Upload
abanvandiego
View
214
Download
0
Embed Size (px)
Citation preview
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
1/23
WRAP UP SKENARIO 1
BLOK INFEKSI DAN PENYAKIT TROPIK
“DEMAM SORE HARI”
KELOMPOK A-6
Ketua : Aka! F"t!"a#t$ %11&'&1(&1)*
Seke!ta!"+ : A#," Au"a A!" Nu!,e." %11&'&1(&'1*
A#//$ta : Aea#" Yu"ta+a!" %11&'&1(&&1*
A,"#u/!a0a Ata,"#ata %11&'&1(&1(*
A#//!"a#" Ra0a2u %11&'&1(&'(* A+a 3ea Ka!u#"a.a#%11&'&1(&)6*
A##"+a I4t"ta0u5a##a0 %11&'&1&))*
A!2 Fa,0"a0 A!"e4 %11&'&1&)7*
At"ka Au"a %11&'&1&6*
FAKULTAS KEDOKTERAN UNI8ERSITAS YARSI
9LLET9END SUPRAPTO;
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
2/23
I SKENARIO
Dea +$!e 0a!"
Se$!a#/ .a#"ta )& ta0u#; e#/aa" ,ea +e5ak 1"#//u 2a#/ au Dea ,"!a+aka# e"0 t"#//"
>a,a +$!e 0a!" ,a# aa 0a!" ,"a#,"#/ka# ,e#/a# >a/" 0a!" Pa,a >ee!"k+aa# 4"+"k ke+a,a!a#
+$#$e#; #a," !a,"ka!,"a; +u0u tuu0 0">e!>"!ek+"a %>e#/uku!a# 5a '&&& WIB*; ",a0 te!"0at
k$t$! %coated tounge) D$kte! e#2a!a#ka# >ee!"k+aa# ,a!a0 u#tuk ea#tu e#e/akka#
,"a/#$+"+ ,a# ?a!a >e#a#/a#a##2a
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
3/23
II Kata +u"t
1 S$#$e# : >e#u!u#a# ke+a,a!a# +e>e!t" e#/a
' H">e!>"!ek+"a : kea,aa# +u0u tuu0 ee"0" 1;'$< ; ka!e#a akte!" /!a #e/at"4
) a,a +$!e 0a!"
) A>a 5e#"+ ,ea te!+eut
Ke#a>a ,ea e#2eaka# #a," !a,"ka!,"a
( Ba/a"a#a >e#?e/a0a# ,a# >e#a#/a#a##2a
6 Ke#a>a ",a0#2a "+a k$t$!
A>a e4ek ,a!" 0">e!>"!ek+"a
C Ke#a>a >a+"e# ,",a>at" ke+a,a!a##2a +$#$e#7 Ba/a"a#a k$>e#+a+" tuu0 te!0a,a> ,ea
1& Pee!"k+aa# a>a 2a#/ ,a>at ,"akuka#
11 A>aka0 0">e!>"!ek+"a ,a>at ,"+eaka# $e0 akte!" /!a >$+"t"4
I8 9a.aa#
1 ka!e#a "k!$$!/a#"+e a+uk ke ,aa tuu0
- e4ek ,a!" $at-$ata#
- "#4aa+"
- +u0u "#/ku#/a# 2a#/ ek+t!"
' ka!e#a >a,a +$!e 0a!"; eta$"+e tuu0 +e,a#/ !e#,a0 +e0"#//a akte!" "+a a+uk ,e#/a#
u,a0
) ,ea !e"tte# : 4uktua+" +u00u tuu0 ee"0" &;($< >e! ' 5a
- ,ea k$#t"#2u : 4uktua+" +u0u tuu0 t",ak ee"0" &;$< ; +eaka#-aka# teta>
- ,ea +e>t"k : >e!e,aa# >u#?ak +u0u te!t"#//" ,a# +u0u te!e#,a0 +a#/at +"/#"4"ka#
- ,ea "#te!"tte# : +u0u tuu0 #a"k tu!u# +e>a#5a#/ 0a!"
- ,ea !ea>+ : ,ea 2a#/ ,""kut" >e!"$,e ea+ ,ea u#tuk ee!a>a 0a!" keu,"a#
,""kut" $e0 ke#a"ka# +u0u +e>e!t" +eua
ka!e#a a,a +"4at k0u+u+ ,a!" akte!" 2a#/ e#2e!a#/ "$ka!,
( e#5a/a kee!+"0a# ,a# e#5a/a >$a aka#
6 ka!e#a a,a akte!"
+$#$e#; #a," !a,"ka!,"
C ka!e#a >a#a+ t"#//" ,a# #a," !a,"ka!,"
7 !e+>$# tuu0 e#//"/" !e+>$# "u#
1& >ee!"k+aa# ,a!a0
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
4/23
- te+ .",a
11 t",ak; ka!e#a akte!" /!a >$+"t"4 t",ak e""k" !e+>$# ,ea
8 H">$te+a
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
5/23
Dea +$!e 0a!" ,e#/a# ta#,a 0">e!>"!ek+"a ,"a#a kea,aa# +u0u tuu0 ee"0" 1;'$aka# "#,"ka+" ,a!" a,a#2a
akte!" /!a #e/at"4; 2a"tu Salmonella typhi 2a#/ e#2eaka# ,ea t2>0$",
8I Sa+a!a# Bea5a!
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
6/23
LI 1 Mea0a" ,a# Me#5ea+ka# te#ta#/ ,ea
LO 11 De4"#"+" ,ea
LO 1' P$a ,ea
LO 1) Et"$$/" ,ea
LO 1 Pat$/e#e+"+ ,ea
LI ' Mea0a" ,a# Me#5ea+ka# te#ta#/ akte!" Salmonella
LO '1 St!uktu!
LO '' Ka+"4"ka+"
LO ') T!a#+"+"
LI ) Mea0a" ,a# Me#5ea+ka# te#ta#/ Dea T2>0$",
LO )1 De4"#"+" ,a# et"$$/"
LO )' E>",e"$$/"
LO )) Pat$/e#e+"+
LO ) P!$/#$+"+
LO )( D"a/#$+"+
LO )6 Tataak+a#a
LO ) K$>"ka+"
LO )C Pe#?e/a0a#
LI Mea0a" ,a# Me#5ea+ka# a#t""$t"k >a,a Dea T2>0$",
LO 1 4a!ak$k"#et"k ,a# 4a!ak$,"#a"k
LO ' e4ek +a>"#/
LO ) k$#t!a"#,"ka+"
VII. Pea0a+a#
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
7/23
LI 1 Mea0a" ,a# e#5ea+ka# te#ta#/ Dea
LO 11 ,e4"#"+" ,ea
Dea a,aa0 >e#"#/kata# +u0u tuu0 ,"ata+ #$!a ,a>at ,"+eaka# $e0 +t!e++ 4"+"$$/"kSe>e!t" $ua+"; +ek!e+" 0$!$# t"!$", e!e"0a#; $a0 !a/a e!at; +a>a" e+" +"+te +a!a4 >u+at; atau
"#4ek+" $e0 "k!$$!/a#"+e Atau >a,a >e5au >!$+e+ #$#-"#4ek+"; +e>e!t" !a,a#/ atau >ee>a+a#
a0a#-a0a# te!te#tu; +e>e!t" >a,a euk""a Su0u >a+"e# "a+a#2a ,uku! ,e#/a# te!$ete! a"!
!ak+a; ,a# te>at >e#/a"a##2a ," ak+"a; $!a atau !ektu B"a+a#2a te!,a>at >e!e,aa# a#ta!a
>e#/uku!a# +u0u ak+"a ,a# $!a au>u# !ekta Daa kea,aaa# "a+a >e!e,aa# "#" e!k"+a! &( $?;
>a,a !ekta e"0 t"#//" ,a!">a,a +u0u $!a Su0u tuu0 #$!a e!k"+a! )6;($? );'$? H">e!>"!ek+"a
a,aa0 +uat kea,aa# ke#a"ka# +u0u tuu0 +a>a" +et"#//" 1;'$?; +e,a#/ka# 0">$te!"a a,aa0
kea,aa# +u0u tuu0 ,"a.a0 )($?
