GUILDELINE STROKE PERDOSSI TAHUN 2011
GUILDELINE STROKE PERDOSSI TAHUN 2011
GUILDELINE STROKE PERDOSSI TAHUN 2011
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Terapi terhadap demam dengan pemberian antipiretik, misalnya parasetamol<br />
atau aspirin. Demam pada stroke akut mempengaruhi keluarga pasien.<br />
Pemberian antibiotika spektrum luas atau sesuai hasil laboratorium yang<br />
didapat.<br />
Pemberian antibiotika tidak boleh lebih dari 7 hari. 2<br />
Pilihan antibiotika meliputi:<br />
i. ISK bagian bawah<br />
o Cefixime, cotrimoxazole atau ofloxacin (SIGN, level of evidence 1<br />
+) atau Cefixime, Cotrimoxazole (Sulfamethoxazole 800 mg,<br />
Trimethoprim 160 mg), Ofloxasin.<br />
o Nitrofurantoin (SIGN, level of evidence 1++)<br />
ii. ISK bagian atas<br />
o Ciprofloxacin (SIGN, level of evidence 4).<br />
o Pivmecillinam (SIGN, level of evidence 1+)<br />
o Nitrofurantoin tidak efektif (SIGN, level of evidence 4)<br />
KEPUSTAKAAN<br />
1. Adams HP, Management of Patients with Recent Stroke, in principles<br />
Cerebrovaskular Disease, edited by McGraw Hill Medical, New York, 2007: 525-526.<br />
2. Scottish Intercollegiate Guidelines Network , Management of suspected bacterial<br />
urinary tract infection in adult. A national clinical guidline, online www.sign.AC.UK,<br />
July 2006; 12-16.<br />
3. Harm H, Halle E, Meisel A. Post-stroe Infections-Diagnosis Prediction, Prevention<br />
and Treatment to improve Patient Outcomes, Brain Trauma Stroke, Touch briefings<br />
2010:39:43.<br />
4. Beyer I, Mergam A, Benoit F, Theunissen C and Pepersack T, Management of urinary<br />
tract infection in the elder, SpringerLink-Journal Article vol 34, Number 2/April<br />
2001.<br />
2. Bronkopneumonia<br />
a. Pencegahan dan Deteksi<br />
Pemberian antibiotik profilaks tidak dianjurkan karena dapat memperburuk<br />
kondisi saat fase akut storke. 1<br />
61