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The Child With
an Infectious Disease
RUBELLA vs RUBEOLA
ROSEOLA INFANTUM
Soeroyo Machfudz
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Elsevier items and derived items 2007, 2002 by Saunders, an imprint of Elsevier Inc. Slide 2
RUBELLA = CAMPAK JERMAN
PENYAKIT MENULAR SERING PADA ANAK
GEJALA : RUAM2 RINGAN, DEMAM RINGAN,
PEMBESARAN & RASA NYERI PADA
KELENJAR ANAK BESAR & DEWASA : LEBIH BERAT DG
MANIFESTASI PD PERSENDIAN & PURPURA
PADA IBU : GANGG FERTILITAS, ABORTUS
HABITUALIS, PARTUS IMATUR/PREMATUR,
SINDROMA RUBELA
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SINDROMA RUBELLA
PENYAKIT JANTUNG KONGENITAL
KATARAKTA LENTIS
KELAINAN PADA OTAK
MUDAH TERKENA PNEUMONIA INTERSTISIAL
PANENSEFALITIS
GANGGUAN PERKEMBANGAN
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ETIOLOGI
VIRUS PLEOMORFIS YANGMENGANDUNG RNA
FAMILI TOGAVIRIDAE GENUS RUBIVIRUS
SELAMA SAKIT VIRUS BISA TERDAPAT DINASOFARING, DARAH, TINJA, AIR KEMIH
PENDERITA SUBKLINIS JUGA MENULAR
VIRUS DI NASOFARING DITEMUKAN 7HARI SEBELUM TIMBUL EKSANTEM
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EPIDEMIOLOGI
MANUSIA SATU2NYA PEJAMU ALAMIAH
PENYEBARAN DROPLET/ TRANSPLASENTA
PUNCAK INSIDEN 5-14 TH SEBELUM IMUNISSI
DAN SEKARANG PD REMAJA & DWS MUDA ANAK LAKI & PEREMPUAN INSIDEN SAMA
USA & NEGARA KONTINENTAL 80%, SEDANG
NEGARA KEPULAUAN 20%
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MANIFESTASI KLINIS
MASA INKUBASI : 1421 HARI
FASE PRODROMAL SINGKAT
KHAS: ADENOPATI RETROAURIKULER,
SERVIKAL POSTERIOR, POSTOKSIPITAL ENANTEM BERUPA BERCAK MERAH
MUDA TERPISAH PADA LANGIT2
LUNAK(nagayana spot)
EKSANTEM MULAI DARI WAJAH DAN
CEPAT MENYEBAR, EVOLUSINYA JUGA
CEPAT
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MANIFESTASI KLINIS (LANJUT..)
FARING & KONJUNGTIVA PERADANGAN
SPLENOMEGALI
POLIARTRITIS
ARTRALGIA
KADANG PARESTESIA
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PENGOBATAN
SIMPTOMATIS
MENINGKATKAN DAYA TAHAN
AMANTADIN (ADAMANTANAMIN
HIDROKLORIDA) INVITRO MENGHAMBATINFEKSI DINI SECARA EFEKTIF
TAPI INVIVO TIDAK MEMUASKAN
TIDAK BOLEH DIBERIKAN PD IBU HAMIL
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PENCEGAHAN
PASIF DENGAN SERUM IMUNOGLOBULIN(SIG), DOSIS 0.25-0.50/KG 7-8 HARI
SETELAH PEMAPARAN
AKTIF DENGAN RUBELLA, MMR, MUMPS-R, MEASLES-R.
