Mba, umur Marvel anak saya 3 bulan jalan 3 minggu Mba...jadi terlambat yang
2 bulan, itu bagaimana Mba, Thx ya...

Mama Marvellino
Tiesmin  Simatupang
Corporate Business Development


-----Original Message-----
From: [email protected]
[mailto:[EMAIL PROTECTED] Behalf Of mama_rakhel2002
Sent: Thursday, July 07, 2005 4:50 PM
To: [email protected]
Subject: [Ayahbunda-Online] Re: Suntik HiB...mohon info...


Bunda....berikut keterengan ttg HIB dan meningitis (penyakit) yg bisa
disebabkan oleh  bakteri yg bernama Haemophilus influenza tipe b,
artikel2 dibawah sesuai info yg saya dapat dr medicastore.com dan a.l
mayoclinic.com .

Kalo boleh tau si kecil usianya berapa yah? Menurut anjuran IDAI dan
WHO, Imunisasi Hib diberikan diusia 2, 4 dan 6 bulan, kemudian booster
usia 18 bln (pemberiannya bisa di simultan dgn DPT Polio= nama
vaksinnya Tetract Hib atau Infanrix Hib)
Tapi kalo seandaainya sudah terlambat mis. si kecil udah berusia 7
bln-12 bulan maka bisa diberikan 2 kali dgn interval waktu min 4
minggu. Kalo si kecil udah di atas 12 bulan dan blm mendapat Hib maka
cukup diberikan 1 kali.

Kalo aku pribadi sangat menganjurkan utk pemberian imunisasi ini
karena hanya dgn imunisasi ini pencegahannya. Karena saya pribadi
pernah mengalami kejadian anak teman kantor suami usianya 15 bulan
meninggal karena meningitis.

Semoga membantu.
Rgds,
Santi
+++++++++++++++++++++++++++++++++
Imunisasi Hib

Imunisasi Hib membantu mencegah infeksi oleh Haemophilus influenza tipe b.
Organisme ini bisa menyebabkan meningitis, pneumonia dan infeksi
tenggorokan berat yang bisa menyebabkan anak tersedak.

Vaksin Hib diberikan sebanyak 3 kali suntikan, biasanya pada saat anak
berumur 2, 4 dan 6 bulan.

Original Article:
http://www.mayoclinic.com/invoke.cfm?id=DS00118
Meningitis

Overview

Meningitis is an infection and inflammation of the membranes
(meninges) and cerebrospinal fluid surrounding your brain and spinal
cord. Before current vaccines, most meningitis cases occurred in
children younger than 5 years, but the incidence of the disease has
increased among young people between the ages of 15 and 24. Older
adults also tend to have a higher incidence of meningitis.

Viruses, bacteria and fungi can cause meningitis. The seriousness of
the infection and the best treatment depend on the cause of the
infection. Bacterial meningitis is generally much more serious than
viral meningitis, and quick treatment is necessary. The cause of most
cases of meningitis is viruses.

About 700 Americans die of meningitis each year. If you suspect that
you or someone in your family has signs or symptoms of meningitis,
seek medical care right away. There's no way to tell what kind of
meningitis you have without seeing your doctor.
Signs and symptoms

It's easy to mistake the early signs and symptoms of meningitis for
the flu. They may develop over a period of one or two days, but some
types of meningitis can prove fatal in a matter of days.

If you or your child has bacterial meningitis, delaying treatment
increases the risk of permanent brain damage. Seek medical care right
away if you or anyone in your family has any of the following signs or
symptoms:

    * A high fever
    * Severe headache
    * Vomiting or nausea with headache
    * Confusion
    * Seizures
    * Sleepiness or difficulty waking up
    * Stiff neck
    * Sensitivity to light
    * Lack of interest in drinking and eating

Signs in newborns
Newborns and young infants may not have the classic signs and symptoms
of headache and stiff neck. Instead, they may cry constantly, seem
unusually sleepy or irritable, and eat poorly. Sometimes the soft
spots on an infant's head may bulge. A very late sign may be a spasm
consisting of extreme hyperextension of the body (opisthotonos).
Causes

Bacteria, viruses and fungi all can cause meningitis. Identifying the
source of the infection is an important part of developing a treatment
plan.

