Staphylococcus Quiz on Clinical Relevance
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Questions and Answers

Which Staphylococcus species is considered the most clinically relevant?

  • Staphylococcus hominis
  • Staphylococcus aureus (correct)
  • Staphylococcus epidermidis
  • Staphylococcus saprophyticus
  • Staphylococcus species are exclusively harmful pathogens.

    False (B)

    What is the role of the coagulase enzyme produced by Staphylococcus aureus?

    It clots citrated plasma.

    Many Staphylococcus strains have developed resistance to common __________.

    <p>antibiotics</p> Signup and view all the answers

    Match the following Staphylococcus characteristics with their descriptions:

    <p>Staphylococcus aureus = Causes food poisoning via enterotoxins Coagulase-negative Staphylococci = Often harmless commensals Staphylococcus epidermidis = Typically associated with infections related to prosthetic devices Staphylococcus saprophyticus = Commonly causes urinary tract infections</p> Signup and view all the answers

    What pigment is typically produced by Staphylococcus aureus?

    <p>Golden yellow pigment (B)</p> Signup and view all the answers

    Staphylococci are Gram-negative bacteria that appear as clusters resembling grapes.

    <p>False (B)</p> Signup and view all the answers

    What type of culture media is typically used for isolating Staphylococci?

    <p>Blood agar or mannitol salt agar</p> Signup and view all the answers

    Staphylococci exhibit _____ hemolysis on blood agar.

    <p>alpha or beta</p> Signup and view all the answers

    Match the Staphylococcus species with their respective pigment production:

    <p>Staphylococcus aureus = Golden yellow pigment Staphylococcus saprophyticus = Lemon yellow pigment Staphylococcus epidermidis = White pigment</p> Signup and view all the answers

    Which of the following tests is used to differentiate between staphylococci and streptococci?

    <p>Catalase test (C)</p> Signup and view all the answers

    A positive coagulase test indicates the presence of Staphylococcus epidermidis.

    <p>False (B)</p> Signup and view all the answers

    What is the temperature range preferred for the growth of the bacteria identified as Staphylococcus aureus?

    <p>35-37°C</p> Signup and view all the answers

    The enzyme _______ in Staphylococcus aureus causes blood plasma to clot.

    <p>coagulase</p> Signup and view all the answers

    What does a positive slide coagulase test indicate?

    <p>Presence of coagulase clumping (D)</p> Signup and view all the answers

    Coagulase positive staphylococci cannot ferment mannitol.

    <p>False (B)</p> Signup and view all the answers

    Match the following tests with their functions:

    <p>Catalase test = Differentiates staphylococci from streptococci Coagulase test = Detects presence of coagulase enzyme Mannitol fermentation test = Checks ability to ferment mannitol Hemolysis test = Examines the breakdown of red blood cells</p> Signup and view all the answers

    What is the enzyme detected in the DNase test?

    <p>Deoxyribonuclease (DNase)</p> Signup and view all the answers

    What indicates a positive catalase test?

    <p>Bubbles appear immediately (B)</p> Signup and view all the answers

    Coagulase-positive staphylococci can cause blood clotting.

    <p>True (A)</p> Signup and view all the answers

    The presence of a clear zone around a bacterium in a DNase test indicates a __________ result.

    <p>positive</p> Signup and view all the answers

    Match the test with its purpose:

    <p>Slide coagulase test = Detection of membrane bound coagulase Tube coagulase test = Detection of extracellular free coagulase DNase test = Detection of deoxyribonuclease enzyme Mannitol fermentation test = Detection of mannitol fermentation</p> Signup and view all the answers

    Name the reagent used in the coagulase test.

    <p>Rabbit or human plasma</p> Signup and view all the answers

    What is the primary characteristic that differentiates pathogenic Staphylococcus aureus?

    <p>Ability to ferment mannitol (A)</p> Signup and view all the answers

    Mannitol salt agar contains a concentration of 5% sodium chloride.

