MUST TO KNOW IN BACTERIOLOGY Flashcards
Germicidal
Soap
Catalase (+)
L. monocytogenes
3 C’s: Chicken, Coleslaw, Cheese
L. monocytogenes
Chlamydia
When delayed:
Freezing:
4’C
-20’C
Phenotypic
BAP
Gram (+) colonies: Dry, white, sometimes gray
Gram (-) colonies: Gray and moist
BAP
Destroyed by chlorine
M. gordonae
Utilizes 1N HCl
DNase test
For Gram (+)
For nonfermentative
For Enterobacteriaceae
LOA test
Inactivates HBV (10mins) and HIV (2mins)
Na hypochlorite
Inoculating needles:
(?) = F(+) on oxidase test
Not longer than (?)
Nichrome
5cm
Wire loop:
(?) diameter
(?) urine
2mm
0.001mL
Significant for UTI
50k CFU/mL
Pregnant
↑ C. albicans
↑ Lactobacillus
Carrier state
Lawn a culture
Toxic to Neisseria
Good for virus
Cotton swab
Removes the toxin inoculated by cotton
Charcoal
Basis of identifying organisms
Gram stain and colonies
Phenotype
Not Gram stained
Stool
Most definitive method of identification
PCR
Basis of serotyping
Somatic antigen
Father of microbiology
Microscopist
1st to describe bacteria
Anton van Leeuwenhoek
Germ theory: relationship of organisms to human disease
Robert Koch
Father of Modern Microbiology
Louis Pasteur
1st to use dyes for stain
Ehrlich
Bacteria Ave. size:
Reproduction:
0.4-2μm Binary fission (two-fold increase)
Cell wall:
(murein)
: wall less G(+)
: wall less G(-)
Peptidoglycan
Protoplast
Spheroplast
Thick peptidoglycan
Gram (+)
Teichoic acid
Gram (+)
Thin peptidoglycan
Gram (-)
LPS (Lipid A – exotoxin)jsjsb
Gram (-)
Somatic antigen
Gram (-)
Site for energy synthesis (ATP)
Plasma membrane
Osmotic/permeability barrier
Plasma membrane
Nucleoid
Chromosome:
Plasmid:
dsDNA
Extrachromosomal DNA
Carries the antibiotic-resistance gene
Plasmid
Drug-resistance
Chromosome and plasmid-mediated
Food reserves
Metachromatic granules
Ribosomes
Prokaryotic:
Eukaryotic:
70S
80S
Bacterial adherence
Gene transfer
Common pili
Sex pili
By Gram (-) bacteria
ESBL
Endospores
Calcium dipicolinate
Bacillus, Clostridium
Flagella
: one only
: one at both ends
: tuft at one end
: all around bacteria (most common)
Monotrichous
Amphitrichous
Lophotrichous
Peritrichous
Aerotolerant anaerobes
Lactobacillus
Inorganic compound as source of carbon (CO2)
Autotrophs/Lithotrophs
Organic compound as source of carbone (Glucose)
Pathogenic bacteria
Heterotrophs/
Organotrophs
Temperature requirements
Psychrophilic:
Mesophilic:
Thermophilic:
0-20’C (ref)
20-40’C (pathogenic)
40-60’C
pH requirement
Acidophilic:
Neutrophilic:
Basophilic:
Lactobacillus acidophilus (Doderlein bacillus)
pH 7.2-7.6 (optimal) – pathogenic
Vibrio (Halophilic)
Moisture:
Salt concentration:
Humidophilic
Halophilic
Halophilic:
Enterococcus and V. parahaemolyticus
Respiration (Aerobic)
Glucose → CO2 + H2O
Kreb’s cycle
Electron transport chain
Oxidation (Aerobic)
Glucose → Acid
Fermentation (Anaerobic)
Glucose → Acid/Alcohol
Embden-Meyerhoff pathway (glycolysis)
Adjustment
Lag phase
↑ in growth rate (cell division)
Log/Exponential phase