Bacterial meningitis
A number of strains of bacteria can cause acute bacterial meningitis.
The most common include:

    * Streptococcus pneumoniae (pneumococcus). This bacterium is the
most common cause of meningitis in infants and young children in the
United States. It most often occurs when the bacterium enters your
bloodstream and migrates to your brain and spinal cord. You may also
have this type of bacteria in your lungs, where it causes pneumonia.
Pneumococcal meningitis may also be associated with an ear infection.
In these cases, it's not clear which came first — the meningitis or
the ear infection — since they usually occur together.
    * Neisseria meningitidis (meningococcus). This bacterium is
another leading cause of bacterial meningitis. Meningococcal
meningitis commonly occurs when bacteria from an upper respiratory
infection enter your bloodstream. It's highly contagious and may cause
local epidemics in college dormitories and boarding schools and on
military bases.
    * Haemophilus influenzae (haemophilus). Before the 1990s,
Haemophilus influenzae type b bacterium (Hib) was the leading cause of
bacterial meningitis. But new Hib vaccines given to all children in
the United States as part of the routine immunization schedule have
greatly reduced the number of cases of this type of meningitis. When
it occurs, it tends to follow an upper respiratory infection, ear
infection (otitis media) or sinusitis.
    * Listeria monocytogenes (listeria). This bacterium can be found
almost anywhere — in soil, in dust and in foods that have become
contaminated with these bacteria. In the past, contaminated foods have
included soft cheeses, hot dogs and luncheon meats. Many wild and
domestic animals also carry the bacteria. Fortunately, most healthy
people exposed to listeria don't become ill, although pregnant women,
newborns and older adults are especially susceptible. Listeria also
crosses the placental barrier, and infections in late pregnancy may
cause a baby to be stillborn or die shortly after birth. In adults and
children, exposure to the listeria bacterium can cause meningitis.

Acute bacterial meningitis also can occur when bacteria invade the
meninges directly, rather than through the bloodstream. Common causes
include ear or sinus infections and skull fractures.

Viral meningitis
Viral meningitis is usually mild and often clears on its own in 10
days or less. A group of common viruses known as enteroviruses, which
cause stomach flu, are responsible for about 90 percent of viral
meningitis in the United States. These viruses tend to circulate in
late summer and early fall. Viruses associated with mumps, herpes
infection, West Nile virus or other diseases can also cause viral
meningitis.

Chronic meningitis
Ongoing (chronic) forms of meningitis occur when slow-growing
organisms invade the membranes and fluid surrounding your brain.
Although acute meningitis strikes suddenly, chronic meningitis
develops over four weeks or more. Nevertheless, the signs and symptoms
of chronic meningitis — headaches, fever, vomiting and mental
cloudiness — are similar to those of acute meningitis. This type of
meningitis is rare.

Fungal meningitis
Cryptococcal meningitis is a fungal form of the disease that affects
people with immune deficiencies, such as AIDS. It's life-threatening
if not treated with an antifungal medication.

Other causes
Meningitis can also result from drug allergies, some types of cancer
and inflammatory diseases such as lupus.
Risk factors

A few risk factors can make you or your child more likely to be
infected with meningitis:

    * Age. Children younger than 5 years, young people ages 18 to 24
and older adults are more likely to develop meningitis than the rest
of the population.
    * Living in a community setting. College students living in
dormitories, personnel on military bases and children in boarding
schools and child-care facilities are at increased risk of
meningococcal meningitis, probably because infectious diseases tend to
spread quickly wherever large groups of people congregate.
    * Pregnancy. If you're pregnant, you're more likely to contract
listeriosis — an infection caused by the listeria bacteria, which may
also cause meningitis. If you have listeriosis, your unborn baby is at
risk, too.
    * Working with animals. People who work with domestic animals,
including dairy farmers and ranchers, also have a higher risk of
contracting listeria, which can lead to meningitis.

Other factors that may compromise your immune system — including AIDS,
diabetes and use of immunosuppressant drugs — also make you more
susceptible to meningitis. Removal of your spleen, an important part
of your immune system, may also increase your risk.
When to seek medical advice

If you or someone in your family has signs or symptoms of meningitis —
such as fever, severe headache, vomiting and stiff neck — get medical
care right away. Viral meningitis may resolve without treatment in a
few days, but bacterial meningitis can be serious and can come on very
quickly.

