Panduan E-Prescription Alomedika Demam pada Bayi

Oleh :

dr. Felicia

Panduan e-Prescription untuk demam pada bayi untuk usia 2–12 bulan ini dapat digunakan oleh Dokter saat hendak memberikan terapi medikamentosa secara online.

Suhu bayi bervariatif sampai dengan 37,8°C, terutama setelah makan, sehingga peningkatan suhu ≥38,0°C baru dianggap patologis. Kondisi ini dapat menjadi tanda adanya infeksi bakteri serius (IBS) dan berisiko sepsis.[1–3]

Demam tidak sama dengan hipertermia, di mana peningkatan suhu tubuh terjadi karena kegagalan termoregulasi. Sedangkan demam terjadi karena peningkatan set point hipotalamus oleh paparan pirogen endogen.[1–3]

Referensi

1. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O’Leary ST, et al. Clinical Practice Guideline: Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug 1;148(2):e2021052228.
2. The National Institute for Health and Care Excellence’s (NICE). Recommendations | Sepsis: recognition, diagnosis and early management | Guidance | NICE. NICE; 2016 https://www.nice.org.uk/guidance/ng51/chapter/Recommendations
3. Barbi E, Marzuillo P, Neri E, Naviglio S, Krauss BS. Fever in Children: Pearls and Pitfalls. Children. 2017 Sep;4(9):81.
4. Fever in children: Overview. In: InformedHealth.org. Institute for Quality and Efficiency in Health Care (IQWiG); 2019. https://www.ncbi.nlm.nih.gov/books/NBK279455/
5. The National Institute for Health and Care Excellence’s (NICE). Recommendations | Fever in under 5s: assessment and initial management | Guidance | NICE. NICE; 2019. https://www.nice.org.uk/guidance/ng143/chapter/Recommendations
6. Queensland CH. Children’s Health Queensland. 2023. Febrile illness – Emergency management in children. https://www.childrens.health.qld.gov.au/for-health-professionals/queensland-paediatric-emergency-care-qpec/queensland-paediatric-clinical-guidelines/febrile-illness
7. Fuchs S, Terry M, Adelgais K, Bokholdt M, Brice J, Brown KM, et al. Definitions and Assessment Approaches for Emergency Medical Services for Children. Pediatrics. 2016 Dec 1;138(6):e20161073.
8. Hamilton JL, Evans SG, Bakshi M. Management of Fever in Infants and Young Children. Am Fam Physician. 2020 Jun 15;101(12):721–9.
9. Dehydration and diarrhea. Paediatr Child Health. 2003 Sep;8(7):459–60.
10. Ward MA. Patient education: Fever in children (Beyond the Basics). Wolters Kluwer. 2023 Oct; https://www.uptodate.com/contents/fever-in-children-beyond-the-basics
11. Green C, Krafft H, Guyatt G, Martin D. Symptomatic fever management in children: A systematic review of national and international guidelines. PLOS ONE. 2021 Jun 17;16(6):e0245815.
12. Government of South Australia. SA Health. Fever in Children aged 1-2 months.
13. Kenneth B. Roberts, Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management; Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months. Pediatrics September 2011; 128 (3): 595–610. https://doi.org/10.1542/peds.2011-1330
14. Bradley, J. S., Byington, C. L., Shah, S. S., Alverson, B., Carter, E. R., et al. 2011. The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis, 53(7), e25–e76. https://doi.org/10.1093/cid/cir531

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Panduan E-Prescription Alomedika Demam pada Bayi

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