Susceptible to antimicrobial agents
Log/Exponential phase
No net growth
Death = Live cells
Depletion of nutrients
Accumulation of toxic wastes
Sporulation
Stationary/plateau phase
↑ Death rate
Death/Decline phase
Bacteria stain more by
basic stains
Capsule stain
India ink
Borris method
Nigrosin method
Not Gram stained
Chlamydia and Rickettsia = intracellular
Mycoplasma and Ureaplasma = no cell wall
Spirochetes
Gram Stain (Hucker’s
modification
Crystal violet =
Gram’s iodine =
Acetone-alcohol or 95% ethanol =
Safranin O =
1min
1min
30secs-1min
30 secs
Over-decolorization
Old dying
Acidic iodine
Penicillin: omits iodine
Gram (+) becomes (-)
Under-decolorization
Thick smear
Gram (-) becomes (+)
Acid Fast staining methods
Smear = 2 x 3cm
Pappenheim’s
M. smegmatis vs. M. tuberculosis
Baumgarten’s
M. leprae vs. M. tuberculosis
Fite Faraco
M. leprae
Fite Faraco
Counterstain:
Hematoxylin
Acid fast organisms
Mycobacterium
Nocardia = Mod. AFS (1% H2SO4 as decolorizer)
Cryptosporidium
Legionella micdadei
Rhodococcus equi
Best AFS
C-A-M
Ziehl-Neelsen (Hot method)
= 1’ stain
-Start timing: Vapor (10mins)
-Heat = Mordant
- Carbolfuchsin
= Decolorizer
-HCl + 95% etOH
-Until no more stain (Max: 3mins)
- 3% Acid alcohol
= counterstain
-30secs to 1min
- Methylene blue
Ziehl-Neelsen (Hot method) Results:
AFO = Red
NAFO = Blue
Not used
Kinyoun (Cold method)
Kinyoun (Cold method) Results:
AFO = Red
NAFO = Green
Kinyoun (Cold method)
= 1’ stain
-Phenol, Tergitol = Mordant
= Decolorizer
= Counterstain
- Carbolfuchsin
- 3% Acid alcohol
- Malachite Green
Most sensitive
Auramine-Rhodamine (Fluorochrome)
Auramine-Rhodamine (Fluorochrome)
= 1’stain
= Decolorizer
= Counterstain
- Auramine-rhodamine
- 0.5% Acid alcohol
- 0.5% KMnO4
Auramine-Rhodamine (Fluorochrome) Results:
AFO = Yellow fluorescence
NAFO = No fluorescence
Read 300 fields
AFB
Special stains
Capsule =
Spore =
Negative stain
Dorner, Wirtz, Conklin
Metachromatic granules
- Albert’s
-Loeffler’s Alkaline Methylene Blue (LAMB)
Flagella =
Nucleic acid =
Polar bodies (ex: Y. pestis) =
Rickettsia =
Spirochetes =
Leifson
Feulgen
Wayson
Gimenez
Levaditi
For study of living unstained organisms
Phase contrast microscope
For viruses
Electron microscope
Light source: Electrons
100,000x magnification
Electron microscope
Electron microscope Stains:
-Negative stain
-PTA
-Heavy metals (Gold, Silver)
DNA, RNA, chromosomes
Transmission EM
Surface structures (cell wall, capsule)
Scanning EM
For tissue culture
Inverted Microscope
Dual light source
Interference microscope
Non staining method
String’s test (3% KOH)
Pure culture:
Streak plate =
Pour plate =
[?] medium
Animal inoculation =
overlap method
Water and milk bacteriology
Selective
for virus, Chlamydia, Rickettsia
2 or more organisms
Mixed culture
Stored at refrigeratior or freezer (long term)
Stock culture
Liquid:
Semi-solid:
Solid:
Biphasic:
Broth
0.5-1% agar
2-3% agar
Both liquid and solid
Biphasic:
Ex.
