INTERNATIONAL JOURNAL OF SYSTEMATIC BACTERIOLOGY, Jan. 1975, p. 62-79 Copyright 0 1975 International Association of Microbiological Societies Vol. 25, No. 1 Printed in U.S.A. Isolation and Characterization of Staphylococci from Human Skin 11. Descriptions of Four New Species: Staphylococcus warneri, Staphylococcus capitis, Staphylococcus horninis, and Staphylococcus s i m ul ans WESLEY E. KLOOS AND KARL H. SCHLEIFER Department of Genetics, North Carolina State University, Raleigh, North Carolina 27607, and Lehrstuhl f u r Mikrobiologie, Universittit Mlinchen, 8 Munich 19, Germany Staphylococci were isolated from the skins of people living in North Carolina and New Jersey and were studied in an attempt to resolve their natural relationships. As a result of this study, four new species are proposed in this paper: Staphylococcus warneri, S. capitis, S . hominis, and S . simulans. The type strains of these species are ATCC 27836, ATCC 27840, ATCC 27844, and ATCC 27848, respectively. The new species were established on the basis of a variety of morphological, physiological, biochemical, and antibiotic characters. Cell wall composition was particularly useful in resolving species and correlated well with other characters. Characteristic pigment production was useful in distinguishing several of the different species. A summary of the character variation found in the species and a scheme for the classification of human cutaneous staphylococci are included in this paper. The predominant staphylococci found on human skin were S. epidermidis and S. horninis. A brief account of the classification of staphylococci and their occurrence on human skin is presented in the accompanying paper (15).Most of the recent attempts a t classifying cutaneous staphylococci have utilized the Baird-Parker scheme (2-4, 10, 11). This scheme involves the use of a small number of readily definable key characters to identify isolates at the species and subgroup levels. However, because of the small number of characters used and the general lack of information available on species character variation, the scheme is limited in accuracy and to the number of species and/or subspecies that it can resolve. The specific purpose of our investigation was to identify the species of cutaneous staphylococci of humans. T o attempt this, we reevaluated existing taxonomic criteria, explored the use of additional characters, and estimated species character variation in cutaneous populations. The results of studies on cutaneous strains of Staphylococcus epidermidis (Winslow and Winslow) Evans 1916, S. saprophyticus Fairbrother 1940, and three new species, s. cohnii, S. haemolyticus, and S. xylosus, are presented in the accompanying paper (15). The present ' Paper no. 4401 of the Journal Series of the North Carolina Agricultural Experiment Station, Raleigh, N.C. 27607. paper is concerned with the classification of four additional new species of human cutaneous staphylococci; it also contains summary data on species character variation, occurrence of species on human skin, and a classification scheme. MATERIALS AND METHODS Bacterial strains. Staphylococci were isolated from the healthy skins of two groups of people. One group was composed of 20 people living in Raleigh, N.C., who were sampled once each month for 6 to 13 months. The second group was composed of 20 people living in New Jersey, who were sampled once during the winter. Samples were taken from two separate sites on the forehead and one site from one cheek, one anterior and external nare, chin, each axilla, each upper and lower arm, and each upper and lower leg. Randomly selected representative strains of the new species proposed in this paper are listed in Tables 1, 2, 3, and 4, respectively. (Additional strains that were analyzed for only certain of the characters listed in the tables are too numerous to be cited here, but character information on these strains can be made available upon request to the authors.) Procedures for isolating staphylococci. Sampling techniques and the composition of the isolation medium have been described previously (6). Culture conditions. Culture conditions were similar to those previously described for the study of cutaneous micrococci (6). Character determinations. Procedures for determining deoxyribonucleic acid (DNA) base composi- 62 Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 VOL.25, 1975 STAPHYLOCOCCI tion, colony morphology and pigment, cell morphology, motility, aerobic and anaerobic growth in thioglycolate, salt tolerance, growth temperature, catalase and benzidine activities, acetylmethylcarbinol production, nitrate reduction, carbohydrate reactions, and susceptibility to various antibiotics, lysozyme, and lysostaphin were similar to those described previously for micrococci (6). T h e minimal inhibitory concentrations (MIC) of antibiotics and lysostaphin are as denoted throughout the text. Coagulase, hemolysis, deoxyribonuclease (DNase), phosphatase, and bacteriolytic activities were determined by procedures described in the companion paper (15). Procedures for making cell wall hydrolysates and determining peptidoglycan type, teichoic acid, configuration of lactic acid, and the anaerobic fermentation of glucose have also been described previously (16). RESULTS AND DISCUSSION Characterization of Staphylococcus species. The characteristics of the S. aureus and other coagulase-positive strains isolated from human skin in this study were similar to those reported previously for various strains of these organisms ( 3 , 14, 16).Descriptions of four new Staphylococcus species isolated from human skin are as follows. (i) S. warneri sp. nov. (war. ner’i. M.L. gen. n. warneri of Warner; named for Arthur Warner, Jr., from whom this organism was