LO 1' P$a ,ea
Te>at >e#/uku!a#
9e#"+ te!$ete! Re#ta#/G !e!ata+u0u #$!a
%$
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
8/23
1 Dea +e>t"k
Pa,a t">e ,ea +e>t"k; +u0u a,a# e!a#/+u! #a"k ke t"#/kat 2a#/ t"#//" +eka" >a,a aa 0a!" ,a#
tu!u# kea" ke t"#/kat ,"a ata+ #$!a >a,a >a/" 0a!" Se!"#/ ,"+e!ta" keu0a# e#//"/" ,a#
e!ke!"#/at B"a ,ea t"#//" te!+eut tu!u# ke t"#/kat 2a#/ #$!a ,"#aaka# 5u/a ,ea 0ekt"k
' Dea !e"te#
Su0u a,a# ,a>at tu!u# +et"a> 0a!" teta>" t",ak >e!#a0 e#?a>a" +u0u a,a# #$!a Pe!e,aa#
ke#a"ka# +u0u t",ak +ee+a! ,ea +e>t"k
) Dea "#te!"te#
Su0u ,a# tu!u# ke t"#/kat #$!a +eaa ee!a>a 5a ,aa +atu 0a!" B"a ,ea "#" te!5a," +et"a>
,ua 0a!" +eka" ,"+eut te!+"a#a ; ,a# "a te!5a," ,ua 0a!" ea+ ,ea ," a#ta!a ,ua +e!a#/a# ,ea
,"+eut kua!ta#a a#5a#/ 0a!" t",ak e!e,a e"0 ,a!" +atu ,e!a5at Pa,a t"#/kat ,ea 2a#/ te!u+e#e!u+ t"#//" ,"+eut 0">e!>"!ek+"a
( Dea +"k"k
Ke#a"ka# +u0u a,a# +eaa ee!a>a 0a!" 2a#/ ,""kut" $e0 >e!"$,e ea+ ,ea u#tuk ee!a>a
0a!" keu,"a# ,""kut" $e0 ke#a"ka# +u0u +e>e!t" +eua
LO 1) Et"$$/" ,ea
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
9/23
Dea uu#2a te!5a," ak"at a,a#2a /a#//ua# >a,a 0">$taau+ Pe#2ea#2a ,"a/"
e#5a," ' 2a"tu e!a+a ,a!" "#4ek+" ,a# #$# "#4ek+" :
Et"$$/" I#4ek+"
a I#4ek+" +au!a# >e!#a>a+a
Fa!"#/"t"+
? I#4ek+" "!u+ e#te!"?
, Reak+" ak+"#a+"
e I#4ek+" +au!a# ke"0
4 P#eu$#"a
/ Ba?te!e"a
0 Me#"#/"t"+
" O+te$2e"t"+
5 A!t!"t"+ +e>t"k
k 3a#//ua# "u#$$/"
,e0",!a+"
Et"$$/" N$# I#4ek+"
a Ne$>a+a
Nek!$+"+ 9a!"#/a#
? Kea"#a# K$a/e# 8a+kua!
, E$" Pa!u = T!$$+"+ e#a ,aa
e Oat ; eta$"+; ,4 Ke!a?u#a# atau $e! ,$+"+ $at
Dea ka!e#a "#4ek+" %e@: "#4ek+"+au!a#ke#?"#/; "#4ek+"+au!a#?e!#a; ,* ,a# >a,a k$#,"+"
#$#-"#4ek+";,ea ,a>at ,"+eaka# $e0 kea,aa# t$k+e"a; ke/a#a+a#; atau !eak+" te!0a,a>
>eaka"a# $at3a#//ua# >a,a >u+at !e/ua+" +u0u +e#t!a 5u/a ,a>at e#2eaka# >e#"#/kata#
te>e!atu! +e>e!t" 0eat +t!$ke; >e!,a!a0a# $tak; k$a; ,Pa,a >e!,a!a0a# "#te!#a >a,a +aat
te!5a,"#2a !ea+$!+" ,a!a0 ,a>at >ua e#2eaka# >e#"#/kata# te>e!atu!
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
10/23
Infeksi atauperadangan
Makrofag
PirogenEndoge
nProstaglandin
Meningkatkantitik patokanhipotalamus
Inisiasi
Respondingin
Meningkatkan
Produksi Panasdan Mengurangi
PengeluaranPanas
Meningkatkan suhutubuh ke
titik patokanbaru =demam
LO 1 Pat$/e#e+"+ ,ea
Dea 2a#/ ,"+eaka# $e0 kua# "aa0 ,e#/a# te!5a,"#2a >e#/eua!a# e#,$t$k+"#
">$>$"+aka!",a 2a#/ e!a+a ,a!" ,"#,"#/ +e kua#; "#" a,aa0 ata+ >e#/a!u0 #eut!$>0"; ,a# +e-+e
a"# ,a# e!a#/+a#/ "$+"#te+"+ >"!$/e# e#,$/e# Keu,"a# a+uk ke ,aa +u+u#a# +a!a4 >u+at;
+e0"#//a e!a/+a#/ >ee>a+a# >!$+ta/a#,"# 2a#/ e!ua0 +et >$"#t >a,a 0">$taau+ Se0"//a
+ta#,a! #$!a >a#a+ tuu0 a#u+"a e#5a," e"0 t"#//" ,a!" #$!a
1 9au! P!$+ta/a#,"# : Pe#"#/kata# +u0u tuu0 e!0uu#/a# a#/+u#/ ,e#/a# t"#/kat +"t$k"# >"!$/e#
2a#/ ,">!$,uk+" u#tuk e#/ata+" e!a/a" !a#/+a#/ Ra#/+a#/a# ek+$/e# +e>e!t" ek+$t$k+"# ,a#
e#,$t$k+"# e#/"#,uk+" euk$+"t u#tuk e#/eua!ka# >"!$/e# e#,$/e# ,a# 2a#/ >$te# ,"a#ta!a#2a
a,aa0 IL-1; IL-6; TNF %tuu$! #e?!$+"+ 4a?t$!*; ,a# IFN %"#te!4e!$#* P"!$/e# e#,$/e# "#" aka# eke!5a >a,a +"+te +2a!a4 >u+at >a,a t"#/kat O!/a#u 8a+?u$+u La"#ae Te!"#a"+ % O8LT *
2a#/ ,"ke""#/" $e0 a/"a# e,"a ,a# ate!a #u?eu+ >!e$>t"k; 0">$taau+ a#te!"$!; ,a# +e>tu
>au+$u Sea/a" !e+>$# te!0a,a> +"t$k"# te!+eut aka >a,a O8LT te!5a," +"#te+"+ >!$+ta/a#,"#;
te!utaa >!$+ta/a#,"# E' eau" eta$"+e a+a a!ak",$#at 5au! +"k$$k+"/e#a+e ' % !$,uk $ka
a?!$>0a/e "#4aat$!2 >!$te"#-1 %MIP-1*; +uatu ke$k"# 2a#/ eke!5a +e?a!a a#/+u#/ te!0a,a>
0">$taau+ a#te!"$!; ,ea eau" akt""ta+ MIP-1 t",ak ,a>at ,"0aat $e0 a#t">"!et"k
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
11/23
LI ' Mea0a" ,a# e#5ea+ka# te#ta#/ akte!" Salmonella
LO '1 +t!uktu!
