SEMR: Gram (+) cocci Flashcards
peptidoglycan layer:
gram +=
gram -= single layered
multilayered
peptidoglycan layer:
gram += multilayered
gram -=
single layered
teichoic acids:
gram +=
gram -= absent
present in many
teichoic acids:
gram += present in many
gram -=
absent
GRAM +
peptidoglycan layer:
teichoic acids:
periplasmic space:
outer membrane:
LPS content:
lipid and lipoprotein:
multilayered
present in many
absent
absent
none
low
GRAM -
peptidoglycan layer:
teichoic acids:
periplasmic space:
outer membrane:
LPS content:
lipid and lipoprotein:
single layered
absent
present
present
high
high
gram +
catalase +
2 families
- micrococcaceae
- staphylococcaceae
gram +
catalase -
2 families
- streptococcaceae
- enterococcus
determinant in development of staphylococcal infections (3)
- virulence
- size of inoculum
- status of host’s immune system
Gram (+) cocci arranged in tetrads or clusters
Facultative anaerobes
Catalase positive
Oxidase Negative
Non-motile
Grows in 7.5-10% NaCl
Staphylococci
only Staphylococci that is obligate anaerobe
s. saccharolyticus
Test the ability of the organism to breakdown of H2O2(3%) into oxygen and water.
Catalase Test
result of test: Copious bubble formation
catalase test
-Most clinically significant specie of Staphylococci
-Present in various skin surfaces
-Cause of nosocomial or hospital-acquired infections
Staphylococcus aureus
Virulence Factor: S. aureus
Enterotoxins that are associated to food poisoning
(diarhea, vomiting); reheating contaminated food
will not prevent disease
A, B, D
Virulence Factor: S. aureus
heat stable exotoxins: include
A-E
G-J
Virulence Factor: S. aureus
Formerly known as Enterotoxin F (superantigen-activate aggressive immune response)
TSST-1
Virulence Factor: S. aureus
Causes menstruating-associated TSS (Tampon use)
absorbed through vaginal mucosa
TSST-1
Virulence Factor: S. aureus
-Also known as epidermolytic toxin
-Causes SSS (Scalded Skin Syndrome or Ritter
disease) and bullous impetigo (large pustules
with erythema
Exfoliative Toxin
large pustules with erythema
bullous impetigo
Virulence Factor: S. aureus
Cytolytic Toxins
Destruction of neutrophils and macrophages
Panton-Valentine Leukocidin(γ-Hemolysin)
Virulence Factor: S. aureus
Cytolytic Toxins
Lyse erythrocytes
Hemolysins (α, β, δ)
Virulence Factor: S. aureus
Enzymes
Conversion of fibrinogen to fibrin
Bound Coagulase & Free Coagulase
Coagulase (Staphylocoagulase)
Virulence Factor: S. aureus
Enzymes
Dissolve fibrin clots and may enable spread of
infection.
Fibrinolysin (Staphylokinase)
Virulence Factor: S. aureus
Enzymes
Cleaves protein
Protease
Virulence Factor: S. aureus
Enzymes
Hydrolyzes hyaluronic acid in connective tissues
Hyaluronidase
Virulence Factor: S. aureus
Enzymes
Hydrolyzes lipids in the skin
Lipase
Virulence Factor: S. aureus
Enzymes
Binds to the Fcportion of IgG, neutralizes it and
block phagocytosis
Protein A
Virulence Factor: S. aureus
Enzymes
Breakdown of beta-lactamring in penicillin
molecule
Beta lactamase (Penicillinase)
infections or Associated Disease
mild inflammation of hair follicle
Folliculitis
Staphylococcus aureus
infections or Associated Disease
large, raised, superficial abscess
Furuncles (boils)
Staphylococcus aureus
infections or Associated Disease
invasive lesions develop from multiple furuncles, may progress into deeper tissues
Carbuncles
Staphylococcus aureus
infections or Associated Disease
pustules are larger and surrounded by a small zone of erythema
Bullous Impetigo
Staphylococcus aureus
infections or Associated Disease
extensive exfoliative (profuse peeling) dermatitis caused by staphylococcal exfoliative or epidermolytic toxin.
