Staphylococcus Sp
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STAPHYLOCOCCUS
OLEH :
NUR AMALIAWATI, SSi
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GAMBARAN UMUM
FLORA NORMAL KULIT, MUKOSA HIDUNG TENGGOROKAN
STAPHLOCOCCUS PATOGEN MENYEBABKAN PERNANAHAN, ABSES, SEPTIKIMIA
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JENIS STAPHYLOCOCCUS
Staphylococcus aureus
PALING PATOGEN Staphylococcus epidermidis
FLORA NORMAL, ENDOKARDITIS BAKTEREMIA
Staphylococcus sapropyticucus
INFEKSI SALURAN KEMIH
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KUMAN MIRIP STAPHYLOCOCCUS
MIKROKOKUS DITEMUKAN DILINGKUNGAN
TETRADA 4 KOKUS
SARSINA 8 KOKUS
WARNA KOLONI
KUNING, MERAH, ORANYE
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CIRI MORFOLOGI
SIFAT GRAM :GRAM POSITIFBIAKAN TUA GRAM NEGATIF
GERAK : NON MOTIL TIDAK MEMBENTUK SPORA
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MORFOLOGI (CAT GRAM)
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SIFAT PERTUMBUHAN
CIRI KOLONI :
BULAT, HALUS, MENONJOL, MENGKILAT, MEMBENTUK BERBAGAI PIGMEN
St. aureus KUNING EMAS
St. epidermidis KEPUTIHAN
HEMOLISIS/ ANHEMOLISIS
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Staphylococcus aureus
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St. saprophyticus
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KOLONI St.epidermidis DI MEDIA BAP
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SIFAT PERTUMBUHAN
MENGHASILKAN KATALASE
MEMBEDAKAN DENGAN STREPTOCOCCUS
MERAGIKAN BANYAK KARBOHIDRAT SECARA LAMBAT TANPA GAS
RESISTEN TERHADAP
PENGERINGAN
PANAS (500C 30 MNT)
9% NaCl
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REAKSI KUMAN TERHADAP ANTIBIOTIKA
KUMAN SENSITIF TERHADAP GOLONGAN PENISILIN
KUMAN RESISTEN TERHADAP GOLONGAN PENISILIN (PENISILIN G, AMPISILIN)
KARENA KUMAN MENGHASILKAN ENZIM BETALAKTAMASE (MERUSAK OBAT)RESISTENSI DIKENDALIKAN OLEH PLASMID SECARA KONJUGASI, TRANDUKSI
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PRODUK EKSTRA SEULELER
ENZIM :
1. KATALASE
H202 H2O +02
2. KOAGULASE
MENJENDALKAN PLASMAOKSALAT/
PLASMA SITRAT
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CRF (COAGULASE REACTING FACTOR) DALAM PLASMA
+
COAGULASE
KOMPLEKS CRF COAGULASA
+
FIBRINOGEN
JENDALAN FIBRIN
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PRODUK EKSTRA SEULELER
ENZIM :3. HIALURONIDASE FAKTOR
PENYEBAR
4. STAFILOKINASE FIBRINOLISIS
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TOKSIN1. EKSOTOKSIN , HEMOLISIN (TOKSIN )
SUATU PROTEIN YANG MELARUTKAN ERITROSIT
HEMOLISIN (TOKSIN )MELARUTKAN ERITROSIT
DOMBA TTP TIDAK KELINCI
TOKSIN GAMA & DELTA
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TOKSIN
2. LEKOSIDIN
MEMATIKAN SEL DARAH PUTIH PADA HEWAN
3. TOKSIN EKSFOLIATIF
MENYEBABKAN “STAPHYLOCOCCUS SCALDED SKIN SYNDROME”
4. TOKSIN SINDROM SHOK TOKSIK (TSST-1) “SYNDROM SHOK TOKSIK”
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TOKSIN
5. ENTEROTOKSIN
HAMPIR 50% STRAIN.
DIHASILKAN PADA MAKANAN YANG MENGNDUNG KH & PROTEIN.
TAHAN TERHADAP PEMANASAN 30 MENIT.
