lapkas infeksi 2 iyasadadadadddddddd.pptx

FadhilElNaser 27 views 45 slides Jun 25, 2024
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About This Presentation

lapo


Slide Content

d r. Angela Lovena TB Paru Terdiagnosis Klinis pada DM tipe II Tidak Terkontrol dengan PPOK Eksaserbasi Akut

PENDAHULUAN

2x tingkat kematian 4x risiko TB relaps 2x risiko TB MDR 25 % populasi dunia telah terinfeksi MTB WHO: 10,6 juta orang menderita TB di seluruh dunia Asia tenggara 46%, afrika 23%, pasifik barat 18 % I ndonesia menempati urutan kedua (10%), setelah India (27%) 25% 46% 10 % INSIDEN TB 10% populasi dunia menderita DM 22,6% penderita TB juga menderita DM TB & DM

Tuberkulosis paru dan DM merupakan 2 penyakit yang s aling berkaitan dan saling mempengaruhi satu sama lain, baik dalam insiden kejadian , perjalanan penyakit , dan terapi pasien

ILUSTRASI KASUS

Pasien dalam pengobatan OAT fase lanjutan bulan ke 6 L aki-laki, 60 tahun D irawat dengan keluhan utama sesak napas meningkat RPD: - riwayat DM sejak 5 tahun - riwayat PPOK sejak 2 tahun R o toraks TCM MTB not detected 5 jan 24 jan 23 Feb 2 Agus ILUSTRASI KASUS R o toraks R o toraks PF: barrel chest Ekspirasi memanjang , wh +/+, rh +/+ Lab: GDS 202 Dx: TB paru kasus baru terdiagosis klinis dalam pengobatan OAT akhir bulan ke 6 ( perbaikan ), DM tipe 2 tidak terkontrol normoweight , PPOK eksaserbasi akut tipe moderate pada populasi E. Kultur MTB T idak ditemukan pertumbuhan bakteri MTB

OAT 2 FDC 1 x 4 tablet inj Levemir 1x14 iu Infus levofloxacin 1 x 750mg N ebu combivent 4 x 1 resp A minofilin 2 x 150 mg p.o N- acetilsistein 2 x 200 mg p.o 01 03 02 04 T erapi

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