Be!e#tuk ata#/; t",ak e!+>$!a; e!+"4at #e/at"4 >a,a >e.a!#aa# 3!a
Uku!a# Sa$#ea e!a!"a+" 1);( J @ &;(&;C J
Be+a! k$$#" !ata-!ata '
Sea/"a# e+a! "+$at $t" ,e#/a# 4a/e >e!"t!"k
Tuu0 >a,a +ua+a#a ae!$ ,a# 4akutat"4 a#ae!$ >a,a +u0u 1(1 < %+u0u >e!tuu0a# $>t"a
);( H >e!tuu0a# 6C
Mu,a0 tuu0 >a,a e,"u +e,e!0a#a; "+a#2a /a!a e>e,u
T",ak ,a>at tuu0 ,aa a!uta# K
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
12/23
A#t"/e# 8" atau K: te!etak ," ua! a#t"/e# O; e!u>aka# >$"+aka!",a ,a# 2a#/ a"##2a e!u>aka#
>!$te"# A#t"/e# K ,a>at e#//a#//u a/ut"#a+" ,e#/a# a#t"+e!u O; ,a# ,a>at e!0uu#/a# ,e#/a#
"!ue#+" Da>at ,"",e#t"4"ka+" ,e#/a# u5" >ee#/kaka# ka>+u ,e#/a# a#t"+e!u +>e+"4"k
A#t"/e# H: te!,a>at ," 4a/e ,a# ,",e#atu!a+" atau ,"!u+ak $e0 >a#a+ ,a# ak$0$ A#t"/e#
,">e!ta0a#ka# ,e#/a# ee!"ka# 4$!a"# >a,a ee!a>a akte!" 2a#/ $t" A#t"/e# H
e!a/ut"#a+" ,e#/a# a#t"-H ,a# I/3 Pe#e#tu ,aa a#t"/e# H a,aa0 4u#/+" +ekue#+ a+a a"#$ >a,a >!$te"# 4a/e %4a/e"#* A#t"/e# H >a,a >e!ukaa# akte!" ,a>at e#//a#//u a/ut"#a+"
,e#/a# a#t"$," a#t"/e# O
O!/a#"+e ,a>at ke0"a#/a# a#t"/e# H ,a# e#5a," t",ak $t"
Ke0"a#/a# a#t"/e# O ,a>at e#"uka# >e!ua0a# e#tuk k$$#" 2a#/ 0au+ e#5a," ka+a!
A#t"/e# 8" atau K ,a>at 0"a#/ +ea/"a# atau +eu!u0#2a ,aa >!$+e+ t!a#+,uk+"
LO '' ka+"4"ka+"
K"#/,$ : Bakte!"a
P02u : P!$te$akte!"a
e?"e+ : Sa$#ea t02>$+a
Se?a!a >!akt"+ +a$#ea ,a>at ,"a/" e#5a,":
Sa$#ea t"4$", 2a"tu Sa$#ea t2>0"; S>a!at2>0" A; B; ,a# < >e#2ea ,ea e#te!"? %t2>0$",*
>a,a a#u+"a Ke$>$k "#" tea0 e!a,a>ta+" >a,a a#u+"a
Sa$#ea #$#-t"4$", 2a"tu S Du"# %+a>"*; S ?0$e!a +u"+ %a"* ; S/a"#a!u ,a# S>ua!u
%u#//a+*; Sa$!"u+ eu" %ku,a* ,a# S a$!"u+ $"+ %,$a* Sa$#ea +> 2a#/ e!a,a>ta+" >a,a
5e#"+ 0e.a# te!te#tu 5a!a#/ e#"uka# >e#2ak"t >a,a a#u+"a
LO ') t!a#+"+"
Ma#u+"a te!"#4ek+" Sa$#ea t2>0" +e?a!a 4e?a-$!a T",ak +eau Sa$#ea t2>0" 2a#/ a+uk ke
+au!a# ?e!#a aka# e#2eaka# "#4ek+" ka!e#a u#tuk e#"uka# "#4ek+"; Sa$#ea t2>0" 0a!u+
,a>at e#?a>a" u+u+ 0au+ Saa0 +atu 4akt$! >e#t"#/ 2a#/ e#/0aa#/" Sa$#ea t2>0" e#?a>a"
u+u+ 0au+ a,aa0 kea+aa# au#/ B"a kea+aa# au#/ e!ku!a#/ atau aka#a# te!au ?e>atee.at" au#/; aka 0a "#" aka# eu,a0ka# "#4ek+" Sa$#ea t2>0"
LI ) Mea0a" ,a# e#5ea+ka# te#ta#/ ,ea t2>0$",
LO )1 ,e4"#"+"
Dea t"4$", a,aa0 "#4ek+" akut >a,a +au!a# >e#?e!#aa# 2a#/ ,"+eaka# $e0 +a$#ea
t2>0" Dea >a!at"4$", a,aa0 >e#2ak"t +e5e#"+ 2a#/ ,"+eaka# $e0 +a$#ea >a!at2>0" A; B; e#2ak"t te!+eut 0a>"! +aa; teta>" e#"4e+ta+" k"#"+ >a!at"4$", e"0
!"#/a# Ke,ua >e#2ak"t te!+eut ,"+eut t"4$",
%W",$2$#$ '&&( Pe#2ak"t T!$>"+ 9aka!ta : E!a#//a*
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
13/23
T02>u+ a,$"#a"+; >e#2ea#2a "aa0 +a$#ea t02>$+a Daa a+2a!akat ,"ke#a
+ea/a" t02>u+ teta>" ,aa ,u#"a ke,"kte!a# ,"+eut t02>$", 4ee!; atau t02>u+ a,$"#a"+G ka!e#a
>a,a uu#2a kua# e#2e!a#/ u+u+; aka u+u+ "a+ 5a," ka# ,a# e#2eaka# >e#,a!a0a#
+e!ta "a+ >ua te!5a," ke$?$!a# u+u+
LO )' e>",e"$$/"
Dea t"4$", ,a>at e#/"#4ek+" +eua $!a#/ ,a# t",ak a,a >e!e,aa# 2a#/ #2ata a#ta!a "#+",e#
>a,a ak"-ak" ,a# >e!e>ua# I#+",e# >a+"e# ,ea t"4$", ,e#/a# u+"a 1' )& ta0u# & C& ; u+"a
)1 & ta0u# 1& '& ; u+"a & ta0u# ( 1&
I#+",e#+ ,ea t2>0$", 2a#/ te!/$$#/ t"#//" te!5a," ," a+"a te#/a0; a+"a +eata#; a+"a te#//a!a; ,a#
keu#/k"#a# a4!"ka +eata# %"#+",e#+ 1&& ka+u+ >e! 1&&&&& >$>ua+" >e! ta0u#* I#+",e# ,ea
t2>0$", 2a#/ te!/$$#/ +e,a#/ e!a,a ," ."a2a0 a4!"ka; ae!"ka at"#; ,a# $?ea#"a %1&-1&& ka+u+ >e!
1&&&&& >$>ua+" >e! ta0u#* I#+",e# ," a/"a# ,u#"a a"##2a te!#a+uk 2a#/ !e#,a0 %1& ka+u+ >e!
