Staphylococci Flashcards
Staphylococci is derived from the Greek word staphle, meaning
Bunch of grapes
Appearance of staph on BAP
Creamy, white or gold, “buttery looking”, some are B hemolytic
How many units of Bacitracin is used in Taxo A disk test?
0.02-0.04 units
Bacitracin susceptible
Micrococci
> or = 10mm zone of inhibition
Furazolidone susceptible
Staphylococci (> or = 15mm zone of inhibition)
How many grams of furazolidone is used in the susceptibility test?
100ug
Furazolidone Resistant
Micrococcus (6-9mm)
Lysostaphin Sensitive
Staphylococci (10-16mm zone of inhibition)
Reagent in Modified Oxidase Test/Microdase Test
Tetramethnyl-p-phenylenediamine in dimethylsulfoxide
Positive result in Modified Oxidase Test
Blue color within 2 minutes
Organism positive with Modified Oxidase Test
Micrococci
Organism that grows on Furoxone-Tween 80-oil red O agar
Micrococci
Acid production from glycerol (+)
Staphylococci
Aureus means
Gold
Resposible for the golden yellow pigment of S. aureus
Lipochrome
Salt requirement of Staph
7.5 - 10% NaCl
Extensive exfoliative dermatitis that occurs primarily in newborns
SSS - Skin Scalded Syndrome
Multisystem disease characterized by a sudden onset of fever, chills, vomiting, diarrhea, muscle aches and rash, which can quickly progress to hypotension and shock
Toxic Shock Syndrome (TSS)
Promotes the formation of fibrin layer around staphylococcal abscess
Coagulase
Spreading factor enzyme
Hyaluronidase/Duran-Reynal Factor
Has fibrinolytic activity
Staphylokinase/Fibrinolysin
Fat-splitting enzyme
Lipase
Lowers the viscosity of exudates, giving pathogen more mobility
DNAse and Phosphatase
Breaks down penicillin and other beta-lacta, drugs
Beta-lactamase
Enterotoxins are heat- (stable or labile)???
Stable
Enterotoxin often found in milk products
Enterotoxin B
Enterotoxin associated with pseudomembranous enterocolitis
Enterotoxin B
Enterotoxins responsible for food poisoning
Enterotoxins A, B, and D
Pore-forming exotoxin that attacks and kills WBC
Leukocidin/Panton-Valentine Leukocidin (Cytolytic Toxin)
Destroys sphingomyelin and RBC around nerves
Beta hemolysin (hot-cold lysin/sphingomyelinase C)
Hemolysin that is associated with Leukocidin
Delta hemolysin
Serine protease that destroys the stratum granulosum
Exfoliatin A and B (superantigens)
Toxin that causes SSS or Ritter’s disease
Exfoliatin A and B
Enterotoxin that causes TSS
Enterotoxin F/Pyogenic Exotoxin
Immunologically active substance found in the cell wall of S. aureus
Protein A
Best single criterion of pathogenicity of S. aureus
Coagulase Test
Reagent in coagulase Test
Rabbit plasma or human plasma
Detects cell bound coagulase
Slide method
Detects free coagulase (definitive test)
Tube method
Positive result in slide method
Clot within 30 seconds
Positive result in Coagulase Tube Method
Clot after 1-4 hrs of incubation
MSA content
1% Mannitol and 7.5% NaCl
pH indicator of MSA
Phenol Red
Positive result in Mannitol Fermentation Test
Yellow color
Test to differentiate S. aureus (+) from S. intermedius (-)
VP Test
+ result in VP test
Pink color due to acetoin/acethylmethyl carbinol production
Medium and reagent in DNAse test
DNA medium and methyl green dye
+ result in DNAse test
Clearing of the dye (clear zone)
Normal flora of the skin
S. epidermidis
Most common contaminant of prostatic heart valves
S. epidermidis
CoNS, Novobiocin Susceptible (16-27mm)
S. epidermidis
CoNS, Novobiocin resistant (6-12mm)
S. saprophyticus
Associated with catheter-related bacteremia and endocarditis
S. lugdunensis
Catalase Test Reagent
3% H202
Aerobic Catalase Test Reagent
3% H202
Anaerobic Catalase Test Reagent
15% H202
Catalase Test (+) result
Bubble formation/effervescence
Organisms that exhibit pseudocatalase reaction
Aerococcus
Rothia
Enterococcus
Weak production of bubbles should be interpreted as
Negative
Positive result in PYR test
Red color
Reagents in VP Test
Aplha naphthol and KOH
Most useful and widely used Beta-Lactamase Test
Cephalosporinase Test
Positive result in ceohalosporinase Test
Deep pink/red color within 10 minutes
Cefoxitin Disk Diffusion Test Result if Sensitive
> or = 22mm
Cefoxitin Disk Diffusion Test Result if resistant
< or = 21 mm
Test for the detection of heteroresistant Vancomycin-intermediate S. aureus (VISA)
Macro E test
Double-Disk Diffusion Test (D Test) positive result
Flattening of the one side of the clindamycin zone - “D zone” due to erm gene
Used to detect inducible cindamycin resistance in staphylococci
D test
Procedure for D test (2 steps)
- Place 15ug erythromycin disk (inducing agent) and 2 ug clindamycin disk 15mm-26mm apart on BAP with the isolate to be tested.
- Incubate overnight at 35 C.
Confirmatory Tests for Oxacillin Resistance in Staphylococci
Broth dilution and E-test
Gold standard for MRSA detection
PCR
Using citrated tubes instead of EDTA in coagulase tests can cause false
+
In coagulase tube method, >4 hours or delay in interpretation causes false
Negative (due to staphylokinase)
Negative result in Mannitol fermentation test
Red
Positive result in HCl precipitation test
No precipitation
True or False
Catalase is not a pathogenic or virulence factor
True
S. aureus like that is lactose (+)
S. schleiferi
S. aureus like
Slide coag (+) VP (-)
S. intermedius
S. aureus like
Slide coag (+) PYR (+)
S. lugdunensis
S. aureus like
Beta hemolytic
Coag (-)
S. haemolyticus
Screening test for staphylococci
Catalase test
1 ocular pathogen
S. aureus
Causative agent of IV drug user associated endocarditis
S. aureus
1 cause of Osteomyelitis
S. aureus
1 cause of skin infections
S. aureus
BAP: white, non-hemolytic colony
S. epidermidis
Best sample for staphylococci
Aspirated Sample