SYSTEMIC MICROBIOLOGY
BACTERIOLOGY

Dr. Ashish V. Jawarkar M.D.
GRAM POSITIVE BACTERIA


STAPHYLOCOCCUS

Dr. Ashish Jawarkar

2
Introduction





Bacteria consist of only a single cell
Bacteria fall into a category of life called
the Prokaryotes
There are thousands of species of
bacteria, but all of them are basically one
of three different shapes.

Dr. Ashish Jawarkar

3
Classification of Bacteria


Until recently classification has done on the
basis of such traits as:


shape





bacilli : rod-shaped
cocci : spherical
spirilla : curved walls
In clusters : actinomyces

Dr. Ashish Jawarkar

4
Dr. Ashish Jawarkar

5
Dr. Ashish Jawarkar

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Dr. Ashish Jawarkar

7
Classification of Bacteria


The Gram stain is named after the 19th
century Danish bacteriologist who developed it.









The bacterial cells are first stained with a purple dye
called crystal violet.
Then the preparation is treated with alcohol or
acetone.
This washes the stain out of gram-negative cells.
To see them now requires the use of a counterstain of
a different color (e.g., the pink of safranin).
Bacteria that are not decolorized by the
alcohol/acetone wash are gram-positive
Dr. Ashish Jawarkar

8
Gram Positive bacteria
• Staphylococci and streptococci
constitute the main group of
medically important gram positive
bacteria
• There are also bacilli that are
pathogenic such as Anthrax and
the Clostridia group. These are
also spore forming organisms
• There are also some other gram
positive rods such as Listeria,
Lactobacillus,and Cornybacterium
Dr. Ashish Jawarkar
diptheria

9
Staphylococci
• Staphylococcus was first identified in
1880 in Aberdeen, United Kingdom, by
the surgeon Sir Alexander Ogston in pus
from a surgical abscess in a knee joint.
[1] This name was later appended to
Staphylococcus aureus by Rosenbach
• Main types
– Staph aureus – coagulase positive
– Staph epidermidis, staph hemolyticus, staph
saphrophyticus – coagulase negative
Dr. Ashish Jawarkar

10
Description headings for each
bacteria










Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

11
Staphylococci
Morphology
• Staphylococci stain dark purple with the
gram stain.
• Staphylococci are arranged in grape like
clusters
• Because they divide in three planes with
daughter cells remaining in close
proximity

Dr. Ashish Jawarkar

12
Dr. Ashish Jawarkar

13
Dr. Ashish Jawarkar

14
Description headings for each
bacteria
•
•
•
•
•
•
•
•
•

Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

15
Growth characteristics
• Grow on ordinary media like
nutrient agar
• Temperature 10-42 degree
• Produce golden yellow pigment

Dr. Ashish Jawarkar

16
Dr. Ashish Jawarkar

17
Description headings for each
bacteria
•
•
•
•
•
•
•
•
•

Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

18
Staphylococci
biochemical reactions
• The most virulent form of
staphylococcus, SA also secretes
coagulase, that causes citrated
plasma to clot. These are referred
to as coagulase positive
• There are other staph that do not
have this ability and are labeled
coagulase negative
Dr. Ashish Jawarkar

19
Coagulase test
• Slide method or tube method
• In tube method – we add culture of
staphylococci and rabbit plasma
• Look for clot formation

Dr. Ashish Jawarkar

20
Dr. Ashish Jawarkar

21
Description headings for each
bacteria
•
•
•
•
•
•
•
•
•

Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

22
Resistance
• Resistant to drying – can remain in
dried pus for 3-6 months
• resistant forms to penicillin have
emerged

– Produce penicillinase which inactivates
penicillin
– Change surface receptors for
penicillin
– Develop tolerance to penicillin –
bacteria inactivated, not killed
Dr. Ashish Jawarkar

23
Description headings for each
bacteria
•
•
•
•
•
•
•
•
•

Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

24
Pathogenicity
• Cell surface protein – protein A –
antiphagocytic property
• Clumping factor – surface protein – responsible
for slide coagulase test
• Produce enzyme coagulase
• Produce toxins
– Hemolytic toxins (leucocidins)
– Enterotoxin – causes food poisoning – vomitting,
diarrhoea etc
– Toxic shock syndrome toxin – produces hypotension
and rash
– Epidermolytic toxin – causes STAPHYLOCOCCAL
SCALDED SKIN SYNDROME (ssss)
Dr. Ashish Jawarkar