There's no way to know what kind of meningitis you or your child has
without seeing your doctor. If you or your child has bacterial
meningitis, the sooner the treatment begins, the better the chances of
a recovery without serious complications.

Also talk to your doctor if a family member or someone you work with
has meningitis. You may need to take medications to prevent you from
getting sick.
Screening and diagnosis

Your doctor or pediatrician can diagnose meningitis based on a medical
history, a physical exam and certain diagnostic tests. During the
exam, your doctor may check for signs of infection around the head,
ears, throat and the skin along the spine. You or your child may
undergo the following diagnostic tests:

    * Throat culture. A throat culture can find and identify the
bacteria causing meningitis, which is important in selecting the right
antibiotic for treatment.
    * Imaging. X-rays and computerized tomography (CT) scans of the
chest, skull or sinuses will reveal any swelling or inflammation.
These tests can also help your doctor look for infection in other
areas of the body.
    * Spinal tap (lumbar puncture). The definitive diagnosis of
meningitis is often made by analyzing a sample of your cerebrospinal
fluid (CSF), which is extracted during a procedure known as a spinal
tap. In people with meningitis, the CSF fluid often shows a low sugar
(glucose) level along with an increased white blood cell count. CSF
analysis may also help your doctor identify the exact bacteria that's
causing the illness.
    * Polymerase chain reaction (PCR) analysis. If your doctor
suspects viral meningitis, he or she may order a test known as a
polymerase chain reaction (PCR) amplification to check for the
presence of certain viruses.

If you have chronic meningitis caused by cancer or an inflammatory
illness, you may need additional tests. In all cases, however, your
doctor's goal will be to make an accurate diagnosis and start
treatment as soon as possible.
Complications

The complications of meningitis can be severe. The longer you or your
child has the disease without treatment, the greater the risk of
seizures and of permanent neurologic damage, including hearing loss,
blindness, loss of speech, learning disabilities, behavior problems
and brain damage, even paralysis.

Non-neurologic complications may include kidney and adrenal gland
failure. Your adrenal glands produce a number of important hormones,
including cortisol, which helps your body deal with stress.

Bacterial infections of your central nervous system progress quickly.
Within a matter of days, the disease can lead to shock and death.
Treatment

Acute bacterial meningitis requires prompt treatment with intravenous
antibiotics to ensure recovery and reduce the risk of complications.
The antibiotic or combination of antibiotics chosen depends on the
type of bacteria causing the infection. Often, analyzing a sample of
cerebrospinal fluid can help identify the bacteria. If you or your
child has bacterial meningitis, your doctor may recommend a general
antibiotic until he or she can determine the exact cause of the
meningitis.

If you or your child has bacterial meningitis, your doctor may
recommend treatments for brain swelling, shock, convulsions or
dehydration. Infected sinuses or mastoids — the bones behind the outer
ear that connect to the middle ear — may need to be drained. Any fluid
that has accumulated between the brain and the membranes that surround
it may also need to be drained or surgically removed.

Viral meningitis can't be cured with antibiotics, but most cases
resolve on their own in a week or so without therapy. Mild cases of
viral meningitis are usually treated with bed rest, plenty of fluids
and over-the-counter pain medications to help reduce fever and relieve
body aches. If your meningitis is caused by the herpes virus, your
doctor may also recommend an antiviral medication aimed at this virus.
Prevention

Some types of meningitis are contagious. You may be exposed to the
bacteria when someone with meningitis coughs or sneezes. The bacteria
can also spread through kissing or sharing eating utensils, a
toothbrush or a cigarette. You're also at increased risk if you live
or work with someone with the disease.

You can reduce your risk of contracting meningitis by avoiding
exposure to the viruses that cause meningitis. That means avoiding
exposure to upper respiratory and gastrointestinal infections. If
you're pregnant, reduce your risk of listeriosis by cooking meat
thoroughly and avoiding cheeses made from unpasteurized milk.

Something as simple as careful hand washing may be one of the best
ways to stay well. Teach your children to wash their hands often,
especially before they eat and after using the toilet, spending time
in a crowded public place or petting animals. Show them how to wash
their hands vigorously, covering both the front and back of each hand
with soap and rinsing thoroughly under running water. In addition,
boost your immune system by getting enough rest, exercising regularly,
and eating a healthy diet with plenty of fresh fruits, vegetables, and
whole grains.