originally isolated.) Several strains tentatively identified as members of this species were previously designated S. epidernidis (CCM 2445; reference 13) or s. pyogenes albus (ATCC 155; reference 16). Several strains, including SCH 5, SCH 7, and SCH 13, were isolated by one of us (K.H.S.) from dust and, based on their cell wall composition and the configuration of the lactic acid they produced, were placed together with the above-mentioned strains in Staphylococcus group I1 A3 (16). The following description of S. warneri is based on a total of 38 strains, unless noted otherwise. Cells were gram-positive cocci, 0.5 to 1.2 pm in diameter, nonmotile and nonsporeforming, occurring predominantly in pairs and singly, occasionally in tetrads. Only 12% of the strains studied had approximately equal numbers of pairs and tetrads. Colonies on a P agar medium (6) were raised, usually had a slightly elevated center, and were circular, entire, smooth, glistening, and opaque. They were small and had a diameter of 3 to 5 mm. The consistency of colonies or culture streaks was usually sticky. Eighty percent of the strains were pigmented to some extent. Pigment occurred as a characteristic bright yellow-orange or yellow ring around the edge of FROM HUMAN SKIN. 11. 63 colonies or was a slight yellowish tint in the center of colonies. Twenty percent of the strains were unpigmented and had gray-white colonies. Growth occurred in both the aerobic and anaerobic portions of the thioglycolate medium, indicating a facultatively anaerobic capability. Growth in the anaerobic portion was usually uniformly dense; however, 5% of the strains demonstrated less growth, and 8% had only individual colonies in the deeper, more anaerobic portion of this medium. Fifteen selected strains demonstrated fermentation of glucose by lowering the pH of a yeast extract-glucose broth from 6.8 to 4.7-5.0 after anaerobic incubation. These strains produced nearly equal amounts of D- and L-lactic acid from glucose. All strains grew well at NaCl concentrations up to 10%. Sixty-two percent of the strains grew poorly or failed to grow at a NaCl concentration of 15%. The optimal growth temperature range was 25 to 40 C. Eighty-four percent of the strains grew poorly or failed to grow at 15 C, but 92% grew well at 45 C. All strains had either weak or moderate catalase activity and were positive for the benzidine test. All failed to produce coagulases. Ninety-eight percent of the strains demonstrated weak or no hemolysin activity, 95% demonstrated weak or no DNase activity, 74% failed to reduce nitrates, and 78% failed to demonstrate phosphatase activity; there was variable bacteriolytic activity. All produced acetylmethylcarbinol. All strains produced acid aerobically from glucose, fructose, sucrose, trehalose, and glycerol. Seventy-eight percent of the strains produced acid from maltose slowly, and 63% produced acid from mannitol. Fifty percent of the strains produced acid from ribose, and 24% produced acid from galactose. Only 2% of the strains produced acid from mannose, and 11% produced acid from lactose or turanose. All failed to produce acid from rhamnose, xylose, arabinose, gentiobiose, cellobiose, melezitose, xylitol, sorbitol, inositol, salicin, adonitol, dulcitol, arabitol, erythritol, erythrose, raffinose, melibiose, fucose, tagatose, lyxose, or sorbose. All strains were resistant to lysozyme and were slightly resistant to lysostaphin (MIC, 200 pg/ml). All were susceptible to erythromycin (MIC, 0.4 to 1.6 pg/ml), tetracycline (MIC, 0.4 to 0.8 pg/ml), and novobiocin (MIC, 0.025 to 0.1 pg/ml). Seventy-eight percent of the strains were susceptible to penicillin G (MIC, 0.012 to 0.025 pg/ml), and 98% were susceptible or slightly resistant to streptomycin (MIC, 6.2 to 25 ,ug/ml). Fifteen selected strains studied contained Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 64 INT. J. SYST.BACTERIOL. KLOOS AND SCHLEIFER primarily on the basis of a combipeptidoglycan of the type L - L Y s - G ~ Y ~L. ~ - staphylococci ~.~, Sero.6-l.4. Their cell wall teichoic acid contained nation of its colony morphology, carbohydrate reaction pattern, cell wall composition, lactic glycerol and glucose. The guanine plus cytosine (G+C) content of acid configuration, and the lack of nitrate the DNA, as determined in six strains, was 34.7 reduction. There are also some significant differences between S . warneri and certain other 0.2 mol%. Some variable characters and the G + C con- species in the parameters of pigment pattern, tent of the DNA of some representative strains cell arrangement, anaerobic growth pattern in thioglycolate, growth a t different NaCl concenof S. warneri are given in Table 1. Strain ATCC 27836 (originally designated trations and temperature extremes, coagulase AW 25) is the type strain of S. warneri. A activity, hemolysis, acetylmethylcarbinol production, and phosphatase, DNase, and bacteridescription of this strain follows. Cells: Spheres, 0.8 to 1.0 pm in diameter, olytic activities. Several properties of's. warneri occurring ill pairs, tetrads, and singly. Non- overlap with those of S. huemolyticus, S. epidermidis, and S. horninis, suggesting a relamotile and nonsporeforming. Gram positive. Agar colonies: Circular, entire, 3.0 to 3.5 mm tively close relationship between these species. (ii) S. cupitis sp. nov. (ca'pi. tis. L. noun cain diameter, raised with slightly elevated tenter, smooth with glistening surface, sticky con- p u t head; L. gen. noun capitis of the head; persistency. Originally opaque gray-white with yel- taining to that part of the human body where low-orange edge; subcultures have lost pigment cutaneous populations of this species are usually the largest and most frequent.) Gordon (5) and are now gray-white. in 1905 reported