Part I: Gram Positive Cocci (Staphylococci aureus) Flashcards
Gram Positive Cocci are categorized by (5)
- Staphylococci
- Micrococci
- Group D - Non Enterococci & Enterococci
- Streptococci
Gram Positive Cocci : Staphylococci
Coagulase (+) :
Coagulase (-) :
Coagulase (+) : S.aureus
Coagulase (-) : S.saprophyticus & S. epidermidis
Gram Positive Cocci : Group D - Non Enterococci (2)
S. bovis
S. gallolyticus
Gram Positive Cocci : Enterococci (4)
E. faecium
E. faecalysis
E. avium
E. durans
Gram Positive Cocci : Streptococci
Beta Hemolytic : (2)
- S. pyogenes (Group A)
- S. agalactiae (Group B)
Gram Positive Cocci : Streptococci
Alpha Hemolytic: (2)
- S. pnuemoniae
- Viridans Streptocci
Streptocci
Alpha Hemolysis: Viridans Strep spp. (4)
S. mutans
S. sanguis
S. mitis
S. salivarium
Staphylococci appearance under microscope
Grape-like clusters
Staphylococci grows under ___________% NaCI
7.5-10% NaCI
Staphylococci are resistant in TAXO A or also known as
Bacitracin (0.02-0.04)
Test used differentiate Staphylococci and Micrococci from Streptococci
Catalate Test
Catalase Test reagent
Hydrogen peroxide
Catalase Test positive result shows
Bubbling / Effervescence
inoculate from BAP under Catalase Test shows
FALSE NEGATIVE REACTION
- Most significant species
- Normal flora of anterior nares and nasopharynx
S.aureus
S.aureus can cause
Non-toxin Mediated disease
Toxin Mediated disease
S. aureus : Toxin Mediated Disease (3)
- Food poisoning
- Scalded skin syndrome /Ritter’s syndrome
- Toxic Shock Syndrome
S. aureus : Non-Toxin Mediated Disease (7)
- wound infection
- boils
- carbuncles
- furuncles
- cellulitis
- bullous impetigo
- Stye
S. aureus : VIRULENCE FACTOR
- Major Virulence Factor
- Converts fibrinogen to fibrin
- agglutinate bacterial cells in plasma
Coagulase
S. aureus : VIRULENCE FACTOR
- reasons as to why S.aureus is resistant to Penicillin
Beta-lactamase / Penicillinase
S. aureus : VIRULENCE FACTOR
- Spreading factor
- allows bacteria to invade tissues
Hyaluronidase / Duran Raynal Factor
S. aureus : VIRULENCE FACTOR
- destruction of DNA-
- decreases viscosity of S.aureus
Dnase / Thermonuclease
S. aureus : VIRULENCE FACTOR
causes Toxic Shock Syndrome
TSST-1
S. aureus : VIRULENCE FACTOR
causes FOOD POISONING
Enterotoxin A and B
S. aureus : VIRULENCE FACTOR
causes Scalded Skin syndrome / Ritters Syndrome
Exfoliatin
S. aureus : VIRULENCE FACTOR
prevents phagocytosis
Protein A
S. aureus : VIRULENCE FACTOR
destruction of WBC
PVL - Panton Valentine Leukocidin
S. aureus : VIRULENCE FACTOR
Causes skin infection
Lipase
Test used to detect beta-lactamase production
Cephalosporinase Test
Cephalosporinase Test
Uses
Cefinase disk
Cephalosporinase Test
Reagent
Nitrocefin
Cephalosporinase Test
Positive Result
Pink to Red
Cephalosporinase Test
Negative Result
Yellow
S.aureus (+) in Liquid broth
equal turbidity
S. aureus in BAP shows
Beta hemolysis (complete hemolysis)
Other media used for S. aureus
Mannitol Salt Agar
Columbia Collistin Nalidixic Acid
Definitive test for S. aureus
Test that differentiates S. aureus from other Staphylococc spp.
Coagulase Test
Coagulase Test : Reagent
Rabbit’s Plasma
Coagulase Test : Positive Result
Clotting
Coagulase Test : 2 types of Test
Slide Coagulase
Tube Coagulase
Coagulase Test : Coagulase Test : Slide Coagulase
add NSS > add Rabit’s Plasma > Observe
Coagulase Test : Slide Coagulase (Result)
(+) - Clotting > REPORT
(-) - Confirm using Tube Coagulase
Coagulase Test : Tube Coagulase
Add NSS > Add Rabit’s Plasma > Incubate 4 hrs @37
Coagulase Test : Tube Coagulase
(+) - Clotting > Report
(-) - Incubate for another 16 hrs @RT
Mannitol Fermentation Test
Media
Mannitol Salt Agar
Mannitol Fermentation Test
Inhibitor
7.5%-10% NaCI
Mannitol Fermentation Test
Indicator
Phenol Red
Mannitol Fermentation Test
(+) Result
(+) Yellow halo round colonies w/ Old socks odor
Mannitol Fermentation Test
(+) Result Indication
- Species can tolerate high NaCl concentration
- can ferment Manitol
Dnase Test Positive Species
SMS
S. aureus
Moraxella
Serratia
Dnase Test is used to detect
ability of organism to hydrolyze DNA to use as carbon and energy source
HCl precipitation Method
Media
Dnase Agar
HCl precipitation Method
Reagent
0.1 HCl
HCl precipitation Method
Reagent
Clearing of agar around colonies
Dnase Test - Dye method
Media
Dnase Agar
Dnase Test - Dye method
Dye
Methyl green
Toluidine blue
Dnase Test - Dye method
Methyl green : (+) Result
Clearing around zone
Dnase Test - Dye method
Methyl green : (+) Result
Pink around colony
S. aureus Result
VP TEST/ VOGES PROSKAUER :
Positive
S. aureus Result
PYR/PYRROLIDONYL ARYLAMIDASE
Negative