Castañeda = Brucella
Nonfastidious organisms
General purpose media
General purpose media:
- Sheep BAP = Hemolysis
- Horse BAP = Haemophilus
-Heat-stable, provides X-factor - Nutrient agar
Fastidous organisms
Enriched media Solid
= Heat-labile, provides X & V factor
- CAP
Enrichment media Liquid:
- Selenite F
- Alkaline peptone water
- Thioglycollate broth
Differential media
- BAP = hemolysis
- MAC
- EMB
- XLD
- HEA
Selective media
- TCBS
- SSA
- TMA
- CBAP
Inhibitory media
Selective media
Inhibitory agents
Antibiotics
Dyes, bile salts = inhibit Gram (+)
Alcohol (PEA) = inhibit Gram (-)
Gram (+) bacteria
Gram (+) bacteria
Gram (-) cocci
PEA
Columbia CNA
Gonococci Agar (GCA)
Gentamicin BAP
S. pneumoniae
Bacitracin CAP
H. influenzae
Cystine Tellurite Blood Agar
C. diphtheriae
Cystine Blood Glucose Agar
F. tularensis
Cystine Trypticase Agar Confirm:
Neisseria
Charcoal Cephalexin Blood agar
B. pertussis
Bordet-Gengou Agar (Potato Blood Glycerol Agar)
B. pertussis
L. pneumophila
BCYE
Cl. trachomatis
McCoy
Brucella
TSB
Sterile specimen
Nonsterile specimen
(-) normal flora
(+) normal flora
Toxic to virus
Good for Neisseria
Calcium alginate swab
Anaerobic and aerobic cultures
Needle aspiration
Needle and syringe for collection
Catheterization
Intubation
Gastritis
Vomitus
Gastric washing (aerobic culture only)
Delay in processing
Refrigerate except:
- CSF = Room temp. or 35’C
- Blood
- Swab of N. gonorrhoeae (sensitive to cold)
- Urine = Boric acid
- Rectal swab = Cary-Blair
Transport medium
- Cary Blair = for stool pathogen
- Stuart’s
- Amies = Respiratory specimen
- Transgrow = Neisseria
- JEMBEC = Neisseria
- Todd-Hewitt = Vaginal carriage (S. agalactiae)
HEPA filter: filters air
Negative pressure
Biologic safety cabinet
Environment and MT protected
BSC Class I
Air velocity = 75 linear ft/min
BSC Class I
Exhaust air thru HEPA filter
BSC Class I
Product contaminant
BSC Class I
Vertical laminar airflow
BSC Class II
MT, environment and product are protected
BSC Class II
Air velocity = 75-100 linear ft/min
BSC Class II
Recommended for hospitals
BSC Class II
Supply and exhaust air thru HEPA filter
BSC Class III
Maximum protection
BSC Class III
Contains HEPA filter
N95 Mask
For Mycobacterium
N95 Mask
No direct exam in Microbiology
Stool
Resistant gene
Mobile or jumping
Transposons
F. nucleatum
Capnocytophaga
Fusiform
No risk
Moderate risk
High risk
BSL I
BSL II
BSL III , BSL IV
Treatment available
BSL III
BSL III Inhalation of aerosols, Ex. Mycobacteria (BSC Class II)
No treatment available
BSL IV
Inhalation of aerosols, Ex. Small pox
BSL IV
BHIB + 0.25% SPS
Blood culture bottle
Dilution = 1:10 (1mL blood, 9mL broth)
Blood culture bottle
Anti-complementary, anticoagulant, antiphagocytic
Blood culture bottle
Neutralizes aminoglycosides
Blood culture bottle
Disadvantages of SPS Inhibits:
-Neisseria
-G. vaginalis
-S. moniliformis
-P. anaerobius
Counteract SPS to allow the growth of organisms
1% gelatin
Indications of growth (Blood culture)
Hemolysis
Turbidity
Pellicle
Subculture (Blood culture)
BAP
MAC = no CO2
CAP
If blood culture = negative
= Bacteremia (Typhoid)
= Brucellosis, SBE
7 days
21 days
Urine culture
Specimen:
Quantitative:
= significant for UTI
= not significant (contaminants)
Catheterized, Midstream, Suprapubic
BAP, MAC
->100,000 CFU/mL (or >50,000 CFU/mL)
-<10,000 CFU/mL
CSF culture
DO NOT refrigerate
Agents:
Media:
C. neoformans:
Neisseria, Haemophilus (Meningitis)
BAP, MAC, CAP, BHI
-India ink method
-Latex agglutination
Wound specimen
Gram stain
Media:
BAP, MAC, Thioglycollate broth
Stool specimen
Media:
Oxidase test
Biochemical tests
Serologic typing
MAC, BAP+Ampicillin, CBAP, SSA, Selenite F, TCBS, APW, HEA
Respiratory specimen
Sputum, NPS
TB = 3 sputum specimen
Media:
BAP, MAC, GBAP, BCAP, Amies, Gram stain and Acid fast stain
Throat swab
Sore throat
2 specimen
Media:
BAP, MTM, Thioglycollate broth
Vaginal, Urethral swab
Media:
Gram stain
CAP, MTM
TB culture
= Gold standard
= digestion, lyse the mucus
= decontamination
= Pseudomonas
Centrifuge (4’C) for [?]