a n unusual Staphylococcus Catalase and benzidine tests are positive. Chemoorganotroph; metabolism is respira- that he considered to be different from the commonly recognized Staphylococcus epidertory. midis albus. Strains of this unusual type were Facultatively anaerobic. Temperature relationships: Good growth a t different from those of the above-mentioned species in that they failed to produce acid from 45 C, poor growth at 15 C. Growth on NaCl agar: Good growth with 10% maltose or lactose but produced acid from mannitol. They also were predominately found NaC1, no growth with 15%. on the scalp as compared to the hands, face, or Coagulases not produced. forearm. Although the few characters studied Phosphatase not produced. by Gordon will not conclusively identify his Acetylmethylcarbinol produced. isolate as belonging to S. capitis, nevertheless, Nitrates not reduced. Hemolysins: Weak hemolysis of bovine, they are consistent with those of S . capitis and, hence, there is a reasonably good possibility sheep, and human blood. that he was observing this species. A later study DNase activity is weak. Acid produced aerobically from glucose, fruc- by Marples et al. (9) on the aerobic microflora of tose, ribose, maltose, sucrose, trehalose, man- the scalp determined that the normal scalp nitoll, and glycerol. No acid from galactose, cocci are predominately micrococci of type 3. mannose, rhamnose, xylose, arabinose, lactose, However, according to Baird-Parker's scheme gentiobiose, cellobiose, melezitose, xylitol, sop- (3), the characteristics of type 3 micrococci are bitol, inositol, salicin, adonitol, dulcitol, arabi- not those of S. capitis. Hence, there is some tol, erythritol, erythrose, raffinose, melibiose, uncertainty concerning earlier reports of possifucose, tagatose, lyxose, or sorbose. ble encounters with this species. The following Antibiotic susceptibilities: Slightly resistant description of S. capitis is based on a total of 47 to lysostaphin (MIC, 200 pg/ml) and strep- strains, unless noted otherwise. tomycin (MIC, 12.5 pg/ml). Susceptible to peniCells were gram-positive cocci, 0.8 to 1.2 pm cillin G (MIC, 0.025 pg/ml), erythromycin in diameter, nonmotile and nonsporeforming, (MIC, 1.6 pg/ml), tetracycline (MIC, 0.8 pg/ occurring predominantly in pairs and tetrads. ml), and novobiocin (MIC, 0.025 pg/ml). ResistColonies on a P agar medium (6) were slightly ant to lysozyme. convex, circular, entire, smooth, slightly dull to Cell wall peptidoglycan: L-LYs-G~Y,.,, L- glistening, opaque and usually a distinctive chalk white (unpigmented). They were very Ser,.,. Cell wall teichoic acid composition: Glycerol small and had a diameter of 1 to 3 mm. Growth occurred in both the aerobic and and glucose. anaerobic portions of the thioglycolate medium, G - t C content of the DNA: 34.2 mol%. S. warneri can be distinguished from all other indicating. a facult ativelv anaerobic caDa b ilitv. - Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 VOL.25, 1975 STAPHYLOCOCCI FROM HUMAN SKIN. 11. y1:++::11+++++++++ ++++ 8 ct: js l + l l l l l l l l +++++ l l l + l l ~ x < 65 I 4 1 I I I I I I I ! 1 + $ 1 4 l ~ Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 66 KLOOS AND SCHLEIFER INT.J. SYST.BACTERIOL. Growth in the anaerobic portion was usually of teichoic acid, and cell wall hydrolysates had uniforirnly dense; however, 11% of the strains to be concentrated for the detection of free demonstrated less growth, and 21% had only glycerol. Cell walls also contained additional individual colonies in the deeper, more anaero- glutamic acid. In partial acid hydrolysates, bic portion of this medium. Nineteen selected diglutamic acid was found, indicating that a strains of this species demonstrated the fermen- glutamic acid polymer is present. The additation of glucose by lowering the pH of a yeast tional glutamic acid can be extracted with hot extract-glucose broth from 6.8 to 4.2-4.7 after trichloroacetic acid like the teichoic acid. anaerobic incubation. These strains also proThe G+C content of the DNA, as determined duced predominately L-lactic acid and between in five strains, was 33.6 + 1.0 mol%. 5 and 25% D-lactic acid from glucose. Some variable characters and the G+C conNinety percent of the strains grew well a t tent of the DNA of some representative strains NaCl concentrations up to 10%. All strains of S. capitis are given in Table 2. either grew poorly or failed to grow a t a NaCl Strain ATCC 27840 (originally designated LK concentration of 15%.The optimal growth tem- 499) is the type strain of S. cupitis. A descripperature range was 30 to 40 C. All strains failed tion ofthis strain follows. Cells: Spheres, 0.9 to 1.2 p m in diameter, to grow a t 15 C but grew well a t 45 C. All strains had either weak or moderate occurring predominantly in tetrads and pairs. catalase activity and were positive for the Nonmotile and nonsporeforming. Gram posibenzidine test. All failed to produce coagulases. tive. Agar colonies: Circular, entire, 2 to 2.5 mm in All strains demonstrated either weak or no hemolysin activity on bovine or sheep blood but diameter, slightly convex, smooth with glistenusually produced good hemoly sin activity on ing surface. Opaque, chalk white. Catalase and benzidine tests are positive. human blood. Strains had variable acetylmethC hemoorganotroph; metabolism is respiraylcarbinol production and had weak or no phosphatase activity. Eighty-three percent of tory. the strains reduced nitrates, and all strains Facultatively anaerobic. demonstrated weak DNase and moderate to Growth a t extreme temperatures: Good strong b acteriolytic activities. growth at 45 C, no growth at 15 C. Growth on NaCl agar: Good growth with 10% By comparison with other staphylococci, S . cupitis produced acid aerobically