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Communicable diseases (excluding NTDs)·Communicable diseases

Central nervous system (CNS) infections

PartialPrioritas 17 paket UHC · 41 actionNICE ✓PNPK ✓
PNPK · Indonesia

Pedoman Nasional yang relevan

Manual seed (PNPK)
  • Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis (2020) Keputusan Menteri Kesehatan RI Nomor HK.02.02/MENKES/305/2014 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis (2016)
Manual seed (pedoman lain)
  • Buku Pedoman Sekolah Peduli Tuberkulosis (TBC) Dalam Rangka Gerakan Bersama (Geber) Melawan Tuberkulosis di Satuan Pendidikan (2021) Pedoman Audit Akuntabilitas Program Penanggulangan Tuberkulosis (2023) Pedoman Jejaring dan Pemantapan Mutu Laboratorium Tuberkulosis (2015)
NICE · UK Benchmark

Guideline NICE yang relevan

NICE guideline
  • NG240 Meningitis (bacterial) and meningococcal disease: recognition, diagnosis and management (0.75)
  • QS19 Meningitis (bacterial) and meningococcal disease (0.75)
  • CSG10 Improving outcomes for people with brain and other central nervous system tumours (0.25)
  • NG127 Suspected neurological conditions: recognition and referral (0.25)
  • NG252 Rehabilitation for chronic neurological disorders including acquired brain injury (0.25)
UHC Compendium

Paket UHC dalam kategori ini (7)

Management of TB meningitis
WHO #3 · 4 action
Covered by PNPK + NICE

Oral anti-TB medications during continuation phase of treatment for TB meningitis | Oral anti-TB medications during intensive phase of treatment for TB meningitis | Expanded oral treatment regimen for drug-resistant TB meningitis

Lihat 4 action detail
  • Oral anti-TB medications during continuation phase of treatment for TB meningitis
    Tasks: Prescribe medication
    Medicines: Isoniazid + rifampicin
  • Oral anti-TB medications during intensive phase of treatment for TB meningitis
    Tasks: Prescribe medication
    Medicines: Ethambutol + isoniazid + pyrazinamide + rifampicin
  • Expanded oral treatment regimen for drug-resistant TB meningitis
    Tasks: Prescribe oral medication
    Medicines: Bedaquiline
  • Intravenous antimicrobials for multidrug resistant tuberculosis (MDR) and extensively drug resistant tuberculosis (XDR) treatment failure
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Meropenem
Management of brain abcess and encephilitis
WHO #4 · 12 action
Gap: WHO no PNPK

Oral antiseizures | Oral antimicrobials for cerebral abcess | Oral antimicrobials for encephilitis

Lihat 12 action detail
  • Oral antiseizures
    Tasks: Prescribe medication
    Medicines: Phenytoin
  • Oral antimicrobials for cerebral abcess
    Tasks: Prescribe medication
    Medicines: Levofloxacin
  • Oral antimicrobials for encephilitis
    Tasks: Prescribe medication
  • Rectal antiseizures
    Tasks: Prescribe medication, Administer rectal medication
  • Buccal antiseizures
    Tasks: Prescribe buccal medication, Administer buccal medication
  • Intravenous antiseizures
    Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
  • Intravenous antimicrobials for cerebral abcess
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Metronidazole, Ceftriaxone, Vancomycin
  • Intravenous antimicrobials for encephilitis
    Tasks: Prescribe intravenous medication, Administer intravenous medication
  • Intravenous corticosteroids
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Dexamethasone
  • Intravenous antivirals
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Acyclovir
  • Stereotactic needle aspiration for cerebral abscess
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Send specimen for laboratory tests, Provide post-procedural care, Conduct neurosurgery, Assist with neurosurgery, Provide nursing support for neurosurgery
  • Surgical excision of cerebral abscess
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Send specimen for laboratory tests, Provide post-procedural care, Conduct neurosurgery, Assist with neurosurgery, Provide nursing support for neurosurgery
Management of meningitis
WHO #5 · 6 action
Gap: WHO/NICE no PNPK

Oral antiseizures | Intramuscular antimicrobials | Intravenous antimicrobials

Lihat 6 action detail
  • Oral antiseizures
  • Intramuscular antimicrobials
  • Intravenous antimicrobials
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Cefotaxime, Ceftriaxone, Gentamicin, Ampicillin
  • Intravenous antiseizures
    Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
    Medicines: Phenytoin
  • Intravenous corticosteroids
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Dexamethasone
  • Intravenous antifungals for cryptococcal meningitis
    Medicines: Fluconazole, Flucytosine, Amphotericin B
Prevention of brain abcess and encephilitis
WHO #6 · 1 action
Gap: WHO no PNPK

Counselling on mosquito prevention and control

Lihat 1 action detail
  • Counselling on mosquito prevention and control
    Tasks: Conduct counselling
Prevention of meningitis
WHO #7 · 6 action
Gap: WHO/NICE no PNPK

Vaccination: meningococcal | Vaccination: meningococcal | Vaccination: pneumococcal conjugate

Lihat 6 action detail
  • Vaccination: meningococcal
    Tasks: Administer vaccine
    Medicines: Haemophilus influenzae type b vaccine, Pneumococcal vaccine, Meningococcal meningitis vaccine
  • Vaccination: meningococcal
    Tasks: Administer vaccine
    Medicines: Meningococcal meningitis vaccine
  • Vaccination: pneumococcal conjugate
    Tasks: Administer vaccine
  • Vaccination: haemophilus influenzae type b (Hib)
    Tasks: Administer vaccine
  • Oral antimicrobials chemoprophlaxis for meningococcal disease
    Tasks: Prescribe medication
    Medicines: Ciprofloxacin
  • Intravenous antimicrobials chemoprophlaxis for contacts
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Penicillin G
Screening and diagnosis of brain abcess and encephilitis
WHO #8 · 6 action
Gap: WHO no PNPK

History and physical examination | Basic laboratory tests | Advanced laboratory tests

Lihat 6 action detail
  • History and physical examination
    Tasks: Conduct vital signs measurement, Conduct history taking, Conduct physical examination, Provide clinical advice
  • Basic laboratory tests
    Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
  • Advanced laboratory tests
    Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
  • Computed tomography (CT) scan
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
  • Magnetic Resonance Imaging (MRI)
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
  • Lumbar puncture
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer local anaesthesia, Conduct lumbar puncture, Assist with lumbar puncture
Screening and diagnosis of meningitis
WHO #9 · 6 action
Gap: WHO/NICE no PNPK

History and physical examination | Early recognition of danger signs and illness with early referral | Basic laboratory tests

Lihat 6 action detail
  • History and physical examination
    Tasks: Conduct vital signs measurement, Conduct history taking, Conduct physical examination, Provide clinical advice
  • Early recognition of danger signs and illness with early referral
    Tasks: Conduct targeted physical examination, Conduct vital signs measurement, Conduct history taking, Referral for emergency care
  • Basic laboratory tests
    Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
  • Advanced laboratory tests
    Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
  • Computed tomography (CT) scan
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
  • Lumbar puncture
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer local anaesthesia, Conduct lumbar puncture, Assist with lumbar puncture