Bacteriology Summary

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The document discusses various types of bacteria including gram positive and gram negative bacteria, their characteristics, diseases they cause and methods to identify them in the laboratory.

The document discusses aerobic and anaerobic, gram positive and gram negative bacteria including: streptococci, staphylococci, neisseria, escherichia, klebsiella, proteus, helicobacter, bacteroides, clostridium, bacillus, corynebacterium, listeria, leptospira and treponema.

Examples of diseases discussed are: pneumonia, impetigo, meningitis, UTI, gonorrhea, gastric ulcers, food poisoning, tetanus, botulism, diphtheria, syphilis and leptospirosis.

Antimic Bioche cultur Micros Labora pathog Bacteri

robial
mical
e
copic
tory
enicity
a
sensitiv tests
exami diagno
ity
nation
sis
penicilli 1Chocol Gram CSF Pyogeni Niesseri
n
Oxidas ate
Ve
c
a
e + Ve blood dipioc
meningi meningi
2agar
occi
tides
tidis
Utilize ( trans ( intra
( heada
:
parent cellula
cheGlucos or
r in
vomitin
egrey
pus
g- stiff
maltos coloni cells )
neck )
e
es
incuba
tion in

Resista
nt to
penicilli
n

1Oxidas
e + Ve
2Utilize
:
glucos
e only

CO2
1Modif
ed
New
York
City
( MNY
C)
2Thayer
martin
( trans
parent
or
grey

Gram
Ve
dipioc
occi
( intra
cellula
r in
pus
cells )

Uretha
l&
cervic
al
exuda
tesurine
eye
swab

Gonorrh Niesseri
oeae
a
gonorrh
( sexual
oeae
transmi
tted)
acute
conjunc
tivitis in
infants
of
mother
with
Gonorrh
oeae

coloni
es )
1- Gram Negative cocci

2- Gram Positive cocci

Antim Bioche
icrobi mical
al
tests
sensi
tivity

culture

Micr
osco
pic
exam
inati
on
1- All 1-Blood
Gram
staph agar
+Ve
ylococ ( yellow to in
ci are cream
clust
catala colonies
er
se +
some
( gra
Ve
strains
pe
2betalike
coagul haemolytic cluse
ase
2r)
+Ve
macConkey
3agar (small

Labor pathog
atory enicity
diagn
osis

Bact
eria

Pus
skin
swab
sputu
m
CSF
blood

Faece
s
vomit

Stap
hyloc
occu
s
aure
us

Pneumo
nia
impetig
o
wound
infectio
n
osteom
yelitis
food
poisoni
ng due

species

Haemoly Sensitivi
CAMP
Aesculin
sis
ty to
Hydrolysi
Bacitrac
s
in
Streptococc
Beta
sensitiv negative negative
us
e
pyogenes
Group A
Strepotococ
Beta
resistan positive negative
cus
t
agalactiae
Group B
Strepotococ
Non
resistan negative positive
cus Fecalis haemoly
t
Group D
tic

3- Aerobic and facultative anaerobic Gram negative


Bacilli
Bioche
mical
tests
1-

culture

1- Blood agar

Micros
copic
exami
nation
Gram

Labor pathoge Bact


atory
nicity
eria
diagn
osis
Urine UTI
E.

indole :
+ Ve
2motilit
y : +Ve
3- MR :
+Ve
4nitrare
: +Ve
IMVC
++--

( some strains are Ve


haemolytic
motile
2- MacConkey :
rods
pink colonies due
to lactose
fermentation
3- CLED : yellow
colonies due to
lactose
fermentation
4- XLD : yellow
color
5- DCA : growth
inhibited
6- EMB : black
colonies with

pus

faece
s
CSF blood

wound
infectio
n
meningi
tis
bactera
emia in
neonate
sdiarrhea

coli

metallic shine
6- KIA : yellow
butt yellow slant
produce Acid &
gas
11- blood agar :
citrate large grey white
: +Ve
mucoid colonies
22- macConkey :
urease: mucoid pink
+Ve
colonies due to
3- MR: lactose
+Ve/fermentation
Ve
3- CLED : yellow
4- Vp : colonies due to
+Ve/lactose

Gram
Ve non
motile
capsul
ated
rods

Urine
pus

sputu
m

Chest
Kleb
infectio siella
n
pneu
(bronch moni
opneum
a
onia
abscess
es ) UTI

Ve
5nitrate
: +Ve
IMVC
--++
1urease
: +Ve
2- PPA:
+ve
3motilit
y : +Ve
4Citrate

fermentation
6- KIA : yellow
butt yellow slant
produce Acid &
gas
1-bloodagar :
fshy odour
swarming
2- MacConkey &
XLD: swarming
inhibited due to
bile salts
3- CLED :
swarming
inhibited due

Gram Urinr UTI


Prote
-Ve
pus ( Alkalin
us
pleom
e)
mira
orphic
abdomi
bilis
rods
nal &
activel
wound
y
infectio
motile
n