from only a NaC1, poor growth with 15%. Coagulases not produced. few different carbohydrates. All strains proPhosphatase not produced. duced acid from glucose, fructose, mannose, Acetylmethylcarbinol not produced. and ghrcerol. Ninety-one percent of the strains produced acid slowly from sucrose, and 94% Nitrates are reduced. Hemolysins: No hemolysis of bovine and produced acid slowly from mannitol. Only 2%of the strains produced acid from trehalose or sheep blood, but moderate hemolysis of human lactose. All failed to produce acid from galac- blood. tose, rhamnose, xylose, arabinose, ribose, malDNase activity is weak. tose, turanose, gentiobiose, cellobiose, meleziAcid produced aerobically from glucose, fructose, xylitol, sorbitol, arabitol, inositol, salicin, tose, mannose, sucrose, mannitol, and glycerol. adonitol, dulcitol, erythritol, erythrose, raf- No acid from galactose, rhamnose, xylose, arabfinose, melibiose, fucose, tagatose, lyxose, or inose, ribose, maltose, lactose, trehalose, turansorbose. ose, gentiobiose, cellobiose, melezitose, xylitol, All strains were resistant to lysozyme and sorbitol, inositol, salicin, adonitol, dulcitol, were slightly resistant to lysostaphin (MIC, 200 arabitol, erythritol, erythrose, raffinose, melipg/ml). All were susceptible to erythromycin biose, fucose, tagatose, lyxose, or sorbose. Antibiotic susceptibilities: Slightly resistant (MIC, 0.4to 0.8 pg/ml), streptomycin (MIC, 1.6 to 6.2 pg/ml), and novobiocin (MIC, 0.05 to 0.1 to lysostaphin (MIC, 200 pg/ml); susceptible to pg/ml). Ninety-four percent of the strains were penicillin G (MIC, 0.05 pg/ml) , erythromycin susceptible to penicillin G (MIC, 0.025 to 0.05 (MIC, 0.4 pg/ml), streptomycin (MIC, 3.1 pg/ pglml), and 85% were susceptible to tetracy- ml), tetracycline (MIC, 0.4 pg/ml), and novobicline (MIC, 0.4 to 0.8 pg/ml). ocin (MIC, 0.05 pg/ml); resistant to lysozyme. Nineteen selected strains contained peptidoCell wall peptidoglycan: ~ - L y s - G l y1,~ . Lglycan of the type ~ - L y s - G l y ~ . L-Sero.e-1.2. ~-~.~, Ser,.o. Cell wall teichoic acid: Glycerol. Their cell wall teichoic acid contained glycerol, G+C content of the DNA: 35.5 mol%. and no neutral sugar or additional amino sugar was detected. Cell walls contained low amounts S. cupitis can be distinguished from all other Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 ND ND ND ND ND ND ND ND 35.8 NDd ND ND ND ND ND ND 35.5 31.4 31.0 34.1 + + *C + *C + t *C + *C + + t + + * + + + * 4.7 4.3 4.7 4.3 4.5 4.3 4.7 4.6 4.4 ND I 4.5 4.4 4.6 4.2 4.6 4.6 4.5 4.6 4.4 4.7 Anaerobic fermentation of glucose (pH) 91 92 82 95 90 87 88 ND 90 92 90 91 90 81 89 92 90 75 87 89 L-Lact i c acid (%) - f * * + + - f + f - * - f - - f - + + t - 42 + + + t + + + + + + + + + + + - * f - - - - - + + + + + + + + ++ + + + + + + + + + ++ ++ + + + f + i + - - I _ ++ + + + - + ++ ++ ++ + + + + + + + + + t+ + _ . crose nose iitol s u - vIan I a n - 0.050 0.050 50.0 0.025 0.050 0.050 0.050 0.050 0.050 0.050 0.200 0.025 0.050 0.050 0.050 0.050 0.050 0.050 0.050 50.0 Acid (aerobically) from Penicillin G MIC (/Lg/mU /___ I Growth Acetyl- Nitrate PhosHemolon 15% methyl- reducp ha t ase ysis tion carbinol NaCl agar 0.4 50.0 50 .O 0.4 0.4 0.8 0.4 0.8 0.4 0.8 50.0 0.4 0.4 0.4 0.8 0.4 0.4 0.8 0.4 50.0 Tetracyline MIC (rdml) * Moles of glutamic acid 1.0 1.1 1.1 1.0 1.1 3.8 3.9 4.3 3.9 3.8 ND ND 4.1 3.5 4.0 4.1 3.7 3.9 3.5 3.8 4.0 3.8 1.7 1.6 1.7 1.4 1.a 1.6 1.4 1.5 1.6 1.0 1.0 1.0 1.2 1.0 1.0 0.8 0.9 1.0 1.1 Ser- Clyine cine ND 1.6 1.4 1.5 1.8 1.4 1.6 1.3 1.5 1.6 1.6 Cell wall glutamic acid (mol/mol lysine)* Symbols for anaerobic growth: +, uniform dense; i,gradient of growth from dense to light down the tube; *C, gradient of growth plus individual colonies. per mole of lysine is 1.0 in all other staphylococci. Reaction: ++, strong positive (carbohydrates only); +, positive; f, weak; -, negative. ND, Not determined. ATCC 27840 ATCC 27841 ATCC 27842 ATCC 27843 RM 390 GS 14 KES 14 SE 21 CK 17 RK 23 KH 220 PM 378 WK 11 WK 445 DBM 213 E K 11 HM 11 BS 2 CE 2 S K 13 Strain Mol 70 G+C Anaerobic thioglycolate growth@ TABLE 2 . Variable characters of 20 strains of Staphylococcus capitis 68 INT. J. SYST.BACTERIOL. KLOOS AND SCHLEIFER staphylococci primarily on the basis of its small and slightly convex, chalk-white colony, carbohydrate reaction pattern, cell wall composition, and lactic acid configuration. There are also some significant differences between S. cupitis and certain other species in the parameters of cell arrangement, anaerobic growth pattern in thioglycolate, growth a t different NaCl concentrations and temperature extremes, coagulase activity, hemolysis, acetylmethylcarbinol production, nitrate reduction, and phosphatase, DNase, and bacteriolytic activities. (iii) S. horninis sp. nov. (ho’mi.nis. L. noun homo man; L. gen. noun hominis of man; named for the host on whose skin this species is commonly found.) The following description of S. horninis is based on a total of 240 strains, unless noted otherwise. Cells were gram-positive cocci, 1.0 to 1.5 pm in diameter, nonmotile and nonsporeforming, occurring predominantly in tetrads with occasional pairs. Thirty-eight percent of the strains had approximately equal numbers of tetrads and pairs. Colonies on a P agar medium ( 6 ) were raised to very slightly umbonate and, with age, usually developed a wide beveled edge and elevated center. The older colony profile appears to be species specific. Colonies were small, circular, and usually entire, smooth dull, and opaque. Their diameter was 3 to 4 mm. Colony pigment was variable; 64% of the strains had yelloworange or yellowish pigment in the center of the colonies and 36% had gray-white (unpigmented) colonies. Older colonies ( 2 6 days) often showed concentric rings of lighter and