STAPHYLOCOCCI and Streptococcus
MSc. Sarah Ahmed* STAPHYLOCOCCI
Gram positive Facultative anaerobes Grape like-clusters Catalase positive Major components of normal flora skin nares2- Catalase test Positive by bubble formation
3- Coagulase testStreptococcus
StaphylococcusSpecies
Lancefield GroupTypical Hemolysis
Important Lab Characteristics
Streptococcus pyogenes
A
Beta
Bacitracin sensitivePYR Test positive
B
Beta
Bacitracin resistantHippurate utilizedCAMP test positive
S. pneumoniae
Not groupable
Alpha
Bile solubleInhibited by optochin
Viridans group
Not groupable
Alpha
Not bile solubleNot inhibited by optochin
Identification Schema
Schema to differentiate Group A and B from other b-hemolytic streptococciBiochemical Identification
Susceptibility testsBacitracin (0.04 units) or “A” disk Identifies Group A streptococci Group A streptococcus is susceptible to “A” disk (left)Biochemical Identification
Christie-Atkins, Munch-Petersen (CAMP) test Detects the production of enhanced hemolysis that occurs when b-lysin and the hemolysins of Group B streptococci come in contactGroup B streptococci showing the classical “arrow-shaped hemolysis near the staphylococcus streak
Identification Schema
Schema to differentiate S. pneumoniae from other a-hemolytic streptococciBiochemical Identification
Susceptibility testOptochin “P” diskDifferentiates S. pneumoniae from other alpha-hemolytic streptococci (Viridans group)Bile solubility testS pneumoniae lyses in a suspension of sodium deoxycholate while other viridans streptococci do not lyseIdentification Schema
Schema to differentiate Enterococcus and Group D streptococci from other nonhemolytic streptococciBiochemical Identification
PYR hydrolysis Substrate L-pyrrolidonyl-b-napthlyamide (PYR) is hydrolyzed by Group A Streptococci and Enterococcus sp. As specific as 6.5% NaCl broth for Enterococcus sp. More specific than Bacitracin for Group A streptococciPYR test for Group A streptococci and enterococci. Both are positive for this test (right); left is a negative result
Biochemical Identification
Bile Esculin hydrolysis Ability to grow in 40% bile and hydrolyze Esculin are features of streptococci that possess Group D antigen Growth in 6.5% NaCl broth Differentiates Group D streptococci from enterococciBoth Group D streptococci and enterococci produce a positive (left) bile Esculin hydrolysis test.