Staph

Staph is an informal term for bacteria in the genus Staphylococcus, which are Gram-positive cocci that grow in irregular clusters and are commonly found on human skin and mucous membranes.

Explanation

Members of the genus Staphylococcus are catalase-positive, non-motile and facultative anaerobes. The cells appear as spherical clusters resembling grape bunches when viewed microscopically because they divide along multiple planes. Many species colonize the nasal passages, skin and gastrointestinal tract as part of the normal flora. Clinically, staphylococci are distinguished by the presence of the coagulase enzyme: coagulase-positive species such as Staphylococcus aureus are generally more virulent, whereas coagulase-negative staphylococci such as S. epidermidis, S. saprophyticus and S. lugdunensis are opportunistic pathogens. S. aureus produces a suite of virulence factors including protein A, toxins and enzymes that allow it to adhere to tissues, evade the immune system and damage host cells. Coagulase-negative staphylococci are important causes of device-associated infections because they form biofilms on catheters and prosthetic implants. Staphylococci are notorious for developing resistance to antibiotics, with methicillin-resistant S. aureus (MRSA) and vancomycin-intermediate strains posing challenges in healthcare.

Common pathogens and notable examples

MRSA strains cause community-acquired skin and soft tissue infections and serious hospital-associated infections like pneumonia and bloodstream infections. Coagulase-negative S. epidermidis is a leading cause of catheter-related bacteremia and prosthetic joint infections. S. saprophyticus is an important cause of urinary tract infections in young women. S. lugdunensis, though coagulase negative, can cause aggressive endocarditis resembling S. aureus infections. Food poisoning can result from ingestion of heat-stable enterotoxins produced by S. aureus in improperly stored foods.

The term “Staph” encompasses a diverse group of Gram-positive cocci that range from harmless commensals to formidable pathogens. Understanding their species-level differences, virulence mechanisms and resistance patterns is essential for managing infections and preventing the spread of resistant strains.

Related Terms: Staphylococcus aureus, Coagulase-negative staphylococci, MRSA, Gram-positive cocci, Biofilm