Gram positive practical lab 24-25

Page 1: Staphylococcus Species

  • Major species:

    • Staphylococcus aureus

    • Staphylococcus epidermidis

    • Staphylococcus saprophyticus

Page 2: Identification & Classification

  1. Microscopy & Staining

  2. Cultural Characteristics

  3. Biochemical Reactions

  4. Immunological Test

  5. Molecular Identification (DNA)

Page 3: LAB DIAGNOSIS

  • Specimens depend on infection type:

    • Suppurative lesion: Pus

    • Respiratory infection: Sputum

    • Bacteremia & septicemia: Blood

    • Food poisoning: Feces, vomit, remains of suspected food

    • Detection of carriers: Nasal swab

Page 4: Microscopical Examination - Staphylococcus

  • Characteristics:

    • Shape: Cocci

    • Size: Small

    • Arrangement: Grape-like bunches

    • Gram Reaction: Positive

    • Motility: Non-motile

    • Capsule: Non-capsulated

    • Spore Formation: Non-spore forming

Page 5: Culture Characteristics

  • Culture on Nutrient Agar (Pigmentation test):

    • Staphylococcus aureus: Golden yellow

    • Staphylococcus saprophyticus/citreus: Lemon yellow

    • Staphylococcus epidermidis/albus: White

Page 6: Mannitol Salt Agar

  • Selective and differential medium:

    • High salt concentration inhibits some microorganisms

    • Mannitol: Fermented by some, producing acids

    • Phenol red: Indicator for pH change

      • Red (basic) ➜ Yellow (acidic)

    • Staphylococcus aureus: Ferments mannitol ➜ Yellow

    • Other Staphylococcus species: Red

Page 7: Biochemical Tests - Gelatin Stab

  • Gelatin liquefaction test:

    • Gelatin + Organisms ➜ Amino acids

    • Incubation:

      • Positive: Gelatin is liquefied

      • Negative: Gelatin remains solid

Page 8: Biochemical Tests - Catalase Test

  • Reaction:

    • 2H2O2 ➜ 2 H2O + O2

  • Procedure:

    • Cultured Staphylococcus in 1% glucose media

    • Add H2O2; positive result produces air bubbles indicating catalase presence

Page 9: Streptococcus Species

  • Major species:

    • Streptococcus pyogenes

    • Streptococcus viridans

    • Streptococcus fecalis

Page 10: Microscopical Examination - Streptococcus

  • Characteristics:

    • Shape: Cocci

    • Size: Small

    • Arrangement: Chains

    • Gram Reaction: Positive

    • Motility: Non-motile

    • Capsule: Capsulated

    • Spore Formation: Non-spore forming

Page 11: Nutrient Agar & Blood Agar

  1. Nutrient Agar: Weak growth (Fastidious microorganisms)

  2. Blood Agar:

    • Enriched and differential media

    • Hemolysis differentiation:

      • No/γ Hemolysis: No change

      • Partial/α Hemolysis: Green discoloration

      • Complete/β Hemolysis: Clear zone around colonies

Page 12: Hemolysis Types

  • α Hemolysis: Partial hemolysis (e.g., Streptococcus viridans)

  • β Hemolysis: Complete hemolysis (e.g., Streptococcus pyogenes)

  • γ Hemolysis: No hemolysis (e.g., Streptococcus fecalis)

Page 13: Biochemical Tests - Streptococcus

  1. Catalase: Negative

  2. Bile Solubility Test: Negative

    • Test for lysis resistance by bile

    • Results: Yellow, turbid remains after bile addition

  3. Optochin Test: Negative

Page 14: Diplococcus - Streptococcus pneumoniae

  • Characteristics:

    • Shape: Cocci

    • Size: Small

    • Arrangement: Pairs

    • Gram Reaction: Positive

    • Motility: Non-motile

    • Capsule: Capsulated (related to pathogenicity)