Immunizations
Some forms of bacterial meningitis can be prevented with the following
vaccinations:

    * Haemophilus influenzae type b vaccine (Hib). Children in the
United States routinely receive this vaccine as part of the
recommended schedule of vaccines, starting at about 2 months of age.
The vaccine is also recommended for some adults, including those with
sickle cell disease or AIDS.
    * Pneumococcal conjugate vaccine (PCV7). This vaccine is also part
of the regular immunization schedule for all children younger than 2
years in the United States. In addition, it's recommended for children
between the ages of 2 and 5 who are at high risk of pneumococcal
disease, including children with chronic heart or lung disease or cancer.
    * Pneumococcal polysaccharide vaccine (PPV). Older children and
adults who need protection from pneumococcal bacteria may receive this
vaccine. The Centers for Disease Control and Prevention recommends the
PPV vaccine for all adults older than 65 and younger adults and
children with compromised immune systems or chronic illnesses such as
heart disease, diabetes or sickle cell anemia.
    * Meningococcal conjugate vaccine (MCV4). As of May 2005, the
Centers for Disease Control and Prevention and the American Academy of
Pediatrics recommend this vaccine be routinely administered for the
following previously unvaccinated groups: children 11-12 years old,
adolescents at high school entry (about age 15), and college freshmen
living in dormitories.


By Mayo Clinic staff

DS00118

June 07, 2005

© 1998-2005 Mayo Foundation for Medical Education and Research
(MFMER). All rights reserved.  A single copy of these materials may be
reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic,"
"MayoClinic.com," "Mayo Clinic Health Information," "Reliable
information for a healthier life" and the triple-shield Mayo logo are
trademarks of Mayo Foundation for Medical Education and Research.
NAMA

Meningitis
DEFINISI

Meningitis adalah suatu peradangan pada selaput yang membungkus otak
(meningens).

PENYEBAB

Meningitis terjadi akibat infeksi bakteri.

Sebagian besar kasus meningitis pada bayi baru lahir merupakan
komplikasi dari sepsis (infeksi darah).

GEJALA

Gejalanya berupa:
- demam atau suhu tubuh yang sangat rendah
- gangguan pernafasan
- jaundice (sakit kuning)
- bayi tampak mengantuk
- kejang
- muntah
- rewel.

Pada 25% kasus, ubun-ubun bayi tampak menonjol atau teraba keras
karena adanya peningkatan tekanan cairan di sekeliling otak.

Bisa terjadi kerusakan pada saraf yang mengontrol gerakan mata dan
wajah sehingga terjadi gerakan mata ke arah dalam dan luar atau
wajahnya mencong ke salah satu sisi.

Di dalam otak bayi bisa terbentuk abses (kantong nanah). Jika abses
membesar, maka tekanan terhadap otak akan meningkat dan menyebabkan
muntah, pembesaran kepala serta penonjolan ubun-ubun.
Jika gejalanya semakin memburuk, berarti abses telah pecah dan
mengeluarkan nanahnya ke dalam rongga di sekeliling otak sehingga
infeksi semakin menyebar.


PROGNOSIS

Meskipun telah diberikan pengobatan, sebanyak 30% bayi meninggal. Jika
terjadi abses, angka kematian mendekati 75%.

20-50% bayi yang bertahan hidup, mengalami kerusakan otak dan saraf
(misalnya hidrosefalus, tuli dan keterbelakangan mental).

DIAGNOSA

Diagnosis ditegakkan berdasarkan gejala, hasil pemeriksaan fisik dan
hasil pemeriksaan terhadap contoh cairan serebrospinal yang diperoleh
melalui pungsi lumbal.
USG dilakukan untuk melihat adanya abses.

PENGOBATAN

Antibiotik dosis tinggi diberikan melalui infus.
--- In [email protected], "tiesmin" <[EMAIL PROTECTED]> wrote:
> --------------------------------------------------
> Moms...
> Aku mau tanya suntik HiB apa sih? katanya untuk otak? apa benar?
> seberapa perlu suntik HiB ini? dan umur berapa boleh suntik HiB?
> Mohon infonya donk moms...Thx Moms
>
>
>
> Mama Marvellino
> Tiesmin  Simatupang
> Corporate Business Development
> -------------------------------------------------




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