Leptospirosis

Question 1

Nama Lain Leptospirosis

Answer 1

Mud Fever = Slime Fever = Swamp Fever = Field Fever

Question 2

Etio Leptospirosis

Answer 2

Leptospira interrogans

Question 3

Vektor Leptospirosis

Answer 3

Tikus (urin)

Question 4

FR Leptospirosis

Answer 4

Pembersih selokan, riwayat kebanjiran, pertanian

Question 5

Klinis Leptospirosis

Answer 5

Demam, nyeri m. gastrocnemius

Question 6

PP Leptospirosis

Answer 6

Awal → Darah rutin, SGOT/SGPT, Ur/Cr

Dark field microscope → kuman spiral bercahaya

Kultur darah

Gold Standard → Microscopic Agglutination Test (MAT)

Question 7

Klasifikasi Leptospirosis (2)

Answer 7

Leptospirosis ringan
Leptospirosis berat/Weil’s disease

Question 8

Leptospirosis ringan

Answer 8

Ikterik (-)

Question 9

Tx Leptospirosis ringan

Answer 9

Doksisiklin 2x100 mg 7 hari
Ampisilin 4x500 mg 7 hari
Amoksisilin 4x500 mg 7 hari

Do A A

Question 10

Leptospirosis berat/Weil’s disease

Answer 10

Ikterik (+)

Question 11

Tx Leptospirosis berat/Weil’s disease

Answer 11

Penicilin G 1,5jt IU/6 jam 7 hari
Ceftriaxone 1 g/hari 7 hari
Cefixime 1 g/hari 7 hari

Pe Ce Ce

Question 12

Profilaksis Leptospirosis

Answer 12

Doksisiklin 200 mg/minggu → 1-2 hari sebelum s/d tergantung kerja (seminggu atau terus menerus)