Mikroba Infeksi Akut Dan Khronis (Bedah Dasar)

7/25/2019 Mikroba Infeksi Akut Dan Khronis (Bedah Dasar)

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Mikroba Penyebab InfeksiAkut dan Khronis

Setio Harsono

Dept / SMF Mikrobiologi Klinik

FK Unair / RSUDDrSoeto!o



I.I. MIKROBA PENYEBAB INFEKSI AKUTMIKROBA PENYEBAB INFEKSI AKUT

No. Bakteri PenyakitNo. Bakteri Penyakit

1.1. Coccus ra! Positi" Coccus ra! Positi" ##

$ Sta%&y'ococcus#$ Sta%&y'ococcus# ( S.aureus ( A)scess( S.aureus ( A)scess

*MRSA+,ISA+,RSA-*MRSA+,ISA+,RSA- Osteo!ye'itisOsteo!ye'itis

Ce''u'itisCe''u'itis

( S.e%ier!iis ( In"eksi( S.e%ier!iis ( In"eksi

o%ortuniso%ortunis

( S.sa%ro%&yticus ( ISK( S.sa%ro%&yticus ( ISK



S"alded skin syndro!e



Osteomyelitis



• Staphylococcal cellulitis



• Staphylococcal wound infection


http://slidepdf.com/reader/full/mikroba-infeksi-akut-dan-khronis-bedah-dasar 8/60Diabeti" #angrene


http://slidepdf.com/reader/full/mikroba-infeksi-akut-dan-khronis-bedah-dasar 9/60Staphylo"o""us aureus $ndo"arditis



%rain abs"ess


http://slidepdf.com/reader/full/mikroba-infeksi-akut-dan-khronis-bedah-dasar 11/60&erebral ab"ess


http://slidepdf.com/reader/full/mikroba-infeksi-akut-dan-khronis-bedah-dasar 12/60'e"roti" Infe"tion (u!or Ma!!ae


http://slidepdf.com/reader/full/mikroba-infeksi-akut-dan-khronis-bedah-dasar 13/60Infe"ted(u!or Ma!!ae



) Strepto"o""us*) Strepto"o""us*

+ Spyogenes + Pharyngitis+ Spyogenes + Pharyngitis

+ (onsilitis+ (onsilitis

+ 'e"roti,ing fas"iitis+ 'e"roti,ing fas"iitis

+ S-iridans + S%$+ S-iridans + S%$

+ Sagala"tiae + Meningitis+ Sagala"tiae + Meningitis

+ Sfae"alis . + Infeksi oportunis+ Sfae"alis . + Infeksi oportunis

$ntero"o""us fae"alis 0 $ntero"o""us fae"alis 0 1an"o!y"in1an"o!y"inResistant $ntero"o""us . 1R$Resistant $ntero"o""us . 1R$



Spyogenes infe"tion flesh eating ba"teria0



Necrotizing fasciitis



• Necrotizing fasciitis



Strepto"o""al $ndo"arditis



Mitral $ndo"arditis



22 &o""us #ra! 'egatif &o""us #ra! 'egatif **

) 'eisseria*) 'eisseria*

+ 'gonnorhoeae + #onorrhoe+ 'gonnorhoeae + #onorrhoe

+ '!eningitidis + Meningitis+ '!eningitidis + Meningitis

+ 1as"ulitis+ 1as"ulitis



#onoblenorrhoeae 3pthal!ia neonatoru!0#onoblenorrhoeae 3pthal!ia neonatoru!0



Meningo"o""e!ia -as"ulitisMeningo"o""e!ia -as"ulitis



3.3. Batang Gram Positif Batang Gram Positif

* Listeria:* Listeria:

- L.monocytogenes - Granulomatosis- L.monocytogenes - Granulomatosis

infantisepticainfantiseptica

* Corynebacterium:* Corynebacterium:

- C.diphtheriae - Diphtheri- C.diphtheriae - Diphtheri

* poreforming aerobe:* poreforming aerobe:

