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{
ESCHERICHIA COLI
KLEBSIELLA
PROTEUS
 The genus Escherichia is named after
Escherich who first described as Bacterium
coli commune
 Parasite, living only in the human or
animal intestine
 Detection of E coli in drinking water,
therefore, is taken as evidence of pollution
with human feces
Introduction
Gram negative
Straight rod measuring 1-3 X 0.4-0.7 m
arranged singly or in pairs
Capsule & fimbriae are found in some
strains
Morphology
Aerobe & facultative anaerobe
Temp: 10- 40 0 C
May be hemolytic on blood agar
Pink colonies on MacConkey’s agar
(lactose fermentation)
Growth
characteristics
Glucose,Lactose,Mannitol,Maltose
fermented. with A/G
I,M,Vi,C tests.
Indole +
Methyl Red +
Voges Proskauer – ve I,M,Vi,C tests.
Citrate –ve
Urease not produced.
Biochemical reactions
Somatic 0 (LPS) - Endotoxic activity
Capsular K - protects against the
phagocytosis
Flagella H - Fimbriae promote virulence
( important in UTI)
Antigenic structure
Four main types:
 UTI
 Diarrhea
 Pyogenic infections including meningitis
 Septicemia (urosepsis & SIRS- systemic
inflammatory response syndrome)
Pathogenic diseases
 Mid stream sample/semi quantitative culturing (Kass et
al ) >_ 1.00,000/ml of urine. ( significant Bacteriuria )
 Urine should not be kept in wards for > 2 hours and to be
preserved at 4 c
 Culture by standard loop method.
 Fixed volume cultured on MacConkey agar Lactose
fermenters I M Vi C
 Antibiotic sensitivity tested
Lab diagnosis
Cephalosporins
Carbapenems for ESBL- extended spectrum
beta lactamase
Treatment
KLEBSIELLA
Also called as Friedlander’s
bacillus mucosus capsulatus
First isolated by Fried lander from
fatal cases of pneumonia
Introduction
 Gram negative
 Capsulated
 Non-motile bacillus
 Measures about 1-2
m X0.5- 0.8 m in
size
Morphology Culture
• Grows well on
ordinary media
• Opt. temp: 37 0 C
• Mucoid nature of
colonies are found
in the medium
due to the
accumulation of
slime produced
by Klebsiella
{ {Bio chemical
reactions
Indole - ve
MR - ve
VP + ve
Forms urease
Antigenic
structure
Capsular K
Somatic O
{ {Pathogenesis
 Second most popular
aerobic bacterial flora of
colon
 Causes:
severe
bronchopnumonia
UTI’s
Nosocomial infections
Wound infections
Septicemia
Meningitis
Rarely diarrhea
Lab diagnosis
 Cultures on blood agar
and MacConkey agar
 Gram staining
 Biochemical reactions
Sensitive to cephalosporin,
trimethoprim, nitrofurantoin
Many strains carry plasmids
determining MDR
Treatment
PROTEUS
Belongs to the tribe protecae & LNF, hence
donot belong strictly to family
Enterobacteraceae
Normal intestinal commensals and
oppurtunistic pathogens like coliforms
The name “Proteus” refers to their
pleomorphism, after the Greek god Proteus
INTRODUCTION
Gram negative rod
Size 1 to 2 X 0.5-0.8 m
Exhibit swarming motility
Filamentous or granular
Non- sporing & non- capsulated
MORPHOLOGY
Aerobe & facultative anaerobe
Grow on ordinary medium
emitting putrefactive odor (fishy or
seminal)
Forms smooth, pale or colorless
colonies on MacConkey’s agar
CULTURE
Deamination of phenyl alanine (PPA
reaction)
Hydrolysis of urea
MR +ve
VP –ve
Ferments glucose by producing acid or gas
BIOCHEMICAL REACTIONS
{ {
Antigenic
structure
Somatic O
Flagellar H
Pathogenesis
 Oppurtunistics
pathogens
 Responsible for urinary
& septic infections,
often nosocomial
Culture
Gram staining
Biochemical reactions
LAB DIAGNOSIS
Amikacin & ciprofloxacin are
generally effective
Most of the strains are resistant
to many of the common
antibiotics
TREATMENT
?

