Sthapylococcus Flashcards
Sthapylococcus Grow in media containing
10% NaCl at temp 18 to 40 C
Staphylococcus Present on the
skin and mucus membrane
Staphylococcus Resistant to
drying and heat
Slime layer or capsule
What kind of layer
Polysaccharide
Slime layer or capsule
Protects bacteria
Inhibition of chemotaxis and phagocytosis
Slime layer or capsule
Facilitate adherence to
Catheters and synthetic materials
Slime layer or capsule
Covalently linked to
Peptidoglycans
Slime layer or capsule
Has affinity to
FC receptor of IG
Slime layer or capsule
Blocks
Opsonization and phagocytosis
Ribitol teichoic acid with N-acetylglucosamine (Polysaccharide A)
S. aureus
Glycerol teichoic acid with glucosyl residues (polysaccharide B)-
S. epidermidis
Disrupts smooth muscle in the blood vessel
Toxic to RBC, platelets, hepatocytes
Cause cell lysis-efflux of K, influx Na, Ca- osmosis
Septic shock
Alpha
Damage membrane of susceptible cells
Lyze neutrophils and macrophage
Cell lysis
Necrotizing skin infection
Gamma
Disrupts cell membrane
Toxic to variety of cells
Delta
Specific for sphingomyelin and lysophosphatidylcholine
Toxic to RBC, WBC, macrophage ,fibroblast
Tissue destruction and abscess formation
Beta
Sphingomyelinase C
Kills WBC, leucotoxic
Phanton valentine
Exfoliative toxin
Heat stable
ETA
Exfoliative toxin
Heat Labile
ETB
Exposure of exfoliative toxin
splitting of desmosomes or intercellular bridges in the stratum granulosum epidermis
Exfoliative toxin common in neonates. ETA and EBA binds to
GM4 like glycolipids
Entertoxin
A-E
G-I
Entertoxin are
Stable to heating
Resistant to hydrolysis
o – most commonly associated with disease
Enterotoxin A
- contaminated milk products
oEnterotoxin C and D
- Pseudomembranous colitis
oEnterotoxin B
TSST -1
Formerly pyrogenic
Exotoxin C
Entertoxin F
TSST -1
Induce cytokine release from
Macrophage and T cells
TSST -1
Increase sensitivity to
Endotoxin
TSST -1
Produce leakage of
Endothelial cells
TSST -1
Penetrate
Mucosal barrier
Enzymes
Fee and bound
Coagulase
Enzymes
Coagulate convert fibrinogen to
Insoluble fibrin to staphylothrombin
Enzymes
Cause formation of fibrin around abscess protecting organism from phagocytosis
Clumping factor
Enzymes
Catalyze the conversion of toxic hydrogen peroxide to water and oxygen
Catalase
hydrolyzes hyaluronic acid in acellular matrix of connective tissue to spread
Hyaluronidase
.
•Dissolve fibrin clot- aid in bacterial spreading
oFibrinolysin- staphylokinase
hydrolyse lipid to ensure survival in sebaceous areas of the body
Lipases
oPenicillinase
•
Plasmid
- antibacterial lipid- prolonged bacterial survival
oFatty acid modifying enzyme (FAME)
Epidemiology
Transient colonizer of skin
Epidemiology
Nasal carrier
Anterior nasopharynx
Epidemiology
Persistent carrier
Hospital personnel
Ritters Disease or SSSS
Pathophysiology
Perioral erythema to Spread to Body to Bullous to Desquamation
Ritters Disease or SSSS
Sign
Nikolsky sign
Ritters Disease or SSSS
Localized from of SSSS
Bulbous impetigo
Ritters Disease or SSSS
Bullous impetigo
Localized blister
Culture positive
TSS
Growth of organism in vagina or wound
Release of TSST -1
TSS
Manifestations
Fever Macular erythematous Hypotension Multi organ involvement Desquamtion of Palm and sole
Cutaneous infection
Impetigo Folliculitis Furuncle Carbuncle Wound infection
Others
oBacteremia oEndocarditis oPneumonia oEmpyema oOsteomyelitis oSeptic arthritis
S. Aureus is positive from
Alpha toxin (most strains)
Acid from mannitol
Coagulase reaction
DNase production (usually)
S aureus pigment production
Usually golden
S epidermis pigment production
White
S. Saprophiticus
White
S. Epidermidis and CNS
oEndocarditis- native or artificial valves
oCatheter and shunt infection
oProsthetic joint infection
oUTI
Laboratory diagnosis
Grow rapidly within
24 hours
Laboratory diagnosis
Blood agar
Hemolysis
Laboratory diagnosis
Selective media
Add NaCL 7.5%
Laboratory diagnosis
Mannitol
Fermented by S. Aureus
Laboratory diagnosis
Catalase test
3% H2O2 bubbles
Treatment
Semisynthetic penicillinase resistant penicillin
oOxacillin/Cloxacillin
oNafcillin
oClindamycin
o1st Gen cephalosporins
Resistance
MSSA gene
None
Resistance gene
MRSA
Me gene
SCCmec
Resistance gene
VISA
None
Resistance gene
VRSA
Van A
Resistance comment
MSSA
Oxacillin
Resistance comment
MRSA
Vancomycin sensitive
MIC 2
Resistance comment
VISA
Quinopristine dalfopristine
oxazolidinone
MIC > 4-8
Resistance comment
VRSA
MIC > 16
Resistance
Betalactamase
Penicillin
Plasmid mediated
Tetracycline
Erythromycin
Aminoglycosides
Tolerance
Inhibit growth
Not killed
Staphylococcus
oNon motile, non sporeformer
oAerobic or Facultative Anaerobic
oFerment CHO to lactate
oCatalase positive