    • Spore Formation: Non-spore forming

Page 15: Culture Media for Diplococcus

  1. Blood Agar: Alpha hemolysis

  2. Chocolate Agar: White growth on brown medium

    • Preparation: Blood agar heated to 100ºC for 15 mins

    • Enriched medium features

Page 16: Biochemical Tests - Diplococcus

  1. Bile solubility: Positive

Page 17: Optochin and Sensitivity Tests

  • Ethylhydrocuprein HCl (1/4000): Positive test; resistant to Optochin indicates Streptococcus viridans, whereas sensitive indicates Streptococcus pneumoniae

Page 18: Bacillus Species

  • Major Species:

    • Bacillus anthracis

    • Bacillus cereus

    • Bacillus subtilis

    • Clostridium Species

Page 19: Laboratory Diagnosis for Bacillus cereus

  • Isolation of strains from suspect food, feces, or vomitus to test enterotoxigenicity via serological or biological tests

Page 20: Microscopic Examination - Bacillus

  • Characteristics:

    • Arrangement: Rods in chains

    • Size: Long, thick

    • Spore Formation: Spore forming (central-subterminal spores)

    • Motility: Motile (except Bacillus anthracis)

    • Gram Reaction: Positive

    • Capsule: Capsulated

Page 21: Culture Characteristics - Bacillus

  • Nutrient broth and agar:

    • Turbidity observed

    • Growth characteristics on blood agar

Page 22: Biochemical Tests - Bacillus

  • Starch Hydrolysis Test

    • Starch + Iodine ➜ Blue color

    • Starch + Amylase ➜ Maltose

    • Maltose + Iodine ➜ No blue color

    • Clear zone formation after starch hydrolysis

    • Casein + Caseinase ➜ Amino acids

Page 23: Clostridium Species

  • Major Species:

    • Clostridium tetani

    • Clostridium perfringens

    • Clostridium botulinum

    • Clostridium difficile

  • Characteristics:

    • Strict anaerobes

Page 24: Laboratory Diagnosis - Clostridium

  • Organisms rarely isolated from wound sites

  • Clostridium tetani produces a terminal spore, giving it a "tennis racket" appearance

  • Clostridium perfringens food poisoning diagnosed by detecting toxins in feces

Page 25: Microscopic Examination - Clostridium

  • Characteristics:

    • Shape: Rods

    • Size: Thin

    • Spore Formation: Spore forming (terminal)

    • Arrangement: Single, paired, chains

    • Gram Reaction: Positive

    • Capsule: Non-capsulated

    • Motility: Motile

Page 26: Culture Characteristics - Clostridium

  • Cooked Meat Media: Used to grow anaerobic bacteria

    • Supernatant observed during incubation

Page 27: Litmus Milk Test

  • Saccharolytic (e.g., Clostridium perfringens)

    • Lactose fermentation produces acid and gas, turns litmus pink

  • Proteolytic (e.g., Clostridium tetani)

    • Casein digestion produces short peptide chains and ammonia, turning litmus blue

Page 28: Mycobacterium Species

  • Major Species:

    • Mycobacterium tuberculosis

    • Mycobacterium leprae

    • Diseases: Tuberculosis, Leprosy

Page 29: Microscopic Characters - Mycobacterium

  • Staining: Acid-fast

  • Size: Small

  • Shape: Red curved rods on blue background

  • Arrangement: Single, pairs, or groups

Page 30: Culture Media - Mycobacterium

  1. Lowenstein-Jensen Medium: Egg-based, selective for Mycobacterium growth

    • Appearance: Milky or turbid green colonies after 6-8 weeks

  2. Middlebrook Medium: Agar-based, faster growth formulation

Page 31: Biochemical Tests - Mycobacterium

  1. Niacin Test:

    • Mycobacterium tuberculosis accumulates niacin as a metabolic byproduct

    • Procedures to detect niacin accumulation confirm species identity.