1&&&&& >$>ua+" >e! ta0u#*
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
14/23
LO )) >at$/e#e+"+
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
15/23
Ma#u+"a 2a#/ te!"#4ek+" akte!" Sa$#ea T2>0" ,a>at e#/ek+k!e+"ka##2a eau" +ek!et +au!a#
#a4a+; u!"# ,a# t"#5a ,aa 5a#/ka .aktu 2a#/ e!a!"a+"Pat$/e#e+"+ ,ea t"4$", e"atka#
>!$+e+ ua" ,a!" >e#e>ea# akte!" ke ue# u+u+; akte!" e!ut">"ka+" ," ak!$4a/ Pe2e!+
>at?0; e!ta0a# 0",u> ," a"!a# ,a!a0 ,a# e#/0a+"ka# e#te!$t$k+"# 2a#/ e#2eaka# keua!#2a
eekt!$"t ,a# a"! ke ue# "#te+t"#a Bakte!" Sa$#ea T2>0" e!+aa aka#a# atau "#ua#
a+uk ke ,aa tuu0 eau" uut
Pa,a +aat ee.at" au#/ ,e#/a# +ua+a#a a+a a#2ak akte!" 2a#/ at"Bakte!" 2a#/ a+"0
0",u> aka# e#?a>a" u+u+ 0au+; eekat >a,a +e uk$+a keu,"a# e#/"#a+" ,a# e#eu+
,"#,"#/ u+u+ te>at#2a ," "eu ,a# 2e2u#u Se M; +e e>"te 2a#/ ea>"+" Pe2e!+ >at?0e!u>aka# te>at e!ta0a# 0",u> ,a# ut">"ka+" Sa$#ea T2>0" Bakte!" e#?a>a" 4$"ke "4e
u+u+ 0au+ e#"uka# tukak >a,a uk$+a u+u+Tukak ,a>at e#/ak"atka# >e!,a!a0a# ,a#
>e!4$!a+" u+u+ Keu,"a# e#/"kut" a"!a# ke kee#5a! "4e e+e#te!"ka a0ka# a,a 2a#/ ee.at"
+"!kua+" +"+te"k +a>a" ke 5a!"#/a# Ret"?u$ E#,$t0e"a S2+te %RES* ," $!/a# 0at" ,a#
">aSetea0 >e!"$,e "#kua+"; Sa$#ea T2>0" keua! ,a!" 0a"tat#2a eau" ,uktu+ t$!a+"ku+
a+uk ke +"!kua+" +"+te"k e#?a>a" 0at"; ">a; +u+u tua#/; ka#,u#/ e>e,u ,a# Pe2e!+ >at?0
,a!" "eu te!"#a
Ek+k!e+" akte!" ," e>e,u ,a>at e#/"#a+" ua#/ ,"#,"#/ u+u+ atau ,"keua!ka# eau" 4e+e+
E#,$t$k+"# e!a#/+a#/ ak!$4a/ ," 0at"; ">a; kee#5a! "4$", "#te+t"#a ,a# e+e#te!"ka u#tuk
ee>a+ka# >!$,uk#2a 2a#/ +e?a!a $ka e#2eaka# #ek!$+"+ "#te+t"#a atau>u# +e 0at" ,a# +e?a!a
+"+te"k e#2eaka# /e5aa k"#"+ >a,a ,ea t"4$", Pe#ua!a# Sa$#ea T2>0" +ea/"a# e+a!
5au! 4eka $!a; 2a"tu eau" aka#a# atau "#ua# 2a#/ te!?ea! $e0 akte!" 2a#/ e!a+a ,a!"
>e#,e!"ta atau >ea.a kua#; "a+a#2a keua! e!+aa ,e#/a# 4e+e+Da>at 5u/a te!5a," t!a#+"+"
t!a#+>a+e#ta ,a!" +e$!a#/ "u 0a" 2a#/ e!a,a >a,a kea,aa# akte!""a ke>a,a a2"#2a
Ma+a tu#a+ e!a!"a+" a#ta!a ); ,a# 0a!" Pe#2ak"t t",ak ,at"#/ +eka"/u+; teta>" ,ata#/#2a e!a#/+u!
,",a0uu" ,e#/a# +ak"t ke>aa; a,a# e+u; ka,a#/-ka,a#/ ,"+e!ta" atuk; ,a# +ak"t >e!ut Daa
"#/u >e!taa +u0u tuu0 e#"#//" +e?a!a e!t"#/kat +e>e!t" 5e#5a#/ e!a#/+u +a>a" e#?a>a" )C-
&a,a kee#5a! u+u+ 0au+; ,aa "#//u ke,ua aka# te!5a,"
>e#a#a0a# ,aa u+u+ 0au+ te!+eut Da# >a,a "#//u ket"/a >e!ut aka# te!a+a +ak"t +eka"
Pe!"$,e ,ea t2>0$",:
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
16/23
- M"#//u Pe!taa %a.a te!"#4ek+"*
Setea0 ee.at" a+a "#kua+" 1&-1 0a!"; /e5aa >e#2ak"t "tu >a,a a.a#2a +aa ,e#/a# >e#2ak"t
"#4ek+" akut 2a#/ a"#; +e>e!t" ,ea t"#//" 2a#/ e!>a#5a#/a# 2a"tu +et"#//" )7$? 0"#//a &$?; +ak"t
ke>aa; >u+"#/; >e/a->e/a; a#$!ek+"a; ua; u#ta0; atuk; ,e#/a# #a," a#ta!a C&-1&& ka" >e!e#"t;
,e#2ut ea0; >e!#a>a+a# +eak"# ?e>at ,e#/a# /aa!a# !$#k"t"+ kata!a; >e!ut keu#/ ,a#
e!a+a tak e#ak;+e,a#/ka# ,"a!e ,a# +ee"t +""0 e!/a#t" Pa,a ak0"! "#//u >e!taa; ,"a!e e"0+e!"#/ te!5a," Rua ku"t %!a+0* uu#2a te!5a," >a,a 0a!" ketu5u0 ,a# te!ata+ >a,a a,$e#
,"+aa0 +atu +"+" ,a# t",ak e!ata; e!?ak-e!?ak !$+ %!$+e$a* e!a#/+u#/ )-( 0a!"; keu,"a# 0"a#/
,e#/a# +e>u!#a R$+e$a te!5a," te!utaa >a,a >e#,e!"ta /$$#/a# ku"t >ut"0 2a"tu e!u>a akua
e!a0 tua uku!a# '- ; e!ke$>$k; t"u >a"#/ +e!"#/ >a,a ku"t >e!ut; e#/a# ata+ atau ,a,a
a/"a# a.a0; ke"0ata# eu?at "a ,"teka# L">a e#5a," te!aa ,a# a,$e# e#/aa"
,"+te#+"
- M"#//u Ke,ua
9"ka >a,a "#//u >e!taa; +u0u tuu0 e!a#/+u!-a#/+u! e#"#/kat +et"a> 0a!"; 2a#/ "a+a#2a
e#u!u# >a,a >a/" 0a!" keu,"a# e#"#/kat >a,a +$!e atau aa 0a!" Ka!e#a "tu; >a,a "#//uke,ua +u0u tuu0 >e#,e!"ta te!u+ e#e!u+ ,aa kea,aa# t"#//" %,ea* Su0u a,a# 2a#/ t"#//";
,e#/a# >e#u!u#a# +e,"k"t >a,a >a/" 0a!" e!a#/+u#/ Te!5a," >e!aata# !eat"4 #a," >e#,e!"ta Ya#/
+ee+t"#2a #a," e#"#/kat e!+aa ,e#/a# >e#"#/kata# +u0u; +aat "#" !eat"4 #a," e"0 aat
,"a#,"#/ka# >e#"#/kata# +u0u tuu0 3e5aa t$k+e"a +eak"# e!at 2a#/ ,"ta#,a" ,e#/a# kea,aa#
>e#,e!"ta 2a#/ e#/aa" ,e"!"u 3a#//ua# >e#,e#/a!a# uu#2a te!5a," L",a0 ta>ak
ke!"#/;e!a0 e#/k"at Na," +eak"# ?e>at +e,a#/ka# teka#a# ,a!a0 e#u!u#; +e,a#/ka# ,"a!e
e#5a," e"0 +e!"#/ 2a#/ ka,a#/-ka,a#/ e!.a!#a /ea> ak"at te!5a," >e!,a!a0a# Pee+a!a# 0at"
,a# ">a Pe!ut keu#/ ,a# +e!"#/ e!u#2" 3a#//ua# ke+a,a!a# Me#/a#tuk te!u+ e#e!u+;
ua" ka?au 5"ka e!k$u#"ka+" ,a# a"#-a"#
- M"#//u Ket"/a
Su0u tuu0 e!a#/+u#/-a#/+u! tu!u# ,a# #$!a kea" ," ak0"! "#//u Ha "tu 5"ka te!5a," ta#>a
k$>"ka+" atau e!0a+" ,"$at" B"a kea,aa# ea"k; /e5aa-/e5aa aka# e!ku!a#/ ,a# te>e!atu!