darker colors. Growth occurred in the aerobic portion and 84% of strains produced slight growth in the anaerobic portion of the thioglycolate medium, indicating a limited facultatively anaerobic capability. Growth was much less intense in the deeper, more anaerobic, portion of the medium and was usually associated with the presence of a few very small individual colonies. Sixteen percent of the strains failed to produce any clear signs of visible anaerobic growth. Eighteen selected strains demonstrated the fermentation of glucose by lowering the pH of a yeast extractglucose broth from 6.8 to 4.4-4.9 after anaerobic incubation. Considering the relatively poor anaerobic growth of this species, it seemed somewhat unusual to obtain acid from glucose under anaerobic conditions. However, it should be mentioned here that this species rapidly produces very strong acid from glucose aerobically, and even slight anaerobic growth or a slight amount of oxygen present in the glucose medium might result in the production of significant quantities of acid such as were observed. The above-mentioned 18 strains could be subdivided into two groups on the basis of the type of lactic acid isomers produced from glucose. One group contained eight strains that produced only D-lactic acid, and another group contained 10 strains that produced both L- and D-laCtiC acid. The latter strains may contain, in addition to a D-laCtate dehydrogenase, an L-lactate dehydrogenase. Such differences were also noted in S. aureus by Schleifer and Kocur (16). Most S. uureus strains produce L- and D-lactic acid, but a few strains produce only L-lactic acid. Ninetyfive percent of the strains grew well a t NaCl concentrations up to 7.5%, but 97% grew poorly a t 10% and failed to grow at 15%. The optimal growth temperature range was 28 to 40 C. Seventy-two percent of the strains failed to grow a t 15 C, and all strains grew well a t 45 C. All strains had either weak or moderate catalase activity and were positive for the benzidine test. All failed to produce coagulases and had weak or no hemolysin or DNase activities. Eighty-three percent of the strains had no phosphatase activity, weak or no bacteriolytic activity, and reduced nitrates. Strains had variable acetylmethylcarbinol production. All strains produced acid aerobically from glucose, fructose, maltose, sucrose, and glycerol. Ninety percent of the strains produced acid from trehalose, 81% produced acid from turanose, 60% produced acid from lactose, 52% produced acid from galactose, and 51% produced acid from melezitose. Only 7% of the strains produced acid from mannitol, and 10% of the strains produced acid from mannose. All failed to produce acid from rhamnose, xylose, arabinose, ribose, gentiobiose, cellobiose, xylitol, sorbitol, inositol, salicin, adonitol, dulcitol, arabitol, erythritol, erythrose, raffinose, melibiose, fucose, tagatose, lyxose, or sorbose. All strains were resistant to lysozyme and were slightly resistant to lysostaphin (MIC, 100 to 200 pg/ml). Seventy-seven percent of the strains were susceptible to penicillin G (MIC, 0.006 pglml), 97% were susceptible to streptomycin (MIC, 1.6 to 6.2 pg/ml), 93% were susceptible to erythromycin (MIC, 0.4 to 0.8 pg/ml), 64% were susceptible to tetracycline (MIC, 0.4 pg/ml), and 99% were susceptible to novobiocin (MIC, 0.1 to 0.2 pg/ml). A relatively large proportion of the strains (36%) was resistant to tetracycline. Eighteen selected strains contained peptidoglycan of the type ~ - L y s - G l y ~ . ~ L-Sero.6-1.3. -~.~, Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 VOL.25, 1975 STAPHYLOCOCCI FROM HUMAN SKIN. 11. 69 Cell wall teichoic acid composition: Glycerol Their cell wall teichoic acid contained glycerol and, in addition, had 0.3 t o 0.8 mol of glucosa- and glucosamine. mine per mol of glycerol. No neutral sugar was G+C content of the DNA: 33.7 mol%. S . hominis can be distinguished from all other found. This species produced only low levels of teichoic acids and, like S. capitis, required staphylococci primarily on the basis of a combiconcentration of the cell wall hydrolysates for nation of its colony morphology and pigment the detection of free glycerol. pattern, predominant tetrad cell arrangement, The G + C content of the DNA, as determined poor or no detectable growth in thioglycolate, in five strains, was 33.0 & 1.0 mol%. low NaCl tolerance, and carbohydrate reaction Some variable characters and the G+C con- pattern. There are also some significant differtent of the DNA of some representative strains ences between s. hominis and certain other of S. hominis are given in Table 3. species in the parameters of cell wall composiStrain ATCC 27844 (originally designated tion, lactic acid configuration, temperature exDM 122) is the type of strain of S. hominis. A tremes of growth, coagulase activity, hemolysis, acetylmethylcarbinol production, nitrate reducdescription of this strain follows. Cells: Spheres, 1.2 to 1.4 pm in diameter, tion, and phosphatase, DNase, and bacterioccurring predominantly in tetrads and occa- olytic activities. Several of these properties sionally in pairs. Nonmotile and nonsporeform- overlap with those of S. epidermidis, S. h e moly ticus, and S. warneri, suggesting a close ing. Gram positive. Agar colonies: Circular, entire, 4 to 4.5 mm in relationship among these species. (iv) S. sirnulans sp. nov. (sim’u,lans. L. part. diameter, slightly umbonate with wide, beveled edge and elevated center, smooth dull surface. adj. simulans imitating; named for having simiYellow-orange pigment is produced in the ten- larities to certain coagulase-positive staphylococci, including S. aureus.) The following deter of opaque colonies. scription of S . simulans is based on a total of 13 Catalase and benzidine