Scalded Skin Syndrome (Ritter disease)
Staphylococcus aureus
infections or Associated Disease
fatal disease characterized by sudden onset of fever, chills, vomiting, diarrhea, muscle aches, and rash, w/c could lead to hypotension and shock.
Toxic Shock Syndrome
Staphylococcus aureus
infections or Associated Disease
clinical manifestation w/ multiple causes; it is most commonly drug induced, but some cases may have been linked to infections and vaccines.
Toxic Epidermal Necrolysis (TEN)
Staphylococcus aureus
Virulence Factor: S. epidermidis
Enhances organisms adhesion to implanted
medical devices and provides refractoriness
to host defense.
Exopolysaccharide “slime” or biofilm
Staphylococci
infection and associated disease: Hospital acquired UTI and prosthetic valve
endocarditis
Staphylococcus epidermidis
-Adheres to the epithelial cells lining the
urogenital tract
-Causes UTI in sexually active, young females
and in older women with indwelling catheters
Staphylococcus saprophyticus
Coagulase negative (can give (+) slide, but tube
negative)
Staphylococcus lugdunensis
Virulence Factor
- encodes for oxacillin resistance
Gene mecA
Staphylococcus lugdunensis
Virulence Factor
Vancomycin resistance
Staphylococcus haemolyticus
Culture Media
Enriched isolation of Staphylococci
Blood Agar
Culture Media
Selective medium for Gram-positive cocci
Colistin-nalidixic acid or PEA agar
Culture Media
Selective and differential for Staphylococcus
Mannitol Salt Agar
catalase +
microdase -
aerobic growth +
anaerobic growth +
staphylococcus
catalase +
microdase +
aerobic growth +
anaerobic growth -
micrococcus
bacitracin, furazolidone, lysostaphin: RESISTANT
staphylococcus
bacitracin, furazolidone, lysostaphin: SENSITIVE
micrococcus
coagulase +
DNAse +
MSA +
s. aureus
coagulase -
DNAse -
MSA -
novobiocin- SENSITIVE
s. epidermidis
coagulase -
DNAse -
MSA -
novobiocin- RESISTANT
s. saprophyticus
lab test to differentiate s. epidermidis from s. saprophyticus
novobiocin
Bacitracin Susceptibility (Taxo A)
Test for the susceptibility to –U Bacitracin.
0.04
Test for the ability of bacteria to convert fibrinogen into fibrin
Coagulase Test
Differentiate Staphylococcus aureusfrom coagulase negative
staphylococci
Coagulase Test
Detects bound coagulase “clumping factor”.
Coagulase Slide Test
Coagulase Slide Test
S. aureus
S. lugdunensis
S. schleiferi
Positive
Coagulase Slide Test
S. epidermidis
S. saprophyticus
negative
Detects free coagulase (staphylocoagulase)
Coagulase Tube Test
-Selective for gram-positive bacteria
-inhibit
Gram (-) Bacteria.
Colistin-Nalidixic Agar (CNA)/
Phenylethyl Alcohol Agar (PEA)
Colistin-Nalidixic Agar (CNA)/
Phenylethyl Alcohol Agar (PEA)
No growth:
total inhibition –
E. coli
Colistin-Nalidixic Agar (CNA)/
Phenylethyl Alcohol Agar (PEA)
No growth:
partial inhibition –
P. mirabilis
-Selective and differential Medium
-Contains NaCl (7.5%), D-mannitol, phenol red
Mannitol Salt Agar
Test for the position of cytochrome to produce a dark-
blue end product when reacted with Microdase
Reagent
Microdase Test (Modified oxidase)
Microdase test:+
micrococcus
Microdase test:-
staphylococcus
Novobiocin Susceptability
test for susceptibility to – μg novobiocin.
5 μg novobiocin.
Test for the ability of the organism to hydrolyze
the substrate L-pyrrolidonyl-β-naphthylamide
Miscellaneous (PYR Test)
Positive: Bright color within 5
minutes (pink to cherry-red color
after addition of color developer)
Miscellaneous (PYR Test)
Miscellaneous (PYR Test)
S. epidermidis
S. saprophyticus
+
Miscellaneous (PYR Test)
S. haemolyticus
S. lugdunensis
-