Penatalaksanaan Mastoiditis

Oleh :

dr. Novita

Penatalaksanaan mastoiditis dapat dilakukan dengan pemberian antibiotik sesuai kultur dan tindakan pembedahan bila tidak didapatkan resolusi dalam 48 jam pertama terapi medikamentosa yang sesuai. Tindakan pembedahan antara lain seperti miringotomi, timpanosentesis, mastoidektomi, timpanostomi, dan timpanoplasti.[2]

Berobat Jalan

Mastoiditis memerlukan antibiotik intravena dengan, dengan antibiotik empiris yang dapat diberikan adalah golongan cephalosporin, seperti ceftriaxone, sambil menunggu hasil kultur. Terapi dengan antibiotik oral berdasarkan berbagai studi tidak efektif dan menyebabkan timbulnya komplikasi.[2,35]

Referensi

2. Medscape. Mastoiditis. 2018. https://emedicine.medscape.com/article/2056657-overview → Sahi D, Nguyen H, Callender KD. Mastoiditis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK560877/?report=classic
5. Kynion R. Mastoiditis. Pediatrics in Review. 2018; 39: 267
20. Government of Western Australia Child and Adolescent Health Service. Children’s Antimicrobial Management Program: Guideline Paediatric : Ear Nose Throat Dental Infections. 2013. https://pch.health.wa.gov.au/~/media/Files/Hospitals/PCH/General%20documents/Health%20professionals/ChAMP%20Guidelines/Ear%20Nose%20Throat%20and%20Dental%20Infections.pdf
21. Gloucestershire Hospitals. Adult Antibiotic Treatment Guidelines: Acute Mastoiditis. 2014. https://www.gloshospitals.nhs.uk/gps/antimicrobial-resources/adult-antibiotic-treatment-guidelines-site-infection/acute-mastoiditis/
22. University of California. Pediatric Guidelines: Head and Neck Infections- Mastoiditis. 2013. https://idmp.ucsf.edu/pediatric-guidelines-head-and-neck-infections-mastoiditis
23. Kumar AS. A clinical study on the management of chronic mastoiditis and mastoid abscess – a hospital based study. Int J Sci Study. 2018; 6(1): 174-77.
24. Tsai TC, Yu PM, Tang RB, et al. Otorrhea as a sign of medical treatment failure in acute otitis media: two cases with silent mastoiditis complicated with facial palsy. Pediatr Neonatol. 2013; 54: 335-38.
34. Nargis W, Ibrahim M, Ahamed BU. Procalcitonin versus C‑reactive protein: Usefulness as biomarker of sepsis in ICU patient. International Journal of Critical Illness and Injury Science. 2015;4(3):195-9.
35. Cassano P, Ciprandi G, Passali D. Acute mastoiditis in children. Acta Biomed. 2020 Feb 17;91(1-S):54-59. doi: 10.23750/abm.v91i1-S.9259. PMID: 32073562; PMCID: PMC7947742.
36. Konsil Kedokteran Indonesia (KKI). Standar Kompetensi Dokter Indonesia (SKDI). KKI, 2014.
37. Brook I. Unexplained fever in young children: how to manage severe bacterial infection, BMJ 2003;327:1094-7. https://doi.org/10.1136/bmj.327.7423.1094
38. Kennedy KL, Lin JW. Mastoidectomy. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK559153/
39. Spaw M, Camacho M. Tympanostomy Tube. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK565858/

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Masuk atau Daftar

Nomor Ponsel Sudah Terdaftar

Masuk dengan Email

Masuk dengan Email

Masuk dengan Facebook

Penatalaksanaan Mastoiditis

Referensi

Masuk atau Daftar