staphylococcus spp
TRANSCRIPT
![Page 1: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/1.jpg)
Staphylococcus
Zari Esa M.Saleh
MSc. Medical Microbiology
![Page 2: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/2.jpg)
Family: Micrococcaceae
Genus:
Staphylococcus
1. Staphylococcus aureus.
2. Staphylococcus epidermidis.
3. Staphylococcus saprophyticus.
Micrococcus
Taxonomy
![Page 3: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/3.jpg)
Genus Staphylococcus
Staphylococci comprises of around 35-40 species, however not all of the members cause disease.
Many of the members of the staphylococcusgenera are considered to be normal flora on the skin and mucus membranes.
Staphylococci are the most frequent bacteria associated with the production of pus.
![Page 4: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/4.jpg)
1. Gram stain
Staphylococci are Gram-positive, spherical cells (0.5-1.5 mm) cocci.
Arranged in single, pairs, tetrad and irregular clusters.
The grapelike orientation is the most common arrangement associated with the staphylococci.
Staphylococci are non-motile, non-spore forming, non-capsulated bacteria.
Microscopical characteristics
![Page 5: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/5.jpg)
Gram-stained smear of Staphylococci
![Page 6: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/6.jpg)
Mixture of Gram-positive cocci (Staphylococcus aureus) and Gram-negative rods (Escherichia coli).
![Page 7: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/7.jpg)
Direct gram-stained of Staphylococci from sputum sample.
Gram-positive cocci seen intracellularlly(within polymorphonuclearleukocyte).
![Page 8: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/8.jpg)
Irregularly clustered Gram-positive cocci(staphylococcus aureus) in and outside neutrophils.
![Page 9: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/9.jpg)
• Staphylococcus are aerobic and facultative an-aerobic, grow well on simple media.
• Colonies are 2mm in diameter after 24h of incubation at 37 C.
• Colonies appear convex, circular opaque, smooth, moist with an entire edge and pigmented.
• Staphylococcus are tolerant to salt (7-10% Nacl)
Cultural Characteristics
![Page 10: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/10.jpg)
Nutrient agar- the colonies are large circular convex, smooth,
shiny, opaque .
They are easily emulsifiable.
Most stains produce golden pigmentation.
Cultural Characteristics
![Page 11: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/11.jpg)
Blood agar-colonies are white to creamy.
Most stains produce Beta-haemoloysis.
Cultural Characteristics
![Page 12: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/12.jpg)
Mannitol salt agar (MSA)-Staphylococcus aureusferments mannitol and appear as yellow colonies.
MSA is a useful selective medium for recovering Staphylococcus aureus from faecal specimens, when investigating food poisoning.
Cultural Characteristics
![Page 13: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/13.jpg)
Cultural CharacteristicsS. aureus (ferment)
MSA Acid (yellow)
Non-S. aureus (No fermentation) MSA No acid
(Red)
![Page 14: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/14.jpg)
Biochemical tests1. Catalase test - catalase is an enzyme that
removes hydrogen peroxide (H2O2) by catalyzing the breakdown of the molecules into water and oxygen.
The enzyme is produced by all species of Staphylococcus, so they can be differentiated from Streptococci, which can not produce the enzyme.
Procedure. Take a colony of the organism to be tested and place on a glass slide
Add a drop of 3% hydrogen peroxide onto the colony.
![Page 15: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/15.jpg)
The immediate formation of oxygen bubbles is evidence that the organism produces catalase (positive reaction).
Few or no bubbles after 20 seconds indicates a negative reaction.
Biochemical tests
![Page 16: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/16.jpg)
With respect to the blood agar, blood agar can interfere with catalase test since blood cells are catalase positive.
Any contaminating agar could give a false positive result for the catalase test.
Therefore it is recommended to use colonies that are on another agar.
DO NOT use a metal loop or needle with H2O2, it will give a false positive and degrade the metal.
Biochemical tests
![Page 17: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/17.jpg)
1. Coagulase test – this test is used to differentiate Staphylococcus aureus (positive) from Coagulase Negative Staphylococcus (CONS).
Coagulase is an enzyme produced by staphylococcus aureus, which converts (soluble ) fibrinogen in plasma to (insoluble) fibrin.
Staphylococcus aureus produces two forms of coagulase, bound and free.
