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General Microbiology Laboratory Isolation and Identification of Gram Positive Cocci Identified method for Staphylococci Gram-stain Isolation and culture Pure culture Direct identification Mohammed laqqan Staphylococci are Gram-positive cocci, typically arranged in clumps or Grape-like clusters Mohammed laqqan Direct identification Coagulase Test Mannitol fermentation test. DNase Test Novobiocin (NB) disc Mohammed laqqan Test Staphylococcus aureus Staphylococcus epidermidis Mannitol fermentation Positive Negative Mohammed laqqan Staphylococcus saprophyticus Usually positive The DNase Test Inoculate DNase agar plates with a loop so that the growth is in plaques about 1 cm in diameter.I ncubate at 370C overnight. Flood the plate with 1 N hydrochloric acid.Clearing around the colonies indicates DNase activity. The hydrochloric acid reacts with unchanged deoxyribonucleic acid to give a cloudy precipitate. A few other bacteria,e.g. Serratia,may give a positive reaction. Mohammed laqqan Staphylococcus aureus Growing on DNase Agar Mohammed laqqan Blood agar with a novobiocin (NB) disc Staphylococcus aureus Growing on Blood Agar Staphylococcus saprophyticus Growing on Blood Agar S R Mohammed laqqan Types Of Streptococcus Mohammed laqqan (β) Haemolytic Streptococcus groups S. pyogenes • Group A S. agalactiae • Group B (occasionally α or none) Streptococcus bovis • Group D (α or none, occasionally β) Mohammed laqqan Group A strep: S. pyogenes Gram +ve cocci Catalase (+ve) Small, round, grey colonies β-haemolysis zone is large Group A antigen Mohammed laqqan Isolation and Identification of (Streptococcus pyogenes) 1. on Blood agar. Streptococcus pyogenes produces a zone of beta hemolysis around 2-3mm in diameter surrounding each colony 2. Sensitivity to the antibiotic bacitracin 3. Group A Strep is senstive, other b haemolytic streps are resistant. Mohammed laqqan Bacitracin sensitivity Mohammed laqqan Identification of Streptococci Mohammed laqqan Group B: S. agalactiae S. agalactiae Identification Catalase negative Bacitracin resistant CAMP positive Growth on Mac (weak) Appearance on BA Larger colonies than Group A Small zone of hemolysis Mohammed laqqan CAMP test The “CAMP” test (acronym for developers) is used to differentiate S. agalactiae (GBS), which is positive, from other beta hemolytic strep, all of which are negative “CAMP factor” is a soluble hemolysin produced by GBS that combines in a synergistic way with a similar hemolysin of S. aureus to form an arrowhead zone of clearing. The staph is streaked perpendicularly to the unknown strep. After appropriate incubation time an “arrowhead-shaped” clear zone of hemolysis will appear. Mohammed laqqan S. agalactiae Synergistic haemolysis observed between betahemolytic Staphylococcus aureus and group B streptococci. Positive reaction: arrowhead haemolysis pattern Mohammed laqqan α – Haemolytic streps: Viridans streps Not groupable by Lancefield groups No group specific CHO Streptococcus pneumoniae Primary human pathogen S.sanguis S.mitis S.mutans Mohammed laqqan Mohammed laqqan The Pneumococcus (Streptococcus pneumoniae) 1: Isolation on Blood agar • Pneumococci frequently require enriched media and increased CO2 tension for initial isolation. • They are usually isolated on Blood agar and incubated in a candle jar (a closed container in which a lit candle is placed to remove O2 and increase CO2 ) at 37C. On Blood agar, colonies appear small, shiny, and translucent. • They are surrounded by a zone of alpha hemolysis 2: Optochin sensitivity • Pneumococci are the only streptococci that are sensitive to the drug optochin. 3: Gram stain: gram-positive, diplococci Mohammed laqqan Mohammed laqqan The Genus Enterococcus Enterococci are gram-positive streptococci, typically occurring in pairs and short chains, that are normal flora of the intestinal tract. Enterococci responsible for a variety of opportunistic infections in humans, and serologically belong to Lancefield group D streptococci. On Bile Esculin agar Unlike most bacteria, the enterococci will grow in the presence of the bile salts in the medium. They hydrolyze the esculin, producing esculetin which reacts with the iron salts in the medium turning the agar black Mohammed laqqan Mohammed laqqan Enterococcus Mohammed laqqan Enterococcus White colonies Alpha and no haemolysis (rarely beta) Also grow on MacConkey Resembles S. pneumoniae in Gram stains Bile esculin positive Grows on Mac Mohammed laqqan End of lecture Mohammed laqqan