* Bacillus:* Bacillus:

- B.anthracis - !nthra"- B.anthracis - !nthra"



Diphtheri #Pseudomembran$Diphtheri #Pseudomembran$



Bacillus anthracisBacillus anthracis



) Sporefor!ing anaerobe*) Sporefor!ing anaerobe*

) &lostridiu!*) &lostridiu!* + &tetani + (etanus+ &tetani + (etanus

+ &perfringens + Myone"rosis+ &perfringens + Myone"rosis

+ &difi"ille + Pseudo+ &difi"ille + Pseudo !e!branous!e!branous

"olitis"olitis

+ &botulinu! + Food+ &botulinu! + Food

poisoningpoisoning



Myonecrosis



Tetanus



&lostridial gasgangrene



&lostridiu! difi"ille pseudo!e!branous "olitis



44 %atang #ra! 'egatif %atang #ra! 'egatif **

) Hae!ophilus*) Hae!ophilus*

+ Hinfluen,ae + %ron"hitis+ Hinfluen,ae + %ron"hitis

+ Pneu!onia+ Pneu!onia + Hdu"reyi + Ul"us !olle+ Hdu"reyi + Ul"us !olle

) %ordetella*) %ordetella* + %pertusis + Pertusis+ %pertusis + Pertusis



PertusisPertusis



) $nteroba"teria"eae*) $nteroba"teria"eae*

+ Sal!onella*+ Sal!onella* +Styphi + (yphoid fe-er +Styphi + (yphoid fe-er

+Sparatyphi + Paratyphoid+Sparatyphi + Paratyphoid

fe-er fe-er + Shigella*+ Shigella*

+Sdysenteriae + Dysenteri+Sdysenteriae + Dysenteri

+Sboydii + Dysenteri+Sboydii + Dysenteri +Ssonei + Dysenteri+Ssonei + Dysenteri

+Sfle5neri + Dysenteri+Sfle5neri + Dysenteri



- %lebsiella:- %lebsiella:

-%.pneumoniae-%.pneumoniae #&BL$' #%PC$#&BL$' #%PC$ - Pneumonia - Pneumonia

- &scherichia:- &scherichia:-&.coli-&.coli #&BL$#&BL$ - Gastroenteritis' (%'- Gastroenteritis' (%'

epsisepsis

- !cinetobacter:- !cinetobacter:

-!cinetobacter baumannii - Pneumonia-!cinetobacter baumannii - Pneumonia# )!P $# )!P $

#D+,$#D+,$ - epsis - epsis

- ersinia:- ersinia:

-.enterocolitica - &nterocolitis-.enterocolitica - &nterocolitis

-.pestis - Plaue-.pestis - Plaue

* )ibrio :* )ibrio :

-).cholerae - Cholera-).cholerae - Cholera

-).parahaemolyticus - Gastroenteritis-).parahaemolyticus - Gastroenteritis



Acute Bacterial NephritisAcute Bacterial Nephritis



Acute CystitisAcute Cystitis



$ Pseuo!onas#$ Pseuo!onas#

( P.aeru/inosa( P.aeru/inosa *M0RO-*M0RO- ((

Se%tice!iaSe%tice!ia ( ISK ( ISK

( Burn( Burn

in"ectionin"ection

$ e'ico)acter#$ e'ico)acter#

( .%y'ori ( astritis( .%y'ori ( astritis

$ Ca!%y'o)acter#$ Ca!%y'o)acter#

( C.2e2uni ( Enteritis( C.2e2uni ( Enteritis

$ Francise''a#$ Francise''a#

( F.tu'arensis ( Tu'are!ia( F.tu'arensis ( Tu'are!ia



Burn infection



• Pseudomonas Infection



• Pseudo!onas infe"tion



) %ru"ella*) %ru"ella*

+ %!elitensis + %ru"ellosis+ %!elitensis + %ru"ellosis

) Pasteurella*) Pasteurella*

+ P!ulto"ida + Septi"e!ia+ P!ulto"ida + Septi"e!ia + Meningitis+ Meningitis

) 'onsporefor!ing anaerobe*) 'onsporefor!ing anaerobe* + %a"teroides*+ %a"teroides*