Media:
Incubate at [?] —-(NG)—-> Report as (-)
If (+), after [?]: growth is seen
NALC-NaOH
-NALC
-NaOH
6% Oxalic acid
15 mins at 3000g
LJ, Middlebrook 7H11, 7H10 (AST)
37’C for 8 weeks
2-3 weeks
Genetic Pro
DNA test
Result → 2 hrs
GenPro
Moist heat sterilization
- Autoclave (sporicidal)
- Inspissation (sporicidal)
- Tyndallization (sporicidal)
- Boiling (Nonsporicidal, disinfectant)
- Pasteurization (Nonsporicidal, disinfectant)
Dy heat sterilization
- Hot air oven (Sporicidal)
- Incineration (Sporicidal)
- Cremation (Sporicidal)
- Flaming (Sporicidal)
- Gas: Ethylene oxide (sporicidal)
-121’C at 15 lbs/psi for 15 mins
- Autoclave (sporicidal)
-Culture media, bandages, gauze
- Autoclave (sporicidal)
-QC: B. stearothermophilus
- Autoclave (sporicidal)
-75-80’C for 2 hrs on 3 days
- Inspissation (sporicidal)
-Disinfect and solidify protein containing medium (LJ, Loeffler’s)
- Inspissation (sporicidal)
-Water is heated from below and slanting surface gets heated
- Inspissation (sporicidal)
-100’C for 30mins on 3 days
- Tyndallization (sporicidal)
-100’C for 30mins
- Boiling (Nonsporicidal, disinfectant)
-Kills vegetative cells only
- Boiling (Nonsporicidal, disinfectant)
-Milk
-63’C for 30mins
-72’C for 15secs
-Phosphatase: to determine if successful. (+): Not pasteurized
- Pasteurization (Nonsporicidal, disinfectant)
-170-180’C for 2 hrs
- Hot air oven (Sporicidal)
-Glasswares, cottonswabs, metallic instruments, oils, powders
- Hot air oven (Sporicidal)
-QC: B. subtilis
- Hot air oven (Sporicidal)
-Waste disposal
- Incineration (Sporicidal)
-Not recommended
- Incineration (Sporicidal)
-Prevents communicable disease
- Cremation (Sporicidal)
-Needles
- Flaming (Sporicidal)
-Heat-labile machine instruments
- Gas: Ethylene oxide (sporicidal)
-Preservation
- Cold temperature/Freezing (Bacteriostatic)
-Freeze drying
- Lyophilization (Powderized)
-Best to preserve culture
- Lyophilization (Powderized)
-Preservation
- Osmotic pressure (Bacteriostatic)
= removal of water
- Dessication
= produce pyrimidine dimer to DNA → mutation
- UV light
-Reduces airborne infection
- UV light
-For disposable materials (gloves, syringe)
- Ionizing radiation
-Air: HEPA filter
- Filtration
-H2O: cellulose membrane/ membrane filter
- Filtration
Filter heat-labile filter
Seitz filter
Made up of cellulose nitrate, cellulose diacetate, polycarbonate or polyester
Membrane filter
New: cellulose diacetate w/ a pore diameter of 0.015 to 12 microns
Membrane filter
Best filter used
Membrane filter
Spillage disinfectant
Sodium hypochlorite (Clorox)
Sporicidal
Iodine/Iodophor
Formaldehyde
Iodine + Detergent =
Iodine alone =
Betadine (Best antiseptic)
toxic to skin
Nonsporicidal
70% ethyl alcohol
Cleansing of wound
H2O2
Crede’s prophylaxis (New: Erythromycin eye droplets)
1% AgNO3
Prevents ophthalmia neonatorum
1% AgNO3
Sterilant
Glutaraldehyde
Standard disinfectant
Phenol (Carbolic acid)
Multipurpose
Lysol (Cresol)
Inhibit Gram (+)
Dyes
For decontaminating sputum
Zephiran (Benzalkonium chloride)
