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Last updated 2:33 AM on 3/3/23
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What family is the Staphylococci
Microcococcaceae
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Around how many species does the genus Staphylococcus contain?
35-40 species
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Which couud be more dangerous: Coagulase positive species or Coagulase negative species
Coagulase positive species
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What is an example of a coagulase positive Staphylococcus species?
S. aureus
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What is an example of a coagulase negative Staphylococcus species?
S. epidermidis, S. saprophyticus, or S. haemolyticus.
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What are some of the general characteristics of the Staphlyococcus genus?
1) Nonmotile
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2) Non-spore-forming

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3) Nonencapsulated

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4) Catalase-producing

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5) Oxidase: Negative

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6) Glucose fermenters

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7) Primarily aerobic, some facultatively anaerobic

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8) Bacitracin resistant

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9) Some are beta hemolytic

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What percentage of the general populationare staph. carriers
20-30%
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What does MRSA stand for?
methicillin resistant staph aureus
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What damage can long-term Vacnimycin use cause?
kidney damage
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What are the three modes of transmission for Staph. aureus?
Traumatic introduction (injury), Direct contact with infected person, Inanimate objects (bed rails and door handles)
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What is pus?
a mix of active and inactive neutrophils, bacterial cells and extravascular fluid
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What are the virulence factors of S. aureus?
Enterotoxins, Cytolytic toxinis, Enzymes, and Protein A
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Coagulase postive species can convert [BLANK] to [BLANK]
Fibrinigin to fibrin
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What are the two coagulase test?
Coagulase test tube method and slide method
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Is coagulase freely secreted or organism bound?
Coagulase is both secreted/produced by the organism and organism bound (attached to the membrane)
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What does Staphylococcus look like when gram stained?
Purple- gram positive. Morphology: clusters, grape like, and round shape
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Is staphylococcus catalase positive or negative?
catalase positive
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Is Staphylococcus motile and spore forming?
No to both, non motile and non spore forming
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Is staphylococcus oxidase positive or negative?
negative, meaning that they lack the cytochrome C enzyme in the ETC
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Is staphylococcus able to ferment glucose?
Yes, media will change from red to yellow with gas in the Durham tube to signify CO2
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Are staphylococci facultative anaerobes?
Yes they prefer aerobic conditions but will tolerate anaerobic as well
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What antibiotic is staphyloccus resistant to?
Bacitracin
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What type of agar is used to grow staphyloccocus?
Agar with peptone
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What type of media inhibits growth of staph?
Media with high bile salt concentration
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Is staph able to be easily picked up by a loop?
Yes they are buttery looking, cream or white colored.
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Strep. mutans is adheres to agarand needs to be cut out from

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the agar.

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Are all strains of staph B-hemolytic?
No, S. epidermidis is not but most strains of S. aureus are
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beta hemolytic

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Which type of staphylococcus species represent 20-30% of staph carriers?
Staphylococcus aureus
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Can Staphylococcus aureus infect deep tissue?
Yes, because they are facultative anaerobes. Can lead to
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bacterial sepsis if it enters the bloodstream (issue seen in 🏥 )

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what areas can S. aureus colonize?
axilia, pharynx, and vagina
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Where do people pick up staphylococcus infections ?
At hospitals, nosocomial frequently but can also be
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community acquired

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what condition can make them susceptible to Staphylococcus aureus infections?
Diabetics can have infections due to neuropathy (loss of feelings in feet).
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What are types of enterotoxins? (Staph).
Exfoliatin, TSST-1 (toxic shock syndrome toxin-1), and cytolytic toxins.
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What are the extracellular enzymes that are virulence factors

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In staph.
Hylaronidase, staphylokinase, coagulase, lipase, pencillinase, DNase, beta-lactamase.
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What is the result of a S. aureus infection specifically in the skin?
Bullous impetigo, furuncles, carbuncles.
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Where could a person get a staph aureus infection on their skin?
Gyms, surgical wound, and prisons
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What causes scalded skin syndrome?
Staphylococcus aureus exfoliative toxin, seen in newborns and young children
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(True or False) Toxic shock syndrome only affects the kidneys.
FALSE. Multisystem,affecting numerous organ systems caused by
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TSST-1 (affects everyone)

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Why does staphyloccocus aureus show up in food poisoning cases?
Food such as meat, milk, mayo and baked goods with cream fillings are rich in nutrients. Grows well in chopped
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Meat agar for isolation of organism.

