- Gram (+) cocci
- Facultatively anaerobes (except for S. saccharolyticus – OBLIGATE ANAEROBE)
- In tetrads or in clusters
- Catalase (+)
- Oxidase (+)
- Non-motile
- Grows in 7.5 – 10% NaCl
Characteristics
- COLONY
- Produced after 18-24 hrs.
- Medium-sized (4-8 um)
- COLORS:
- Cream-colored
- White
- Rarely light gold
- “buttery-looking”
HUMAN NARIS (NOSTRILS) – PRIMARY RESERVOIR FOR STAPHYLOCOCCI
S. aureus Disease Association
- Folliculitis
- Furuncles (Boil)
- Carbuncles
- Bullous impetigo
- Scalded skin syndrome / Ritter’s Disease / Pemphigus neonatorum
- Toxic Shock Syndrome
- Toxic Epidermal Necrolysis
- Food poisoning
- Staphylococcal pneumonia
- Osteomyelitis
- Septic arthritis (children)
S. aureus Virulence Factors:
- STAPHYLOCOCCAL ENTEROTOXINS
Enterotoxin | Disease Association |
B (10%), A (78%), D (38%) | FOOD POISONING |
B, C, G, I, F | TOXIC SHOCK SYNDROME |
- Enterotoxin B – assoc. w/ staphylococcal pseudomembranous colitis
- Enterotoxin F – former name for TSST-1 (assoc. w/ using of tampons)
|
Other Virulence Factors
|
Alpha-hemolysin 1. Lyses: RBCs, platelets, Macrophages 2. Causes: Severe Tissue Damage |
Beta-hemolysin (Sphingolmeylinase C) - “hot-cold lysin”
- Enhance hemolysis @ 37°C & 4°C
- Exhibited in CAMP test
- Acts on sphingomyelinase of RBC
|
Staphylococcal enzymes - Enzymes:
- Protease
- Lipase
- Hyaluronidase (Duran-Reynal Factor)
- Staphylocoagulase
- Facilitates spread of infection (protease, lipase, hyaluronidase)
|
Panton-Valentine Leukocidin (PVL) - Exotoxin lethal to PMNs
- Assoc. w/ gamma-hemolysin
- Causes
- severe cutaneous infection
- necrotizing pneumonia
- Assoc. w/
- community-acquired staph infection
|
Protein A |
OTHER STAPHYLOCOCCI |
S. epidermidis - Virulence factor
- Biofilm
- Delta toxin
- Poly-γ-glutamic acid
- Disease association
- Prosthetic valve endocarditis (most common)
- Nosocomial infection.
|
S. saprophyticus - Virulence factor
- Adheres to epithelial lining
- Disease association
- UTI; (>10,000 CFU/ml) – significant
|
S. lugdunensis - Virulence factor
- mecA gene for oxacillin resistance
- Disease association
- UTI
- endocarditis
- Catheter-related bacteremia
|
S. haemolyticus - Virulence factor
- Disease association
|
Test to differentiate Staphylococcus and Micrococcus |
Test | Staphylococcus | Micrococcus |
Furoxone-Tween 80- ORO Agar (growth) | – | + |
Lysosome (50-mg disk) | Resistant | Susceptible |
Anaerobic acid prod. From glycerol in presence of erythromycin | + | – |
O/F Test | Fermenter | Oxidizer |
Modified oxidase | – | + |
Bacitracin (0.04 U) | Resistant <10mm | Susceptible >10mm |
Furazolidone (100 ug) | Susceptible | Resistant |
Lysostaphin (200ug/ml) | Susceptible | Resistant |
Organism | PYR | VP Test |
S. aureus | – | + |
S. lugdunensis | + | + |
S. intermedius | + | – |
S. schleiferi | + | + |
COAGULASE TEST: differentiates S. aureus from CoNS; uses rabbit or pig plasma
- Slide method – for clumping factor (cell-bound coagulase)
- Tube method – for staphylocoagulase (free coagulase)
Coagulase (+) Staphylococci:
- S. delphini
- S. aureus
- S. hyicus
- S. intermedius
- S. luteus
Contains CLUMPING FACTOR
- S. lugdunensis – confused w/ S. aureus in slide method
- S. schleiferi
SMALL COLONY VARIANTS STAPHYLOCOCCI
- Fastidious
- Requires: CO2, Hemin, Menadione
- Grows on media containing blood.