Instrument caused
Iatrogenic
Antagonistic
Synergistic
1 antibiotic > 2 antibiotics
2 antibiotics > 1 antibiotic
Extensively Drug Resistant Tuberculosis
Quinolone resistant
No treatment at all
XDR-TB
QC for beta-lactamase
H. influenzae
Extended spectrum beta-lactamase
Produced by Gram (-) = E. coli, Klebsiella
Plasmid mediated
Test: Beta-lactamase = Keyhole effect (overlapping zones)
-Clavulanic acid and cephalosporin
ESBL
Chromosome mediated
Produced by Gram (+) and (-) bacteria
Test: Beta-lactamase = D zone
-(+) to MRSA
-Imipenem and cefotixin
Amp C
Cell wall inhibitors
Broad spectrum:
Penicillin
Cephalosporin
Vancomycin = Tx: MRSA
Bacitracin
Cycloserine
Carbapenems/Imipenem
Penicilinase-resistant: Methicillin, Cloxacillin, Nafcillin
Cell membrane inhibitors
Colistin = against Gram (-)
Polymixin = against Gram (-)
Amphotericin B = drug of choice for systemic fungi
Nystatin = antifungal
Ribosome (Protein) inhibitors
Aminoglycosides (30S)
Tetracycline (30S)
Chloramphenicol (50S)
Erythromycin/Macrolide (50S)
Clindamycin (50S)
-False-resistant = P. aeruginosa (Mg2+ and Ca2+)
-Discovered by Bernardo Aguilar
-For penicillin allergic patients
Aminoglycosides (30S)
Erythromycin/Macrolide (50S)
Nucleic acid (DNA) inhibitors
Mitomycin
Quinolones
Metronidazole (Flagyl)
Trimethoprim-Sulfamethoxazole (SXT/Bactrim)
= inh. folate synth., synergistic
Trimethoprim-Sulfamethoxazole (SXT/Bactrim)
Anti-TB
Pyrazinamide
Rifampin
Isoniazid
Streptomycin
Ethambutol
Reference method (AST)
Det. MIC/MBC
Micro/Macrobroth dilution
Many organisms vs. single drug
Pure culture vs. many drugs
Agar dilution
Disk diffusion
Agar gradient diffusion
Antibiotic strip diffusion MIC test
MIC = Ellipse zone at intersection
E test (Epsilometer)
Kirby-Bauer Disk Diffusion
Std. Inoculum:
Medium:
pH:
Depth:
Condition:
Temp:
Incub. time:
Std:
Antibiotic disc:
1.5 x 10^8
MHA
7.2-7.4
4mm
Aerobic, No CO2
35-37’C (MRSA: 35’C)
16-18 hrs
0.5 McFarland (1% H2SO4 + 1.175% BaCl2)
6mm (refrigerated/frozen)
For bacterial count
Petroff-Hausser counting chamber
Distance of antibiotic disc to each other
Time for the medium to absorb the bacteria after inoculation
Inoculation of discs → Incubation
15mm
15mins
w/in 15mins
False resistant
Heavy inoculums
Thick medium
Delay in disc application
↑ Ca2+ and Mg2+ = Aminoglycoside (vs. P. aeruginosa)
↑ Thymine-Thymidine = SXT (vs. Enterococcus)
↑ pH = tetracycline
↓ pH = aminoglycoside, erythromycin
Expired discs
False sensitive
Light inoculums
Thin medium
If double zone of inhibition
If there are colonies inside the zone of inhibition
Measure the outer zone
Ignore swarming
Gram stain the colonies
AST media
1. MHA =
2. MHA + 2% NaCl =
3. MHA + 5% Sheep blood =
4. Haemophilus test medium:
5. GC agar =
6. Middlebrook 7H10 =
std. media
MRSA
S. pneumoniae (w/ CO2)
MHA + Yeast extract + Hemin + NAD + CO2
Neisseria (w/ CO2)
Mycobacteria (w/ CO2)
Specific
Regular basis
Checking media and reagents w/ specific organisms to check expected results
