S.aureus colony morphology
White to yellow on BAP, usually beta hemolytic
S.epidermis colony morphology
Small to medium white colonies; usually no hemolysis
S. Saprophyticus morphology
White to slightly yellow colonies; non-hemolytic
S.aureus catalase
Positive
S.epi catalase
positive
S.sap catalase
positive
S. aureus coagulase
positive
s.epi coagulase
negative
S.sap coagulase
negative
S.aureus MSA
Ferments mannitol (color change from pink to yellow)
s.epi MSA
Grown on MSA but doesn’t ferment mannitol; no color change
S.sap MSA
Can be positive (acid from mannitol aerobically)
Resistance to Novobiocin S.aureus
N/A
S.epi Novobiocin
Susceptible; zone of inhibition will form around disk
S.sap Novobiocin
Resistant; no zone of inhibition
Group A strep hemolysis
Beta
Groups B strep hemolysis
Beta
Group D strep hemolysis
Alpha, beta, none
Enterococcus hemolysis
Alpha, beta, none
S. pneumoniae hemolysis
Alpha
Viridans strep hemolysis
Alpha, none
What bacteria are Resistant to bacitracin?
Group B strep, Group D strap, Enterococcus, Viridans strep
What bacteria are resistant to SXT?
Group A strep, Group B strep, Enterococcus, viridans strep
What bacteria has a variable reaction to SXT?
Group D strep
What bacteria are susceptible to Bacitracin?
Group A strep, S. Pneumonia,
What bacteria is susceptible to SXT?
S. Pneumonia
What bacteria have a positive result for PYR?
Group A strep, Enterococcus
What bacteria is positive for Hippurate hydrolysis?
Group B strep
What bacteria is positive for CAMP test?
Group B strep
What bacteria are positive for the Bile Esculin hydrolysis test?
Group D strep, Enterococcus
What bacteria are positive for growth in 6.5% NaCl?
Enterococcus
TSI agar
Differentiates Enterobacteriaceae by
-Black= sulfur production
-cracks in agar= gas production
-red=alkaline (no glucose fermentation)
-red butt and yellow top=glucose fermentation
-yellow all through= lactose fermenter or sucrose fermenter
-yellow butt, red head= lactose fermenter only
SIM media
tests for sulfur production, motility, and indole fermentation
Indole Test
screens for the ability for bacteria to degrade tryptophan and produce indole
PYR test
the detection of pyrrolidonyl peptidase activity (PYRase) which is characteristic for all species of enterococci
-Group D strep do not have this
-L-naphtylamide-ß-naphtylamide wich is hydrolyzed by a specific bacterial enzyme
DNAase media
-toluidine blue bonded to DNA
-when degraded leaves a clearing of the blue as it gets digested as well
Bacitracin test
- differentiates group A streptococci from other \n Lancefield groups of hemolytic streptococci by inhibiting the growth of group A streptococci
H. influenzae require what factors?
X and V factors
H. Parainfluenzae require what factors?
V factor
X factor
have an enzyme that converts aminolevulinic acid (ALA) to hemin.
ALA test
The presence of porhpyrins indicates that the test organism can convert ALA to hemin and does not need X factor
-orange UV glow indicate positive
-indicates H. para (does not need X)
Satellite test
Haemophilus that require the V factor may grow on sheep blood \n agar if NAD is supplied by another organism, such as Staphylococcus.
V factor
is nicotinamide-adenine dinucleotide (NAD), a coenzyme found in blood \n and synthesized by Staphylococcus, S. pneumoniae, and Neisseria.
