5.2 spo PMTCT.doc

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No. 28 T

No. 28 Telp/Fax.elp/Fax. (0731) 321785 / 323080 (0731) 321785 / 323080 1 / 1 /  STANDAR STANDAR PROSEDUR PROSEDUR OPERASIONAL OPERASIONAL Tanal #e$%&%

Tanal #e$%&% %tetap!an *leh+ %re!tur %tetap!an *leh+ %re!tur #u"ah Sa!%t ,"u" aerah Lahat #u"ah Sa!%t ,"u" aerah Lahat

dr.Hj LAELA CHOLIK, M.Kes dr.Hj LAELA CHOLIK, M.Kes

NI- 170032

NI- 17003220021220022002122002

Pe!er"#$ Pe!er"#$

1.

1. -en-ena!%t Hua!%t Hu"an I""an I""uno"unoe%%ene%%en  %ru%ru& (HI)& (HI)' aal' aalahah pena!%t an

pena!%t an %&e4a4!an oleh %&e4a4!an oleh $%ru& HI+ an "eneran $%ru& HI+ an "eneran &el&el %"un tu4uh+ &eh%na tera% anuan &%&te"

%"un tu4uh+ &eh%na tera% anuan &%&te" %"un tu4uh.%"un tu4uh. 2

2.. 66TTT T ((mother to child transmissionmother to child transmission)' tran&"%&% HI ar% %4u)' tran&"%&% HI ar% %4u !e ana! an apat tera% paa &aat !eha"%lan+ %ntra partu" !e ana! an apat tera% paa &aat !eha"%lan+ %ntra partu" an po&t partu". Tran&"%&% &eara $ert%!al %n% tera% paa 0 an po&t partu". Tran&"%&% &eara $ert%!al %n% tera% paa 0 !a&u& 4aru h%$ ana!.

!a&u& 4aru h%$ ana!. 3.

3. -r-roorra" a" --6T6TT (T ( Prevention mother to child tran Prevention mother to child transmissionsmission)) %t

%tuuuu!an !an untuntu! u! "en"eneerah rah trantran&"%&"%&% &% $%r$%ru& u& HI ar% HI ar% %4u %4u !e!e ana!.

ana!. .

. TaTanpa %nnpa %nter$enter$en&% r%&%!&% r%&%!o penuo penularan plaran paa ana! aa ana! tera% &tera% &e4e&ar 2e4e&ar 20909 5.

5. 5.

5. #%&%!o #%&%!o tran&"tran&"%&% $e%&% $ert%!al rt%!al apat apat %!uran%!uran% &a"% &a"pa% :2pa% :2 en enanan %n

%nterter$e$en&n&% % prproo%l%la!a!&%& &%& ;;##  aan n %%!o!o"4"4%n%na&%a&%!a!an n eennanan opera&% &e&ar an

opera&% &e&ar an t%a! "e"4er%!an ;SI.t%a! "e"4er%!an ;SI. E"#%&%!#

E"#%&%!#

HI a%tu $%ru& an terolon ala" !eluara retro$%ru& HI a%tu $%ru& an terolon ala" !eluara retro$%ru& &u4&u4 !elo"po! lent%$%ru&. ;a 2 t%pe a%tu HI1 < HI 2+ an =ala !elo"po! lent%$%ru&. ;a 2 t%pe a%tu HI1 < HI 2+ an =ala upunupun &tru!turna 4er4ea tap% eala !l%n%& an %t%"4ul!anna &ul%t

&tru!turna 4er4ea tap% eala !l%n%& an %t%"4ul!anna &ul%t %4ea!an. ;n

%4ea!an. ;nt%4o% an ter4entu! ar% !eua $%ru& t%4o% an ter4entu! ar% !eua $%ru& %n% apat 4erea!&%%n% apat 4erea!&% &%lan.

&%lan.

PREVENTION MOTHER TO CHILD TRANSMISSION (PMTCT)/ PREVENTION MOTHER TO CHILD TRANSMISSION (PMTCT)/

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RSUD LAHAT Jl. Letnan Harun Sohar I

No. 28 Telp/Fax. (0731) 321785 / 323080

PROFILAKSIS ANTIRETROVIRAL PADA BAYI DARI IBU HIV

No o!u"en No.#e$%&% Hala"an ' 2 / 

>LIS; enan 3 reaen an 4er4ea %%!ut% enan pe"er%!&aan !on%r"a&% (%""uno4lot atau %"unolore&en&). J%!a ha&%l neat% "a!a !e"un!%nan 4e&ar 4a% t%a! ter%ne!&% HI+ &ean!an 4%la po&%t% "a!a 4elu" tentu ter%ne!&% !arena ant%4o% "aternal apat terete!&% h%na 18 4ulan.

P$"%!ees#s HI "a&u! &el "elalu% "ole!ul  paa per"u!aan &el &epert% &el T an &el "a!roa tera% penurunan u"lah an anuan un&% &el T "elalu% ee! &%topat%! lan&un an ee! &%topat%! t%a! lan&un.