Set by CLSI (formerly NCCLS)
QC
General
Snap shot
Total process whereby the quality of lab. reports can be guaranteed
QA
Daily QC
Oxidase
Catalase
Incubator
Gram stain
Refrigerator/Freezer
Water bath
Each use (QC)
GasPak Jar
ONPG
Weekly QC
Antibiotic (Newly opened: 30 days QC weekly)
Autoclave
Biochemical tests
Semi-annually
Safety hood
ATCC (American Type Culture Collection)
For AST
Stock culture:
Working culture:
-20 or -70’C
2-8’C
ATCC-1234
Beta-lactamase producers:
-S. aureus
-N. gonorrhoeae
-H. influenzae
-Enterococcus
-E. coli
-P. aeruginosa
Catalase test
Rgt:
(+):
F (+):
3% H2O2
Gas bubbles
BAP
Coagulase test
Rgt:
(+) Clot formation after
F (+):
F (-):
= detects clumping factor/bound coagulase
= detects free/unbound coagulase
Rabbit EDTA plasma
4hrs
Citrate
Reading result after 6 hrs (Staphylokinase)
- Slide test (Screening)
- Tube test (Confirmatory)
Mannitol fermentation
Medium:
Indicator:
(+):
(-):
MSA (7.5% NaCl)
Phenol Red
Yellow
Red
DNase test
1. [?] (pink zone)/ [?] (clear zone)
2. [?]: no pptn. after adding 1N HCl when DNase (+) = pink
Toluidine blue / Methyl green
HCl precipitation
Novobiocin test
Amt.:
(R):
(S):
5μg
<16mm
> 16mm
Modified oxidase test
Rgt:
(+):
tetramethyl-p-phenylenediamine dihydrochloride in dimethylsulfoxide
Purple
Pinhead colonies
Staphylococcus
Mod. oxidase (-)
Staphylococcus
Stomatococcus
Lysostaphin and Furazolidone (S)
Staphylococcus
Ferments sugar
Staphylococcus
Mod. oxidase (+)
Micrococcus
Lysostaphin and Furazolidone (R)
Micrococcus
Stomatococcus
Oxidizes sugar
Micrococcus
S. aureus
Virulence factors:
Identification:
Infections:
-Protein A (cell wall)
-Leukocidin (Panton-Valentine)
-Exfoliatin (SSS/Ritter’s disease)
-TSST-1 (Tampons)
-Staphyloxanthin (Lipochrome): Yellow-orange colony
-(+) Phosphatase, ONPG, Arginine, NO3, VP, Gelatin
-(-) PYR
-Carbuncles, furuncles, folliculitis, cellulitis, impetigo, bacteremia, endocarditis, osteomyelitis
Slide coagulase (+)
PYR (+)
Slide coagulase (+)
VP (-)
S. lugdunensis
S. intermedius
Staphylococcus
: carrier of S. aureus
Culture:
Nasal swab
-Vogel-Johnson: Black colonies
-Chapman: Black colonies
-Tellurite Glycine: Black colonies
-P agar
-PEA: selective
-Columbia CNA: selective
1 skin flora
Blood culture contaminant
S. epidermidis
Biofilm/slime production: Prosthetic heart valve → Endocarditis, bacteremia
UTI: catheterized
S. epidermidis
UTI: sexually active women
S. saprophyticus
Pinpoint colonies
Capnophilic: 5-10% CO2
Streptococcus
Streptococcus
Culture:
SBA: Medium of choice
PEA: Selective medium
Smith and Brown’s classification
Hemolysis:
1. Alpha =
2. Beta =
3. Gamma =
4. Alpha prime =
incomplete (green)
complete (clear)
no zone
alpha (around colonies) + beta (around alpha)
Universally susceptible to antibiotics
S. pyogenes
(Group A)
(Beta-hemolytic)
S. pyogenes
(Group A)
(Beta-hemolytic)
Virulence factors:
Diseases:
-SLO = O2-labile, subsurface hemolysis, immunogenic
-SLS = O2-stable, surface hemolysis, non-immunogenic
-Erythrogenic toxin (Scarlet fever)