tests are positive. C hemoorganotroph; metabolism is respira- strains. Cells were gram-positive cocci, 0.8 to 1.5 pm tory. in diameter, nonmotile and nonsporeforming, Slightly facultatively anaerobic. Growth a t extreme temperatures: Good occurring predominantly in pairs and tetrads and occasionally singly. growth at 45 C, no growth at 15 C. Colonies on a P agar medium (6) were slightly Growth on NaCl agar: Good growth with 7.5% NaC1, slight growth with lo%, no growth with raised, circular, entire, smooth, slightly glistening, translucent to slightly transparent, and 15%. usually gray-white (unpigmented) . TwentyCoagulases not produced. three percent of the strains had a very slight tint Phosphatase not produced. of yellowish pigment. The colonies were relaAcetylmethylcarbinol produced weakly. tively large and had a diameter of 5.0 to 7.5 mm. Nitrates are reduced. Growth occurred in both the aerobic and Hemolysins: No hemolysis of bovine, sheep, anaerobic portions of the thioglycolate medium, or human blood. indicating a facultatively anaerobic capability. DNase activity is weak. Acid produced aerobically from glucose, fruc- Growth in the anaerobic portion of the medium tose, galactose, maltose, lactose, sucrose, treha- was uniformly dense. This species demonlose, turanose, and glycerol. No acid from man- strated the fermentation of glucose by lowering nose, rhamnose, xylose, arabinose, ribose, me- the pH of a yeast extract-glucose broth from 6.8 lezitose, mannitol, gentiobiose, cellobiose, to 4.7-5.0 after anaerobic incubation. The xylitol, sorbitol, inositol, salicin, adonitol, dul- strains could be subdivided into two groups on citol, arabitol, erythritol, erythrose, raffinose, the basis of the type of lactic acid isomers produced from glucose. One group contained six melibiose, fucose, tagatose, lyxose, or sorbose. Antibiotic susceptibilities: Slightly resistant strains that produced only L-lactic acid, and to lysostaphin (MIC, 100 pg/ml); susceptible to another group contained seven strains that penicillin G (MIC, 0.006 pg/ml), streptomycin produced both L- and D-lactic acid. The occur(MIC, 6.2 pg/ml), erythromycin (MIC, 0.4 pg/ rence of strains producing L- and D-laCtiC acid or ml), and novobiocin (MIC, 0.1 pg/ml); resistant only L-lactic acid was also found in S . aureus to tetracycline (MIC, 100 pg/ml); resistant to (16). All strains grew well a t NaCl concentrations lysozyme. up to 10%. Seventy-seven percent of the strains 1, LCell wall peptidoglycan: L-LYS-G~Y,. grew poorly at a NaCl concentration of 15%,and Ser,.,. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 ND ND ND 35.8 ND ND ND ND ND ND ND ND ND 33.7 32.3 NDd 29.9 ND ND 33.5 f Y ! f fC - f - Y - 2 f fC YO Y Y Y -C - fC fC fC -C -C f YO YO Y - - - - YO YO 4.5 4.5 4.6 4.9 4.5 4.4 4.6 4.6 4.5 4.4 4.5 4.5 4.4 4.5 4.5 4.5 4.5 4.6 ND ND 0 0 0 50 0 43 38 0 49 49 0 0 42 51 0 37 47 45 ND ND + f f f f f + - - - f - f - + f f - + + + + f - - + + f + + + f + + + + + - - - s 8 2 aJ - + + + - + + + + - - + + + + + + + + + + + __ - z x m -% W ++ ++ f ++ f + ++ + ++ + ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ + + ++ f + + ++ ++ ++ ++ f ++ ++ ++ - - 3 +-' 0 aJ - Acid (aerobically) from 0.006 0.006 0.006 6.2 0.006 12.5 0.006 25.0 6.2 0.006 0.050 0.050 0.006 0.006 0.006 12.5 0.006 6.2 0.006 0.006 0.4 0.4 0.4 0.4 0.4 0.4 0.8 400.0 0.4 0.4 0.4 0.8 8.4 0.8 200.0 0.8 400.0 200.0 0.4 0.4 100.0 100.0 0.4 50.0 0.4 0.4 0.4 100.0 200.0 0.4 0.4 0.4 100.0 0.4 100.0 200.0 0.4 100.0 0.4 0.4 u h .-E ND ND 4.1 4.3 3.9 3.8 3.9 3.6 3.8 4.0 3.6 4.1 3.8 4.4 4.1 4.3 3.3 3.5 3.6 3.9 - - 0.8 0.6 1.o 1.1 0.9 1.3 1.2 1.o 1.3 0.9 1.2 0.7 0.8 0.9 1.1 1.3 1.1 0.6 ND ND mE 5 - - .d 0) a 0.5 0.5 0.3 0.4 0.8 ND 0.5 0.7 0.5 0.8 0.5 0.3 0.4 0.4 0.5 0.4 0.8 0.3 ND ND Peptidoglycan :mol/mo of glu- Teichoic tamic acid (mol Peni- Erythro. Tetra:illin G mycin cycline acid) of glucoMIC - - saminel MIC MIC mol of rglml) (rglml) (rglml) glycerol) Symbols for colony pigment: YO, yellow-orange center; Y, yellowish center; -, gray-white (unpigmented). Symbols for anaerobic growth: f, gradient of growth from moderate to light down the tube; +C, gradient of growth plus individual colonies; -C, individual colonies only (usually <50); -, no detectable growth. Reaction: ++, strong positive (carbohydrates only); +, positive; f ,weak; -, negative. ND. Not determined. ATCC 27844 ATCC 27845 ATCC 27846 ATCC 27847 WK52 PM 375 S M 67 J L 248 T W 52 T W 139 GH 149 KH 211 AW 178 RM 122 MCS 13 GS 16 DGS 13 BS 14 LK 47 MK 314 Strain BacAnaerobic LInaerobic Niferments Zolony He- AcetylDeoxy- teriothioglyMol ?6 Lactic trate of moly- met hy 1ribonu- lytic Pigmeduc. colate acid G + C menta :arbinol sis clease activtion (%) ity TABLE 3 . Variable characters of 20 strains of Staphylococcus hominis Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 1 ND ND 37.2 4.7 4.7 4.8 4.8 4.8 4.8 4.9 4.8 4.9 4.8 4.9 4.8 5.0 (PW 100 63 60 100 100 64 100 69 70 75 f f + - 0 f - + i -a NaCl agar :r:t +, positive; +, weak; ' I -, negative. l l I * - - - 1 -- 1 ' I Acid (aerobically) from - + + - + ~ + ~ ++ ++ + * + + + + * ++ ++ + + - ++ + + ++ ++ + - - + + + ++ - + + f ++ - * * + + * + + - + ++ Galac- Man- Ri- Malt- Tretose nose bose ose halosf - Growth Acetyl- Nitrate Phos- Bacterimethyl- reduc- phaolytic at l5 carbinol tion tase activity Reaction: ++, strong positive (carbohydrates only); ND, Not determined. AW232 SM 128 SM 81 KL 299 KL 104 MAW 222 HK 12 D W 196 CE 13 ATCC 27848 ATCC 27849 ATCC 27850 ATCC 27851 Strain Anaerobic fermenta- L-Lactic Mol tion of acid G + C glucose 1'( I TABLE 4. Variable characters of 13 strains of Staphylococcus simulans 1 3.1 0.012 0.025 1.6 0.012 0.025 25.0 0.012 0.012 0.025 25.0 12.5 0.800 Penicillin G 1 0.8 0.4 400.0 0.8 0.4 0.8 400.0 0.4 400.0 0.8 0.8 0.8 0.4 200.0 0.4 200.0 