DI USA SETIAP ANAK 15 BLN-REMAJA &
WANITA PUS TIDAK HAMIL
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EKSANTEMA SUBITUM
ROSEOLA INFANTUM
PENYAKIT AKUT, OK VIRUS, BAYI & ANAKMUDA,
DEMAM MENDADAK TAPI CEPAT
MENURUN, RUAM-RUAM SELURUH TUBUH DAN
CEPAT MENGHILANG,
TERJADI SPORADIS,
EPIDEMI
MASA INKUBASI 9-10 HARI
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EPIDEMIOLOGI
TIDAK TAHU PASTI, BELUM JELAS
MUSIM SEMI & GUGUR
LAKI-LAKI & PEREMPUAN SAMA
TERUTAMA PADA BAYI & ANAK MUDA (6-18 BULAN), TAPI BISA ANAK LEBIH TUA
DAN ORANG DEWASA
BISA BERSIFAT EPIDEMI
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MANIFESTASI KLINIS
MENDADAK DEMAM SEKITAR 40 C
BISA TERJADI KEJANG
PANAS TURUN, TIMBUL ERUPSI
MAKULER/MAKULOPAPULER DIMULAIDARI BADANDAN MENYEBAR KE LENGAN
DAN LEHER, MUKA, TUNGKAI DAN
SEBELUM 24 JAM SUDAH HILANG
TIDAK ADA HIPERPIGMENTASI
LIMFADENOPATI (POSTOKSIPITAL)
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PENCEGAHAN & PENGOBATAN
TIDAK ADA PENCEGAHAN SPESIFIK
BAYI & ANAK KECIL DG RISIKO KEJANG
MK DIBERI SEDATIVA PD AWITAN DEMAM
ANTIPIRETIK MAKAN & MINUM; ISTIRAHAT
PROGNOSIS BAIK
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RUBEOLA = CAMPAK
Inkubasi 911 hari
Stadium prodormal 1-3 hari
spt flu, foto pobia, konjungtivitis, batuk pilek
Stadium eksantem 4-6 haridari belakang telinga, muka, badan, ekstremitas
kopliksspot
Stadium rekonvalesen 7-28 harihiperpigmentasi
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PENCEGAHAN & PENGOBATAN
RUBEOLA = CAMPAK
Simptomatik
Suportif
Edukasi
Pencegahan : imunisasi campak a MMR
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KOMPLIKASI
BRONKOPNEUMONI
OMA
MENINGO-ENSEFALITIS
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Sifat yang sering dari Infeksi virus
Banyak timbul rash / eksantem
Sebagian ada gejala demam
Sebagian ada gejala pilek/ sperti flu
Sebagian transmisi kontak a droplet/ udara Sebagian bisa dicegah dg imunisasi
Penderita harus diisolasi tuk cegah penyebaran
Sebagian pengobatan hanya simptomatik Walau jarang, tapi bisa komplikasi ensefalitis
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Rubeola vs. Rubella
Red maculopapularrash that graduallyturns brownish
Begins behind ears athairline and spreadsdownward toward feet
Koplicks spots onbuccal mucosa
Pinkish maculopapular rash
Begins on face, neck, andscalp and spreads downward
to feet over a 3-day period As rash develops on a new
area, rash over previous areafades
Measles Rubella
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Rubeola vs. Rubella
Rubeola
Incubation period:
8 to 12 days
Infectious period: 3 to 5
days before rash
appearance to 4 days
after rash appearance
Transmission: direct
contact with droplets or
airborne particles(lesser degree)
Rubella
Incubation period:
14 to 21 days
Infectious period: 7 days
before onset of symptoms
to 14 days after rash
appearance
Transmission: direct
contact with droplets or
airborne particles,transplacental
transmission
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Rubeola vs. Rubella
Rubeola Most common complication
in children: secondarybacterial infections suchas otitis media, croup, or
bronchopneumoniaTherapeutic management:treatment is symptomaticand supportive in thenormal, healthy child
Research supports the useof vitamin A in some casesof childhood measles
Rubella Most common
complication in children:thrombocytopenia
Therapeutic management:
treatment is symptomaticand supportive in thenormal, healthy child
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RUBEOLA vs RUBELLA
PERAWATAN UNTUK SEMUA INFEKSI VIRUS
UPAYA MENGURANGI PENULARAN PD ANAK LAIN
PENGUKURAN SUHU & PEMAKAIAN OBAT PANAS
PEMAKAIAN SKIN CARE TUK CEGAH KERUSAKAN REKOMENDASI BED REST SELAMA MASA
PRODROMAL & FASE PANAS DARI INFEKSI
LAKUKAN CUCI TANGAN UTK MENCEGAH
PENYEBARAN INFEKSI
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Rubeola vs. Rubella
Child and family education: Educate parents regarding MMR vaccine
Family needs to be educated regarding thelength of time the child is contagious
No school until period of contagion haspassed
Child should not be around pregnant women
Teach good handwashing to prevent infectionspread
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Roseola Infantum (Sixth Disease)
Incubation period: estimatedat 9 to 10 days
Infectious period: thought to
extend from febrile stage until
the rash appears Transmission: Most likely
through secretions of
asymptomatic contacts
Most common complicationsin children: none reported
Erythematousmaculopapular
rash
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Roseola Infantum (Sixth Disease)
Family and child education: Family needs to be taught principles of fever
management
Do not administer aspirin or aspirin-containing products during illnessbecauseof the potential risks of developing Reyesyndrome
Knowledge regarding seizure precautionsin the event of a febrile seizure
Teach good handwashing to preventinfection spread
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TENGKYU