ua" tu!u# Me+k">u# ,e"k"a# 5u+t!u >a,a +aat "#" k$>"ka+" >e!,a!a0a# ,a# >e!4$!a+" ?e#,e!u#/
u#tuk te!5a,"; ak"at e>a+#2a ke!ak ,a!" uku+ Sea"k#2a 5"ka kea,aa# ak"# eu!uk; ,"a#a
t$k+e"a ee!at ,e#/a# te!5a,"#2a ta#,a-ta#,a k0a+ e!u>a ,e"!"u atau +tu>$!;$t$t-$t$t e!/e!ak
te!u+; "#k$#t"#e#+"a a" ,a# "#k$#t"#e#+"a u!"# Mete$!"+e ,a# t">a#" a+"0 te!5a,"; 5u/a teka#a#
a,$e# +a#/at e#"#/kat ,""kut" ,e#/a# #2e!" >e!ut Pe#,e!"ta keu,"a# e#/aa" k$a>+ 9"ka
,e#2ut #a," +a#/at e#"#/kat ,"+e!ta" $e0 >e!"t$#"t"+ $ka au>u# uu; aka 0a "#"
e#u#5ukka# tea0 te!5a,"#2a >e!4$!a+" u+u+ +e,a#/ka# ke!"#/at ,"#/"#; /e"+a0; +uka! e!#a>a+ ,a#
k$a>+ ,a!" #a," 2a#/ te!aa ,e#2ut#2a ee!" /aa!a# a,a#2a >e!,a!a0a# De/e#e!a+"
"$ka!,"a t$k+"k e!u>aka# >e#2ea uu ,a!" te!5a,"#2a keat"a# >e#,e!"ta ,ea t"4$", >a,a
"#//u ket"/a
- M"#//u kee>at
Me!u>aka# +ta,"u >e#2eu0a# e+k">u# >a,a a.a "#//u "#" ,a>at ,"5u>a" a,a#2a >#eu$#"a
$a! atau t!$$4e"t"+ e#a 4e$!a"+
Rea>+ Pa,a e!eka 2a#/ e#,a>atka# "#4ek+" !"#/a# ,e#/a# ,e"k"a 5u/a 0a#2a e#/0a+"ka#
kekeaa# 2a#/ ea0;kekau0a# ,a>at te!5a," ,a# e!a#/+u#/ ,aa .aktu 2a#/
>e#,ekKekau0a# ,a>at e"0 !"#/a# ,a!" +e!a#/a# >!"e! teta>" ,a>at e#"uka# /e5aa e"0
e!at ,a!">a,a "#4ek+" >!"e! te!+eut Se>uu0 >e!+e# ,a!" ,ea t"4$", 2a#/ t",ak ,"$at" aka#
e#/ak"atka# t"u#2a !ea>+
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
17/23
LO ) P!$/#$+"+
P!$/#$+"+ >a+"e# ,ea t2>0$", te!/a#tu#/ ke?e>ata# te!a>"; u+"a; ke+e0ata# +eeu#2a; ,a# a,a
t",ak#2a k$>"ka+" D" #e/a!a a5u; ,e#/a# te!a>" a#t""$t"k 2a#/ a,ekuat; a#/ka $!ta"ta+ 1
D" #e/a!a e!kea#/; a#/ka $!ta"ta+#2a 1&; "a+a#2a ka!e#a kete!aata# ,"a/#$+"+; >e!a.ata# ,a# >e#/$ata# A#/ka keat"a# >a,a a#ak-a#ak ';6; ,a# >a,a $!a#/ ,e.a+a ;;
!ata-!ata (;
LO )( D"a/#$+"+
D"akuka# >ee!"k+aa# >e#u#5a#/ +e>e!t":
1 Pee!"k+aa# Da!a0 Pe!"4e!
' U5" W",a : e#,etek+" t"te! a#t"$," te!0a,a> S. thypi 2ak#" a/ut"#"# O %1:)'&* ,a#
a/ut"#"# H%1:6&*
) U5" TUBE
U5" T2>0",$t
( U5" I/M D">+t"?k
6 Kutu! Da!a0
A,a ) et$,e u#tuk e#,"a/#$+"+ >e#2ak"t ,ea t"4$",; 2a"tu
aD"a/#$+"+ k"#"k
D"a/#$+"+ k"#"+ >e#2ak"t "#" +e!"#/ t",ak te>at; ka!e#a /e5aa k""#"+ 2a#/ k0a+ >a,a ,ea t"4$",
t",ak ,"teuka# atau /e5aa 2a#/ +aa ,a>at 5u/a ,"teuka# >a,a >e#2ak"t a"# D"a/#$+"+ k"#"+
,ea t"4$", +e!"#/ ka" te!e.atka# ka!e#a >a,a >e#2ak"t ,e#/a# ,ea ee!a>a 0a!" t",ak,">e!k"!aka# keu#/k"#a# ,"a/#$+"+ ,ea t"4$",
D"a/#$+"+ "k!$"$$/"k=>e"aka# kua# Met$,e ,"a/#$+"+ "k!$"$$/"k a,aa0 et$,e 2a#/
>a"#/ +>e+"4"k ,a# e"0 ,a!" 7& >e#,e!"ta 2a#/ t",ak ,"$at"; kutu! ,a!a0#2a >$+"t"> ,aa "#//u
>e!taa Ha+" "#" e#u!u# ,!a+t"+ +etea0 >eaka"a# $at a#t""$t"ka; ,"a#a 0a+" >$+"t"> e#5a,"
& Me+k">u# ,e"k"a# kutu! +u-+u tua#/ teta> e>e!"0atka# 0a+" 2a#/ t"#//" 2a"tu 7&
>$+"t"> Pa,a "#//u-"#//u +ea#5ut#2a 0a+" kutu! ,a!a0 e#u!u#; teta>" kutu! u!"# e#"#/kat
2a"tu C( ,a# '( e!tu!ut-tu!ut >$+"t"> >a,a "#//u ke-) ,a# ke- O!/a#"+e ,aa t"#5a a+"0
,a>at ,"teuka# +eaa ) ua# ,a!" 7& >e#,e!"ta ,a# k"!a-k"!a ) >e#,e!"ta teta> e#/eua!ka#
kua# Sa$#ea t2>0" ,aa t"#5a#2a u#tuk 5a#/ka .aktu 2a#/ aa
?D"a/#$+"+ +e!$$/"k
U5" W",a U5" W",a a,aa0 +uatu !eak+" a/ut"#a+" a#ta!a a#t"/e# ,a# a#t"$," %a/ut"#"#* A/ut"#"#
2a#/ +>e+"4"k te!0a,a> Sa$#ea t2>0" te!,a>at ,aa +e!u >e#,e!"ta ,ea t"4$",; >a,a $!a#/
2a#/ >e!#a0 te!tua! Sa$#ea t2>0" ,a# >a,a $!a#/ 2a#/ >e!#a0 e#,a>atka# ak+"# ,ea t"4$",
A#t"/e# 2a#/ ,"/u#aka# >a,a u"5 W",a a,a0 +u+>e#+" Sa$#ea t2>0" 2a#/ +u,a0 ,"at"ka# ,a#
,"$a0 ," a$!at$!"u
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
18/23
Tu5ua# ,a!" u5" W",a a,aa0 u#tuk e#e#tuka# a,a#2a a/ut"#"# ,aa +e!u >e#,e!"ta 2a#/ ,",u/a
e#,e!"ta ,ea t"4$",'( Da!" ket"/a a/ut"#"# %a/ut"#"# O; H; ,a# 8"*; 0a#2a a/ut"#"# O ,a# H
2a#/ ,"te#tuka# t"te!#2a u#tuk ,"a/#$+"+ Seak"# t"#//" t"te! a/ut"#"##2a; +eak"# e+a! >ua
keu#/k"#a# ,","a/#$+"+ +ea/a" >e#,e!"ta ,ea t"4$", Pa,a "#4ek+" 2a#/ akt"4; t"te! a/ut"#"# aka#
e#"#/kat >a,a >ee!"k+aa# ua#/ 2a#/ ,"akuka# +ea#/ .aktu >a"#/ +e,"k"t ( 0a!" Pe#"#/kata#
t"te! a/ut"#"# e>at ka" ">at +eaa ' +a>a" ) "#//u ea+t"ka# ,"a/#$+"+ ,ea t"4$",
I#te!>!eta+" 0a+" u5" W",a a,aa0 +ea/a" e!"kut :
a T"te! O 2a#/ t"#//" % 16&* e#u#5ukka# a,a#2a "#4ek+" akut
T"te! H 2a#/ t"#//" % 16&* e#u#5ukka# tea0 e#,a>at "u#"+a+" atau >e!#a0 e#,e!"ta "#4ek+"
? T"te! a#t"$," 2a#/ t"#//" te!0a,a> a#t"/e# 8" te!5a," >a,a ?a!!"e!
