesifik, penangan penderita, epidemiologi
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Surveilans hepatitis
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Lanjutan…
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Lanjutan….
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Sistem kewaspadaan dini hepatitis AVirus hepatitis A dan E paling berpotensi
menimbulkan KLBJika ada kelompok penderita hepatitis A ->
waspada munculnya kasus baru dalam 2 bulan
KLB > 2 bulan terdapat beberapa sumber penularan
KLB hepatitis A biasa terjadi pada musim2 tertentu
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Penetapan KLB
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Lanjutan…
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Penyelidikan epidemiologi, tujuan:
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Langkah penyelidikan epidemiologi
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Lanjutan…
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Pemutusan rantai penularan
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Lanjutan…
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Pengembangan program hepatitis B
A. Penapisan hepatitis B pada ibu hamil1. Penanganan anak dan ibu dengan HBsAg (+)
Penularan dari ibu ke anak masih banyak Ketahui status HBsAg bumil -> dilakukan trimester
pertama Bumil HBsAg (+) & HBeAg (-) persalinan oleh
tenaga medis terlatih. Bayi <12 jam injeksi HBIG 0,5 ml & vaksin hepatitis B -> selanjutnya bulan 2, 3, 4 -> cek HBsAg & anti HBs saat bayi usia 9-12 bulan
Bumil positif HBsAg & HBeAg rujuk dokter ahli Ibu hepatitis B (+) disarankan tetap menyusui
2. Imunisasi anak yang lahir dari ibu dengan HBsAg (-)
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B. Pencegahan penularan pada keluarga/ tinggal serumah penderita hepatitis BRisiko penularan dari gunting kuku, sikat
gigi, pisau cukur, perlu edukasi meliputi:
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Lanjutan…
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C. Pencegahan penularan petugas medis
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Lanjutan…
•Vaksinasi tenaga medis (bulan 0, bulan 1, bulan 6)•Tenaga medis HBsAg (+) rujuk dokter ahli
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D. Pencegahan penularan pada PSK, orang denga pasangan seksual multipel, penyalahguna obat suntik
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E. Pencegahan pada populasi umum
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Lanjutan…
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F. Profilaksis setelah pajananHBIG single dose 0,06 ml/ kgBB maks 48
jam setelah pajananJika secara seksual maks 14 hari diikuti
imunisasi
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G. Terapi Interferon, Lamivudin, Adefovir, Telbivudin,
Entecavir, atau Tenofovir.
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Terimakasih…..