Bacteria and Staph Flashcards
First to report on his observation of accurate description and drawings on bacteria and protozoa
Anton Van Leeuwenhoek
First described the cell
Robert Hooke
Adopted a system of nomenclature (Taxonomy)
an organism is given two names:
Genus: first name
Species: second name
Carolis Linnaeus
Disproved the theory on spontaneous generation
Proved germ theory of disease
Worked on fermentation
Louis Pasteur
Pasteurization is heating without changing flavor of milk at
62-70 deg C
Agents commonly associated with unpasteurized milk
Brucella
Listeria
Koch postulates
M TB
Germ theory of disease
Robert Koch
Koch’s postulate
Aseptic surgery was discovered by
Lister
Phagocytosis was discovered by
Metchnikoff
Discovered penicillin by growing molds on bread
Alexander Fleming
Discovered capillaria philippinesis
Nelia Salazar
Helped discover Erythromycin
Eli Lily
1949
Ilosone
Abelardo Aguilar
An organism is gram positive bec it takes up
crystal violet in peptidoglycan of cell wall
Gram + organisims have thick
Peptidoglycan layer
Gram negative organisms have thin
and also have
Peptidoglycan
Teichoic acid
Gram + cocci
Catalase +
Clusters
If Coagulase +
Staphylococcus
Staph aureus
Gram +
Catalase -
Chains
Streptococcus
Gram +
Catalase +
Coagulase -
Novobiocin-sensitive
Staph epidermidis
Gram +
Catalase +
Coagulase -
Novobiocin-resistant
Staph saprophyticus
Differentiates strep vs staph
Catalase
Differentiates staph species
Coagulase
Differentiates between epidermidis and saprophyticus
Novobiocin sensitivity
Beta hemolytic means
Complete hemolysis
Alpha hemolysis means
Partial hemolysis
Gamma hemolysis means
Not hemolytic
Strep
Catalase -
Beta hemolytic
Bacitracin-sensitive
Group A
Strep pyogenes
Strep
Catalase -
Beta hemolytic
Bacitracin-resistant
Group B
Strep agalactiae
Strep Catalase - Alpha-hemolytic \+ Capsule Optochin sensitive Bile-soluble
Strep pneumoniae
Strep Catalase - Alpha hemolytic No capsule Optochin-resistant Bile insoluble
Strep viridans
Enterococci
Strep bovis
Strep
Catalase -
Gamma hemolytic
Enterococcus (E fecalis)
Peptostreptococcus
Gram +
Bacilli
Listeria Corynebacterium Actinomyces TB Tetanus Bacillus Clostridium Anthrax Nocardia Erysipellothrix Streptomyces
Coagulase negative Staph
Staph haemolyticus
Staph lugdunensis
Staph saprophyticus
Staph epidermidis
Gram + cocci in grape like clusters
B hemolytic yellow or golden colonies on blood agar
Catalase +
Coagulase +
Staph aureus
Staph aureus on Mannitol Salt Agar
Salt-tolerant
Responsible for yellow color of staph
Staphyloxanthin
Superantigen-mediated cytokine storm and M protein-mediated neutrophil activation release of mediators
Respiratory failure, vascular leakage and shock
Toxic Shock Syndrome
Fever, hypotension, sloughing of the filiform papillae
Strawberry tongue
Desquamating rash (palms and soles) 1-2 weeks post infection
Multi organ failure >3
Clinical diagnosis
by toxin
Toxic Shock Syndrome
TSST-1
Staph aureus toxin
Causes nausea, vomiting and abdominal cramps
Preformed Heat-stable Enterotoxin
Source: salad made with mayonnaise (potato or tuna salad) custard, pastries
Onset of staph food poisoning
1-6 hours
Staph Food poisoning
Gastroenteritis
Enterotoxin A-E preformed in foods (salad, mayonnaise, custards)
Starts quickly ends quickly type of poison
Staph aureus food poisoning
Toxin in scalded skin syndrome
Exfoliatin
Exfoliatin cleaves this in desmosomes leading to separation of epidermis at stratum granulosum
Desmoglein - desmosomal cadherin 1-4
Scalded skin syndrome is differentiated from TEN (Lyell disease) in terms of separation occuring with latter occuring at
Dermo-epidermal junction
Toxic Epidermal Necrolysis is called
Lyell Disease
Scalded Skin Syndrome separation occurs at
Stratum granulosum
Most severe form of SSSS
Ritter’s disease
Staph aureus most commonly affects
Skin and appendages
Impetigo, carbuncle, hidradenitis, mastitis
Most common cause of endocarditis
Native valve tricuspid valve in IV drug users
Staph aureus
Infrequent cause of CAP
Common cause of nosocomial pneumonia
Necrotizing pneumonia complicated by emphysema, abscess or pneumatocele
Most common cause of septic arthritis in prepubertal children
From hematogenous spread or local introduction at wound site
Staph aureus
Sequestered focus of osteomyelitis arising in the metaphyseal area of a long bone
Staph aureus
Most common cause of spinal epidural abscess and suppurative intracranial phlebitis
Meningitis (uncommon) after head trauma
Urinary tract infection, pyelonephritis
Staph aureus
Major cause of osteomyelitis in sexually active
N gonorrhea
Most common cause of osteomyelitis in sickle cell
Salmonella sp
Major cause of osteomyelitis in drug user
P aeruginosa
Methicillin sensitive SA Tx
Nafcillin, oxacillin, dicloxacillin
MRSA Tx
Vancomycin
Contain altered PBP
VRSA Tx
Linezolid
Occur in association with FOREIGN BODIES (prosthetic valves, joints, and shunts)
Less pathogenic than S Aureus
Presence of BIOFILMS and antibiotic resistance
Coagulase negative Staphylococcus
Associated with bacteremia
Specific adhesion capabilities associated with prosthetic joints
Coagulase negative staph
Normal flora of skin
Most frequently involved foreign bodies
Staph epidermidis
Important cause of bacteriuria, particularly SEXUALLY ACTIVE WOMEN
Staph saprophyticus
Whitish, non-hemolytic, colonies on blood agar
Coagulase negative
Novobiocin sensitive
Normal skin flora
Low virulence
Autoinfection
Direct contact
Staph epidermidis
Biofilms are formed by staph epidermidis due to
Glycocalyx that adheres well foreign bodies
Most common cause of prosthetic valve endocarditis
Septic arthritis in prosthetic joints
Ventriculoperitoneal shunt infections
Staph epidermidis
Staph epidermidis Tx
Removal of prosthetic device
Vancomycin
Whitish, non-hemolytic colonies on blood agar
Coagulase-negative
Novobiocin resistant
Staph saprophyticus
2nd most common cause of UTI in sexually active women
Dysuria, pyuria and bacteriuria
Tx
Staph saprophyticus
TMP-SMZ, quinolone
Causes honeymoon cystitis
E coli
Detects Protein A, clumping factor, capsular polysaccharide
+ S sapro, S sciuri, Micrococcus spp
Commercial Latex Agglutination Assay