400.0 100.0 0.8 0.4 0.4 200.0 0.8 0.4 200.0 6.2 Erythro- Tetramycin cycline MIC MIC (ccdml) (ccg/mU I 0.2 0.1 0 0.1 0.2 0.1 0 0.1 0.2 0 0 0 0 4.9 5.7 6.0 4.7 5.6 5.3 5.1 5.0 4.8 5.2 4.8 5.4 5.0 Ser- Glyine cine 72 INT.J. SYST.BACTERIOL. KLOOS AND SCHLEIFER 23% failed to grow a t this concentration. The optimal growth temperature range was 25 to 40 C. Eighty-five percent of the strains grew well a t 15 C, and all grew well a t 45 C. All strains had weak or moderate catalase activity and were positive for the benzidine test. All failed to produce coagulases. All strains demonstrated weak or no hemolysin activity on bovine or sheep blood but produced weak to good hemolysin activity on human blood. Seventy-seven percent of the strains failed to produce acetylmet hylcarbinol or had weak phos- phatase activity. Ninety-two percent of the strains reduced nitrates or demonstrated moderate to good bacteriolytic activity. All had weak to moderate DNase activity. All strains produced acid aerobically from glucose, fructose, lactose, sucrose, and glycerol. Seventy-seven percent of the strains produced acid from mannose and trehalose, and 92% produced acid from mannitol. Fifty-four percent of the strains produced acid from ribose. Sixty-nine percent of the strains failed to produce acid from maltose; 31% produced only TABLE5 . Morphological characters of Staphylococcus species ~ ~ Colony pigment T Total Colony no. of diametera strains (mm) studied Species Colony Colony profile CI S . aureus . . . . . . . . . S . simulans . . . . . . . s. xylosus ........ S . cohnii . . . . . . . . . S . saprophyticus . . S . haenolyticus . . S . warneri . . . . . . . . S . horninis . . . . . . . . S. epidermidis . . . . S . capitis . . . . . . . . . , 46 13 102 42 83 117 38 240 204 47 7.1 0.1 6.5 0.2 7.0 0.1 5.9 i 0.2 6.5 0.1 5.4 0.1 3.8 mo.1 3.7 * 0.05 3.1 * 0.04 2.4 * 0.07 * * * 5 21 18 13 * 1 iand s %. Percentages of strains possessing the character 12 21 11 32 20 36 8 53 29 23 100 100 71 7 20 13 17 10 80 87 22 18 96 I 1 0 0 100 100 68 95 98 92 98 91 99 100 12 83 78 82 1100 15 32 5 2 8 2 9 1 jicated. TABLE 6. Physiological characters of Staphylococcus species Growth on: Anaerobic growth in thioglycolate semisolid medium Species S . aureus . . . . . . . . . . . . . . . S . simulans . . . . . . . . . . . . . s. xyl0.sus . . . . . . . . . . . . . . S. cohnii . . . . . . . . . . . . . . . S. saprophyticus . . . . . . . . S . haemolyticus . . . . . . . . S . warneri . . . . . . . . . . . . . . S . horninis . . . . . . . . . . . . . S . epidermidis . . . . . . . . . . S . capitis . . . . . . . . . . . . . . . Total no. of strains studied 46 13 102 42 83 117 38 240 204 47 Gradi- ScatUni- ent: tered formly dense colodense to nies light > 50 986 100 68 24 59 20 87 98 68 Scattered Noni colonies <50 - 2 11 47 30 8 5 10 1 11 14 12 38 17 70 61 2 14 14 17 9 66 8 44 1 21 OGrowth: +, good; *, weak; -, none. Percentages of strains possessing the character indicated. 4 7 1 4 3 5 1 2 30 16 Growth at: 10% NaCl 15% NaCl agar agar + 15 C i + - - - --- 96 100 100 100 100 100 100 40 77 48 64 70 45 54 3 4 51 60 60 36 4 23 85 15 14 100 15 100 100 40 43 57 8 76 16 38 97 28 72 21 79 96 LOO 49 +a 4 97 16 79 90 10 -- 38 21 30 15 8 - Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 - - + * - - - 100 100 19 19 62 76 17 7 38 36 26 100 92 8 100 100 100 VOL.25, 1975 73 STAPHYLOCOCCI FROM HUMAN SKIN. 11. weak acid from this carbohydrate. Eight percent of the strains produced weak acid from galactose. All failed to produce acid from rhamnose, xylose, arabinose, turanose, gentiobiose, cellobiose, melezitose, xylitol, sorbitol, inositol, salicin, adonitol, dulcitol, arabitol, erythritol, erythrose, raffinose, melibiose, fucose, tagatose, lyxose, or sorbose. All strains were resistant to lysozyme and were susceptible to lysostaphin (MIC. 12.5 to 25 pg/ml). All were susceptible to streptomycin (MIC, 1.6 to 3.1 pg/ml) and novobiocin (MIC, 0.1 to 0.2 pg/ml). Fifty-four percent of the strains were susceptible to penicillin G (MIC, 0.012 pg/ml), and 77% were susceptible to erythromycin (MIC. 0.4 to 0.8 pg/ml). Fortysix percent of the strains were susceptible to tetracycline (MIC, 0.4 pg/ml). This species contained peptidoglycan of the type L-LYSGly,-,. The cell wall teichoic acid contained glycerol and galactosamine. The G + C content of the DNA, as determined in six strains, was 35.6 f 0.6 mol%. Some variable characters and the G + C content of the DNA of some representative strains of S . simulans are given in Table 4. Strain ATCC 27848 (originally designated MK 148) is the type strain of S . simulans. A description of this strain follows. Cells: Spheres, 0.8 to 1.0 pm in diameter, occurring predominantly in pairs and tetrads and occasionally singly. Nonmotile and nonsporeforming. Gram positive. Agar colonies: Circular, entire, 6.5 to 7.0 mm in diameter, slightly raised, smooth with slightly glistening surface. Translucent to slightly transparent and gray-white (unpigmented). Catalase and benzidine tests are positive. Chemoorganotroph; metabolism is respiratory. Facultatively anaerobic. TABLE 7. Biochemical characters of Staphylococcus species I Species I I Total no. Coagulase of strains studied S . cohnii . . . . . . . . . . . . . . . S. saprophyticus . . . . . . . . S . haemolyticus . . . . . . . . S . warneri . . . . . . . . . . . . . . S . hominis . . . . . . . . . . . . . S . epidermidis . . . . . . . . . . S. c a p i t i s . . . . . . . . . . . . . . . 