Gram Positive Pathogens Flashcards
What colour do gram positive pathogens stain with the gram test
Blue/Purple
Gram positive bacteria characteristics.
- Thick cell wall made of peptidoglycan
- No periplasm
- Lipoteichoic Acids (glycerophosphate/ribitolphosphate)
Give three examples of an aerobic cocci
- Staphylococcus
- Streptococcus
- Micrococcus
Are staphylococci catalase positive or negative?
Positive
Which staphylococci species is is coagulase positive?
Staphylococcus aureus
Where can you find S. aureus?
It is an opportunistic pathogen which is found mainly on
- Anterior nares, throat and groins
- skin and intestines
- formites
Risk factors for infection of s. aureus
- Presence of foreign body (splinter, catheter)
- A surgical procedure
- Being immunocompromised
S. aureus is the main cause of
Skin and soft tissue infections
e.g boils, carbuncles, toxic shock syndrome
Staphylococcus virulence factors
- Structural Components: capsule, teichoic acids
- Enzymes: Coagulases, nucleases, lipases
- Toxins and Hemolysins: alpha toxin, beta toxin, gamma toxin
Diagnostic tests for S. aureus
- Selective media: salt mannitol plates (red to yellow colour change)
- Biochemical tests: coagulase test
- PCR, MALDI-TOF mass spec
Where is s. epidermis found?
On the skin, in the gut and respiratory tract
Who are at high risk for s. epidermidis
IVDU
Individuals with joint replacements
neurosurgical devices
Why are s. epidermidis infections hard to treat?
- they produce a biofilm when implanted
- they are often resistant to anti-staphylococcal agents. e.g MRSE
What are the characteristics of the streptococcus species
- Facultative anaerobes
- Need CO2 for growth
- Non-motile
- Complex nutritional requirements
- Catalase negative
- Lactic acid fermenter
Streptococcus classification is done using three methods
- Haemolytic patterns: sheep blood agar plates
- Lancefield grouping
3.Biochemical/physiological testing to distinguish species
Which type of haemolysis is alpha?
Incomplete haemolysis.
What type of haemolysis is a beta?
complete haemolysis
What type of haemolysis is gamma haemolysis
No haemoylsis
Which Lancefield group is Streptococcus pyogenes
Group A
Which Lancefield group is Streptococcus agalactiae
Group B
Which Lancefield group is Streptococcus pneumoniae?
Group O
The diagnostic tests for streptococcus pyogenes
- PYR test
- Bacitracin
What are the two types of infections GAS (group a streptococcus) can cause
- Suppurative (pus forming) eg: Scarlet fever, tonsilitis
- Non-suppurative e.g rheumatic fever, acute glomerulonephritis
Which exotoxin is responsible for beta haemolysis?
streptolysin s
What diseases are caused by in streptococcus aglactiae in new born children
- Meningitis
- Pnuemonia
- Sepsis
this is due to the absence of maternal protective antibodies and low complement levels as the newborns are reliant on their mother’s breast milk for antibodies
What type of haemolysis do GBS bacteria exhibit?
Beta (complete haemolysis)
Diagnostic test for S. agalatiae
Hippurate hydrolysis test
CAMP test
What type of haemolysis does S. pnuemoniae exhibit?
Alpha (partial)
Where does S. pnuemonia colonize
The mouth and pharynx (upper respiratory tract)
What diseases are caused by S. pneumoniae?
- Pnuemonia
- Meningitis
- Otitis media
- Sepsis
Diagnostic tests for S. pnuemoniae
- Insulin fermentation
- Lysed by bile salts
- Sensitive to optochin disk tests
The pathogenic species of Bacillus?
- B. cereus
- B. anthracis
- B. thuringensis
- B. mycoides
B. cereus causes what types of infection
- Food poisoning: Vomiting or diarrheal disease
- Ocular infection
- Systemic infections (sepsis, endocarditis)
Which toxins cause eye destruction in B. cereus
- Necrotic toxin
- Cerolysin
- Phospholipase C
What are the diagnostic tests for Listeria monocytogenes
CAMP Test (positive)
Blood agar plates (beta heamolysis)
Sources of listeria monocytogenes
soft cheese
milk
undercooked meat
unwashed raw vegetables
What neonatal diseases does listeria monocytogenes cause?
Early onset: spontaneous abortion
Late onset: meningitis or sepsis
What diseases does listeria monocytogenes cause in adults?
Influenza like illness, listeriosis
The two pathogenic species of Mycobacterium
- Mycobacterium tuberculosis
- Mycobacterium leprae:lepra
Diagnostic test for mycobacterium
Acid fast stain