| 1 |
Diare Akut |
Shigella spp
-
Salmonella Thypi
-
Vibrio cholera
-
Clostridium difficile
Giardia Lambia
Entomoeba Histolytica
Isospora belli
Cryptosporidia
Salmonella (Non-Typhoid)
-
|
Ciprofloxacin
Cotrimoxazol
Ciprofloxacin
Chloramphenicol
Tetracycline
Ciprofloxacin
Metronidazole
Metronidazole
Metronidazole
Cotrimoxazol
Paromomycin + Azithromycin
Ciprofloxacin
Cotrimoxazol
|
PO
PO 960 mg
PO
PO 500 mg
PO
PO
PO
PO 250-500 mg
PO 250-500 mg
PO 960 mg
PO 4g + 500mg
PO
PO 960 mg
|
EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS EMPIRIS |
12 jam
12 jam
12 jam
6 jam
6 jam
12 jam
6 jam
6 jam
6 jam
12 jam
24 jam
12 jam
12 jam
|
3 hari
5 hari
3-5 hari
10-14 hari
3 hari
3-5 hari
7-14 hari
7-14 hari
7-14 hari
7-10 hari
4 hari
3 hari
3 hari
|
IV jika muntah/sepsis. Imunokompromais 7-10 hari. |
| 2 |
Traveler's Diarrhea |
E. coli, Cyclospora, Isospora |
Ciprofloxacin |
PO 500 mg |
EMPIRIS |
12 jam |
1-5 hari |
Terkait pemberian antibiotik |
| 3 |
Diare Nosokomial |
C. difficile / MAC |
Metronidazole |
PO 500 mg |
EMPIRIS |
6 jam |
7-14 hari |
Stop jika C. difficile negatif |
| 4 |
Infeksi Giardia |
Giardia lamblia |
Metronidazole |
PO 250-750 mg |
EMPIRIS |
8 jam |
7-10 hari |
- |
| 5 |
Infeksi H. pylori |
Helicobacter pylori |
Clarithromycin + Amoxicillin |
PO 500mg + 1g |
EMPIRIS |
12 jam |
7-14 hari |
+ Lansoprazole 30mg tiap 12 jam |
| 6 |
TB Abdomen / Peritonitis TB |
M. tuberculosis |
Tetrasiklin + Metronidazole + Bismuth |
PO 250mg + 500mg + 2 tab |
EMPIRIS |
6/8/12 jam |
7-14 hari |
Jika resisten Klaritromisin >20% |
| 7 |
Peritonitis Bakterial Spontan (SBP) |
E. coli, Klebsiella, S. pneumoniae |
Cefotaxime |
IV 2 gram |
EMPIRIS |
8 jam |
5 hari |
Dosis albumin 1.5g/kg (H1) -> 1g/kg (H3) |
| 8 |
Peritonitis Sekunder (Ringan-Sedang) |
Enterobacteriaceae, Anaerob |
Cefeyoxime Cefotaxime + Metronidazole |
IV IV |
EMPIRIS |
8 jam |
4-7 hari |
- |
| 9 |
Peritonitis Sekunder (Berat) |
Enterobacter, Pseudomonas |
Meropenem |
IV 1 gram |
EMPIRIS |
8 jam |
4-7 hari |
- |
| 10 |
Abses Hepar (Amoeba) |
E. histolytica |
Metronidazole |
IV 750 mg |
EMPIRIS |
8 jam |
7-10 hari |
Dilanjutkan Paromomycin PO |
| 11 |
Abses Hepar (Piogenik) |
Enterobacteriaceae |
Ampicillin-Sulbactam Ceftriaxone + Metronidazole |
IV 3 g IV 2g + 500mg |
EMPIRIS |
6 jam / 24+8 jam |
4-6 minggu |
Drainase jika perlu |
| 12 |
Kolangitis Akut (Ringan) |
Enterobacteriaceae |
Ceftriaxone |
IV 1-2 gram |
EMPIRIS |
24 jam |
4-7 hari |
Setelah kontrol sumber infeksi |
| 13 |
Kolangitis Akut (Berat / HA) |
