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Biology 260 Clark College Updated 9/16/14 1 INFORMATION FOR STUDENTS AND PHYSICIANS Microbiology labs at Clark College are operated at Biosafety Level 2 (BSL2). Personal protective equipment (lab coats, gloves, goggles. etc.) is required to work in this lab, and access to the laboratory is restricted by the laboratory director when work with infectious agents is in progress. Persons who are immune-compromised (including those who are pregnant or may become pregnant) and students living with or caring for an immune-compromised individual should consult with physicians to determine the appropriate level of participation in the lab. Should your physician discern that you should not participate in this lab, please have him or her write a note stating the concerns. Alternative accommodations may be indicated. The following is a list of bacterial species that may be grown in the Microbiology lab (it is probable that not all species on this list will be grown). If you experience the symptoms associated with any of these bacteria, please consult your physician immediately. Please have your physician contact your Microbiology lab instructor if she/he would like information on the bacterial cultures being actively grown in the lab. Enterococcus faecalis (formerly Streptococcus faecalis) Enterococci can cause urinary tract, wound, and soft tissue infections. They are also associated with bacteremia (bacteria in blood) which can lead to endocarditis (infection of the inner lining of the heart) in previously damaged cardiac valves. E. faecalis is the most frequent species isolated from human intestine samples (80-90%). Proteus mirabilis Proteus species can cause urinary tract infections (UTI) accompanied by fever above 101oF. UTI can occasionally lead to bacteremia (bacteria in blood). Pneumonia, skin lesions, and neonatal infections can also sometimes occur (WebMD, n.d.). Proteus vulgaris Proteus species can cause urinary tract infections (UTI) accompanied by fever above 101oF. UTI can occasionally lead to bacteremia (bacteria in blood). Pneumonia, skin lesions, and neonatal infections can also sometimes occur (WebMD, n.d.). Pseudomonas aeruginosa Pseudomonas aeruginosa is a common resident of the human microbiome, but it rarely causes disease in healthy persons. Most infections with this organism occur in compromised hosts. Examples of compromising conditions include disrupted physical barriers to bacterial invasion (e.g., burn injuries, intravenous [IV] lines, urinary catheters, dialysis catheters, endotracheal tubes) and dysfunctional immune mechanisms. Symptoms depend on where the infection is. If it's in a wound, there may be green-blue pus in or around the area. If you have swimmer's ear, your ear aches. If the infection causes pneumonia, you may get a cough. When the infections are elsewhere in the body, you may have a fever and feel tired (WebMD, n.d.). Biology 260 Clark College Updated 9/16/14 2 Shigella dysenteriae Shigellosis is an infectious disease caused by a group of bacteria called Shigella. Most who are infected with Shigella develop diarrhea, fever, and stomach cramps starting a day or two after they are exposed to the bacteria. The diarrhea is often bloody. Shigellosis usually resolves in 5 to 7 days. Persons with shigellosis in the United States rarely require hospitalization. A severe infection with high fever may be associated with seizures in children less than 2 years old. Some persons who are infected may have no symptoms at all, but may still pass the Shigella bacteria to others (CDC, n.d.). Shigella flexneri Shigellosis is an infectious disease caused by a group of bacteria called Shigella. Most who are infected with Shigella develop diarrhea, fever, and stomach cramps starting a day or two after they are exposed to the bacteria. The diarrhea is often bloody. Shigellosis usually resolves in 5 to 7 days. Persons with shigellosis in the United States rarely require hospitalization. A severe infection with high fever may be associated with seizures in children less than 2 years old. Some persons who are infected may have no symptoms at all, but may still pass the Shigella bacteria to others (CDC, n.d.). Staphylococcus aureus Staphylococcus aureus causes most staph infections (pronounced "staff infections"), including Skin infections Pneumonia Food poisoning Toxic shock