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E. coli, Klebsiella & proteus

  • 2.  The genus Escherichia is named after Escherich who first described as Bacterium coli commune  Parasite, living only in the human or animal intestine  Detection of E coli in drinking water, therefore, is taken as evidence of pollution with human feces Introduction
  • 3. Gram negative Straight rod measuring 1-3 X 0.4-0.7 m arranged singly or in pairs Capsule & fimbriae are found in some strains Morphology
  • 4. Aerobe & facultative anaerobe Temp: 10- 40 0 C May be hemolytic on blood agar Pink colonies on MacConkey’s agar (lactose fermentation) Growth characteristics
  • 5. Glucose,Lactose,Mannitol,Maltose fermented. with A/G I,M,Vi,C tests. Indole + Methyl Red + Voges Proskauer – ve I,M,Vi,C tests. Citrate –ve Urease not produced. Biochemical reactions
  • 6. Somatic 0 (LPS) - Endotoxic activity Capsular K - protects against the phagocytosis Flagella H - Fimbriae promote virulence ( important in UTI) Antigenic structure
  • 7. Four main types:  UTI  Diarrhea  Pyogenic infections including meningitis  Septicemia (urosepsis & SIRS- systemic inflammatory response syndrome) Pathogenic diseases
  • 8.  Mid stream sample/semi quantitative culturing (Kass et al ) >_ 1.00,000/ml of urine. ( significant Bacteriuria )  Urine should not be kept in wards for > 2 hours and to be preserved at 4 c  Culture by standard loop method.  Fixed volume cultured on MacConkey agar Lactose fermenters I M Vi C  Antibiotic sensitivity tested Lab diagnosis
  • 9. Cephalosporins Carbapenems for ESBL- extended spectrum beta lactamase Treatment
  • 11. Also called as Friedlander’s bacillus mucosus capsulatus First isolated by Fried lander from fatal cases of pneumonia Introduction
  • 12.  Gram negative  Capsulated  Non-motile bacillus  Measures about 1-2 m X0.5- 0.8 m in size Morphology Culture • Grows well on ordinary media • Opt. temp: 37 0 C • Mucoid nature of colonies are found in the medium due to the accumulation of slime produced by Klebsiella
  • 13. { {Bio chemical reactions Indole - ve MR - ve VP + ve Forms urease Antigenic structure Capsular K Somatic O
  • 14. { {Pathogenesis  Second most popular aerobic bacterial flora of colon  Causes: severe bronchopnumonia UTI’s Nosocomial infections Wound infections Septicemia Meningitis Rarely diarrhea Lab diagnosis  Cultures on blood agar and MacConkey agar  Gram staining  Biochemical reactions
  • 15. Sensitive to cephalosporin, trimethoprim, nitrofurantoin Many strains carry plasmids determining MDR Treatment
  • 17. Belongs to the tribe protecae & LNF, hence donot belong strictly to family Enterobacteraceae Normal intestinal commensals and oppurtunistic pathogens like coliforms The name “Proteus” refers to their pleomorphism, after the Greek god Proteus INTRODUCTION
  • 18. Gram negative rod Size 1 to 2 X 0.5-0.8 m Exhibit swarming motility Filamentous or granular Non- sporing & non- capsulated MORPHOLOGY
  • 19. Aerobe & facultative anaerobe Grow on ordinary medium emitting putrefactive odor (fishy or seminal) Forms smooth, pale or colorless colonies on MacConkey’s agar CULTURE
  • 20. Deamination of phenyl alanine (PPA reaction) Hydrolysis of urea MR +ve VP –ve Ferments glucose by producing acid or gas BIOCHEMICAL REACTIONS
  • 21. { { Antigenic structure Somatic O Flagellar H Pathogenesis  Oppurtunistics pathogens  Responsible for urinary & septic infections, often nosocomial
  • 23. Amikacin & ciprofloxacin are generally effective Most of the strains are resistant to many of the common antibiotics TREATMENT
  • 24. ?