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COCCI
Staphylococc Gram + “grape” facultative anaerobe, Catalase +
us
aureus Gray or golden Some +Capsule/slime Cutaneous – (acne Smear Penicillin Handwash
yellow colonies Superweapon/antigen etc),SSSS(bullous exfoliative Culture Cloxacillin and proper
Coagulase +, 1. Exfoliative dermatitis) BAP Nafcillin hygiene
mannitol +, 2. TSST1 TSS – tampon Biochem Vancomycin Can prevent
Novobiocin s, Gastroenteritis(food disease
Yellow pigment + poisoning)
Beta Hemolysis + Endocarditis
Bones, Joints
Pneumonia,empyema
epidermidis Gray to white, Most common isolate in Aminoglycosi Normal flora
Coagulase -,M-,N s, infections with artificial des etc. of skin,
Y-, H- cardiac valves, prosthetic oppurtunistic
joints (THR) and CNS shunts
saprophyticus Only one which is Causes UTI in sexually active
novobiocin young females
resistant, Coagulase
-
Streptococcus Gram +, in chains or pairs, catalase -
pneumonia Alpha Hemolytic, IgA protease – colonization Bacterial pneumonia (most Pen-G Prevented by
Optochin (S),bile Teichoic acid – attachment common on >65y/o) pneumovacc.
soluble, lancet Polysaccharide capsule – Adult meningitis (most
shaped diplococcic major, inhib phago common cause)
found in URT Pneumolysin O – damage Otitis media and sinusitis
respi epithelium (rusty (most common in children)
sputum) Septicemia
viridians Alpha Hemolytic, Dextran (biofilm) Dental caries – S. mutans Pen-G with Penicillin
Optochin (r), bile Growth in vegetation Infective endocarditis aminoglycosi
resistant (S. sanguis, (protects from immune) des for IE
S. mutans, S.
salivarius), normal
No cultures
Gram negative bacilli
Enterobactericeae – all oxidase (-), all ferment glucose, facultative anaerobes, most are motile except Shigella, Klebsiella and Yersinia(SKY),
serologic tests useful to Salmonella, Escherichia and Shigella (SES), EKE – lactose fermenters
Klebsiella- Klebsiella K. pneumoniae & oxytoca–
Enterobacter- pneumoniae(friedla lobar pneumonia with
Serratia nder’s bacillus) ‘currant jelly’ sputum,
UG infection, females –
asymptomatic, males – most
common case of non
gonococcal infection, dual
infection with gonorrhea,
associated with Reiters
syndrome