-Pharyngitis, AGN, RHF, erysipelas, impetigo
-Scarlet fever:
a. Dick’s test (red): Skin test
b. Schultz-Charlton (rash fade/blanching): Immunity test
Vaginal and URT flora
#1 neonatal meningitis
S. agalactiae
(Group B)
(Beta-hemolytic)
Group C
(Beta-hemolytic)
S. equisimilis
S. equi
S. zoopedemicus
S. dysagalactiae
Group F
(Beta-hemolytic)
S. anginosus
Group D Enterococcus
(Alpha, beta or gamma- hemolytic)
E. faecalis
E. faecium
E. durans
E. avium
Cause UTI
Group D Enterococcus
(Alpha, beta or gamma- hemolytic)
Group D non-Enterococcus
(Alpha, beta or gamma-
hemolytic)
Drug-resistant: VRE
Group D Enterococcus
(Alpha, beta or gamma- hemolytic)
Group D non-Enterococcus
(Alpha, beta or gamma-hemolytic)
S. bovis
S. equinus
Lancet-shaped, diplococci
S. pneumoniae
(Alpha-hemolytic)
Colonies: Mexican hat/ Dome-shaped
S. pneumoniae
(Alpha-hemolytic)
Encapsulated
S. pneumoniae
(Alpha-hemolytic)
1 Adult bacterial meningitis
S. pneumoniae
(Alpha-hemolytic)
Most common cause of Otitis media
S. pneumoniae
(Alpha-hemolytic)
Lobar pneumonia: Rusty sputum
S. pneumoniae
(Alpha-hemolytic)
S. pneumoniae
(Alpha-hemolytic)
Lab. Diagnosis:
- Neufeld Quellung (pptn. test, capsular swelling)
- Bile solubility
-BAP: 10% Na desoxycholate
-Tube: 2% Na desoxycholate - Francis test: skin test
- Mouse virulence test: (+) death
Viridans Streptococci
S. mitis (mitior)
S. salivarius
S. uberis
S. constellatus
S. intermedius
S. mutans = dental plaques/caries
S. sanguis = SBE
Nutritionally Variant
Abiotrophia
Granulicatella
Require Vit. B6 (pyridoxine)
(+) Staph. Streak test
Nutritionally Variant
Vancomycin Resistant
Leuconostoc = LAP (-)
Pediococcus = LAP (+)
Aerobic
Gram (-) diplococci
Oxidase (Taxo N): Presumptive test (+)
CTA: Confirmatory test
Capnophilic: 5-10% CO2
Neisseria
Pili: Adherence
N. gonorrhoeae
N. gonorrhoeae
Diseases:
Lab. Diagnosis:
-Culture:
-Gonorrhea (“Clap”)
-Ophthalmia neonatorum (Tx: Erythromycin eye drops)
-Salphingitis
-Epididymitis
a. Sterile:
= CAP: (+) Growth
= BAP: (-) Growth (Fastidious)
b. Nonsterile:
= GC agar: AST media
= TMA (Vancomycin-Colistin-Nystatin)
= MTM (V-C-N-Trimethoprim lactate)
= MLA (V-C-Anisomycin-T)
= NYCA (V-C-Amphotericin B-T)
Carrier: Nasopharynx
N. meningitidis
N. meningitidis
Virulence factors:
Diseases:
Lab. Diagnosis:
-Culture:
-Capsule
-Endotoxin
-Pili
-IgA protease
-Meningitis
-Meningococcemia
-Waterhouse-Friderichsen syndrome (Adrenal gland hemorrhage)
-DIC
a. BAP = (+) Growth
b. CAP = (+) Growth
-Serotypes: A, B, C, Y, W135 (Capsular Antigens)
Commensal of URT
M. catarrhalis
(+) NO3 → NO2
(+) Butyrate disk
(+) Tributyrin hydrolysis
(G) Nutrient Agar
M. catarrhalis
Colony: Hockey Puck
M. catarrhalis
3rd cause of Otitis media
M. catarrhalis
Breadcrumb/wrinkled colony
N. sicca
(+) ONPG
N. lactamica
Superoxol catalase test:
30% H2O2
(+) N. gonorrhoeae
Beta-lactamase test
1. Chromogenic cephalosporin test or Nitrocefin/Cefinase disk test
-(+):
2. Acidimetric
-Phenol red → (+):
3. Acidimetric
-I2 → (+):
Pink/red color
Colorless
Yellow