Pseudomonas, ESBL |
Meropenem |
IV 1 gram |
EMPIRIS |
8 jam |
4-7 hari |
Risiko tinggi MDRO |
| 14 |
Pankreatitis Akut (Nekrosis Terinfeksi) |
Enterobacteriaceae, Anaerob |
Meropenem |
IV 1 gram |
EMPIRIS |
8 jam |
7-10 hari |
Hanya jika nekrosis >30% + infeksi |
| 15 |
Infeksi Saluran Kemih (Sistitis Akut) |
E. coli |
Ciprofloxacin Levofloxacin |
PO 500 mg PO 500 mg |
EMPIRIS |
12 jam / 24 jam |
3 hari |
- |
| 16 |
Pielonefritis Akut (Ringan) |
E. coli |
Ciprofloxacin Levofloxacin |
PO 500 mg PO 750 mg |
EMPIRIS |
12 jam / 24 jam |
7-14 hari |
- |
| 17 |
Pielonefritis Akut (Berat / MRS) |
E. coli, Proteus |
Ceftriaxone Levofloxacin (IV) |
IV 2 gram IV 750 mg |
EMPIRIS |
24 jam |
14 hari |
- |
| 18 |
Urosepsis |
Gram Negatif |
Meropenem |
IV 1 gram |
EMPIRIS |
8 jam |
7-10 hari |
Segera setelah kultur |
| 19 |
Pneumonia Komunitas (CAP) - Rawat Jalan |
S. pneumoniae |
Azithromycin Levofloxacin |
PO 500 mg PO 750 mg |
EMPIRIS |
24 jam |
5 hari |
- |
| 20 |
Pneumonia Komunitas (CAP) - Rawat Inap |
S. pneumoniae, H. influenzae |
Ceftriaxone + Azithromycin Levofloxacin |
IV 2g + PO 500mg IV 750 mg |
EMPIRIS |
24 jam |
5-7 hari |
- |
| 21 |
Pneumonia Aspirasi |
Anaerob, Gram Negatif |
Clindamycin + Ceftriaxone Ampicillin-Sulbactam |
IV IV 3 g |
EMPIRIS |
8 jam / 6 jam |
7 hari |
- |
| 22 |
Empiema Toraks |
S. aureus, Anaerob |
Piperacillin-Tazobactam |
IV 4.5 gram |
EMPIRIS |
6 jam |
2-4 minggu |
Drainase WSD |
| 23 |
Abses Paru |
Anaerob, K. pneumoniae |
Clindamycin + Ceftriaxone |
IV |
EMPIRIS |
8 jam + 24 jam |
4-6 minggu |
Sampai radiologis perbaikan |
| 30 |
Endokarditis Infektif (Kultur Negatif) |
- |
Ampicillin + Gentamicin |
IV |
EMPIRIS |
6 jam + 24 jam |
4-6 minggu |
- |
| 35 |
Meningitis Bakterial |
S. pneumoniae, N. meningitidis |
Ceftriaxone (+ Vancomycin) |
IV 2 gram |
EMPIRIS |
12 jam |
10-14 hari |
Dosis meningeal (4g/hari) |
| 40 |
Sepsis (Fokus Tidak Jelas) |
Unknown |
Meropenem |
IV 1 gram |
EMPIRIS |
8 jam |
7-10 hari |
De-eskalasi setelah kultur |
| 41 |
Febrile Neutropenia (Low Risk) |
- |
Ciprofloxacin + Amoxicillin-Clav |
PO |
EMPIRIS |
12 jam |
Sampai ANC >500 |
- |
| 42 |
Febrile Neutropenia (High Risk) |
Pseudomonas |
Cefepime / Meropenem |
IV |
EMPIRIS |
8 jam |
Sampai ANC >500 |
- |
| 43 |
Leptospirosis (Berat) |
Leptospira |
Ceftriaxone |
IV 2 gram |
EMPIRIS |
24 jam |
7 hari |
Atau Penicillin G |
| 44 |
Sepsis |
- |
Ampicillin
Gentamicin
Metronidazole
Levofloxacin
|
IV IV IV IV |
EMPIRIS |
12/24/6 jam |
7-10 hari |
Sesuaikan hasil kultur |