Medstudents thanks Dr. Martin Nachbar, M.D. from New York University, because this section can only be here with permission of the Hippocrates Project of the New York UniversitySchool of Medicine
The term 'facultative' is used to describe organisms which can grow in the presence or absence of oxygen - that is, they can generate ATP via respiration if oxygen is present or by fermentation if oxygen is absent or insufficient. Such organisms are usually referred to as 'facultative anaerobes'.
Organisms to be considered in this group belong to the genus' Staphylococcus and Streptococcus/Enterococcus. Those of medical importance which are considered here include
Here we will consider some simple procedures useful in theidentification of facultative Gram positive cocci. The two genera with which we will be concerned are the Staphylococcus and the Streptococcus / Enterococcus.

This is a a typical test result.
Note the bubbles - showing up as the whitish spots within the wells containing Staphylococcus aureus and Staphylococcus epidermidis.
Coagulase is present in Staphylococcus aureus but lacking in most other staphylococci

The test depicted above actually identifies clumping factor, a related product to coagulase, which is present on the surface of the Staphylococcus aureus. There is a very high correlation between the presence of clumping factor and coagulase.
The interaction of clumping factor with plasma results in aggregation of the organisms which is observed in the well containing Staphylococcus aureus.

Differential sensitivities to this antimicrobial help to distinquish between Staphylococcus epidermidis and Staphylococcus saprophyticus; most strains of Staphylococcus saprophyticus are resistant whereas most strains of Staphylococcus epidermidis are sensitive


Hemolysis of red blood cells is useful in differentiating among streptococcal species; three terms are commonly used: alpha, beta, and gamma.
NOTE:
It is important to always specify the animal source of the red cells used as sensitivity to lysis of a particular population of erythrocytes by a given organism may be species specific




Streptococcus pyogenes (serological group A) strains are almost uniformally sensitive but streptococci of other serological groups are not.

Certain bacteria, such as the enterococci, are able to grow in the presence of bile and hydrolyze the esculin; the liberated diphydroxycourmarin complexes with ferric citrate present in the media to form a dark brown/black soluble compound.

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