25
Description headings for each
bacteria
•
•
•
•
•
•
•
•
•

Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

26
Staphylococcus aureus
epidemiology
• Carried by 20-40 % of healthy
individuals in their mouth or on their
skin
• It also found in their nasal mucosa
• Vagina – increased risk of TSS during
menstruation
• Umbilical stump infected during birth
• Fomites carry staphylococci for months
• Nosocomial infections by MRSA
Dr. Ashish Jawarkar

27
Description headings for each
bacteria
•
•
•
•
•
•
•
•
•

Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

28
Diseases caused by staphylococci

Dr. Ashish Jawarkar

29
Dr. Ashish Jawarkar

30
cellulitis

Dr. Ashish Jawarkar

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boils

Dr. Ashish Jawarkar

32
boils

Dr. Ashish Jawarkar

33
Description headings for each
bacteria
•
•
•
•
•
•
•
•
•

Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

34
Lab diagnosis
• Specimen to be collected
–
–
–
–

Skin – pus
Respiratory inf – sputum
Food poisoning – stool
For detection of carriers – nasal swab

Dr. Ashish Jawarkar

35
Staining and microsocopy
• Gram stained smears
– Gram positive cocci in grape like
clusters

Dr. Ashish Jawarkar

36
Culture
• Nutrient agar/blood agar
– Colonies with golden yellow pigment

• Coagulase test

Dr. Ashish Jawarkar

37
Antibiotic susceptibility testing
• In case of suspected hospital
acquired infection

Dr. Ashish Jawarkar

38
Description headings for each
bacteria
•
•
•
•
•
•
•
•
•

Morphology
Growth characteristics
Biochemical reactions
Resistance
Pathogenicity and virulence
Epidemiology
Diseases caused
Laboratory diagnosis
Treatment
Dr. Ashish Jawarkar

