KencinaSAsSg Tikus
Transcript of KencinaSAsSg Tikus
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Kencing Tikus(leptospirosis)
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Cases of Leptospirosis in Malaysian Ministry of HealthHospitals 2004 to 2009 (Report of Morbidity and Mortality for Patients2004 to 2009, MOH Malaysia)
State 2004 2009
Perak 29 (4) 280 (19)
Selangor 16 (5) 208 (7)
Pahang 29 (1) 184 (5)
Kelantan 15 (1) 138 (4)Terengganu 7 (1) 126 (9)
Keah 15 (1) 106 (9)
!egeri Se"#ilan 27 (1) 91
Sara$ak 32 (2) 70 (4)
%ohor 30 (1) 59 (3)
&P K' 31 54
Sa#ah 13 (1) 35 (1)
P Pinang 9 32
elaka 7 (1) 20 (1)Perlis 2 (1) 1
ighest
NB : ( ) Death
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*ase *luster in ala+sia
,ear Place -etails
2000 Sabah Eo!Challen"e!Sabahinternational #$ltisporte%pe&ition rae' S CDC fo$n&0 o$t of *9 (42+) ha&
illnesses that #et ase&e,nition -hile 29 -ere
hospitalise&(Emerg Infect Dis 200./9():102!1)
20*0 H$ran Lip$r L$b$
3$ Maran
Deaths
(all a#on" res$e tea#
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A zoonotic disease
Caused byLeptospira interrogans
Geographically widespread
Most common in tropical and subtropicalareas with high rainfall
First detected in 1886 by Adolph Weil
ynonyms! "at fe#er$ mouse fe#er% rice field fe#er
&hat is 'e.tos.irosis/
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Reservoire of Infection
ats
-ogs
'ie stocks oents incluing
ra##its
&il ani"als *ats
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Leptospira interogans
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S+".to"s
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Treat"ent /nti#ioticsMost eeti5e if initiate& -ithin * -ee of &isease onsetMil&:
treate& as o$t!patient"i5en oral antibiotis
Drugs Adult Dose Children Dose
Doxycycline 100mg bd2 mg/kg/day in 2 equally
divided doses
Amoxycillin 1g qid 10 25 mg/kg tds
Ampicillin 1g qid 10 25mg/kg qid
Eyt!omycin 250 " 500 mg qid 10 " 25 mg/kg qid
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