Staphylococcaceae Flashcards
Staining Reaction and Shape
Gram-positive cocci
Motility
Non-motile
Spore
Non-spore formers
capsule
o encapsulated
o Non-capsulated
O2 requirement
Aerobes/facultative aerobes
NOTABLE BIOCHEMICAL TESTS
CATALASE TEST
NITRATE REDUCTION TEST
TRANSMISSION
Direct contact transmission
HABITAT
Normal colonizers of humans:
o Nasal passages
o Skin
Perianal area
Normal flora; Pathogenic species to man
Attachment to host
MICROCAPSULE
Inhibits opsonization
Binds with Fc of IgC
PROTEIN A
Breakdown of toxic oxygen derivatives
CATALASE
Converts fibrinogen to fibrin
Molecular mimicry
COAGULASE
Forms of COAGULASE
BOUND COAGULASE
FREE COAGULASE
Liquefies purulent materials
Destroys DNA
DNASE
destruction of DNA by DNAse
Decreases viscosity of environment
Facilitates dissemination
Clumping factor
Directly converts fibrinogen to fibrin
BOUND COAGULASE
FREE COAGULASE Reacts with globulin plasma factor to form
staphylothrombin
Neutralizes hyaluronic acid
Spreading factor
Facilitate deep infection
HYALURONIDASE
Digests lipids
Allows bacteria to colonize skin
LIPASE
Acts as fibrinolysin
Allows bacterial dissemination
STAPHYLOKINASE
Cleaves beta-lactam double ring
Plasmid-controlled
mecA gene
BETA-LACTAMASE
Digests lipids
Allows bacteria to colonize skin
LIPASE
Acts as fibrinolysin
Allows bacterial dissemination
STAPHYLOKINASE
Cleaves beta-lactam double ring
Plasmid-controlled
mecA gene
BETA-LACTAMASE
Destroy WBCs
Panton Valentine Leukocidin
LEUKOCIDINS
o Pore-forming toxin
o Important CA-MRSA
Panton Valentine Leukocidin
Lyses RBCS
ALPHA – HEMOLYSIN
ALPHA – HEMOLYSIN includes
Monocytes
Macrophages
Lymphocytes
Dermenocretic
ALPHA – HEMOLYSIN
o Protein exotoxin
BETA – HEMOLYSIN
SPHINGOMYELINASE
o Specific on sphingomyelin
BETA – HEMOLYSIN
SPHINGOMYELINASE
o Membrane disruption
BETA – HEMOLYSIN
SPHINGOMYELINASE
o Cytotoxic to monocytes
BETA – HEMOLYSIN
SPHINGOMYELINASE
o “Hot-cold” hemolysin
BETA – HEMOLYSIN
SPHINGOMYELINASE
o Surfactant/detergent like
o Membrane disruption
o Pore-forming toxin
GAMMA – HEMOLYSIN
Epidermolytic toxin
EXFOLIATIN
EXFOLIATIN targets
desmoglein
Adhesion glycoprotein withing desmosomes in the epidermis
desmoglein
Dissolves the
mucopolysaccharide matrix of the stratum granulosum
desmoglein
Responsible for SSSS
desmoglein
TSST – 1
Toxic Shock Syndrome Toxin
Enterotoxin F
TSS TOXIN
Superantigen
TSS TOXIN
Causes hypertension
TSS TOXIN
Characteristics of STAPHYLOCOCCAL ENTEROTOXIN
Pyrogenicity
Superantigenicity
Stimulate T-cell proliferation
Release of cytokines
Overwhelming inflammatory response
Shock
Superantigenicity
o Heat-stable
o Staphylococcal Food Poisoning
o “Food intoxication”
ENTEROTOXINS: A, B, C, D, E, H, I
Chronic inflammation
Apocrine glands
Furuncle-like lesions
HINDRADINITIS SUPPERATIVA
impetigo neonatorum
Highly contagious
Pus-filled vesicles
IMPETIGO
a common skin condition in which hair follicles become inflamed
FOLLICULITIS
Deep-seated infection of:
o Hair follicle
o Subcutaneous tissue
FURUNCLE
Boils, sty
CARBUNCLE
Multiple interconnected abscess
Subcutaneous tissues
Several adjacent hair follicles
CARBUNCLE
infection of paranasal sinuses
SINUSITIS
Formation of lung abscess
Follows other infection
Via direct extension or hematogenous spread
PNEUMONIA
Septic arthritis
Joint inflammation
ARHTRITIS
Renal carbuncle
Lower UTI
GENITO-URINARY TRACT INFECTION
inflammation of the pericardium
PERICARDITIS
an inflammation (swelling) of the protective membranes covering the brain and spinal cord
MENINGITIS
related to muscle, forming pus
PYOMYOSITIS
presence of viable bacteria in the circulating blood
BACTEREMIA
the clinical name for blood poisoning by bacteria
SEPTICEMIA
Enterotoxin-contaminated food
Nausea, vomiting, abdominal cramps, diarrhea
Begins 2-6 hours after ingestion
Self-limiting 8-10 hours
STAPHYLOCOCCAL FOOD POISONING
Exfoliatin
Bullous lesions resembling impetigo
STAPHYLOCOCCAL SCLADED SKIN SYNDROME
Systemic absorption=larger area
o Sloughing of superficial skin
STAPHYLOCOCCAL SCLADED SKIN SYNDROME
Numerous blisters
Rupture of blisters exposes the dermis
STAPHYLOCOCCAL SCLADED SKIN SYNDROME
Hypersensitivity reaction
Linked to infections
Similar to SSSS
STAPHYLOCOCCAL TOXIC EPIDERMAL NECROLYSIS
TSST-1
Febrile illness
Hypotension
Rashes with desquamation
TOXIC SHOCK SYNDROME
vaccine
none
Intranasal carriers
Muporicin
Rifampin
Umbilical cord stump
Gentian Violet
Acriflavine
Bacitracin
Infants/Neonates
3% hexachlorophene
PENICILLINASE-RESISTANT PENICILLINS
Nafcillin
Oxacillin
Methicillin
FOR MRSA
If resistant to penicillin derivatives
VANCOMYCIN
VISA & VRSA
If resistant to vancomyocin
STREPTOGRAMINS & OXAZOLIDINONES
Coagulase negative
Normal Flora of the SKIN
Staphylococcus epidermidis
Catheters
Prosthetic heart valves
Staphylococcus epidermidis
Attachment to smooth surfaces
Catheters and Prosthetics
SLIME LAYER
Hydrolysis of urea to form ammonia
Changes acidic urine pH
UREASE
Urethritis, Cystitis, Contaminated catheter
URINARY TRACT INFECTION
Due to contaminated prosthetics
Colonizes the endocardium
ENDOCARDITIS
PREVENTION AND CONTROL
Aseptic handling of foreign devices
Penicillinase-resistant penicillin
Staphylococcus epidermidis
PREVENTION AND CONTROL
Proper genitourinary hygiene
o Proper usage of tampons
o Proper chaninging intervals
Staphylococcus saprophyticus
Animal pathogen
Zoonosis
S. intermedius
Nosocomial and community associated
Endocarditis, septicemia, meningitidis
Skin and soft tissue infections
S. lugdunensis