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Gram Negative Bacilli. Family: Enterobacteriaceae Genus : Proteus Species : Proteus Mirabilis, Proteus Vulgaris. Genus : Proteus. General Characteristics: G – ve , pleomorphic bacilli . Non – lactose fermenter Ferment glucose and produce acid + gas . Facultative anaerobes.
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Gram Negative Bacilli Family: Enterobacteriaceae Genus : Proteus Species : Proteus Mirabilis, Proteus Vulgaris
Genus : Proteus General Characteristics: G – ve, pleomorphic bacilli. Non – lactose fermenter Ferment glucose and produce acid + gas. Facultative anaerobes. Highly motile. Grow as swarms (waves) on blood agar (swarming phenomenon). Fishy smell on culture. Urease+ve N. f .of human GIT .
Genus : Proteus Diseases:- UTI, Stone formation (alkaline urine) form stone. Wound infection. Pneumonia. Sepsis.
Genus : Proteus Swarming inhibition:- 1.Medium with surface active agent: e.g. Bile salt in MacConkey agar. 2. Increases agar concentration (5%). Advantage: regarded as a diagnostic feature for Proteus. Disadvantage: can causes misdiagnosis for other bacteria.
Genus : Proteus LABORATORY DIAGNOSIS:- • Specimensaccording to disease e.g. in UTI urine. • Gram stain Gram’s negative bacilli. • Culture: *MacConkey’s agar non lactose Pale colonies.
Laboratory diagnosis *Blood agar Swarming.
Laboratory diagnosis *Glucose sugar fermentation acid &gas • *Urea agar (urease test) Pink (+); Yellow (-). • Motility test positive inverted Christmas tree • API 20E (biochemical test)
Genus Pseudomonas Genus PseudomonasSpecies: Pseudomonas aeruginosa.
Genus Pseudomonas GENERAL CHARACTERISTICS G-ve bacilli, non – lactose fermenter. Ferment glucose and produce acid only. Strictly aerobic, oxidase positive Fruity (sweet) smell on culture. (green apple smell) Produce water - soluble pigments: Pyocyanine Blue – green. Pyorubrin Red. Pyoviridin Fluorescence. Pyomelanin Black. Actively motile ,N. f. of soil, water, plants, hospitalenvironment(sinks, showers, respiratory equipments).
Genus Pseudomonas Pseudomonas Pyocyanine Pigment
Genus Pseudomonas Pseudomonas Pyocyanine Pigment
Genus Pseudomonas TRANSMISSIONS: Ingestion of water & food. Contaminated medical equipments. Contamination of wounds. Person to person.
Genus Pseudomonas Diseases: Community acquired infections: Skin (folliculitis), eye infection after trauma, osteomyelitis after trauma, pneumonia. Nosocomial infections: Wound infection. UTI. Burn infection. Otitisexterna. Pneumonia. Sepsis. Highly resistant to antibiotics and disinfectant.
Genus Pseudomonas pseudomonas infection
Genus Pseudomonas LABORATORY DIAGNOSIS:- 1-Specimens(according to the type of infection) e.g. wound swab…etc. 2-Gram’s stain cylinder, Gram’s negative bacilli. 3-Culture: Aerobic, 37C° on: a.) MacConkey’s agar Non lactose fermentation Pale colonies.
Laboratory diagnosis b.) Nutrient agar Demonstrate pigment production.
Laboratory diagnosis c.) Blood agar spreading flat pigmented, sometime with Beta- hemolysis, mucoid, confluent growth.
Laboratory diagnosis 4-Biochemical tests: Oxidase test, catalase test all are positive. Catalase +ve Oxidase +ve
Laboratory diagnosis 5- Glucose sugar fermentation acid but no gas. 6-Motility test: positive inverted Christmas tree. 7-Antibiotic sensitivity: very important as this bacteria is multidrug resistance.