Prognosis Disentri

Oleh :

dr. Ghifara Huda SE AAAK

Secara umum disentri memiliki prognosis yang baik apabila diberikan tatalaksana yang cepat dan tepat. Tatalaksana yang terlambat dan tidak tepat pada disentri akan menyebabkan komplikasi mulai dari dehidrasi, abses hepar, perforasi kolon, obstruksi usus, prolaps rektum, bakteremia, hingga hipovolemik berat, yang dapat berujung pada kematian.[1,2,4,19,28,32,34,42-44,47]

Komplikasi

Komplikasi pada saluran pencernaan maupun sistemik dapat timbul jika disentri tidak ditangani dengan cepat dan tepat.[1,2,4,31,34,42-44,47-51]

Referensi

1. Williams PCM, Berkley JA. Guidelines for the treatment of dysentery (shigellosis): a systematic review of the evidence. Paediatrics and International Child Health. 2018;38(sup1):S50–S65. https://doi.org/10.1080/20469047.2017.1409454
2. Prabhurajeshwar C, Kelmani C. Shigellosis: A Conformity Review of the Microbiology, Pathogenesis and Epidemiology with Consequence for Prevention and Management issues. Journal of Pure and Applied Microbiology. 2018;12(1):405-417. http://dx.doi.org/10.22207/JPAM.12.1.48
4. Kroser JA. Shigellosis. Medscape. 2019. https://emedicine.medscape.com/article/182767-overview
19. Centers for Disease Control and Prevention. Shigella-Shigellosis. 2017. https://www.cdc.gov/shigella/infection-sources.html
23. Swaminathan A, Torresi J, Schlagenhauf et al. Geosentinel Network. A global study of pathogens and host risk factors associated with infectious gastrointestinal disease in returned international travellers. J infect 2009,59;19-27. 2
24. Gunther J, Shafir S, Bristow B, Sorvillo F. Short report: amebiasis-related mortality among United States residents, 1990-2007. Am J Trop Med Hyg. 2011; 85(6): 1038-40.
27. Dhawan VK. Amebiasis Treatment & Management.
28. Ximénez C, Morán P, Rojas L, et al. Novelties on amoebiasis: a neglected tropical disease. J Glob Infect Dis. 2011 Apr;3(2):166-74.
31. Fleming, Rhonda & Cooper, Chad & Ramirez-Vega, et al. 2015. Clinical manifestations and endoscopic findings of amebic colitis in a United States-Mexico border city: A case series. BMC Research Notes. 8. 10.1186/s13104-015-1787-3.’
32. Parija, Subhash & Garg, Atul & Pushpa, et al. 2010. Polymerase chain reaction of diagnosis of intestinal amebiasis in Puducherry. Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology. 29. 140-2. 10.1007/s12664-010-0033-0.
34. Keshav A, et al. Shigella Infection. BMJ Best Practice: 2016. https://bestpractice.bmj.com/topics/en-gb/1174
42. Iodoquinol. Drugs.com. 2021. https://www.drugs.com/cons/iodoquinol.html#dosage
43. Diloxanide. MIMS. 2020. https://www.mims.com/philippines/drug/info/diloxanide?mtype=generic
44. Ornidazole. MIMS. 2020. https://www.mims.com/indonesia/drug/info/ornidazole?mtype=generic
46. Zulfiqar H, Mathew G, Horrall S. Amebiasis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK519535/
47. Bauddh, N. K., Jadon, R. S., Ranjan, P., & Vikram, N. K. (2020). Metastatic amebic brain abscess: A rare presentation. Tropical parasitology, 10(1), 47–49. https://doi.org/10.4103/tp.TP_29_19
48. Khan, Wasif & Griffiths, Jeffrey & Bennish, Michael. 2013. Gastrointestinal and Extra-Intestinal Manifestations of Childhood Shigellosis in a Region Where All Four Species of Shigella Are Endemic. PloS one. 8. e64097. 10.1371/journal.pone.0064097.
49. DRAFT WHO Preferred Product Characteristics for Vaccines against Shigella. 2020. https://www.who.int/immunization/research/ppc-tpp/PPC_Shigella_draft_for_review_april2020.pdf?ua=1
50. WHO | Product Development for Vaccines Advisory Committee (established April 2014). WHO. http://www.who.int/immunization/research/committees/pdvac/en/
51. Ashkenazi S. Shigella species. In: Principles and Practice of Pediatric Infectious Diseases, 5th ed, Long SS, Prober CG, Fischer M (Eds), Elsevier, Philadelphia 2018. p.842.

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