materi pembicara pin xii papdi 2014 - diagnosis dan penatalaksanaan sepsis_147
DESCRIPTION
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Name : Lie Khie Chen
Birth : Jakarta
Graduates
MD : FMUI 1994
Internist : FMUI 2003
Consultant : FMUI 2006
PhD : FMUI 2014
Occupation
Internal Medicine Department
Tropical Medicine and Infectious Diseases Division
Interest
Sepsis
Antimicrobial Treatment
Antimicrobial Resistance
Fungal Infection
HIV and opportunistic infections
Curriculum Vitae
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Workshop PIN PAPDI 2014
Diagnosis dan Penatalaksanaan
Sepsis
Khie Chen
Tropical Medicine and Infectious Disease Division
Internal Medicine Department
Medical Faculty University of Indonesia
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SepsisClinical syndrome
Host responseto infection
Systemicprocess
Multi organ system affected
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Konsep Disfungsi dan Gagal Organ pada Sepsis
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The Major Networks of
the Host Response
Following Microbial
Challenge by PAMPs
(Pathogen Associated
Molecular Patterns) or
Tissue Injury by DAMPs
(Danger Associated
Molecular Patterns)
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Definisi Sepsis
SCCM/ESICM/ACCP/ATS/SIS 2001
Infeksi : terdokumentasiataususpek
Parameter umum:Suhu(temperatur rectal/ core>38,3oC)
Hipotermia (temperatur rektal/core90x/ menit atau
>2SD diatasnilai normal menurut umur
Takipnu >30x/ menit
Perubahanstatus mental/kesadaran
Edema ataubalancairan positif (>20ml/kg/24jam)
Hiperglikemia (glukosaplasma>110 mg/dl) tanpadiabetes
Parameter inflamasi: Lekositosis(Lekosit>12.000/ul)
Lekopenia(Lekosit10%
PeningkatanCRP > 2SD nilainormal
PeningkatanPCT > 2SD nilainormal
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Parameter hemodinamik:Hipotensiarterial
(tekanansistolik70%
Indekskardiak>3.5 l/menit/m2
Levy MM, Fink MF, Marshall JC, et al. 2001
SCCM/ESICM/ACCP/ATS/SIS international sepsis definition
confrences. Intensive Care Med 2003; 29: 530-8.