    <p>False (B)</p> Signup and view all the answers

    Which pigment is produced by Staphylococcus saprophyticus?

    <p>Lemon yellow (A)</p> Signup and view all the answers

    Staphylococci are Gram-positive cocci that appear in clusters resembling grapes.

    <p>True (A)</p> Signup and view all the answers

    What type of agar is commonly used to test hemolytic reactions in Staphylococcus species?

    <p>Blood agar</p> Signup and view all the answers

    Staphylococci are typically cultured on nutrient-rich media like __________ or mannitol salt agar.

    <p>blood agar</p> Signup and view all the answers

    Match the following Staphylococcus species with their pigment production:

    <p>Staphylococcus aureus = Golden yellow Staphylococcus saprophyticus = Lemon yellow Staphylococcus epidermidis = White Staphylococcus haemolyticus = Red</p> Signup and view all the answers

    What percentage of the population are nasal carriers of Staphylococcus aureus?

    <p>40-50% (B)</p> Signup and view all the answers

    Staphylococcus aureus is primarily found in the environment rather than on human skin.

    <p>False (B)</p> Signup and view all the answers

    Name one virulence factor produced by Staphylococcus aureus.

    <p>Coagulase</p> Signup and view all the answers

    Staphylococcus aureus typically forms clusters of _______ cells.

    <p>cocci</p> Signup and view all the answers

    Match the following Staphylococcus strains with their characteristics:

    <p>Staphylococcus aureus = Coagulase positive Staphylococcus epidermidis = Coagulase negative Coagulase-negative staphylococci = Common skin flora Staphylococcus saprophyticus = Urinary tract infections</p> Signup and view all the answers

    What type of hemolysis is produced by Staphylococcus aureus on blood agar?

    <p>Beta hemolysis (D)</p> Signup and view all the answers

    Catalase testing is used to differentiate between staphylococci, which are catalase positive, and streptococci, which are catalase negative.

    <p>True (A)</p> Signup and view all the answers

    What is the main enzyme that Staphylococcus aureus produces that contributes to blood clotting?

    <p>coagulase</p> Signup and view all the answers

    Staphylococcus aureus prefers a temperature of _____°C for optimal growth.

    <p>35-37</p> Signup and view all the answers

    Match the following Staphylococcus tests with their functions:

    <p>Catalase Test = Detects the presence of catalase enzyme Coagulase Test = Detects the presence of coagulase enzyme Mannitol Salt Agar = Differentiates mannitol fermentation Blood Agar = Identifies hemolytic activity</p> Signup and view all the answers

    Flashcards

    Staphylococcus aureus

    A gram-positive bacteria commonly found on human skin and mucous membranes. Can cause infections, especially in immunocompromised individuals or those with existing medical conditions.

    Staphylococcus aureus reservoir

    Staphylococcus aureus is found in many places where humans are present, such as on skin, mucous membranes, and in nasal passages.

    Virulence factors

    Characteristics of a microorganism that enable it to cause disease. Ex: Coagulase, toxins, etc.

    Sample collection

    Collect clinical samples (swabs, tissue, blood) to test, following sterile procedures.

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    Antibiotic resistance

    Some Staphylococcus strains can withstand the effects of common antibiotics, making treatment more challenging.

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    Staphylococcus Gram Stain

    Gram-positive cocci appearing in clusters (like grapes) under a microscope after Gram staining.

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    Staphylococcus Culture Media

    Nutrient-rich media like blood agar or mannitol salt agar used to grow Staphylococci, facilitating their identification.

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    Staphylococcus Pigment Production

    Different Staphylococcus species produce distinct pigments (yellow, white) as a diagnostic feature.

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    Staphylococcus Hemolysis

    Some Staphylococci exhibit hemolysis patterns (alpha or beta) on blood agar, aiding in their identification.

