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Dr. Nilanthi Dissanayake (MBBS, Dip. Micro, MD Micro) Department of Microbiology Faculty of Medicine University of Peradeniya
OBJECTIVES
1. Major morphological and biological characteristics of infective bacteria that determine visualisation/ID
STRUCTURE
HABITAT
? Where are bacteria found EVERY WHERE BUT most are non pathogenic
Skin flora
Space
IMPORTANCE
Basic life form Waste degradation Industry Antibiotic production Vaccine production
CLASSIFICATION
Morphology
IDENTIFICATION
Culture
Biochemical tests
STAPHYLOCOCCI
OBJECTIVES
Habitat, main mode/s of transmission Morphology and growth characteristics in relation to ID Virulence factors, pathogenicity and main clinical diseases Principles of treatment and prevention
Ubiquitously found in humans, animals and in the environment Important human pathogen
Positive S.aureus
S.aureus
Abundant in sweaty hairy areas nose, axilla, scalp Skin scales (10-100,000)/cm2 of skin
Survives for long periods in environment Transmission Direct or indirect contact
S.aureus.. Virulance and disease Several virulence factors eg. Adhesins, hyaluronidase, leucocidin, coagulase, staphylokinase, haemolysins Toxins exfoliatin, enterotoxins, Panton Valentine Leucicidin (PVL) Disease Local Systemic Toxin related
Antibiotic Treatment Development of resistance Penicillinase production Change of Penicillin binding Proteins or the binding target Range of antibiotics which can be used for treatment lactams - penicillins, cephalosporins, carbapenems Macrolides erythomycin, azithromycin, clarithromycin Glycopeptides vancomycin, teicoplanin Others quinolones, rifampicin, linelozid, daptomycin
Coagulase negative staphylococci. Many species, but only few are important S.epidermidis S.saprophyticus S.saprophyticus common cause of Urinary tract infections in females - very sensitive to antobiotics
S.epidermidis
- Skin commensal - Not a primary pathogen -Forms biofilms on prosthetic material