Unknown ID Staphylococci

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Staphexerciseset-PPt1.pptx

BIOL 2420

Identification of Staphylococcus Species

Objectives:

To learn the characteristics of Staphylococcus

To learn how clinical specimens are collected

To learn the uses of selective and differential agar to determine characteristics of bacteria

To be able to identify different types of hemolysis

To understand how to use different tests to narrow down and presumptively identify staphylococcal species

How to collect a nasal Staphylococcus sample:

Watch the following videos:

Clinical setting showing proper handwashing, labeling, and collection

MRSA nasal swab

Example of a nasal swab procedure (the procedure takes place at 0:20s)

Procedure

Picture credit: St. Luke’s Regional Laboratories

Test your sample on an MSA plate

Mannitol Salt Agar (MSA)

What makes this plate selective?

What makes this plate differential?

Name the indicator and how it works.

Why do we use this plate when testing Staphylococcus?

What was the purpose of doing a streak plate with your nasal sample?

What are some concerns with handling patient samples?

Plate from mkldiagnostics

Uninoculated

After incubation:

Explain the MSA plate result

Picture credit: mkldiagnostics

Uninoculated

24-48 hour incubation

Hemolysis and Novobiocin sensitivity tests

Columbia nalidixic agar (CNA) plates

What makes the plate selective?

Why is this important to help presumptively identify this bacteria as Staph?

What makes the plate differential?

Staph species are either ___- or ___- hemolytic.

Explain these two types of hemolysis.

Novobiocin

What is a zone of inhibition?

What does it mean if your bacteria has a zone of inhibition around the antibiotic tab?

How many mm must the zone of inhibition be for the Staph to be considered sensitive?

After incubation:

Using Plate #1:

Name the hemolysis.

Give the definition of this type of hemolysis.

Using Plate #2:

How do you measure a zone of inhibition?

What size is the zone of inhibition?

Is the presumptive Staph sensitive or resistant to novobiocin?

How many mm is considered sensitive?

Before incubation:

Streaked CNA plate with Novobiocin tab in Quadrant 1

After incubation Plate #1

After incubation

Plate #2

Now that you have an isolated presumptive Staphylococcus species:

Gram stain to confirm cell morphology

By what cell structure does does the Gram stain differentiate bacteria?

Can you list the reagents used in the Gram stain? Explain the purpose of each.

Give the Gram reaction.

Gram + or Gram -?

Describe the cell morphology.

Now that you have an isolated presumptive Staphylococcus species:

You will perform a catalase test

Describe the procedure you would do in the lab.

What enzyme does this test test for?

Do you use an indicator or reagent? Name it.

Is the result catalase + or catalase -?

Now that you have an isolated presumptive Staphylococcus species:

Does your sample meet all the criteria to be a presumptive Staphylococcus?

Check your answers against the following criteria.

Gram +

Cocci (spheres)

Clusters (staphylo-)

Catalase +

Halotolerant

Either beta- or gamma-hemolytic

If you answered yes to all the above information, continue to the next slides.

Is your presumptive Staphylococcus a potential pathogen?

SM110 agar

What makes this plate selective?

What makes this plate differential?

How do you differentiate a potential pathogenic Staphylococcus from a potentially non-pathogenic Staphylococcus?

You inoculated the plate on the right with your sample. Is the bacteria SM110+ or SM110-?

24-48 hour incubation

Picture adapted from mkldiagnostics catalog

Is your presumptive Staphylococcus a potential pathogen?

Deoxyribonuclease (DNAse) agar

What exoenzyme does this plate test for?

What is an exoenzyme?

Name the indicator.

Name the substrate present in the agar that will be broken down by the enzyme.

Give describe what a positive and negative reaction look like.

Is your sample DNAse + or DNAse -?

24-48 hour incubation

Methyl green DNAse agar used in the lab does not need HCl

Is your presumptive Staphylococcus a potential pathogen?

In lab, you would have been asked to determine if your sample is both SM110+ and DNAse + before doing the following test.

However, we will “perform” it here.

Coagulase test

What exoenzyme are we testing for?

If your bacteria produces this enzyme, is it more or less likely to be pathogenic?

How does the production of this enzyme increase pathogenicity?

Name the media.

Is there an indicator or reagent?

Is your sample coagulase + or coagulase -?

Uninoculated

24-48 hour incubation

Use your test results and the provided charts to determine the species of your Staphylococcus

What is the most likely species of your Staphylococcus?

NB

NB

N B

25 m

m

N

B

2

5

m

m