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    Staphylococcus Growth Conditions

    Staphylococci are facultative anaerobes, growing well with or without oxygen.

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    Catalase Test

    A test used to differentiate staphylococci (catalase-positive) from streptococci (catalase-negative) by observing bubble production from a hydrogen peroxide solution.

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    Catalase-positive bacteria

    Bacteria that produce bubbles when exposed to hydrogen peroxide.

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    Coagulase Test

    A test to detect the presence of coagulase enzyme in bacteria, which causes blood plasma to clot.

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    Coagulase

    An enzyme produced by some bacteria that causes blood plasma to clot.

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    Coagulase-positive

    Describes bacteria that produce coagulase, causing blood plasma to clot.

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    Gram-positive cocci

    A group of bacteria characterized by their morphology (spherical or round shape and Gram-positive staining) and arrangement in clusters.

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    Microscopic examination

    Examining bacteria under a microscope.

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    Slide Coagulase Test

    A test to detect the presence of membrane-bound coagulase (clumping factor) in bacteria. A positive result is indicated by clumping of bacterial cells when mixed with plasma within 10 seconds.

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    Tube Coagulase Test

    This test detects extracellular free coagulase. A positive result occurs when plasma is converted into a clot in the tube.

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    DNase Test

    This test identifies the presence of the enzyme deoxyribonuclease (DNase) in bacteria. A positive result is shown by a clear zone around the bacterial colony on the agar plate.

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    What makes Mannitol Salt Agar (MSA) selective?

    MSA contains 7.5% sodium chloride (NaCl), which inhibits the growth of most bacteria except staphylococci.

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    What makes Mannitol Salt Agar (MSA) differential?

    MSA contains mannitol sugar and a pH indicator (phenol red). Staphylococci that ferment mannitol produce acid, turning the medium yellow.

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    Positive Mannitol Fermentation

    Pathogenic Staphylococcus aureus ferments mannitol, turning the MSA medium yellow. Coagulase-negative staphylococci do not ferment mannitol.

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    What is the importance of the Mannitol Fermentation test for Staphylococci?

    The mannitol fermentation test is used in the clinical microbiology lab to identify and differentiate Staphylococcus species. It helps to distinguish pathogenic Staphylococcus aureus from other staphylococci.

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    What makes Staphylococci unique?

    Staphylococci are Gram-positive cocci that typically appear in clusters, resembling bunches of grapes.

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    Where are Staphylococci found?

    Staphylococci are commonly found on the skin and mucous membranes of humans and animals. They are ubiquitous.

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    What is S. aureus known for?

    Staphylococcus aureus is a prominent species of staphylococci that can cause various infections, including skin infections, food poisoning, and pneumonia.

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    What is a Coagulase Test?

    The Coagulase Test differentiates Staphylococcus aureus from other staphylococci by detecting the coagulase enzyme produced by S. aureus.

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    Why are Staphylococci clinically important?

    Some Staphylococcus species can be opportunistic pathogens, causing infections in immunocompromised individuals or those with weakened defenses.

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    Staphylococcus aureus pigment

    Staphylococcus aureus produces a golden-yellow pigment called carotenoid.

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    Gram-positive cocci clusters

    Staphylococci appear as clusters of round bacteria that stain purple under a microscope after Gram staining.

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    Blood agar hemolysis

    Some Staphylococcus species can break down red blood cells in blood agar. This is called hemolysis.

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    Why use nutrient-rich media for Staphylococci?

    Staphylococci need a rich environment to grow well. Nutrient-rich media provide the necessary components for their growth and development.

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    Staphylococcus aureus: Key Reactions

    Staphylococcus aureus is characterized by its positive results in both catalase and coagulase tests. It produces catalase, which breaks down hydrogen peroxide, and coagulase, which causes the clotting of blood plasma.

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    Mannitol Salt Agar (MSA): Selective & Differential

    Mannitol Salt Agar (MSA) is specifically designed to both select for staphylococci and differentiate them based on their ability to ferment mannitol. The high salt concentration inhibits most bacteria except staphylococci, while mannitol fermentation causes a color change in the media.