B. bronchioseptica grows on what media
not fastidious and grows on BAP, MAC and Salmonella-Shigella \n agars as well as Bordet-Gengou (BG) blood agar, \n Charcoal-Horse Blood agar, and Jones-Kendrick Charcoal agar
B. pertussis grows on what media
is fastidious and does not grow on blood agar (BAP) or CHOC agar but
grows on Bordet-Gengou (BG) blood agar, \n Charcoal-Horse Blood agar, and Jones-Kendrick Charcoal agar
Corynebacteria (how to spot)
gram positive club shaped under microscope
catalase positive
non-motile
Corynebacteria spp. or diphtheroids. (pathogenicity, normal flora, diseases)
non-pathogenic
normally occupy, throat, skin, mouth, vagina, urethra and mucus membranes, however, they can be opportunists
cause endocarditis after cardiac surgery, meningitis, osteomyelitis, UTI, and septicemia
C. diphtheriae (disease)
causes diphtheria
infects upper respiratory tract and produces an exotoxin that affects the heart and peripheral nerves.
symptoms: difficulty breathing, heart rhythm problems, and even death.
Haemophilus normal flora
upper respiratory flora of humans
includes H. parainfluenza
only needs v factor
H. influenzae (capsule) disease
meningitis, cellulitis, arthritis, bacteremia, and epiglottitis.
causes conjunctivitis (pink eye)
needs V factor and X factor
H. influenzae (unencapsulated) disease
Localizedinfections
Otitis media
Sinusitis
Conjunctivitis
In immunocompromised:
Chronic bronchitis
Pneumonia
Bacteremia
H. ducreyi disease
Chancroid (STD)
Lesions
Papules
Ulcers
Nitrate Reduction test
bacteria ability to degrade nitrate into ammonia or nitrogen gas
Reagents A and B = red is positive
addition of zinc after = red confirms negative result
No result after all three additives indicates a positive test and Nitrogen gas being released
Motility Test
detection of motility in gram-negative enteric bacilli
TTC is reduced by bacteria creating formazan, an insoluble red pigment showing motility of organisms
Enterococcus Diseases (group D strep)
nosocomial infections
UTI
bacteremia
Endocarditis
Wounds, etc.
S. aureus diseases
Scalded skin syndrome
Toxic shock syndrome
Food Poisoning
Skin infections
Furuncles (boils)
Carbuncles
Impetigo (infants/children)
Wounds
Bacteremia
S. aureus normal flora
skin, mucous membranes
S.epidermis disease
Nosocomial infections
Bacteremia Associated (catheters, shunts, joints, grafts)
No toxins (PSM)
S.epidermis normal flora
anterior nares, skin, nasopharynx, mucosa
S. saprophyticus disease
Urinary tract infections
S. saprophyticus normal flora
skin, mucosa, genitourinary tract
s. agalactiae disease (group B strep)
sepsis
respiratory distress in newborn
endometritis
pelvic abscesses
meningitis
S. pyogenes diseases (group A strep)
Pharyngitis
necrotizing fasciitis
Impetigo
Bacteremia
Multi-organ infections
“flesh-eating bacteria”
S. pneumonia diseases
meningitis
pneumonia
Otitis
Viridans Strep disease
Endocarditis(inflammation of heart/values)
Bacteremia (immunocomp.)
Meningitis (trauma)
S. Pyogenes has no normal flora but it can be found on
UR tract, skin mucosa
S. agalactiae normal flora
female genital tract, lower GI tract
S. pneumoniae normal flora
nasopharynx
Viridans streptococci normal flora
oral cavity, GI tract, female genital tract
Enterococcus sp. (Group D) normal flora
GI tract, female genitourinary tract
Poststreptococcal (s. pyogenes)
Rheumatic fever
Glomerulonephritis
Bordetella pertussis causes
Whooping cough
B. bronchioseptica infection of immunocompromised
pneumonia, bacteremia, and wound infections.
B. bronchioseptica are normal flora of
animals
C. jeikeium disease
Septicemica
Wounds, rashes, nodules
In immuno-compromised
Causeneutropeina (low neutrophils)
malignancies
DNase agar test
Media contains DNA and nucleotides that are bonded with toluidine blue, when degraded it creates clearing in the blue agar suggesting the bacteria produces DNase enzyme