D"a/#$+"+ Ba#,"#/
Pe#2ak"t "#4ek+": Maa!"a; "#4ek+" +au!a# ke"0; e#"#/"t"+; >#eu$#"a; t >a!u; >eu!"t"+ Pe#2ak"t ke/a#a+a# : Leuk$"a; ka!+"#$a
Pe#2ak"t k$a/e#: Dea !euat"k; E!"teat$+u+ u>u+ +"+te!#"k
LO )6 Tataak+a#a
Pee!"k+aa# a$!at$t"u :
1 Pee!"k+aa# !ut"# : .aau>u# >a,a >ee!"k+aa# ,a!a0 >e!"4e! e#/ka> +e!"#/ ,"teuka#
euk$>e#"a; ,a>at >ua te!5a," ka,a! euk$+"t #$!a atau euk$+"t$+"+
' U5" .",a : ,"akuka# u#tuk ,etek+" a#t"$," te!0a,a> +a$#ea t2>0" Pa,a u5" .",a te!5a,"
+uatu !eak+" a/ut"#a+" a#ta!a a#t"/e# kua# +a$#ea t2>0" ,e#/a# a#t"$," 2a#/ ,"+eut
a/ut"#"# A#t"/e# 2a#/ ,"/u#aka# >a,a u5" .",a a,aa0 +u+>e#+" +a$#ea 2a#/ +u,a0
,"at"ka# ,a# ,"$a0 ," a$!at$!"u Mak+u, u5" .",a a,aa0 u#tuk e#e#tuka# a,a#2a
a/ut"#"# ,aa +e!u >e#,e!"ta te!+a#/ka ,ea t"4$", 2a"tu a/ut"#"# O %,a!" tuu0
kua#*; a/ut"#"# H %4a/ea kua#*; ,a# a/ut"#"# 8" %+">a" kua#* Da!" ket"/a a/ut"#"#
te!+eut 0a#2a a/ut"#"# H ,a# O 2a#/ ,"/u#aka# u#tuk ,"a/#$+"+ ,ea t"4$", Seak"#
t"#//" t"te!#2a; +eak"# e+a! keu#/k"#a# te!"#4ek+" kua# "#"
) Kutu! ,a!a0 : 0a+" "aka# ,a!a0 >$+"t"4 ea+t"ka# ,ea t"4$",; aka# teta>" 0a+" e/at"4
t",ak e#2"#/k"!ka# ,ea t"4$", Ka!e#a keu#/k"#a# ,"+eaka# $e0 ee!a>a 0a
+ea/a" e!"kut : tea0 e#,a>at te!a>" a#t""$t"k; $ue ,a!a0 2a#/ ku!a#/; !".a2at
ak+"#a+"; ,a# +aat >e#/a"a# ,a!a0 +etea0 "#//u >e!taa; >a,a +aat a/ut"#"#
e#"#/kat% Su,$2$; a!uG Set"2$; 0a,"G ,kk :'&&6*
Pe#/$ata# :
a* Pee!"a# a#t""$t"k : u#tuk e#/0e#t"ka# ,a# eu+#a0ka# >e#2ea!a# kua#
A#t""$t"k 2a#/ ,"/u#aka# 2a"tu k$!a4e#"k$; a>"+""#=a$k+"+""#; k$t!"$k+a$;
,a# +e4a$+>$!"# /e#e!a+" II ,a# III
* I+t"!a0at ,a# >e!a.ata# >!$4e+"$#a : e!tu5ua# e#?e/a0 k$>"ka+" ,a# e>e!?e>at
>e#2eu0a# Pa+"e# 0a!u+ t"!a0 a!"#/ a+$ut +a>a" "#"a 0a!" ea+ ,ea
atau ku!a#/ e"0 +eaa 1 0a!" M$""+a+" ,"akuka# e!ta0a>; +e+ua" ,e#/a# >u"0#2a
kekuata# >a+"e Daa >e!a.ata# >e!u +eka" ,"5a/a 0"/"e#e >e!+e$!a#/a#; kee!+"0a#
te>at t",u!; >aka"a#; ,a# >e!aata# 2a#/ ,">aka" $e0 >a+"e# Pa+"e# ,e#/a# ke+a,a!a#
e#u!u#; >$+"+"#2a >e!u ,"ua0-ua0 u#tuk e#?e/a0 ,eku"tu+ ,a# >#eu$#"a
0">$+tat"k De4eka+" ,a# ua#/ a"! ke?" >e!u ,">e!0at"ka#; ka!e#a ka,a#/-ka,a#/ te!5a,"
$+t">a+" ,a# !ete#+" u!"#?* D"et ,a# te!a>" >e#u#5a#/ %+"t$at"+ ,a# +u>$!t"4* : >e!taa >a+"e# ,"e!" ,"et uu!
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
19/23
+a!"#/; keu,"a# uu! ka+a!; ,a# ak0"!#2a #a+" +e+ua" t"#/kat ke+eu0a# >a+"e#
Nau# ee!a>a >e#e"t"a# e#u#5ukka# a0.a >ee!"a# aka#a# >a,at ,"#"; 2a"tu
#a+" ,e#/a# auk >auk !e#,a0 +eu$+a %>a#ta#/ +a2u!a# ,e#/a# +e!at ka+a!* ,a>at
,"e!"ka# ,e#/a# aa# 9u/a ,">e!uka# >ee!"a# "ta"# ,a# "#e!a 2a#/ ?uku>
u#tuk e#,uku#/ kea,aa# uu >a+"e# D"0a!a>ka# ,e#/a# e#5a/a ke+e"a#/a#
,a# 0$e$+ta+"; +"+te "u# aka# teta> e!4u#/+" ,e#/a# $>t"a
LO ) K$>"ka+"
k$>"ka+" ,ea t"4$", ,a>at ,"a/" ata+ ,ua a/"a#; 2a"tu :
K$>"ka+" I#te+t"#a:
A Pe!,a!a0a# U+u+
Sek"ta! '( >e#,e!"ta ,ea t"4$", ,a>at e#/aa" >e!,a!a0a# "#$! 2a#/ t",ak
eutu0ka# t!a#4u+" ,a!a0 Pe!,a!a0a# 0eat ,a>at te!5a," 0"#//a >e#,e!"ta e#/aa"
+2$k Se?a!a k"#"+ >e!,a!a0a# akut ,a!u!at e,a0 ,"te/akka# "a te!,a>at >e!,a!a0a#
+ea#2ak ( =k/BB=5a
B Pe!4$!a+" U+u+
Te!5a," >a,a +ek"ta! ) ,a!" >e#,e!"ta 2a#/ ,"!a.at B"a+a#2a t"u >a,a "#//u ket"/a
#au# ,a>at >ua te!5a," >a,a "#//u >e!taa Pe#,e!"ta ,ea t"4$", ,e#/a# >e!4$!a+"
e#/eu0 #2e!" >e!ut 2a#/ 0eat te!utaa ," ,ae!a0 kua,!a# ka#a# a.a0 2a#/
keu,"a# e2ea! ke +eu!u0 >e!ut
Ta#,a >e!4$!a+" a"##2a a,aa0 #a," ?e>at; teka#a# ,a!a0 tu!u# ,a# a0ka# +a>a" +2$k
K$>"ka+" Ek+t!a"#te+t"#a
AK$>"ka+" ka!,"$a+kue! : ke/a/aa# +"!kua+" >e!"4e! %+2$k;+e>+"+*;"$ka!,"t"+; t!$$+"+ ,a# t!$$4e"t"+
B K$>"ka+" ,a!a0 : a#e"a 0e$"t"k; t!$$+"t$>e#"a; k$a/u$a+" "#t!aa+kue!
