Patient: Khong Fay Seah, Female, 27, outpatient
Complaints: Fever, chills, dysuria
Diagnosis: Urinary Tract Infection (UTI)
Gram Stain | Oxidase | Lactose | TSI | Indole | Methyl-red | Voges-Proskauer | Citrate | Urease | Wet Mount | Antibiotic Susceptibility Tests | |
Escherichia Coli | - | - | + | slant & butt yellow (acidic), gas produced, H2S negative | + | + | - | - | - | Motile bacillus | Penicillin G (Ampicillin), Sulfonamides Cephalosporin, Aminoglycoside |
Proteus mirabilis | - | - | - | slant red (alkaline) & butt yellow (acidic), gas & H2S produced | - | + | - | + | + | Highly motile bacillus | Trimethoprim-sulfamethoxazole, Ampicillin |
Klebsiella pneumoniae | - | - | + | slant & butt yellow (acidic), gas produced, H2S negative | - | - | + | + | + | Non-motile bacillus | Penicillin, Cephalosporin, Aminoglycoside, Cephalosporin (e.g. Cefotaxime) |
Enterobacter spp | - | - | + | slant & butt yellow (acidic), gas produced, H2S negative | - | - | + | + | - | Motile bacillus | Ciprofloxacin, Aminoglycoside (e.g. Gentamycin) |
Pseudomonas aeriginosa | - | + | - | slant & butt red(alkaline), gas & H2S negative | + | - | - | + | - | Motile bacillus | Penicillin, Cephalosporin, Aminoglycoside, Tetramycin |
Table1.1 Bichemical, Microscope and Antibiotic Susceptibility Tests Result for Gram-negative Mibcrobes
Gram Stain | Catalase | Coagulase | Hemolytic on Blood Agar | Wet Mount | Antibiotic Susceptibility Tests | |
Staphylococcus saprophytcus | + | + | - | Non-hemolytic | Non-motile cocci | Norfloxacin, Trimethoprim-sulfamethoxazole (e.g. Bactrim) |
Staphylococcus aureus | + | - | + | Beta hemolytic colonies | Non-motile cocci | Vancomycin, Amoxicillin with clavulanic acid, Cloxacillin, Ampicillin, Cephalosporon |
Enterococcus faecalis | + | - | N.A | Non-hemolytic colonies (24 hours) Alpha-hemolytic(48 hours) | Non-motile cocci | Ampicillin, Vancomycin, Aminoglycoside |
Table1.2 Bichemical, Microscope and Antibiotic Susceptibility Tests Result for Gram-positive Mibcrobes
Cause the previous post's table was cut off, this is the better version. Thanks
No comments:
Post a Comment