TAHAN TERHADAP ENZIM2 USUS
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STRUKTUR ANTIGEN
MENGANDUNG ANTIGEN POLISAKARIDA
DAN PROTEIN
PENGGOLONGAN STRAIN
DENGAN UJI SEROLOGIS
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PATOGENISIS
St. aureus INVASIVE RENDAH
JERAWAT IMPETIGO
INVASIVE TINGGI OSTEOMIELITIS PNEUMONIA ENDOKARDITIS SEPSIS
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PATOGENESIS
St. epidermidis BAKTERIMEA ENDOCARDITIS INFEKSI PADA LUKA
St. saprophyticus INFEKSI SALURAN KEMIH (ISK)
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PATOGENESIS
PENYAKIT KARENA TOKSIN
SCALDED SKIN SYNDROM
TOKSIN EKSFOLIATIF
SINDROM SHOK TOKSIK
TSST – 1
KERACUNAN MAKANAN
ENTEROTOKSIN
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GEJALA KLINIS
BAKTEREMIA ENDOKARDITIS, OSTEOMIELITIS, PNEUMONIA LOKALISASI SEKUNDER PADA ORGAN DISFUNGSI, PERNANAHAN HEBAT
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GEJALA KLINIK
KERACUNAN MAKANAN
(ENTEROTOKSIN)
MASA INKUBASI 1-8 JAM
NAUSEA HEBAT, MUNTAH-MUNTAH, DIARE, SEMBUH CEPAT, TIDAK ADA DEMAM
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GEJALA KLINIK
SINDROM SHOK TOKSIK (SCALDED SKIN SYNDROME)KUMAN PADA VAGINA, TAMPON, LUKA, TENGGOROKAN, TIDAK DITEMUKAN DALAM DARAHDEMAM TINGGI, MUNTAH, DIARE, MIALGIA, RUAM, HIPOTENSI, KASUS BERAT (KEGAGALAN JANTUNG DAN GINJAL)
SINDROM SHOK TOKSIK (SCALDED SKIN SYNDROME)KUMAN PADA VAGINA, TAMPON, LUKA, TENGGOROKAN, TIDAK DITEMUKAN DALAM DARAHDEMAM TINGGI, MUNTAH, DIARE, MIALGIA, RUAM, HIPOTENSI, KASUS BERAT (KEGAGALAN JANTUNG DAN GINJAL)
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PEMERIKSAAN LABORATORIS
BAHAN PEMERIKSAAN :
USAPAN PERMUKAAN LESI
NANAH
DARAH
ASPIRASI TRAKHEA
TEMPAT INFEKSI LAIN
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PEMERIKSAAN LABORATORIS
PEMERIKSAAN MIKROSKOPIS
KHAS PADA SAMPLE NANAH ATAU SPUTUM YANG DIWARNAI
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PEMERIKSAAN LABORATORIS
KULTUR
MEDIA ISOLASI :
B A P, M S A
UJI BIOKIMIA
BA, BB, DNase AGAR
KATALASE, KOAGULASE
TES KEPEKAAN ANTIBIOTIK
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TES KEPEKAAN KUMAN
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SAMPLELESI, NANAH, DARAH, TRAKHEA,
MAKANAN, MINUMAN, DSB
PENYUBURSALT MEAT BROTH
ISOLASIBAP, MSA
UJI BIOKIMIABA, BB, DNase agar,
KATALASE, KOAGULASE
UJI KEPEKAAN TERHADAPANTIBIOTIKA
CAT GRAM
CAT GRAM
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HASIL
Staphylococcus aureus
BA : HAEMOLISA
BB : HAEMOLISA
DNase AGAR : (+)
KATALASE : (+)
KOAGULASE : (+)
PEWR. GRAM : GRAM (+)
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HASIL
Staphylococcus epidermidis
BA : ANHAEMOLISA
BB : ANHAEMOLISA
DNase AGAR : (-)
KATALASE : (+)
KOAGULASE : (-)
PEWARNAAN GRAM : GRAM (+)
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PENGOBATAN
FURUNKEL KE KULIT LAIN MELALUI JARI-JARI ANTISEPSIS LOKAL
TETRA SIKLIN
OSTEOMIELITIS OKSIGEN HIPERBARIK
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PENGOBTAN
BAKTEREMIA, ENDOKARDITIS, PNEUMONI DAN INFEKSI BERAT LAIN
PENISILIN G YANG TIDAK MEMBENTUK BETA
LAKTAM
VANCOMISIN UNTUK YANG RESISTEN NAFSILIN