AVIAN INFLUENZA (AVIAN/BIRD FLU)

AVANZA

Emergency hospital during influenza

epidemic, Camp Funston, Kansas.

http://nmhm.washingtondc.museum/collections/archives/agalleries/1918flu/1918flu.html

Kepanikan akibat Flu burung

JANGAN SAMPAI TERULANG

KEJADIAN SEPERTI INI.
TERIMA KASIH ATAS
PERHATIANNYA

Avian influenza patients in

Hospital,Vietnam, 2004

ALAT APP
(STANDAR)

PASANG SEPATU
BOOT

PASANG SARUNG TANGAN

I

PASANG BAJU OK II

PASANG
CELEMEK

PASANG SARUNG TANGAN

II

PASANG GOGGLES
II

CUCI
CELEMEK

LEPASKAN
CELEMEK

 Human to human transmission of

influenza A (H5N1) has been suggested in
several household clusters and child to
mother transmission

Clinical Manifestation
The clinical spectrum of influenza A (H5N1) in
human base on description of hospitalized
patients
Incubation period may be longer than human
influenza 2-4 days, upper limit 8-17 days
History of contact with poultry:
Visited a poultry farm
A household raising poultry; or a bird market
Contact with a known or suspect human case of
imfluenza A (H5N1) in an H5N1-infected area within
10 days of symptom onset

 Temperature of >38 C
Influenze like illness with lower respiratory
symptoms
Dry Cough
Sore throat
Nasal congestion/ rhinorrhea
Shortness of breath
Sneezing
Headache

Body aches/myalgia
Fatigue
Irritated eyes
Acute Respiratory Distress syndrome (ARDS)
Tachypnea
Diarrhea without blood
Abdominal pain

 Temperature of >38 C
Influenze like illness with lower respiratory
symptoms
Dry Cough
Sore throat
Nasal congestion/ rhinorrhea
Shortness of breath
Sneezing
Headache

Body aches/myalgia
Fatigue
Irritated eyes
Acute Respiratory Distress syndrome (ARDS)
Tachypnea
Diarrhea without blood
Abdominal pain

 Radiographic changes:
Diffuse
Multifocal, or patchy infiltares
Interstitial inflitrate
Segmental or lobular consolidation
Pleural effusions are uncommon

Pneumonia

Typical
Pneumonia

Atypical
Pneumonia

Influenza A (H5N1) Pneumonia

Hien. NEJM
2004;350:1179

Thailand, March 2004

Management
Most hospitalized patients requires ventilatory
support
Broad spectrum antibiotics
Antiviral agents corticosteroids
Adamtane group:
Amantadine
Rimantadine

Neuromidase inhibitors
Oseltamivir, 2 x 75 mg/daily for 5 days within 36-48 hours
after the onset of illness
Inhaled zanamivir

Complication
Multiorgan failure
Renal dysfunction
Cardiac dilatation
Supraventricular tachyarrhythmias

Complication have induced ventilator:

Pneumonia
Pulmonary hemorrhage
Pnemothorax
Pancytopenia
Reyes syndrome
Sepsis

 Sputum sometimes bloody