,"+e"#ata; ,a# +"#,!$ u!e"a 0e$"t"k
"ka+" >a!u : >#eu$#"; e>"ea; ,a# >eu!"t"+
D K$>"ka+" 0e>a! ,a# ka#,u#/ ke"0 : 0e>at"t"+ ,a# k$e"t"a+"+
E K$>"ka+" /"#5a : /$e!u$#e4!"t"+; >"e$#e4!"t"+; ,a# >e!"#e4!"t"+
F K$>"ka+" tua#/ : $+te$"e"t"+; >e!"$+t"t"+; +>$#,""t"+; ,a# a!t!"t"+
3 K$>"ka+" #eu!$>+"k"at!"k : ,e"!"u; e#"#/"+u+; e#"#/"t"+; >$"#eu!"t"+
>e!"4e!; >+"k$+"+; ,a# +"#,!$ katat$#"a
Sea"# "tu; ka#t$#/ e>e,u ,a>at e!a,a#/; ,a# ee+a! D" +a#a kua# ,a>at e!ku>u;
,a# e#eta> >a,a >e#,e!"ta O!a#/ "#" ,"+eut ?a!!"e! Ka!#a "a ke a#a-a#a >e!/" ea.a
kua# >e#2ak"t
LO )C >e#?e/a0a#
1 Pe#2e,"aa# +ue! a"! "#u 2a#/ a"k
' Pe#2e,"aa# 5aa# 2a#/ +e0at) S$+"a"+a+" u,a2a ?u?" ta#/a#
S$+"a"+a+" u,a2a e!eu+ a"! +a>a" e#,","0 +eeu ,""#u
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
20/23
( Pee!a#ta+a# aat
6 Pe#/a.a+a# ke>a,a >a!a >e#5ua aka#a# ,a# "#ua#
S$+"a"+a+" >ee!"a# ASI >a,a "u e#2u+u"
C Iu#"+a+"
LI Mea0a" ,a# Me#5ea+ka# a#t""$t"k >a,a Dea T2>0$",
Oat-$at a#t""k!$a 2a#/ +e!"#/ ,"/u#aka# u#tuk e#/$at" ,ea t"4$", a,aa0 :
a K$!a4e#"k$ D$+"+ 2a#/ ,"e!"ka# a,aa0 Q (&& / >e! 0a!" ,a>at ,"e!"ka#
+e?a!a $!a atau "#t!ae#aD"e!"ka# +a>a" ,e#/a# 0a!" ea+ >a#a+
T"a4e#"k$ D$+"+ ,a# e4ekt""ta+ t"a4e#"k$ >a,a ,ea t"4$", 0a>"! +aa
,e#/a# k$!a4e#"k$; aka# teta>" k$>"ka+" 0eat$$/" +e>e!t" keu#/k"#a#
te!5a,"#2a a#e"a a>a+t"k e"0 !e#,a0 ,"a#,"#/ka# ,e#/a# k$!a4e#"k$ D$+"+
t"a4e#"k$ a,aa0 Q (&& /
? K$#t!"$k+a$ D$+"+ u#tuk $!a#/ ,e.a+a a,aa0 ' Q ' taet %1 taet
e#/a#,u#/ +u4aet$k+a$ && / ,a# C& / t!"et$>!"* ,"e!"ka# +eaa '
"#//u
, A>"+""# ,a# a$k+"+""# Kea>ua# $at "#" u#tuk e#u!u#ka# ,ea e"0
!e#,a0 ,"a#,"#/ka# ,e#/a# k$!a4e#"k$; ,$+"+ 2a#/ ,"a#5u!ka# e!k"+a! a#ta!a
(&-1(& /=k/BB ,a# ,"/u#aka# +eaa ' "#//u
e Se4a$+>$!"# /e#e!a+" ket"/a H"#//a +aat "#" /$$#/a# +e4a$+>$!"# /e#e!a+" ke-)
2a#/ te!ukt" e4ekt"4 u#tuk ,ea t"4$", a,aa0 +e4t!"ak+$#; ,$+"+ 2a#/ ,"a#5u!ka#
a,aa0 a#ta!a )- /!a ,aa ,ek+t!$+a 1&& ?? ,"e!"ka# +eaa
1
2 5a
>e!"#4u+ +eka" +e0a!"; ,"e!"ka# +eaa ) 0"#//a ( 0a!"
4 A"t!$"+"# A"t!$"+"# ' Q (&& / e#u#5ukka# a0.a >e#//u#aa# $at "#"
5"ka ,"a#,"#/ka# ,e#/a# 4u$!$ku"#$$#; a"t!$"+"# +e?a!a +"/#"4"ka#
e#/u!a#/" ke/a/aa# k"#"+ ,a# ,u!a+" !a.at "#a>; te!utaa 5"ka >e#e"t"a#
e#/"kut+e!taka# MDR au>u# NARST % Nalidixic Acid Resistant S.typhi*
Keu#tu#/a# a"# a,aa0 a"t!$"+"# te!+e,"a ,aa e#tuk +e,"aa# $!a au>u#
+u#t"ka# "t!ae#a
LO 1 4a!ak$k"#et"k ,a# 4a!ak$,"#a"k
4a!ak$,"#a"k
K$!a4e#"k$ eke!5a ,e#/a# e#/0aat +"#te+"+ >!$te"# kua# Oat "#"
te!"kat >a,a !"$+$ +u u#"t (&+ ,a# e#/0aat e#" >e>t"," t!a#+4e!a+e
+e0"#//a "kata# >e>t",a t",ak te!e#tuk >a,a >!$+e+ +"#te+"+ >!$te"# kua#
K$!a4e#"k$ e!+"4at akte!"$+tat"k Pa,a k$#+e#t!a+" t"#//" k$!a4e#"k$ ka,a#/-
ka,a#/ e!+"4at akte!"+", te!0a,a> kua#-kua# te!te#tu S>ekt!u a#t" akte!"e">ut" D.pneumoniae, S. Pyogenes, S.viridans, Neisseria, aemophillus, !acillus
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
21/23
spp, "isteria, !artonella, !rucella, P. #ultocida, $.diphteria, $hlamidya,
#ycoplasma, Ric%ettsia, &reponema, dan %e'anya%an %uman anaero'.
Re+"+"te#+"
Meka#"+e !e+"+te#+" te!0a,a> k$!a4e#"k$ te!5a," eau" "#akt"a+" $at
$e0 a+et" t!a#+4e!a+e 2a#/ ,">e!a#ta!a" $e0 4akt$!-R Re+"+te#+" te!0a,a>
Pae!u/"#$+a P!$teu+ ,a# Ke+"ea te!5a," ka!e#a >e!ua0a# >e!ea""ta+ e!a#
2a#/ e#/u!a#/" a+uk#2a $at ke ,aa +e akte!"