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    Study Notes

    Microbiological Identification of Medically Important Staphylococci

    • Staphylococci are Gram-positive bacteria commonly found on human and animal skin and mucous membranes.
    • Some species are harmless commensals, while others can cause serious infections in immunocompromised individuals.
    • Staphylococcus aureus is a medically significant species known for its virulence factors and ability to cause various diseases.
    • Staphylococcus epidermidis and Staphylococcus saprophyticus are coagulase negative species often found as part of the normal flora.

    Introduction to Staphylococci

    • Staphylococci are ubiquitous, meaning they are present in many environments frequented by humans.
    • Clinically relevant species include Staphylococcus aureus and coagulase-negative staphylococci (CoNS). These species can cause serious infections, and some have developed resistance to antibiotics, making treatment challenging.

    Staphylococcus aureus

    • Morphology: Gram-positive cocci arranged in clusters.
    • Cultural characteristics: Facultative anaerobes that grow by aerobic or microaerophilic respiration at 37°C. Colonies are round, smooth, raised, and range in color from grey to golden yellow.

    Medically Important Staphylococci

    • Staphylococcus aureus: coagulase positive, beta-hemolytic on blood agar; associated with diseases like endocarditis, food poisoning, toxic shock syndrome, and osteomyelitis.
    • Staphylococcus epidermidis: coagulase negative, no hemolysis, part of normal flora often associated with infections in medical devices, and related to nosocomial infections.
    • Staphylococcus saprophyticus: coagulase negative, no hemolysis, part of normal flora often associated with urinary tract infections in young women.

    Asymptomatic Colonization of S. aureus

    • A significant percentage of the human population carries S. aureus asymptomatically, often in the nasal passages.
    • S. aureus can colonize various moist areas like skin folds, oropharynx, GI tract, and urogenital tract.
    • A higher proportion of carriers exists within hospital staff.

    Virulence Factors

    • Coagulase enzyme: An enzyme-like protein that clots citrated plasma.
    • Exfoliative toxin
    • Enterotoxins: Cause food poisoning.
    • DNase
    • Haemolysins The presence of these factors can distinguish medically important strains.

    S. aureus Reservoir

    • Frequently found in environments frequented by humans.
    • Easily isolated from fomites (inanimate objects).
    • Healthy adults have a carrier rate of 20-60%, primarily in anterior nares, skin, nasopharynx, and intestine.

    Sample Collection and Processing

    • The process involves collecting samples from the affected site, such as nasal swabs, skin lesions, or blood.
    • Samples are promptly transported to the lab, inoculated onto appropriate culture media, and incubated at 35-37°C for 18-24 hours.
    • The presence of distinct colonies characteristic of staphylococci is then observed.

    Laboratory Identification of Staphylococcus aureus

    • Direct smear with Gram stain showing Gram-positive cocci in clusters within pus cells.
    • Culture on blood agar (for hemolytic reactions) and nutrient agar (for pigment production).
    • Golden yellow pigment indicates S. aureus.

    The Gram Stain

    • A critical initial step in identifying staphylococci.
    • Staphylococci stain as Gram-positive cocci in clusters.
    • Observing the gram-positive and the arrangemnt helps distinguish between staphylococci and other bacteria.

    Culture Media and Growth Characteristics

    • Staphylococci are typically cultured on nutrient-rich media like blood agar or mannitol salt agar.
    • Colonies form with characteristic features such as shape, size and color.
    • Many Staphylococcus species produce a golden-yellow carotenoid pigment which aids differentiating them.
    • Staphylococci demonstrate various hemolytic reactions, such as alpha or beta hemolysis, on blood agar; this is helpful for identifying them.

    Biochemical Tests

    • Complete hemolysis on blood agar
    • Catalase positive
    • Coagulase positive
    • Ferments mannitol on mannitol salt agar.

