Documente Academic
Documente Profesional
Documente Cultură
, SpA(K), PhD
Pekerjaan:
Pekerjaan:
Staf
Staf Departemen
Departemen Ilmu
Ilmu Kesehatan
Kesehatan Anak
Anak FKUP/RSHS,
FKUP/RSHS, Bandung
Bandung
Pendidikan/Courses:
Pendidikan/Courses:
•• Dokter Dokter Umum
Umum -- FKFK Unpad
Unpad 1973
1973
•• Spesialis Anak FK Unpad
• Spesialis
Master
Anak FKSciences
Medical Unpad 1990, KUL Leuven, Belgium
•• Master SpesialisMedical SciencesPulmonologi
anak Konsultan 1990, KUL Leuven,
1992 Belgium
•• Spesialis
Doctor inanak Konsultan
Medical Pulmonologi
Sciences 1993, KUL1992
Leuven, Belgium
•• Doctor in Medical Sciences 1993, KUL
Pediatric Pulmonology Course ,1988 , Keio Leuven, BelgiumTokyo – Japan
University
• Pediatric Pulmonology Course ,1988 , Keio University Tokyo – Japan
•• Tropical
Tropical Epidemiology
Epidemiology Course,
Course, Mahidol
Mahidol University,
University, 1988,
1988, Bangkok,Thailand
Bangkok,Thailand
Organisasi:
Organisasi:
• Anggota IDI dan IDAI Jabar
• Anggota IDI dan IDAI Jabar
•• Ketua
Ketua Satgas
Satgas Imunisasi
Imunisasi PP-IDAI
PP-IDAI
•• Anggota ITAGI
Anggota ITAGI
• Ketua Indonesia Influenza Foundation (IIF)
• Ketua Indonesia Influenza Foundation (IIF)
• Board Member of Asia Pacific Alliance for Control of Influenza (APACI)
• Board Member of Asia Pacific Alliance for Control of Influenza (APACI)
• Member of Asian Strategic Alliance for Pneumococcal Disease ( ASAP )
• Member of Asian Strategic Alliance for Pneumococcal Disease ( ASAP )
•• Board Member
Advisory Board ofof CIPP
NESI (Congress
(Network for Education and
of International Support on
Paediatric Immunization)
Pulmonology)
•• Advisory Board of
Board Member CIPP (Global
of GAN (Congress of International
Asthma Network) Paediatric Pulmonology)
• Board Member of GAN (Global Asthma Network)
IMUNISASI
DAN
PENCEGAHAN PNEUMONIA
Cissy B. Kartasasmita
Departemen Ilmu Kesehatan Anak FKUP,
Universitas Padjadjaran,Bandung
Others
(Fungi, Virus)
30%
S.Pneumonia
(Pneumococcus)
50%
H.Influenza tipe B
20%
John Hopkins - IVAC. 2019 Pneumonia & Diarrhea Progress Report Card. https://www.jhsph.edu/ivac/resources/pdpr/ Accessed 30 November 2019
GAPPD Scores
2019 Pneumonia & Diarrhea Progress Report Card
GAPPD scores for the 15 countries with the highest number of under-5
pneumonia and diarrhea deaths
John Hopkins - IVAC. 2019 Pneumonia & Diarrhea Progress Report Card. https://www.jhsph.edu/ivac/resources/pdpr/ Accessed 30 November 2019
Risk factors for pneumonia
or death from ARI
Malnutrition, poor
breast feeding
practices
Lack of immunization Vitamin A deficiency
Tetanus (18%)
Pneumokokus
Pneumococcus Pertussis(12%)
(28%)
Polio
Meningokokus
Meningococcus Campak
Measles
(21%)
Rotavirus
(16%) Yellow Fever
Hepatitis B (16%)
Hib(15%)
0 250.000 500.000
Satgas Imunisasi-IDAI
Komplikasi Campak
Komplikasi campak
(terutama pada gizi buruk)
• Diare 8%
• Otitis media 7%
• Pneumonia 6%
• Ensefalitis 0,1%
• Kejang 0,6-0,7%
• Kematian 0,2%
Ruam makulo – papular
pada campak
Satgas Imunisasi-IDAI
Haemophyllus influenzae b
Satgas Imunisasi-IDAI
Transmisi
Transmisi lewat Droplet (Udara) pada waktu
Satgas Imunisasi-IDAI
Streptococcus pneumoniae
Agen Kausatif Penyakit Pneumokokus
• Bakteri Gram-positif 1
• Kapsul polisakarida1,2
• Faktor virulensi
• Menetapkan serotipe
• Target vaksin
• Lebih dari 90 serotipe1,2
• 11 serotipe menyumbang 70% - Bar=100 nm
93% kasus pneumokokus invasif
di dunia3
1. CDC. Epidemiology and prevention of vaccine-preventable diseases. 11th ed. 2009;217-230.
2. WHO. Acute respiratory infections (update September 2009).
http://www.who.int/vaccine_research/diseases/ari/en/print.html. Accessed March 16, 2010.
3. Hausdorff WP et al. Clin Infect Dis. 2000;30(1):100-121. Satgas Imunisasi-IDAI
Kolonisasi Pneumokokus
• S. pneumoniae dapat tinggal di nasofaring apatogen1
• Kolonisasi global nasopharyngeal (NP):
• 10 - 85% pada anak usia <5 th2,
• 4 - 45% pada dewasa2-4
AOM
Sinusitis Menyebar ke individu lain
Pneumonia
Bakteremia
Meningitis
Otitis media
Transmission of Meningitis
pneumococcus from
host Bacteremia
Pneumococcal strain
establishes itself in
nasopharynx of host
Pneumonia
1. Centers for Disease Control and Prevention. Pneumococcal disease. In: Hamborsky J, Kroger A, Wolfe S, eds. Epidemiology and Prevention of Vaccine-
Preventable Diseases. 13th ed. Washington, DC: Public Health Foundation; 2015:279-296. 2. Dagan R, et al. J Infect Dis. 2002;185(7):927-936. 3. Simell B, et
al. Expert Rev Vaccines. 2012;11(7):841-855. 4. Henriques-Normark B, et al. Cold Spring Harb Perspect Med. 2013;3(7):a010215. 31
Beban Penyakit S. pneumoniae pada
Anak-anak
* Perkiraan sementara
Adapted from: American Academy of Pediatrics. Pediatrics. 2000;106:367-376 & MMWR. 1997;46:1-24
Satgas Imunisasi-IDAI
SIMPULAN
• Angka kejadian dan kematian akibat Penyakit yang
Dapat Dicegah Dengan Imunisasi (PD3I) masih tinggi
• Pneumonia penyebab kematian bayi dan balita No 1
• Imunisasi merupakan cara yang sangat efektif
mencegah pneumonia
• Ada 4 penyebab pneumonia yang dapat dicegah
dengan imunisasi yaitu: Batuk Rejan (Pertusis),
Campak, Hib dan Pneumokokus
• Vaksin sudah tersedia: Pentavalen (DTP/HB/Hib), MR
dan PCV
Gunardi H, Kartasasmita C, Hadinegoro SRS, et al. Immunization schedule for children aged 0-18 years old Indonesian Pediatrics Society Recommendation 2017. Sari Pediatri 34
2017;18:417-22.