+%fragilis + Peritonitis+%fragilis + Peritonitis



Brucella EndocarditisBrucella Endocarditis



nimal Bite



Ani!al %ite



66 %atang #ra! 1ariable%atang #ra! 1ariable **

) 7egionella*) 7egionella*

+ 7pneu!ophila + Pneu!onia+ 7pneu!ophila + Pneu!onia

) #ardnerella*) #ardnerella*

+ #-aginalis + 1aginosis+ #-aginalis + 1aginosis



88 'on #ra! Stain Pe9arnaan khusus0'on #ra! Stain Pe9arnaan khusus0 **

) &hla!ydia * #ie!sa stain) &hla!ydia * #ie!sa stain

+ &psitta"i + Pneu!onia+ &psitta"i + Pneu!onia

+ &tra"ho!atis + (ra"ho!a+ &tra"ho!atis + (ra"ho!a

+ 7#1+ 7#1

) My"oplas!a * #ie!sa stain) My"oplas!a * #ie!sa stain + Mpneu!oniae + Pneu!onia+ Mpneu!oniae + Pneu!onia

+ Ureaplas!a urealyti"u! + ISK+ Ureaplas!a urealyti"u! + ISK



* +ic/ettsia : (mmuno0ourescens* +ic/ettsia : (mmuno0ourescens

staining.staining.

- +.pro1a2e/ii - &pidemic typhus- +.pro1a2e/ii - &pidemic typhus

- +.ric/ettsii - +oc/y ountain- +.ric/ettsii - +oc/y ountain

potted feerpotted feer

* pirochaeta : iler* pirochaeta : iler

impregnationimpregnation

- Leptospira : bentu/ piral- Leptospira : bentu/ piral

-L.icterohaemorrhagiae - 4eils-L.icterohaemorrhagiae - 4eils

#L.interrogans$ disease#L.interrogans$ disease

II.II. MIKROBA PENYEBAB INFEKSI KRONISMIKROBA PENYEBAB INFEKSI KRONIS



No. Bakteri PenyakitNo. Bakteri Penyakit

1.1. Aci Fast Stain Aci Fast Stain ##

$ Myco)acteriu! #$ Myco)acteriu! #

( M.tu)ercu'osis (( M.tu)ercu'osis (

Tu)ercu'osisTu)ercu'osis ( M.'e%rae ( 3e%ra( M.'e%rae ( 3e%ra

Partia' Aci Fast StainPartia' Aci Fast Stain ##

$ Nocaria # )entuk$ Nocaria # )entukBranc&in/Branc&in/

(N.asteroies ((N.asteroies (NocariasisNocariasis



• S%ony'itis tu)ercu'osaS%ony'itis tu)ercu'osa



i))us *S%ony'itis Tu)ercu'osis-i))us *S%ony'itis Tu)ercu'osis-



22 Spiro"haetaSpiro"haeta ** Sil-er i!pregnation Sil-er i!pregnation

) (repone!a * bentuk Spiral) (repone!a * bentuk Spiral

+ (pallidu! + Syphilis+ (pallidu! + Syphilis

:: #ra! Positif Anaerobe#ra! Positif Anaerobe ** ) A"tino!y"etes* #MS staining) A"tino!y"etes* #MS staining

bentuk %ran"hingbentuk %ran"hing

+ Aisraelii + A"tino!y"osis+ Aisraelii + A"tino!y"osis



ctinomyces sulfur granules



3ral+Ma5illo Infe"tion



;ound Infe"tion



• Surgi"al 9ound infe"tion



• ;ound infe"tion



• Post+surgi"al infe"tion



Ul"us de"ubitus 'oso"o!ial infe"tion0

Mikroba Infeksi Akut Dan Khronis (Bedah Dasar)

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