: +Ve

electrolyte
defcient
4- KIA : yellow
butt red slant
produce gas &
H2S

1-KSA :
a- Pink
( alkali
ne )
slope &
yellow
( acid )
butt
indicati

1-blood culture
( blood Columbia
agar
- diphasic medium
)
2- blood agar
( subculture ):gre
y- white some
strains appear

Gram
-Ve
rods
activel
y
motile
nonsporin
g

1- for
enteri
c
fever
( bloo
dfaece
surine

1Enteric
fever
( typhoi
d&
paratyp
hoid )
2enteroc

salm
onell
a

ng
fermen
tation
of
glucos
e not
lactose
bproduc
e gas
except
S.
typhi
cproduc
e H2S

mucoid
except )
3- XLD(selective
S.
2- for
media ):pink color typhi
enter
with black center
ocolit
due to H2S
is
4- MacConkey &
( faec
DCA : pale color
es
with black center
blood
)
3- for
bacte
raemi
a
( bloo
d)

olitis
3Bactera
emia

except
S.
paraty
phi A
2citrate
: +Ve
except
S.
paraty
phi A
3- MR:
+Ve
IMVC
-+-+
4-

Widal
test
(O&H
antibo
dies )
1-KIA :
pink
(alkalin
e)
slope &
yellow(
acid )
butt
indicati
ng
fermen

Selective media
Gram
1-XLD: red-pink
-Ve
colonies without
black center
2-MacConkey &
DCA: pale color
due to non
lactose
fermentation
S. sonnei produce
pink color on

1fresh
faeca
l
speci
men
2trans
port
medi
um

Bacillar Shig
y
ella
dysente
ry or
shigello
sistransmi
ssion by
faecal
oral
route

tation prolonged
of
incubation
glucos
e not
lactose
no
H2S
produc
tion
2- MR:
+ve
1Catalas
e : +ve
2- MR:

Optimum temp.
27C ( culture
should be
incubated at room

for
delay
ed
faeca
l
speci
men

Small
Gram
Ve
coccob

Bubo
aspir
atessputu

Plague ( Yersi
Bubonic nia

pesti
pneumo
s

+ve

temp.)
1-blood agar:
small shiny non
haemolytic
colonies after 2448hr.
2-macConkey
:very small
translucent pink
after 24-48hr.
( non lactose
fermentation but
it take up red dye
of indicator in the
medium )

acillus m
blood
capsul
ated
show
bipolar
stainin
g with
methyl
ene
blue,
Giems
a

nic
septicae
mic
Transimi
ssion :
1infected
fleas
(Xenops
ylla )
from
rats or
domesti
c
animals
( dogs,c

ats )
2inhaling
organis
ms in
airborn
droplets
1oxidas
e : +Ve
2Citrate
: + Ve
3oxidati

1- blood agar:
large flat
spreading
colonies often are
haemolytic
2-macConkey :
pale color due to
NLF

Gram
Ve
motile
rod
some
strains
are
capsul

Pus
urinesputu
meffusi
ons blood

Opportu
nistic
hospital
acquire
d
infectio
n
1-skin

Pseu
dom
onas
aeru
ginos
a

onfermen
tation
test :
Yellow
color
( in
oxidati
ve
opened
tube )

3- CLED : geen
color due to NLF
3- KIA : pink-red
slope with
metallic
appearance
pink-red butt

atedobligat
ory
aerobi
c
Produc
e
pigme
nt
a- blue
geen
byellow
green

infectio
n
( burn,
wound,u
lcers )
2- UTI
( followi
ng
catheriz
ation )
3Respirat
ory
tract
infectio
n

4- ear
infectio
n (otitis
externa)
5- eye
infectio
n
1oxidas
e : +Ve
2indole :
+ Ve

Grow best in
alkaline pH
1- TCBS
( selective
media ):sucrose
fermenting yellow
colonies
2- KIA: red slope

Gram
Ve
curved
rods
motile
( with
single
flagell

Faeca rice
Vibri
l
water
o
speci stool
chole
men
ra
( entero
toxin
activate
s

and yellow butt


3- blood agar :
often produce
beta haemolytic
colonies

um at
one
end )

adenyla
te
cyclase
within
intestin
e result
in
secretio
n of
large
fluid &
electrol
ytes
transmi
ssion by
faecal

1catalas
e : +Ve
2oxidas
e : +Ve
3urease
: +Ve

B rucella is
difficult to isolate
& it more isolated
from blood in
acute brucellosis
during time of
fever
1- tryptone soya
(tryptic soy )
diphasic medium :
B. abortus
requiring CO2 &
keep for weeks
with subculture

Small
Gram
Ve
coccob
acilli
or
short
rods

1Blood
or
bone
marr
ow in
acute
stage
2seru
m for
serol
ogy

oral
routes
Brucello Bruc
sis or
ella
undulan
t fever
( zoonot
ic
disease
)

every few days


2- serum dextrose
agar :
smooth,mucoid,ro
ugh colony
3- B. abortus & B.
suis produce H2S
1Grow best moist
Oxidas CO2 & media
e:+Ve contain haemin &
2NAD
Nitrate ( factor X ) or
reducti NADP ( factor V )
on :
1-chocolate agar
+Ve
2- satellitism
test : S. aureus in

