MRCEM Notes

Identifying gram-positive bacteria

Gram positive bacteria will turn purple/blue following the gram staining. Microscopy will then reveal the shape, either cocci or rods.


Rods (bacilli)
  • Actinomyces
  • Bacillus antracis
  • Clostridium
  • Corynebacterium diphtheriae
  • Listeria monocytogenes

Cocci
  • makes catalase: Staphylococci
  • does not make catalase: Streptococci

Staphylococci
  • makes coagulase: S. aureus
  • does not make coagulase: S. epidermidis (novobiocin sensitive), S. saprophyticus (novobiocin resistant)

Streptococci
  • partial haemolysis (green colour on blood agar): α-haemolytic
  • complete haemolysis (clear): β-haemolytic
  • no haemolysis: γ-haemolytic

α-haemolytic streptococci
  • optochin sensitive: S. pneumoniae
  • optochin resistant: Viridans streptococci

β-haemolytic streptococci
  • bacitracin sensitive: Group A: S. pyogenes
  • bacitracin resistant: Group B: S. agalactiae
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