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Dibacakan: Juni 2019 Kepada Yth:

LAPORAN KASUS
(STASE WLINGI BULAN JUNI 2019)

NEONATUS ATERM DENGAN BIHA DAN IBU HEPATITIS B


POSITIF

Oleh :
Ade Habibi

Pembimbing :
dr. Brigitta Ida RVC, Sp.A(K), M.Kes
dr. Agustien Ratnawati, SpA
dr. M. Chabibi,Sp.A, M.Biomed
dr. Sri Sumei, Sp.A
dr. Hidayati Utami Dewi, Sp.A

PROGRAM PENDIDIKAN ILMU KESEHATAN ANAK


FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA
RUMAH SAKIT SAIFUL ANWAR MALANG
2019
DAFTAR ISI

DAFTAR ISI………………………………………………………… ............................. i


DAFTAR GAMBAR ................................................................................................ ii
DAFTAR TABEL .................................................................................................... iii
BAB I PENDAHULUAN ...................................................................................... 1
1.1 Latar belakang ......................................................................................... 1
1.2 Tujuan ...................................................................................................... 2
BAB II LAPORAN KASUS ................................................................................................ 3
2.1 Identitas ................................................................................................................ 3
2.2 Anamnesis ............................................................................................... 3
2.2.1 Keluhan utama .................................................................... 3
2.2.2 Riwayat penyakit sekarang .................................................. 3
2.2.3 Riwayat Maternal dan Kehamilan ........................................ 3
2.2.4 Riwayat penyakit keluarga ................................................... 4
2.2.5 Riwayat nutrisi ..................................................................... 4
2.2.6 Riwayat imunisasi ................................................................ 4
2.2.7 Riwayat sosial ekonomi ....................................................... 4
2.3 Pemeriksaan fisik .................................................................................... 4
2.4 Pemeriksaan penunjang .......................................................................... 6
2.5 Daftar permasalahan................................................................................ 7
2.6 Diagnosa ................................................................................................. 7
2.7 Terapi ...................................................................................................... 7
BAB III PEMBAHASAN ........................................................................................ 9
3.1 Human Imunodefisiensi Virus (HIV)........................................................... 9
3.1.1 Pencegahan Penularan HIV dari Ibu ke Anak ............................... 9
3.1.2 Penegakan Diagnosis HIV ............................................................ 12
3.1.3 Pencegahan Infeksi Oportunistik .................................................. 15
3.2 Hepatitis B ................................................................................................ 16
3.2.1 Faktor Resiko .............................................................................. 16
3.2.2 Persalinan pada ibu HbsAg positif ................................................ 17
3.2.3 Tatalaksana Bayi Lahir Dari Ibu Hepatitis B Poitif ......................... 17
BAB IV KESIMPULAN ........................................................................................................ 21
DAFTAR PUSTAKA............................................................................................... 22
DAFTAR GAMBAR

Gambar 2.1 Kurva Lubschenco sesuai Persentil 10-25 ................................................... 6


Gambar 3.1 Alur diagnosis Bayi Ibu dengan HIV AIDS ................................................... 13
Gambar 3.2 Kriteria menegakan diagnosis presumptif HIV pada anak < 18 bulan. ............. 14
DAFTAR TABEL

Tabel 3.1 Rekomendasi dosis zidovudin pada bayi yang disederhanakan ................. 11
Tabel 3.2 Rekomendasi pemberian arv pada bayi ...................................................... 11
Tabel 3.3 Indikasi memulai arv ................................................................................... 15
Tabel 3.4 Jadwal imunisasi bayi atau anak dengan hiv .............................................. 18
Tabel 3.5 Tatalaksana pemberian vaksin hepatitis B dan HBIG ................................. 19