syndrome Blood poisoning (bacteremia) Skin infections are the most common and are the most probable form of infection arising from mistakes in the microbiology lab. They can look like pimples or boils. They may be red, swollen and painful, and sometimes have pus or other drainage. They can turn into impetigo, which turns into a crust on the skin, or cellulitis, a swollen, red area of skin that feels hot. Anyone can get a staph skin infection. You are more likely to get one if you have a cut or scratch, or have contact with a person or surface that has staph bacteria. The best way to prevent staph is to keep hands and wounds clean. Most staph skin infections are easily treated with antibiotics or by draining the infection. Some staph bacteria such as MRSA (methicillinresistant Staphylococcus aureus) are resistant to certain antibiotics, making infections harder to treat (CDC, n.d.). Streptococcus agalactiae Group B Streptococcus (group B strep) is a type of bacteria that causes illness in people of all ages. Also known as GBS or baby strep, group B strep disease in newborns most commonly causes sepsis (infection of the blood), pneumonia (infection in the lungs), and sometimes meningitis (infection of the fluid and lining around the brain). The most common problems caused by group B strep in adults are bloodstream infections, pneumonia, skin and soft-tissue infections, and bone and joint infections. Biology 260 Clark College Updated 9/16/14 3 The symptoms of group B strep disease can seem like other health problems in newborns and infants. Most newborns with early-onset disease have symptoms on the day of birth. Babies who develop late-onset disease may appear healthy at birth and develop symptoms of group B strep disease after the first week of life. Some symptoms are: fever, difficulty feeding, irritability or lethargy, difficulty breathing, blu-ish color to skin (CDC, n.d.). Streptococcus mitis Streptococcus mitis is a resident of the human oral cavity, gastrointestinal tract, and the female urogenital tract. It is generally not pathogenic except in immunocompromised individuals and when give the opportunity to invade other body systems (as when invasive procedures have been performed). Under those circumstances, Streptococcus mitis can cause dental infections, septicemia (bacterial growth in blood) and endocarditis (infection of the inner lining of the heart) both of which may be accompanied by fever, fatigue, possibly loss of appetite (MedlinePlus, n.d.). Streptococcus pneumonia Sudden onset of fever and malaise are typical symptoms for all forms of pneumococcal (Streptococcus pneumoniae) infections and may be the only symptoms in young children with bacteremia. In pneumococcal pneumonia, fever may precede the usual symptoms of cough, pleuritic chest pain, and production of purulent or blood-tinged sputum by 12–24 hours. In elderly people, the onset of pneumococcal pneumonia may be less abrupt, with fever, shortness of breath, or altered mental status as the initial symptoms; sputum production may be absent. Pneumococcal meningitis may present with a stiff neck, headache, lethargy, or seizures (CDC, n.d.). Streptococcus pyogenes Acute Streptococcus pyogenes infections may present as strep throat (sore throat, fever, headache, nausea), scarlet fever (sudden fever, sore throat, “sandpapery” rash, possibly abdominal pain, muscle aches, swollen red tongue, vomiting), impetigo (infection of the superficial layers of the skin) or cellulitis (infection of the deep layers of the skin). Invasive, toxigenic infections can result in necrotizing fasciitis (fast-spreading infection of the subcutaneous (deeper) layers of the skin), myositis (muscle inflammation) and streptococcal toxic shock syndrome (severe pain at site of skin infection, fever, low blood pressure, malaise confusion). Patients may also develop immune-mediated post-streptococcal sequelae, such as acute rheumatic fever and acute glomerulonephritis, following acute infections caused by Streptococcus pyogenes (Todar, 2008). List of Literature Resources * Medline Plus (n.d.). Retrieved online from http://www.nlm.nih.gov/medlineplus/ * Todar, K. (2008). Online Textbook of Bacteriology. Retrieved online from http://textbookofbacteriology.net/ * US Centers for Disease Control (CDC). (n.d.). Retrieved online from http://www.cdc.gov * WebMD (n.d.). Retrieved online from http://www.webmd.com