For Gram + cocci: Catalase, Coag, Catalase positive organisms SPACE: Staphylococcus aureus, Pseudomonas, Aspergillus, Candida, Enterobacter Optochin test OVRPS (overpass) : Optochin: Viridins is Resistant, Pneumoniae is Sensitive ovo!iocin test O StRES: Ovobiocin Saprophyticus Resistant Epidermidis Sensitive
Bacitracin Test: "#"RAS : "acitracin: Group " strep are Resistant; Group A strep are Sensitive For Gram $ ro%s: on#motile: &o' &o' cant move the S&: S higella , lebsiella , &ersinia P*P eanimase: P roteus (H2S+ , *organella, Provdencia VP ES: lebsiella (!rea+, "rnithine#, Enterobacter (! vary, "+, Serratia (!#, "+
$itrate %egative: $an&t SEE *& "range Shigella, Ed'ardsiella, E coli, *organella, &ersinia H2S producing: Blac) PECS: Proteus, Ed'ardsiella, Citrobacter *reundii, Salmonella rea positive organisms: ra Pi*PE& Proteus (leads to al)aline urine *organella Provdencia rettgeri lebsiella Enterobacter cloacae &ersinia -actose#.ermenting enteric !acteria actose 'ith mac ConEEs agar: Citrobacter, lebsiella, E coli, Enterobacter /n%ole positive: 0o12, P0v'lgaris, *organella, E0 coli, E%3ar%siella, Provi%encia oy Peev *EEP 44444 5/#ca'sing microorganisms EEPS: lebsiella Enterococcus *aecalis- Enterobacter cloacae E coli
Pseudomonas aeroginosa- Proteus mirabilis Staphylococcus saprophyticcus- Serratia marcescens
Pse%omonas aer'ginosa: .eat'res AERG/OSA: Aerobic Eotoin . Rod- Resistance T/s, burns, in0uries Green#blue dressings /ron#containing lesions egative gram Odor o* grapes Slime capsule sometimes (in $1 pt Adherin pili Streptococc's p2ogenes: %iseases ca'se% /PP-ES: ecrotising *asciitis and myositis /mpetigo Pharyngitis Pneumonia -ymphangitis Erysipelas and cellulitis Scarlet *ever- Streptococcal TSS eisseria: .ermentation o. 0 gonorrhoeae vs0 0 meningiti%is Gonorrhoeae: Glucose *ermenter only *eninGitidis: *altose and Glucose *ermenter 3altose *ermentation is a use*ul property to )no', since it4s the classic test to distinguish the %eisseria types Streptococc's pne'moniae: %iseases ca'se% CO*PS: Con0unctivitis Otitis media *eningitis Pneumonia Sinusitis Foo% poisoning: !'gs in%'cing 5Eating Contaminated Stu** Causes Very "ig Smelly Vomit5: E0 coli "678#H8 9undercoo)ed meat, esp hamburgers Clostridium botulinum 9canned *oods Salmonella 9poultry, meat, eggs Vibrio parahaemolyticus 9sea*ood "acillus cereus 9reheated rice Staphylococcus aureus 9meats, mayo, custard
Clostridium per*ringens 9reheated meat Vibrio vulni*icus 9sea*ood Streptococc's p2ogenes: vir'lence .actors S*AS6E: Streptolysins * protein Anti#$7a peptidase Strepto)inase 6yaluronidase Eotoin %.ses E0 coli: %iseases ca'se% in presence o. vir'lence .actors G: iarrhea T/ eonatal meningitis Gram negative sepsis ung, since contract < coli *rom %'ng#contaminated 'ater le!siella %etails =ou tell the patient: 5 Get PS you .at alcoholic 5: T/ Pneumonia Sepsis Fat capsule Get up>nonmotile since no *lagella .lcoholic>commonly seen in alcoholicand nosocomial patients
Streptococcus pneumonia is the most common cause of... MOPS Meningitis Otitis Media (children) Pneumonia Sinusitis ALSO, Most OPtochin Sensitive