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What is the appearance of an epithelial cell?
Flat fried eggs appearance, tend to shed, coated in cocci.
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What type of culture is collected is collected to identify Staphylococcus sacrophyticus?
A urine culture is collected, UTIs are common with this infection
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What are the predisposing conditions associated with S. aureus infection?
Chronic infections, indwelling devices (catheter), skin injuries(break in skin), immune response defects
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What are the characteristics of Strepococci?
Gram positive, 1um in diameter, chains or pairs, usually unencapsulated, non-motile, non-spore forming, facultative anaerobes, fastidious, catalase negative
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Streptococci are classified according to:
Oxygen requirements, Serology, and hemolysis
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What organism is in Group A strep?
Strep. pyogenes
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What organism is in Group B Strep?
Strep. agalactiae
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What Streptococci looks like a string of pearls under the microscope?
S. pyogenes
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What are the two non-groupable streptococci?
S. pneumoniae and S. viridans
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What Streptococci is in group D?
Enterococcus spp.
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What is the arrangement of S. pneumoniae?
Diplococcus
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What bacteria belongs to the mutans Streptococci group?
S. mutans
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What are the other names for S. pneumoniae?
The diplococcus or The pneumococcus
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What Strep. species tends to be capsulated?
S. pneumoniae
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What bacterium is responsible for 90% of cases of pharyngitis?
S. pyogenes
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What is the peak incidance age range for Group A streptococci?
5-15 years of age
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Give two diseases that can be caused by S. pyogenes?
Strep throat, Impetigo, Erysipelas, Cellulitis, Invasive Strep A infections (Necrotizing fasciitis, Myositis, Toxic shock-like syndrome
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What is eryspelas?
an acute infection and inflammation of the dermal layer of skin. Painful red patches which enlarge and thicken
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What is the most common of all strep diseases?
Strep throat
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How is strep throat spread?
Saliva or nasal secretions
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What is the incubation period for strep throat?
2-4 days
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What are the symptoms of strep throat?
sore throat, slight fever, visual of pus in back of throat
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What does it mean for a strain to be lysogenic?
This strain has been invaded by a particular bacteriophage capable ofproducing toxins, this capability is passed to the bacterial strain
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What makes a S. pyogenes strain cause Scarlet fever?
A bacteriophage infection that allows for the bacteria to produce an erythrogenic toxin
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What are examples of poststreptococcal diseases?
Rheumatic Fever and Acute glomerulonehritis (Bright's Disease)
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What is acute glomerulonehritis (Bright's Disease)?
Inflammatory disease of renal glomerulli and structures involved in blood filter of kidney.
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What is the most common cause of permanent heart valve damage in children?
Rheumatic Fever
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What is Rheumatic Fever?
1. it is an inflammatory disease that may develop after an infection with streptococcus bacteria (such as strep throat or scarlet fever)
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What is one of the first proteins you will see in the urine from glomerulonephritis?
Albumin
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Glomerulonephritis occurs in \___% of those having strep throat?
0.5% (or 1 in every 200)
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What are the symptoms of Glomerulonephritis?
fever, malaise, edema, hypertension and blood or protein in urine
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T/F. Kidney damage in the remainder of glomerulonephritis is permanent.
True, it results in chronic glomerularnephritis
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What % of glomerulonephritis cases recover with bed rest lasting for months
80-90
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S. pneumoniae is a gram \_____, \_____ hemolytic streptococcus.
positive, alpha
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What is an endogenous infection?
infection from microbial life inside the person
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What is the primary virulence factoro for Strep. pneumoniae?
It's capsular polysaccharide, protects the organism against phagocytosis
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What is needed for Strep. pneumoniae to grow?
CO2
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Where an S. pneumoniae rapidly grow?
In alveolar spaces
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What are the two age groups that S. pneumo likes to infect?
The young and the elderly
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What components helps protect S. pneumoniae and increases its viulence factors?
M protein (interrupts opsonization and bacterial lysis)
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Lipoteichoic acid and F protein (adhesion)

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Hyaluronic acid capsule ( camouflage)

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What are the three enzymes that S. pneumoniae can utilize for further bacterial spread?
Streptokinases, Deoxynucleases, C5a peptidase. All break down tissues to allow for deeper streptococci penetration
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What are the Streptolysins?
Streptolysin O and Streptolysin S
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What
The attachment of antibodies to the antigen on the surface of an organism
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What does Streptolysin O do?
Lyses RBCs, WBCs, and platelets