Small
Gram
Ve
coccob
acillus
or
short
rod

CSFnasop
haryn
geal
speci
mens
pus

blood

1pyogeni
c
(purulen
t)
meningi
tis in
young
children

Hae
mop
hilus
influ
enza
e

blood agar
produce factor V
& haemin
released by
haemolysin
enhance growth
of H. influenza

( spe
cimen
s
must
be
cultur
ed as
soon
as
possi
ble &
not
refrig
erate
d)

below 5
years
old
2pneumo
nia
(adult )
3- acute
epiglotti
tis
( fatal
airway
obstruct
ion )
4cellulitis

Oxidas Strict aerobic


e : +Ve ( specimens must
be cultured as
soon as possible )
1- Charcoal
cephalexin blood
agar ( selective &
enrichment media
) : incubated for
2-6 days in CO2
moist aerobically
produce small
mercury like
mucoid colonies
1Strictly
oxidas microaerophilic

Small
capsul
ated
Gram
Ve
cocoba
cillus

Naso
phary
ngeal
secre
tion
collec
ted
by
( singl
aspir
y or in
ation
chains
)

Whoopi
ng
cough

Bord
etell
a
pertu
( infecti
ssis
on of
mucosa
of upper
respirat
ory
tract )

Spirall Diarr
y
heal

Enteritis camp
watery yloba

e : +Ve
2catalas
e : +Ve
3- Na
hippur
ate
hydroly
sis :
+Ve

reduired (10%
CO2 )
thermophilic ( 36
43 c )
1- Blood agar :
non haemolytic
droplet like
colonies
2- Butzler virion
medium :
selective media

curved
motile
G-Ve ,
with
faecal
smear
(1%
basic
fuchsi
n)
Appea
r
linked
to
wings
of

feces
conta
in
blood
,pus,
mucu
s

diarrhea cter
or
dysente
ry
( main
source
are
unpaste
urized
milk
fecal
oral
route )

1oxidas
e : +Ve
2catalas
e : +Ve
3urease
: +Ve

Microaerophilic
required CO2
( grow slowly
forming grey
translucent
colonies within 37 days
1- blood agar :
slightly beta
haemolytic

gulls
or "S"
or
comm
a
shape
Small
spiral
or S
shape
G-Ve

Gastr
ic
biops
y
stool
seru
m for
serol
ogy

Chronic Helic
gastritis obac
lead to
ter
ulcerati pylor
on &
i
may
cause
gastric
carcino
ma

4- Anaerobic Gram Negative Bacteria


1They
fermen
t wide
ranges
of
carboh
ydrate
s
( gluco

Strict anaerobic
they fastidious
they require
media containing
blood &
menadione ( vit. K
)
1- blood agar ;
grey , non
haemolytic

G-Ve
rods
pleom
orophi
c

Pus
exud
atesinfect
ion
tissu
eblood

Abdomi
nal
infectio
n
( particu
larly
followin
g
surgery

Bact
eroid
es
fragil
is

se
colonies
maltos
e
lactose
)
2Aesculi
n
hydroly
sis :
+Ve
3- can
grow in
20 %
Bile
toleran

)
peritoni
tis
gynaeco
logical
infectio
ns
( puerpe
ral
sepsis )lung ,
cerebral
abscess
es soft
tissue
infectio

t test

ns

5- Anaerobic Gram positive spore forming bacilli


Gas

Clost

gangren ridiu
e
m
( mycon perfr
ecrosis ) inge
food
ns
poisonin
g
Tetanus Clost
( lockridiu
jaw ) ,
m
fatal
tetan
disease
i
caused
by
neuroto

xin
Fatal
food
poisonin
g cause
paralysi
s
( botulis
m)
Antibiot
ic
associat
ed
diarrhea
( pseud
omembr

Clost
ridiu
m
botul
inum

Clost
ridiu
m
diffic
ile

anous
colitis )

6-Facultative anaerobic Gram positive spore forming


bacilli
Anthrax Bacill

( cutane
us
ous
anthr
pulmon
acis
ary
mening
oenceph
alitis )
by
herbivor
e as
sheep,
cattle,
goats
Food
Bacill
poisonin us

g from
infected
rice &
other
cereals

cere
us

7-Facultative anaerobic Gram positive non spore


forming bacilli
Diphthe
ria
( nasal ,
nasopha
ryngeal
,
tonsillar

Cory
neba
cteri
um
dipht
heria
e

diphther
ia ) in
young
children
odema
of neck
grey
yellow
membra
ne , it
can
block
the
passage
of air &
cause

death
Meningi
tis &
septice
mia
mainly
in
( neonat
e,
pregnan
t
women ,
elderly
persons

Liste
ria
mon
ocyto
gene
s

8- Spirochetes
Sexual
Trep
transmit one
ted
ma
disease palli
cause
dium
1sexual
acquire
d
Syphilis
2congeni
tal
acquire
d

Syphilis
Leptospi
rosis
( Flulike
illness )
by
infected
animal
urine as
dogs

Lept
ospir
a
inter
roga
ns

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