INFEKSI BAKTERI ANAEROB

download INFEKSI BAKTERI ANAEROB

of 27

Transcript of INFEKSI BAKTERI ANAEROB

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    1/27

    INFEKSI BAKTERI ANAEROB

    OLEHOLEHNURROKHMANNURROKHMAN

    BAGIAN MIKROBIOLOGIBAGIAN MIKROBIOLOGI

    FAKULTAS KEDOKTERAN UGMFAKULTAS KEDOKTERAN UGM

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    2/27

    INFEKSI BAKTERI-BAKTERI ANAEROB

    BAKTERI ANAEROBBAKTERI YG DALAM PERTUMBUHANNYA

    MEMBUTUHKAN PENURUNAN OKSIGENDLM JUMLAH

    TERTENTU DAN SENSITIF METRONIDAZOL

    MACAMNYA:

    ANAEROB OBLIGAT

    ANAEROB FAKULTATIFMIKROAEROFILIK

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    3/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    4/27

    BERDASARKAN BENTUK DAN SIFAT

    PENGECATAN GRAM

    BATANG GRAM POSITIFBATANG GRAM NEGATIF

    KOKUS GRAM POSITIF

    KOKUS GRAM NEGATIF

    BATANG GRAM POSITIF

    ActinomycesLactobacillus

    PropionibacteriumEubacteriumBifdobacteriumArachnia

    Clostridium

    BATANG GRAM NEGATIF

    Bacteroides

    Prefotella

    PorphyromonasFusobacteria

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    5/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    6/27

    KOKUS GRAM POSITIF

    Peptostreptococcus

    KOKUS GRAM NEGATIFVeillonella

    BERDASARKAN KEMAMPUAN MEMBENTUK SPORA

    anaerob bersora

    Clostridium

    anaerob !"# bersoraBacteroides

    Prefotella

    Porphyromonas

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    7/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    8/27

    DIAGNOSIS INFEKSI BAKTERI ANAEROB

    Sekret yg berba b!k

    In"ek!i ter#a$i $ekat %er&kaan &ko!a

    A$anya ga! $ala& #aringan

    biakan aerob negati" 'ti$ak t&b()

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    9/27

    CLOSTRIDIUM

    MERUPAKAN BAKTERI

    ben!$# ba!an%

    besar

    %ra& os'!'(

    &o!')

    MORFOLOGI KOLONI

    #o)on' besar

    *C. perfringens+

    #o)on' #e,')*C. tetani+

    ,e&b$n%

    !e' $!$-

    b$)a!

    -e&o)'s's *.+

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    10/27

    Pen/a#'! /% "'sebab#an o)e- C)os!r'"'$&

    "'be"a#an &en0a"' 1:

    23 )$#a "an 'n(e#s' 0ar'n%an *&'one#ros's4 !e!an$s4 "an #o)'!'s+

    13 'n!o#s'#as' &a#anan

    SIFAT PERTUMBUHAN

    !"# "aa! -'"$ aerob

    !"# $n/a s'!o#ro&!"# $n/a s'!o#ro& o#s'"ase

    !a# "! &e&e,a- H1O1

    !a# $n/a #a!a)ase

    !a# $n/a ero#s'"ase

    !a# $n/a s$ero#s'"a "'s&$!ase

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    11/27

    C. perfringensC. perfringens

    soil, fecal contaminationsoil, fecal contamination

    warwar

    gas gangrenegas gangrene

    swelling of tissuesswelling of tissues gas releasegas release

    * fermentation productsfermentation products

    wound contaminationwound contamination

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    12/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    13/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    14/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    15/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    16/27

    Without treatment deathWithout treatment death

    occurs within 2 daysoccurs within 2 days

    effective antibiotic therapyeffective antibiotic therapy

    debridementdebridementanti-toxinanti-toxin

    amputation death is rareamputation death is rare

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    17/27

    !aboratory identification

    lecithinase productionlecithinase production

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    18/27

    C. botulinumC. botulinum

    food poisoningfood poisoning rarerare

    fatalfatal

    gerination of sporegerination of spore

    inade!"atel# sterili$ed %anned foodinade!"atel# sterili$ed %anned food

    &oe&oe

    not an infe%tionnot an infe%tion

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    19/27

    Bot"lin" to'inBot"lin" to'in

    (inds perip&eral ner)e re%eptors(inds perip&eral ner)e re%eptors

    a%et#l%&oline ne"rotransittera%et#l%&oline ne"rotransitter

    in&i(its ner)e ip"lsesin&i(its ner)e ip"lses

    fla%%id paral#sisfla%%id paral#sis

    deat&deat&

    respirator#respirator# %ardia% fail"re%ardia% fail"re

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    20/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    21/27

    C. difficileC. difficile

    "fter antibiotic use"fter antibiotic use

    intestinal normal floraintestinal normal flora

    greatly decreasedgreatly decreased colonization occurscolonization occurs enterotoxin secretedenterotoxin secreted

    pseudomembanous colitispseudomembanous colitis

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    22/27

    Clostridi" tetaniClostridi" tetani

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    23/27

    TetanospasinTetanospasin

    Men#e(ar se%ara sistei*Men#e(ar se%ara sistei*

    ne"roto*sin potensialne"roto*sin potensial

    Mengi*at reseptor gangliosidMengi*at reseptor gangliosid

    eng&a(at ne"ron di CNSeng&a(at ne"ron di CNS

    Otot (e*er+a ter"s ener"sOtot (e*er+a ter"s ener"sspasti% ,rigid paral#sisspasti% ,rigid paral#sis

    .a*t" in*"(asi /-01 &ari.a*t" in*"(asi /-01 &ari

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    24/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    25/27

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    26/27

    Treatent and 2re)ention

    Te!an$s I&&$ne G)ob$)'n *TIG+Te!an$s an!'!o5'n *TAT+ (ro& -orses

    en','))'n or !e!ra,/,)'ne

    &$s,)e re)a5an!sTra,-eos!o&/

    6a,,'na!e"

  • 7/25/2019 INFEKSI BAKTERI ANAEROB

    27/27