• >e! &%topat%! lan&un '

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L%&%& an !e"at%an &el T an tera% !arena pro&e& repl%!a&%

$%ru& ala" &el T

-

-en%"4unan N; $%ru& an t%a! ter%ntera&% !e eno" ho&t

-

Intera!&% antara "ole!ul ?p 120 HI an "ole!ul  %ntra &el

-

Ha"4atan "atura&% &el pre!ur&or T % ala" t%"u& &eh%na

&el ter&e4ut 4er!e"4an "ena% "atur+ &eh%na &el T per%er "enurun

• >e! &%topat%! t%a! lan&un '

-

-e"4entu!an &el &%n&%t%a

-

;popto&%& &el T rea!t%

-

e&tru!&% auto%"un an %%nu!&% HI

-

-eru4ahan prou!&% &%to!%n &eh%na "en%nu!&% ha"4atan

"atura&% &el pre!ur&or T &eh%na u"lah &el T per%er 4er!uran

ara penularan

-aa popula&% ana!9ana! rute penularan ha"p%r &e"uana "elalu% tran&"%&% $ert%!al. -enularan 4%&a tera% paa &aat %ntrauter%n (5910)+

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No. 28 Telp/Fax. (0731) 321785 / 323080 3 /  Be"' &##s (&$s##$s#) 9

A$*es#s I4u an aah "e"%l%!% r%&%!o HI an &uah %la!u!an &!r%n%n HI+ "%n%"al &erolo%&.

,&%a !eha"%lan+ peno4atan ;# an telah %apat!an oleh %4u.

Pe*er#s$$ #s# -e"antauan !eaaan u"u"+ &tatu& %@%+ aana %ne!&% oportun%&t%! (pneu"on%a P. jirovecii+ TA ll)+ ee! &a"p%n ;#

Kr#"er#$ D#$!%s#s 9 D#ere"#$& d#$!%s#s Pe*er#s$$ Pe'j$! 9 -enea!an %ano&%&' • u&%a :18 4ulan'

-

4%la ter&e%a' -# #N; (N;)

-

4%la &tatu& aah an %4u t%a! %!etahu%+ apat %la!u!an

pe"er%!&aan ant%4o% ant% HI &e4a%!na enan

• u&%a B18 4ulan'

-

ant%4o% HI

- !on%r"a&% ' =e&tern4lot atau -# #N;/N; (4%la aa)

-

pe"er%!&aan C untu! "el%hat &tatu& %"uno&upre&%

pe"er%!&aan arah tep% len!ap+ S?*T+ S?-T &e&ua% %n%!a&% untu! "el%hat ee! &a"p%n o4at

pe"er%!&aan %ne!&% oportun%&t%! an &er%n tera% 4er&a"aan enan %ne!&% HI (TA+ hepat%t%& A an )

pe"er%!&aan la%n (la4orator%u"+ pen%traan ll) an !on&ulta&% !e ahl% ter!a%t %&e&ua%!an enan %ne!&% oportun%&t%!.

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RSUD LAHAT Jl. Letnan Harun Sohar I

No. 28 Telp/Fax. (0731) 321785 / 323080

PROFILAKSIS ANTIRETROVIRAL PADA BAYI DARI IBU HIV

No o!u"en No.#e$%&% Hala"an '  / 

T$"$&$s$$ %!a"ar 4er&al%n'

• %la!u!an opera&% &e&ar

• &eera 4e&%h!an 4a% enan "e"atuh% !e=a&paaan un%$er&al

-ro%la!&%& ;# untu! 4a%

• &e&ua% enan re!o"ena&% DH* 2010 pe"4er%an @%o$u%n

&ela"a E "%nu enan o&%&'

u!up 4ulan' 2 "/!/o&%&  !al% &ehar "a&a e&ta&% : 3 "%nu'

2 "%nu I' 1+5 "/!/o&%& (2x &ehar%) 2 "%nu II' 1+5 "/!/o&%& (3x &ehar%) 2 "%nu III' 2 "/!/o&%& (x &ehar%)

Nutr%&%

•

Karena risiko transmisi melalui menyusui adalah

10-15% maka pemberian nutrisi yang dianjurkan

untuk memperkecil risiko transmisi HIV adalah

dengan pengganti AI!

•

"emberian pengganti AI harus memperhatikan

prinsip A#A $acceptabledapat diterima&

feasiblelayak& aordable terjangkau&

sustainableberkelanjutan& safeaman'

•

"ermberian nutrisi tidak dianjurkan dengan

mencampur kombinasi pengganti AI dan AI

I"un%&a&%

• -r%n&%p u"u"' t%a! "e"4er%!an %"un%&a&% 4%la terapat eala

HI.

• I"un%&a&% apat %4er%!an &e&ua% a=al+ peneual%an terhaap

A?

-ro%la!&%& %ne!&% oportun%&t%!

• -ro%la!&%& HI %la!u!an enan pe"4er%an !otr%"o!&a@ol

"ula% u&%a E "%nu enan o&%& 9E "/!/har% &e!al% &ehar% &et%ap har% &a"pa% 4a% t%a! ter4u!t% ter%ne!&% HI.

-e"antauan tu"4uh !e"4an

• -e"antauan tu"4uh !e"4an %la!u!an &et%ap !ununan

&epert% !ununan 4a% &ehat la%nna. 6on%tor%n/ !ununan (l%hat ta4el 1)

Ed'$s#

;n!a tran&"%&% HI apat %te!an &a"pa% !uran ar% 2 enan prora" -6TT+ &eh%na pent%n %la!u!an eu!a&% untu! "enalan% prora" -6TT &eara len!ap.

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