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INFEKSI SALURAN NAPAS
DICKY BAGUS WIDHYATMOKO
25 – 26 MARET 2015
DEPARTEMEN MIKROBIOLOGI KLINIK, FAKULTAS KEDOKTERAN
UNIVERSITAS AIRLANGGA
POKOK BAHASAN
 Streptococcus spp
 Corynebacterium diphteriae
 Mycobacterium tuberculosis
DISEDIAKAN
 Streptococcus :
 S. viridans
 S. pneumoniae
 S. pyogenes
 Corynebacterium spp
 M. tuberculosis
 Gram Stain
 Blood Agar
 Chocolate Agar
 Optochin Test
 Bacitracin test
 PAI medium
 Neisser Stain (AB, C)
 Ziehl-Neelsen Stain
 prepared slide
Identifikasi
Streptococcus spp.
 Blood Agar
 Chocolate Agar
 Optochin Test
 Bacitracin test
 Zona hemolisis
 Antibiotic Sensitivity
Test for Identification
First step
 Gram Stain
 always do gram stain before continuing to others
test
 Catalase Test
 please learn from previous laboratory practice
Next Step : Hemolysis
  hemolysis
  hemolysis
  hemolysis
 hemolysis
 partial / incomplete hemolysis
 reduction red blood cell hemoglobin 
methemoglobin in the medium surrounding
the colony.
 The greenish color is caused by the presence
of biliverdin, which is a by-product of the
breakdown of hemoglobin
 e.g. S. pneumoniae, S. viridans groups
 hemolysis
Streptococcus viridans Streptococcus pneumoniae
 hemolysis
 complete or true lysis of red blood cells
 clear zone, approaching the color and
transparency of the base medium, surrounds
the colony
 e.g. S. pyogenes
 hemolysis
 Streptococcus pyogenes
 clear zone surround
colony
 hemolysis
 lack of hemolysis / non-hemolysis
 e.g. Enterococcus faecalis
 hemolysis
non hemolysis, Enterococcus faecalis
Hemolysis Resume
taken from : http://iws2.collin.edu/dcain/
 hemolysis
 how to differentiate between S. pneumoniae
with S. viridans
 Using
 Optochin test
 Inulin Test
 Bile Solubility Test
Optochin Test
 Antibiotics Susceptibility Test
 Optochin also known as ethyl-hydro-cupreine
 To Differentiate between S. pneumoniae with
S. viridans
 S > 14 mm : S. pneumoniae
 No zone inhibition : S. viridans
Optochin Test
taken from http://arabslab.com
S. pneumoniae 
Sensitive
S. viridans groups  no
zone inhibition
Inulin Test
 To differentiate between Streptococcus
pneumoniae with all others alpha-hemolytics
streptococci
 pneumoniae hydrolize inulin
Bile Solubility Test
 Bile (sodium deoxycholate)
 Distinguishes S. pneumoniae from all others
alpha-hemolytics streptococci
 Sodium deoxycholate (2% in water) will lyse
the pneumococcal cell wall
Bile Solubility Test
 for feedback mailto : me@dickybagus.my.id

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04 infeksi saluran napas

  • 1. INFEKSI SALURAN NAPAS DICKY BAGUS WIDHYATMOKO 25 – 26 MARET 2015 DEPARTEMEN MIKROBIOLOGI KLINIK, FAKULTAS KEDOKTERAN UNIVERSITAS AIRLANGGA
  • 2. POKOK BAHASAN  Streptococcus spp  Corynebacterium diphteriae  Mycobacterium tuberculosis
  • 3. DISEDIAKAN  Streptococcus :  S. viridans  S. pneumoniae  S. pyogenes  Corynebacterium spp  M. tuberculosis  Gram Stain  Blood Agar  Chocolate Agar  Optochin Test  Bacitracin test  PAI medium  Neisser Stain (AB, C)  Ziehl-Neelsen Stain  prepared slide
  • 4. Identifikasi Streptococcus spp.  Blood Agar  Chocolate Agar  Optochin Test  Bacitracin test  Zona hemolisis  Antibiotic Sensitivity Test for Identification
  • 5. First step  Gram Stain  always do gram stain before continuing to others test  Catalase Test  please learn from previous laboratory practice
  • 6. Next Step : Hemolysis   hemolysis   hemolysis   hemolysis
  • 7.  hemolysis  partial / incomplete hemolysis  reduction red blood cell hemoglobin  methemoglobin in the medium surrounding the colony.  The greenish color is caused by the presence of biliverdin, which is a by-product of the breakdown of hemoglobin  e.g. S. pneumoniae, S. viridans groups
  • 8.  hemolysis Streptococcus viridans Streptococcus pneumoniae
  • 9.  hemolysis  complete or true lysis of red blood cells  clear zone, approaching the color and transparency of the base medium, surrounds the colony  e.g. S. pyogenes
  • 10.  hemolysis  Streptococcus pyogenes  clear zone surround colony
  • 11.  hemolysis  lack of hemolysis / non-hemolysis  e.g. Enterococcus faecalis
  • 12.  hemolysis non hemolysis, Enterococcus faecalis
  • 13. Hemolysis Resume taken from : http://iws2.collin.edu/dcain/
  • 14.  hemolysis  how to differentiate between S. pneumoniae with S. viridans  Using  Optochin test  Inulin Test  Bile Solubility Test
  • 15. Optochin Test  Antibiotics Susceptibility Test  Optochin also known as ethyl-hydro-cupreine  To Differentiate between S. pneumoniae with S. viridans  S > 14 mm : S. pneumoniae  No zone inhibition : S. viridans
  • 16. Optochin Test taken from http://arabslab.com S. pneumoniae  Sensitive S. viridans groups  no zone inhibition
  • 17. Inulin Test  To differentiate between Streptococcus pneumoniae with all others alpha-hemolytics streptococci  pneumoniae hydrolize inulin
  • 18. Bile Solubility Test  Bile (sodium deoxycholate)  Distinguishes S. pneumoniae from all others alpha-hemolytics streptococci  Sodium deoxycholate (2% in water) will lyse the pneumococcal cell wall
  • 20.  for feedback mailto : me@dickybagus.my.id