    Catalase Test

    • A microscopic examination helps confirm the morphology of bacterial cells, specifically confirming the presence of Gram-positive cocci arranged in clusters.
    • Obtaining a fresh bacterial colony and mixing it with hydrogen peroxide will demonstrate the presence of bubbles, indicating a positive catalase test for staphylococci.

    Coagulase Test

    • The coagulase test detects the presence of coagulase enzyme in pathogenic staphylococci.
    • A positive result, where plasma clots, indicates the presence of S. aureus.
    • A negative result, no clotting of plasma, indicates the presence of less virulent species.

    Tube Coagulase Test

    • Diluting the plasma and adding the species into tubes.
    • Incubating the tubes at 35-37°C
    • Observing for clotting at intervals.
    • Positive results produce a clot.
    • Negative results don't clot (plasma remains liquid.)

    Slide Coagulase Test

    • A drop of saline is placed on a slide.
    • The bacterial colony is emulsified into two thick suspensions.
    • A drop of undiluted plasma is added to one suspension and mixed gently.
    • Clumping of organisms within 10 seconds indicates a positive result.

    DNase Test

    • The procedure involves inoculating a bacterial colony onto a DNase test agar plate and incubating it.
    • Presence of a clear zone around the colony indicates a positive result, characteristic of Staphylococcus species.

    Mannitol Fermentation

    • This test differentiates staphylococci based on their ability to ferment mannitol.
    • Pathogenic S. aureus ferment mannitol, turning the media yellow while coagulase-negative staphylococci do not.

    Mannitol Salt Agar

    • Selective for staphylococci due to high sodium chloride concentration.
    • Differential due to pH indicator (phenol red) which changes color depending on the fermentation of mannitol.
    • A yellow color indicates mannitol was fermented causing an acidic pH.

    Antibiotic Susceptibility Testing

    • Disk diffusion: A method that determines the susceptibility of a bacterium to an antibiotic by measuring the zones of inhibition around antibiotic disks.
    • Automated systems: Rapidly identify bacteria and test their susceptibility to a panel of antibiotics.
    • Molecular techniques: Detect antibiotic resistance genes to guide treatment.

    S. aureus Diseases

    • Infections range from localized (e.g., abscesses, folliculitis) to systemic (e.g., bacteremia, osteomyelitis).
    • Toxigenic diseases, such as food poisoning, toxic shock syndrome, and scalded skin syndrome, are also caused by specific types of S. aureus.

    Case Studies and Clinical Relevance

    • Case studies highlight the clinical manifestations and relevance of Staphylococcus species.
    • Examples include osteomyelitis, surgical site infections, and MRSA bacteremia.

    Coagulase-Negative Staphylococci

    • Staphylococci that test negative for coagulase.
    • Staph epidermidis: White pigment on nutrient agar, frequently found in medical devices.
    • Staph saprophyticus: Lemon yellow pigment on nutrient agar, associated with urinary tract infections.

    Novobiocin Test

    -Differentiates between Staph epidermidis and Staph saprophyticus.

    • Staph epidermidis is sensitive and Staph saprophyticus is resistant

    Micrococcus

    • Gram-positive cocci found in tetrads (clusters of four).
    • Usually non-pathogenic.
    • Distinguishing factor: Catalase-positive.

    Methicillin-resistant Staphylococcus aureus (MRSA)

    • A variant of Staphylococcus aureus resistant to methicillin and other beta-lactam antibiotics.
    • Hospital-associated (HA-MRSA) and community-associated (CA-MRSA) are the two types.
    • Vancomycin is often the drug of choice for treating MRSA.

    Questions and Answers

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    Test your knowledge about Staphylococcus species, their characteristics, and clinical significance. This quiz covers topics such as coagulase production, resistance to antibiotics, and isolation techniques. Ideal for microbiology students and health professionals.

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