39
Treatment
• Penicillin
• In resistant cases – cloxacillin
• For MRSA - vancomycin

Dr. Ashish Jawarkar

40
Coagulase negative staph




S. epidermidis – stitch abcess, grows on
implants
S. saprophyticus – causes UTI

Dr. Ashish Jawarkar

41
THANK YOU

Dr. Ashish Jawarkar

42

staphylococci

  • 1.
  • 2.
  • 3.
    Introduction    Bacteria consist ofonly a single cell Bacteria fall into a category of life called the Prokaryotes There are thousands of species of bacteria, but all of them are basically one of three different shapes. Dr. Ashish Jawarkar 3
  • 4.
    Classification of Bacteria  Untilrecently classification has done on the basis of such traits as:  shape     bacilli : rod-shaped cocci : spherical spirilla : curved walls In clusters : actinomyces Dr. Ashish Jawarkar 4
  • 5.
  • 6.
  • 7.
  • 8.
    Classification of Bacteria  TheGram stain is named after the 19th century Danish bacteriologist who developed it.      The bacterial cells are first stained with a purple dye called crystal violet. Then the preparation is treated with alcohol or acetone. This washes the stain out of gram-negative cells. To see them now requires the use of a counterstain of a different color (e.g., the pink of safranin). Bacteria that are not decolorized by the alcohol/acetone wash are gram-positive Dr. Ashish Jawarkar 8
  • 9.
    Gram Positive bacteria •Staphylococci and streptococci constitute the main group of medically important gram positive bacteria • There are also bacilli that are pathogenic such as Anthrax and the Clostridia group. These are also spore forming organisms • There are also some other gram positive rods such as Listeria, Lactobacillus,and Cornybacterium Dr. Ashish Jawarkar diptheria 9
  • 10.
    Staphylococci • Staphylococcus wasfirst identified in 1880 in Aberdeen, United Kingdom, by the surgeon Sir Alexander Ogston in pus from a surgical abscess in a knee joint. [1] This name was later appended to Staphylococcus aureus by Rosenbach • Main types – Staph aureus – coagulase positive – Staph epidermidis, staph hemolyticus, staph saphrophyticus – coagulase negative Dr. Ashish Jawarkar 10
  • 11.
    Description headings foreach bacteria          Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 11
  • 12.
    Staphylococci Morphology • Staphylococci staindark purple with the gram stain. • Staphylococci are arranged in grape like clusters • Because they divide in three planes with daughter cells remaining in close proximity Dr. Ashish Jawarkar 12
  • 13.
  • 14.
  • 15.
    Description headings foreach bacteria • • • • • • • • • Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 15
  • 16.
    Growth characteristics • Growon ordinary media like nutrient agar • Temperature 10-42 degree • Produce golden yellow pigment Dr. Ashish Jawarkar 16
  • 17.
  • 18.
    Description headings foreach bacteria • • • • • • • • • Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 18
  • 19.
    Staphylococci biochemical reactions • Themost virulent form of staphylococcus, SA also secretes coagulase, that causes citrated plasma to clot. These are referred to as coagulase positive • There are other staph that do not have this ability and are labeled coagulase negative Dr. Ashish Jawarkar 19
  • 20.
    Coagulase test • Slidemethod or tube method • In tube method – we add culture of staphylococci and rabbit plasma • Look for clot formation Dr. Ashish Jawarkar 20
  • 21.
  • 22.
    Description headings foreach bacteria • • • • • • • • • Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 22
  • 23.
    Resistance • Resistant todrying – can remain in dried pus for 3-6 months • resistant forms to penicillin have emerged – Produce penicillinase which inactivates penicillin – Change surface receptors for penicillin – Develop tolerance to penicillin – bacteria inactivated, not killed Dr. Ashish Jawarkar 23
  • 24.
    Description headings foreach bacteria • • • • • • • • • Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 24
  • 25.
    Pathogenicity • Cell surfaceprotein – protein A – antiphagocytic property • Clumping factor – surface protein – responsible for slide coagulase test • Produce enzyme coagulase • Produce toxins – Hemolytic toxins (leucocidins) – Enterotoxin – causes food poisoning – vomitting, diarrhoea etc – Toxic shock syndrome toxin – produces hypotension and rash – Epidermolytic toxin – causes STAPHYLOCOCCAL SCALDED SKIN SYNDROME (ssss) Dr. Ashish Jawarkar 25
  • 26.
    Description headings foreach bacteria • • • • • • • • • Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 26
  • 27.
    Staphylococcus aureus epidemiology • Carriedby 20-40 % of healthy individuals in their mouth or on their skin • It also found in their nasal mucosa • Vagina – increased risk of TSS during menstruation • Umbilical stump infected during birth • Fomites carry staphylococci for months • Nosocomial infections by MRSA Dr. Ashish Jawarkar 27
  • 28.
    Description headings foreach bacteria • • • • • • • • • Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 28
  • 29.
    Diseases caused bystaphylococci Dr. Ashish Jawarkar 29
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
    Description headings foreach bacteria • • • • • • • • • Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 34
  • 35.
    Lab diagnosis • Specimento be collected – – – – Skin – pus Respiratory inf – sputum Food poisoning – stool For detection of carriers – nasal swab Dr. Ashish Jawarkar 35
  • 36.
    Staining and microsocopy •Gram stained smears – Gram positive cocci in grape like clusters Dr. Ashish Jawarkar 36
  • 37.
    Culture • Nutrient agar/bloodagar – Colonies with golden yellow pigment • Coagulase test Dr. Ashish Jawarkar 37
  • 38.
    Antibiotic susceptibility testing •In case of suspected hospital acquired infection Dr. Ashish Jawarkar 38
  • 39.
    Description headings foreach bacteria • • • • • • • • • Morphology Growth characteristics Biochemical reactions Resistance Pathogenicity and virulence Epidemiology Diseases caused Laboratory diagnosis Treatment Dr. Ashish Jawarkar 39
  • 40.
    Treatment • Penicillin • Inresistant cases – cloxacillin • For MRSA - vancomycin Dr. Ashish Jawarkar 40
  • 41.
    Coagulase negative staph   S.epidermidis – stitch abcess, grows on implants S. saprophyticus – causes UTI Dr. Ashish Jawarkar 41
  • 42.