Gram stain: The Gram stain, is a laboratory staining technique that distinguishes between two groups of bacteria that have differences in the structure of their cell walls. Standard bacterial taxonomy makes a distinction between Gram-negative bacteria, which stain red/pink and the Gram-positive bacteria, which stain blue/purple. Different antimicrobial agents are directed specifically at gram-positive bacteria and gram-negative bacteria.
      Gram + cocci clusters
Slide coagulase test: The slide Coagulase test detects bound coagulase (clumping factor). This type of coagulase is attached to the bacterial cell walls (surface). This test is usually performed on a glass slide.
Tube Coagulase test: The coagulase test is used to differentiate Staphylococcus aureus from coagulase-negative staphylococci. The test uses rabbit plasma that has been inoculated with a staphylococcal colony. The tube is then incubated at 37 degrees Celsius for 1-1/2 hours. If negative, then incubation is continual up to 24 hours. This test detects free coagulase (coagulase that is released by bacterial cells into culture).
·
        
Positive (i.e., the suspect colony is S. aureus). The serum will coagulate, resulting in a clot (sometimes the clot is so pronounced that the liquid will completely solidify).
·         Negative, the plasma remains liquid. A negative result may be S. epidermidis.
                      Slide coagulase
Catalase test: The catalase test is used to differentiate some bacterial species. The test is done by placing a drop of hydrogen peroxide on a microscope slide. Using an applicator stick, a small portion of a colony is then added to a drop of hydrogen peroxide drop.
   Catalase positive
Tube Coagulase test: The coagulase test is used to differentiate Staphylococcus aureus from coagulase-negative staphylococci. The test uses rabbit plasma that has been inoculated with a staphylococcal colony. The tube is then incubated at 37 degrees Celsius for 1-1/2 hours. If negative, then incubation is continual up to 24 hours. This test detects free coagulase (coagulase that is released by bacterial cells into culture).
·
        
Positive (i.e., the suspect colony is S. aureus). The serum will coagulate, resulting in a clot (sometimes the clot is so pronounced that the liquid will completely solidify).
·         Negative, the plasma remains liquid. A negative result may be S. epidermidis.

Negative Perform

tube coagulase test

 If tube coagulase positive:

Staphylococcus aureus

PYR positive

Staphylococcus lugdunensis

PYR test: the PYR test is a qualitative procedure for determining the ability of streptococci to enzymatically hydrolyze L-pyrrolidonyl- β-napthylamide (PYR). A positive PYR tests allows for the presumptive identification of group A streptococci (Streptococcus pyogenes) and group D Enterococci.

PYR negative

Perform tube coagulase test

Non-hemolytic (γ-hemolysis): If an organism does not induce any hemolysis on a blood agar plate, it is said to display gamma or no hemolysis. The agar under and around the colony is unchanged.

Positive but clumpy

Colony more white; non-hemolytic on Day 1

Alpha hemolysis (α-hemolysis): Alpha hemolysis is the incomplete lysis of the red blood cells around and under the colonies on a blood agar plate. This area appears dark and greenish. Streptococcus pneumoniae and a group of streptococci (Streptococcus viridans or viridans streptococci) found in oral flora display alpha hemolysis.
Beta hemolysis (β-hemolysis): Beta hemolysis is the complete lysis of the red blood cells around and under the colonies on a blood agar plate. This area appears transparent. Streptococcus pyogenes displays beta hemolysis and is often called Group A beta-hemolytic strep (GABHS).

Positive

Typical hemolytic colony

Staphylococcus aureus

Staphylococci

  Major pathogen: Staphylococcus aureus

  Others: S. lugdunensis in abscesses and serious wounds; Coagulase-negative staph in multiple blood cultures

@ Ellen Jo Baron 2007

PYR test: the PYR test is a qualitative procedure for determining the ability of streptococci to enzymatically hydrolyze L-pyrrolidonyl- β-napthylamide (PYR). A positive PYR tests allows for the presumptive identification of group A streptococci (Streptococcus pyogenes) and group D Enterococci.

If PYR and coagulase negative:

Coagulase negative staphylococci