Bee!a>a +t!a"# D P#eu$#"ae; H I#4ue#ae; ,a# N Me#"#/"t","+ e!+"4at !e+"+te#G
S Au!eu+ uu#2a +e#+"t"4; +e,a#/ e#te!$a?te!"?eae a#2ak 2a#/ tea0 !e+"+te#
Oat "#" 5u/a e4ekt"4 te!0a,a> kea#2aka# +t!a"# (.$oli, . Pneumoniae; ,a# P.
#ira'ilis, kea#2aka# Serratia, Providencia ,a# Proteus rettgerii !e+"+te#; 5u/a
kea#2aka# +t!a"# P. Aeruginosa ,a# S. &yphi
Fa!ak$k"#et"k
Setea0 >ee!"a# $!a; k$!a4e#"k$ ,"+e!a> ,e#/a# ?e>at Ka,a! >u#?ak,aa ,a!a0 te!?a>a" 0"#//a ' 5a ,aa ,a!a0 U#tuk a#ak "a+a#2a ,"e!"ka# ,aa
e#tuk e+te! k$!a4e#"k$ >a"tat atau +tea!at 2a#/ !a+a#2a t",ak >a0"t Be#tuk e+te!
"#" aka# e#/aa" 0",!$"+"+ ,aa u+u+ ,a# eea+ka# k$!a4e#"k$
U#tuk >ee!"a# +e?a!a >a!e#te!a ,"e!"ka# k$!a4e#"k$ +uk+"#at 2a#/ aka#
,"0",!$"+"+ ,aa 5a!"#/a# ,a# eea+ka# k$!a4e#"k$
Ma+a >a!u0 e""#a+"#2a >a,a $!a#/ ,e.a+a ku!a#/ e"0 ) 5a; >a,a a2"
e!uu! ku!a#/ ,a!" ' "#//u +ek"ta! ' 5a K"!a-k"!a (& k$!a4e#"k$ ,aa
,a!a0 te!"kat ,e#/a# au"# Oat "#" ,","+t!"u+"ka# +e?a!a a"k ke e!a/a"
5a!"#/a# tuu0; te!a+uk 5a!"#/a# $tak; ?a"!a# +e!e!$+>"#a ,a# ata
D" ,aa 0at" k$!a4e#"k$ e#/aa" k$#5u/a+"; +e0"#//a .aktu >a!u0ea#5a#/ >a,a >a+"e# ,e#/a# /a#//ua# 4aa 0at" Sea/"a# ," !e,uk+"
e#5a,"+e#2a.a a!"a"# 2a#/ t",ak akt"4 a/" Daa .aktu ' 5a; C&-7&
k$!a4e#"k$ 2a#/ ,"e!"ka# $!a ,"ek+k!e+"ka# eau" /"#5a Da!" +eu!u0
k$!a4e#"k$ 2a#/ ,"ek+k!e+" 0a#2a (-1& 2a#/ e!e#tuk akt"4 S"+a#2a te!,a>at
,aa e#tuk /uk$!$#at atau 0",!$"+at a"# 2a#/ t",ak akt"4 Be#tuk akt"4
k$!a4e#"k$ ,"ek+k!e+" te!utaa eau" 4"t!at /$e!uu+ +e,a#/ka# eta$t#2a
,e#/a# +ek!e+" tuuu+
Pa,a /a/a /"#5a; a+a >a!u0 k$!a4e#"k$ e#tuk akt"4 t",ak a#2ak e!ua0
+e0"#//a t",ak >e!u >e#/u!a#/a# ,$+"+ D$+"+ >e!u ,"ku!a#/" "a te!,a>at /a#//ua# 4u#/+"
0e>a!I#te!ak+" ,aa ,$+"+ te!a>"; k$!a4e#"k$ e#/0aat $t!a#+4$!a+" t$uta",
4e#"t$"#; ,"kua!$ ,a# $at a"# 2a#/ ,"eta$"+e $e0 e#" "k!$+$ 0e>a! De#/a#
,e"k"a# t$k+"+"ta+ $at-$at "#" e"0 t"#//" "a ,"e!"ka# e!a+aa k$!a4e#"k$ I#te!ak+"
$at ,e#/a# 4e#$a!"ta ,a# !"4a>"+"# aka# e>e!>e#,ek .aktu >a!u0
k$!a4e#"k$+e0"#//a ka,a! $at e#5a," +ute!a>eut"k
LO ' e4ek +a>"#/
1 Reak+" Heat$$/"k
• Te!,a>at ,ua e#tuk !eak+":
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
22/23
1 Reak+" t$k+"k ,e#/a# a#"4e+ta+" ,e>!e+" +u+u tua#/ Be!0uu#/a# ,e#/a# ,$+"+;>!$/!e+"
4 ,a# >u"0 "a >e#/$ata# ,"0e#t"ka#
' P!$/#$+"+#2a +a#/at u!uk ka!e#a a#e"a
2a#/ t"u e!+"4at "!ee!+"e T"u#2at",ak te!/a#tu#/ ,a!" e+a!#2a ,$+"+ atau aa >e#/$ata#
' Reak+" Ae!/"• Kee!a0a# >a,a ku"t; a#/"$u,e; u!t"ka!"a ,a# a#a4"ak+"+
• Kea"#a# 2a#/ e#2e!u>a" !eak+" He!@0e"e! ,a>at te!5a," >a,a >e#/$ata# ,ea t2>0$",
) Reak+" Sau!a# e#,"+"t"+; ,"a!e ,a# e#te!$k$"t"+
S2#,!$ 3!a2
• Pa,a #e$#atu+; te!utaa a2" >!eatu! 2a#/ e#,a>at ,$+"+ t"#//" %'&& /=k/BB*
( Reak+" Neu!$$/"+
• De>!e+"; "#/u#/; ,e"!"u ,a# +ak"t ke>aa
Neu!"t"+ >e!"4e! atau #eu!$>at" $>t"k,a>at 5u/a t"u te!utaa +etea0 >e#/$ata# aa
LO ) k$#t!a"#,"ka+"
K$!a4e#"k$ t",ak ,"a#5u!ka# >a,a t!"e+te! ke-) ke0a"a# ka!e#a ,"k0a.at"!ka# ,a>at
te!5a," >a!tu+ >!eatu!; keat"a# 4etu+ "#t!aute!"#; ,a# /!e2 +2#,!$e >a,a #e$#atu+ T"a4e#"k$
t",ak ,"a#5u!ka# ,"/u#aka# >a,a t!"e+te! >e!taa ke0a"a# ka!e#a keu#/k"#a# e4ek tet!$/e#"k
te!0a,a> 4etu+ >a,a a#u+"a eu ,a>at ,"+"#/k"!ka#Pa,a ke0a"a# e"0 a#5ut t"a4e#"k$
,a>at ,"/u#aka#
De"k"a# 5u/a $at /$$#/a# 4$u!$ku"#$$# au>u# k$t!"$k+a$ t",ak $e0 ,"/u#aka#
u#tuk e#/$at" ,ea t"4$",Oat 2a#/ ,"a#5u!ka# a,aa0 a>"+""; a$k+"+""#; ,a# +e4t!"ak+$#
8/18/2019 Wrap Up Sk 1 Blok IPT a-6
23/23
8III Da4ta! Pu+taka
D$!a#, WAN '&&& amus edo%teran Dorland (disi *+ %,"te!5ea0ka# $e0: Ha!ta#t$
H* 9aka!ta: Pe#e!"t Buku Ke,$kte!a# E3: C1(*
a!tee# Fa!ak$$/" ,a# Teu!a>eut"k Fakuta+ Ke,$kte!a# I#,$#e+"a'&1' arma%ologi
dan &erapi9aka!ta:Ba,a# Pe#e!"t FKUI
9a.et;E!#e+t;et a 1776 #i%ro'iologi edo%teranE,"+"'&9aka!ta:E3:==...e,"?a?!"te!"a?$=?!"te!"a="#44u$0t