Guideline-Stroke-2011

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