1. Slide coagulase test is done to detect bound coagulase or clumping factor.
Clumping factor is a protein located on the surface of Staphylococcus aureus cells.
Biochemical tests
![Page 18: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/18.jpg)
Clumping factor causes agglutination in human, rabbit, or pig plasma.
This factor converts fibrinogen to fibrin, resulting in agglutination.
Procedure. Place a drop of sterile water on a slide, then emulsify a colony to be tested.
Add a drop of rabbit plasma, and rock the slide gently for 5 to 10 seconds and look for clumping (coagulation)
Biochemical tests
![Page 19: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/19.jpg)
Agglutination is interpreted as a positive reaction and identifies the organism as S. aureus.
No agglutination is interpreted as a negative reaction.
Biochemical tests
![Page 20: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/20.jpg)
2. Tube coagulase test is done to detect free coagulase.
The test detects staphylocoagulase enzyme, which is also know as free coagulase.
The enzyme is not bound to the surface of the cells.
Staphylocoagulase is an extracellular molecule that causes a clot to form when bacterial cells are incubated with plasma.
Biochemical tests
![Page 21: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/21.jpg)
Procedure. Emulsify several isolated colonies of test organism in 0.5 ml of rabbit plasma to give a milky suspension.
Incubate tube at 35oC for 4 hours.
The tube should be checked every 30 minutes for up to 4 hours to see if a clot has formed.
Formation of a clot indicates a positive reaction
Biochemical tests
![Page 22: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/22.jpg)
Serum can not be used because it lacks the clotting factors found in the plasma, including fibrinogen.
The slide test should not be performed with organisms taken from high-salt media such as Mannitol Salt Agar, as the salt content can create false positives.
Some staphylococcus aureus produce staphylokinaseenzyme along with staphylocoagulase enzyme.
Staphylokinase is an enzyme that can dissolve clots.Therefore if we waited more than 4 hours to check
the tube, the test result would be negative when in fact a clot could have been there previously, but now it has been dissolved.
This is why we should check every 30 minutes.
Biochemical tests
![Page 23: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/23.jpg)
Micrococcus Micrococcus is another genera found in the
Micrococcaceae family.
Micrococcus species are found in the environment and are indigenous skin flora.
Because of this, they are usually considered contaminates when isolated from clinical specimens.
Micrococcus is catalase positive and coagulase negative.
![Page 24: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/24.jpg)
One way to distinguish them from the staphylococcus is its yellow appearance on colony morphology.
Microdase disc can also be used to differentiate between staphylococcus and micrococcus based on a color change.
Micrococcus
![Page 25: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/25.jpg)
Microdase (Modified Oxidase) Test- is a rapid test, which detect the cytochrome enzyme.
All microccocci possess cytochrome C enzyme , whereas most staphylococci lack it.
Micrococcus species give a blue colour, so a positive result for cytochrome C.
Staphylococcus species give no colour and therefore is negative for cytochrome C.
Micrococcus
Positive
Negative
![Page 26: Staphylococcus Spp](https://reader034.vdocuments.site/reader034/viewer/2022042701/55a5cb971a28ab3f4e8b4758/html5/thumbnails/26.jpg)
Summary Micrococcaceae Staph. aureus Staph.
Epidermidis
Staph.
saprophyticus
Micrococcus
Colony Morphology Opaque,
smooth, raised,
entire, white-
golden(cream)
Opaque,
smooth, raised,
entire, gray-
white
Opaque,
smooth, raised,
entire, butyrous,
glossy, white-
yellow
Opaque,
smooth, raised,
white, bright
yellow
Hemolysis Most are beta
hemolytic
Non-hemolytic Non-hemolytic Non-hemolytic
Gram morphology GPC in
clusters, pairs,
short chains or
singly
GPC in
clusters, pairs,
short chains or
singly
GPC in clusters,
pairs, short
chains or singly
GPC in pairs
and tetrads
Catalase Pos Pos Pos Pos
Glucose
fermentation
Fermenter Fermenter Fermenter Oxidizer
Modified Oxidase Neg Neg Neg Pos
Coagulase
Production (tube)
Pos Neg Neg N/A
Clumping factor
(slide or latex
Coagulase test)
Pos Neg Neg Neg