SYNERGISTIC EFFECT OF MYRISTICA FRAGRANS AND SYZYGIUM AROMATICUM ON STREPTOCOCCUS PYOGENES AND STREPTOCOCCUS PNEUMONIAE 1 1 NOR AQILAH BINTI NOR ZAHID Faculty of Medical Laboratory Technology, Institute of Medical Science Technology, University Kuala Lumpur, Kajang, Selangor Introduction: Oral infection is a serious matter and has caused a great concern to many parts of the world with the significant increase of cases each year. The emergence of antibiotic-resistant of Streptococcus pyogenes and Streptococcus pneumoniae strain have worsen the situation. Therefore, new antibiotics derived from natural sources is needed as an alternative to synthetic drug to combat oral pathogen. Objective: The purpose of this study is to determine the synergistic effect of Myristica fragrans and Syzygium aromaticum on the growth of Streptococcus pyogenes and Streptococcus pneumoniae. Methods: Myristica fragrans and Syzygium aromaticum were tested for antimicrobial activity by using agar well diffusion method. Two types of extract were used in this method, which were crude extract and ethanolic pure extract. Crude extract was prepared by mixing Myristica fragrans powder and Syzygium aromaticum powder and dissolved in 100% dimethyl sulfoxide (DMSO). The mixture of pure extract was prepared by mixing ethanolic pure extract of both plants at the ratio of 1:1. 50µL of both extracts and 100% DMSO as negative control were pipetted into wells accordingly. Amoxicillin disc was used as positive control. The diameter of inhibition zone was measured using a Vernier calliper. Results: The results of AST showed that the combination of crude extract and combination of ethanolic pure extract gave the average diameter of 10±0.3 mm and 24±0.7 mm respectively on the growth of Streptococcus pyogenes. While for Streptococcus pneumoniae the diameter was unmeasurable since the inhibition zone was too large. Minimum Inhibitory Concentration (MIC) test is used to determine the lowest concentration used to inhibit the bacterial growth. Stock solution, 1/10 and 1/100 serial dilution of plants’ extract were prepared. All three solution were pipetted into three wells on three different blood agar plate. The results obtained from MIC test showed that at 1/10 dilution of stock, it gave minimum inhibition zone for both bacteria. Conclusion: The conclusion of this study is the combination of Myristica fragrans and Syzygium aromaticum extract have antimicrobial activity towards Streptococcus pyogenes and Streptococcus pneumoniae.