catalase positive, white colonies
all Staphylococcus
Normal flora:
skin
Nasopharynx
GI tract
Staphylococcus aureus
Methicillin resistant Staphylococcus aureus (MRSA)
Normal flora:
skin
Staphylococcus saprophyticus
coagulase Negative staphylococcus
staphylococcus lugdunensis
Micrococcus
Clinical Implications: Hospital acquired infection
Wound infections
bacteremia
pneumoniae
Methicillin resistant Staphylococcus aureus (MRSA)
Clinical Implications:
Skin: Boils (furuncle), carbuncle, folliculitis
Toxins: TSS, SS, food poisoning
Wound: bacteremia, pneumonia, septic arthritis
Staphylococcus aureus
Clinical Implications:
Urinary tract infection (UTI) in females 13-25 years old
staphylococcus saprophyticus
Clinical Implications: Hospital acquired Infection
UTI at sites of indwelling devices
CSF, shunts catheters, prosthetic valve
endocarditis
coagulase Negative staphylococcus
Clinical Implications:
post-surgical soft tissue sites
bacteremia
staphylococcus lugdunensis
Clinical Implications: Opportunistic infections
patients indwelling devices (shunts, catheters, etc.)
prosthetic valve
endocarditis
Micrococcus
medium to large (2–4 mm), smooth, circular, convex, opaque, β-hemolytic, white-yellow
Staphylococcus aureus
medium, opaque, golden or cream-colored, often β-hemolytic
Methicillin-Resistant Staphylococcus aureus (MRSA)
small to medium, opaque, white to gray, nonhemolytic (γ)
Coagulase-Negative Staphylococcus (CNS)
white to creamy, opaque, medium, slightly glossy surface; nonhemolytic
Staphylococcus saprophyticus
smooth, opaque, glossy, may produce a white-yellow pigment; β-hemolytic
Staphylococcus lugdunensis
smooth, opaque, glossy, may produce a yellow pigment; β-hemolytic
Micrococcus
confirmation test is bactistaph test positive
Staphylococcus aureus
Methicillin-Resistant S. aureus (MRSA)
confirmation test is PYR test positive
staphylococcus lugdunensis
confirmation test is Novobiocin test resistant
staphylococcus saprophyticus
confirmation test is Vitek
Coagulase-Negative Staphylococcus (CNS)
Staphylococcus epidermidis