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    Antibiotik Meningitis 2018

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    Ciemotzz Ciewbo
    This document provides information on the treatment of meningitis, encephalitis, and meningoencephalitis. It lists the most common microorganisms that cause these conditions and their first-line and alternative drug treatments, along with treatment durations and dosages. It also outlines indications and drug dosages for treating encephalitis with or without seizures, as well as acute autoimmune encephalitis and herpes simplex encephalitis. Finally, it provides treatment stages and drug dosages for cryptococcal and bacterial meningoencephalitis.

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    Antibiotik Meningitis 2018

    Uploaded by

    Ciemotzz Ciewbo
    15 views3 pages
    This document provides information on the treatment of meningitis, encephalitis, and meningoencephalitis. It lists the most common microorganisms that cause these conditions and their first-line and alternative drug treatments, along with treatment durations and dosages. It also outlines indications and drug dosages for treating encephalitis with or without seizures, as well as acute autoimmune encephalitis and herpes simplex encephalitis. Finally, it provides treatment stages and drug dosages for cryptococcal and bacterial meningoencephalitis.

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    This document provides information on the treatment of meningitis, encephalitis, and meningoencephalitis. It lists the most common microorganisms that cause these conditions and their first-line and alternative drug treatments, along with treatment durations and dosages. It also outlines indications and drug dosages for treating encephalitis with or without seizures, as well as acute autoimmune encephalitis and herpes simplex encephalitis. Finally, it provides treatment stages and drug dosages for cryptococcal and bacterial meningoencephalitis.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    15 views3 pages

    Antibiotik Meningitis 2018

    Uploaded by

    Ciemotzz Ciewbo
    This document provides information on the treatment of meningitis, encephalitis, and meningoencephalitis. It lists the most common microorganisms that cause these conditions and their first-line and alternative drug treatments, along with treatment durations and dosages. It also outlines indications and drug dosages for treating encephalitis with or without seizures, as well as acute autoimmune encephalitis and herpes simplex encephalitis. Finally, it provides treatment stages and drug dosages for cryptococcal and bacterial meningoencephalitis.

    Copyright:

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    of 3

    Nama : Widi Cahya Utami

    NIM : FAB 118

    1. Tatalaksana Meningitis

    Mikroorganis First-Line Treatment Alternative Treatment Durasi Dosis


    me Treatmen
    t
    Streptococcus Penicillin G Cefotaxime/Ceftriaxon 10-14 Penicillin
    Pneumonia e hari 3g/6 jam
    Neisseria Penicillin G Cefotaxime/Ceftriaxon 7 hari Penicillin
    meningitidis e 3g/6 jam
    Haemophilus Cefotaxime/Ceftriaxo ampicillin 10 hari Ceftriaxon
    influenza ne e 2g / 12
    jam
    Cefotaxim
    e 3 g / 6
    jam
    Listeria Ampicillin Penicillin G, 14-21 Ampicillin
    monocytogene Moxifloxacin, hari 3 g/ 6 jam
    s
    Pseudomonas Ceftazidime Meropenem 14-21 Meropene
    aerogenosa hari m 2g/8
    jam
    Staphylococcu Ceftriaxon
    s aureus e 2g / 12
    MRSA Linezoid/Vancomycin Rifampicin+Vancomyc jam
    MSSA Cefotaxime/Ceftriaxo in Cefotaxim
    ne Cloxacillin e 3 g / 6
    jam
    Sumber: Hasbun R. Meningitis and Encephalitis:Management and Prevention,
    Houston: Springer, 2018.
    2. Tatalaksana Ensefalitis

    Indikasi Dosis Obat


    Ensefalitis dengan kejang / Status
    Epileptikus
    1st Line Lorazepam 0,1 mg/ kg IV per dosis,
    Midazolam 0.25 mg/kg IM, max 10 mg ,
    Diazepam 0.15 mg/kg IV , 10 mg per dose
    nd
    2 Line Fosphenytoin 20 mg PE/kg IV
    Levetiracetam 1,000–3,000 mg IV
    rd
    3 Line Propofol 1–2 mg/kg
    Phenobarbital 20 mg/kg IV
    Autoimmune ensefalitis akut
    1st Line Methylprednisolone 1,000 mg IV  3 5
    hari IV immunoglobulin, 0.4 g/kg IV  3 5
    hari
    nd
    2 Line Cyclophosphamide, body surface area x 800
    mg IV
    Herpes Simplex Ensefalitis Acyclovir, 10 mg/kg IV / 8 jam 14–21
    hari

    Sumber : Vankestan A, Geocardin R. Diagnosis and Management of Acute Encephalitis.


    America: John Hopkins Encephalitis Center, 2014.
    3. Tatalaksana Meningoensefalitis

    Stage Dosis Obat


    Pasien HIV (Cryptococcus) Fluconazole 400 mg/hari  8 minggu
    Pasien non HIV (Cryptococcus) Fluconazole 400–800 mg/ hari
    Streptococcus Pneumonia Penicillin G 3g/g jam  10-14 hari
    Neisseria meningitidis Penicillin G 3g/g jam  7 hari
    Haemophilus influenza Ceftriaxone 2g / 12 jam
    Cefotaxime 3 g / 6 jam
    Staphylococcus aureus
    MRSA Linezoid / Vancomycin --? 14 hari
    MSSA Oxacillin  14 hari
    Sumber: Hasbun R. Meningitis and Encephalitis:Management and Prevention,
    Houston: Springer, 2018.

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