Staphylococcus : S. aureus S. epidermidis S. saphrophyticus Mycobacterium leprae : slide only Uji Katalase Uji Koagulase Mannitol Salt Agar (MSA) Novobiocin test MRSA Identification identifikasi
Uji yg dilakukan Uji Katalase Uji Koagulase Mannitol Salt Agar (MSA) Novobiocin test
Staphylococcus spp
The c a ta l ase te s t is pr i marily u se d to distinguish among Gram-positive cocci Staphylococcus are catalase-positive, m e mbers of the genera St r epto c oc c us a nd Enterococcus are catalase-negative. Katalase test
Metode : slide (drop) method tube method tube (slant) method Catalase 2H 2 O 2 O 2 + 2H 2 O Streptococci vs. Staphylococci
Catalase POS Staphylococcus Catalase NEG
Tes katalase metode tabung
differentiates strains of Staphylococcus aureus from S . epidermidis and other coagulase- negative species S. aureus strains are usually capable of coagulating EDTA-treated plasma in the tube test and will produce clumps of cells in the slide test. Tes koagulase
method : Slide Test Tube Test Metode tes koagulase
Coagulase Test (Slide Test)
S. aureus Coagulase Fibrinogen Fibrin Differential Ch a racteristics
Coagulase NEG Coagulase POS Staphylococcus aureus
Contains : Mannitol Phenol Red as a pH indicator (pH = 7.8) Reaction Mannitol Fermented acid produced pH < 6.9 : yellow color pH > 8.4 : red color Mannitol salt agar
various spesies on T r i p t i c a s e S o y A ga r ( T SA ) A. S. aureus B. S. epidermidis C. E. coli
various spesies on T r i p t i c a s e S o y A ga r ( T SA ) A. S. aureus B. S. epidermidis C. E. coli
Differentiate between S. epidermidis w/ S. saprophyticus Using Novobiocin disc ( 5 g) < 15 mm = Resisten S. saprophyticus Novobiocin test
MRSA : Methicillin-Resistant Staphylococcus aureus Methicillin Oxacillin Cefoxitin CLSI M100 Using Cefoxitin disc : 21 mm : MRSA > 21 mm : non - MRSA Mrsa
S u s pe c t M R S A
Collect Sample from wound
Pengambilan sampel mlalui swab hidung
Sample : Skin scrap using scalpel Using Slide with Ziehl-Neelsen Stain method Presence of globi (singular = globus): encapsulated amphophilic masses of non- viable bacilli found within macrophages or in extracellular space Mycobacterium leprae
Result : (Bacterial Index) 1+ At least 1 bacillus in every 100 fields. 2+ At least 1 bacillus in every 10 fields. 3+ At least 1 bacillus in every field. 4+ At least 10 bacilli in every field. 5+ At least 100 bacilli in every field. 6+ At least 1000 bacilli in every field.
O n H an d Pengamatan & Pelaporan Preparat Demo Uji Katalase Kultur Media dari spesimen langsung (amies swab) dengan : Blood Agar Plate McConkey Agar