46 13 102 42 83 117 38 240 204 47 1 1 methylNitrate ~~~~~1 reduction production I I Phosphatase + - +a s. aureus . . . . . . . . . . . . . . . S.simulans . . . . . . . . . . . . . s. xylosus . . . . . . . . . . . . . . Hemolysis + 100b Deoxyribonuclease g Bacteriolytic activity 100 100 100 100 100 100 100 10 12 <1 16 83 89 6 100 100 100 100 “Reactions: +, positive; +, weak; -, negative. ’Percentages of strains giving the reaction indicated. TABLE 8. Carbohydrate reactions of Staphylococcus species: monosaccharides under aerobic conditions D(+) Species S.aureus . . . . . . . . . . . . . . S . simulans . . . . . . . . . . . . s. rylosus . . . . . . . . . . . . . . S . cohnii . . . . . . . . . . . . . . . S . saprophyticus . . . . . . . . S . haemolyticus . . . . . . . . S. warneri . . . . . . . . . . . . . . S. hominis . . . . . . . . . . . . . S . epidermidis . . . . . . . . . . S. c a p i t i s . . . . . . . . . . . . . . . a Reactions: Total no. of strains studied 46 13 102 42 83 117 38 240 204 47 Glucose 1 B-D(-) Fructose 1 I D(+) D(+) Galactose Mannose - 1 I D(+) Xylose krabinose L(+) 7 ++=+ ++ + - ++, 100 100 100 8 92 100 62 29 9 56 38 6 95 5 10 90 86 12 2 100 8 92 85 14 1 92 5 3 24 36 40 29 24 47 98 2 100 5 19 76 79 21 100 33 19 48 100 80 5 15 100 100 79 21 100 100 + +, strong acid; +, moderate acid; *, weak acid; Ribose D(-) ++, ~ 1OOb ’Percentages of strains giving reaction indicated. I + 89 77 95 51 3 2 - , negative. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 100 100 100 100 100 74 INT. J. SYST.BACTERIOL. KLOOS AND SCHLEIFER I I 1 I I I r -w0 + I I *r3s*mzm*o* CDmmcvmr-moTrtmm . .. . ... . .. . . .. . .. .. . .. .. . .. . ... . . .. . ... . . .. . ... . . .. . ... . . .. . ... . . .. . ... . . .. . ... . Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 Growth a t extreme temperature: Good growth a t 15 and 45 C. Growth on NaCl agar: Good growth with 10% NaC1, no growth with 15%. Coagulases not produced. Phosphatase activity weak. Acetylmethylcarbinol not produced. Nitrates are reduced. Hemolysins: No hemolysis of sheep blood, Species S . aureus . . . . . . . . . . . S . simulans . . . . . . . . . s. xylosus . . . . . . . . . . S . cohnii.. . . . . . . . . . . S . saprophyticus . . . . S . haemolyticus . . . . . S . warneri . . . . . . . . . . S . hominis . . . . . . . . . . S . epidermidis . . . . . . S . capitis . . . . . . . . . . . 75 STAPHYLOCOCCI FROM HUMAN SKIN. II. VOL.25, 1975 Total Level of susceptibility" no. of strains 12.5 25 50 100 200 studied (+) (+) ( + I ( + I (*I 10 23 51 13 101 42 83 116 38 178 152 48 82 77 27 8 67 100 28 6 72 34 8 41 68 8 66 92 59 32 92 weak hemolysis of bovine blood, good hemolysis of human blood. DNase activity weak. Acid produced aerobically from glucose, fructose, ribose, maltose (very weak), lactose, sucrose, trehalose, mannitol, and glycerol. No acid from galactose, mannose, rhamnose, xylose, arabinose, turanose, gentiobiose, cellobiose, melezitose, xylitol, sorbitol, inositol, salicin, adonitol , dulci tol, arabitol, erythritol, eryt hrose, raffinose, melibiose, fucose, t agatose, lyxose, or sorbose. Antibiotic susceptibilities: Susceptible to lysostaphin (MIC, 25 pglml), streptomycin (MIC, 3.1 pglml), erythromycin (MIC, 0.8 pg/ml), and novobiocin (MIC, 0.1 pglml); slightly resistant to penicillin G (MIC, 3.1 pglml); resistant to tetracycline (MIC, 200 pg/ml); resistant to lysozyme. Cell wall peptidoglycan: L-LYs-G~Y,., , L Ser,,. 2, Cell wall teichoic acid composition: Glycerol and galactosamine. G+C content of the DNA: 34.0 mol%. S . simulans can be distinguished from all other staphylococci primarily on the basis of a combination of its colony morphology, lack of acetylmethylcarbinol production, carbohydrate reaction pattern, and cell wall composition. There are also some significant differences be- TABLE l l . Antibiotic susceptibilities of Staphylococcus species Total Species I no. of strains 8 studied" o Penicillin G Novobiocin Erythromycin Tetracycline Level of susceptibility* 1 Level of susceptibilit! Level of susceptibility Level of susceptibility "? y 8 2 zg &z G&+s3"A z F 4.;) 2-4- S T 40 0 "9, zz 1 - 51 13 101 42 83 116 152 48 45' 46 2 20 8 26 2 49 4 8 23 47 25 91 7 95 5 <1 25 27 96 23 100 21 77 62 26 62 17 82 7 95 <1 - 72 - 96 1 98 3 0s JT+cq 3 - d ~ o ~ d d d ~ o 5 % ? 8 ~ S . aureus . . . . . . . . . . S . simulans . . . . . . . . s. xylosus . . . . . . . . . S. cohnii . . . . . . . . . . . S . saprophyticus . . . S . haernolyticus . . . . S . warneri . . . . . . . . . S . hominis . . . . . . . . . S . epidermidis . . . . . S . capitis . . . . . . . . . . - 4 100 23 46 8 12 80 2 21 84 14 11 93 4 5 90 <1 100 64 83 85 46 18 2 3 9 36 17 15 - Strains were isolated from persons who were not exposed to antibiotics for at least 3 months prior to collecting. It would be expected that the above base-level frequencies might shift toward higher frequencies of resistant strains during or shortly after antibiotic exposure (8). bExpressed as MIC (numbers) and disk zone inhibition (numbers in parentheses). MICs are expressed as micrograms per milliliter. Disk zone inhibition represents the width (in millimeters) of the zone of antibiotic inhibition, measured from the edge of a 2-U penicillin G, 5-pg novobiocin, 2-pg erythromycin, and 30-pg tetracycline sensitivity disk (Difco), respectively. 'Data are given as percentages of strains. a Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 S . aureus . . . . . . . . . . . S . simulans . . . . . . . , , s. xylosus . . . . . . . . . . S . cohnii . . . . . . . . . . . . S . saprophyticus . . . . S . haemolyticus . . , . . S . warneri . . . . . . . . . . S. hominis . . . . . . . . . . S . epidermidis . . . . . . S . capitis . . . . . . . . . . . - z E! : 3 Q co (CO) (LCO) (LCO) (CO) (CO) RT (RST) RT RT 4naerobic growth in thioglycolated - - t + + + + + + (+) 4.3-4.6 4.7-5.0 4.9-5.6 5.3-6.0 5.0-5.4 4.9-5.5 4.7-5.0 4.4-4.9 4.3-4.6 4.2-4.7 I'erminal p H in yeast extractglucose medium Acid (aerobically)from (T) V T V PS PS PS V V (PS) Cell Colony mange profile ment and light transmis- b e domision* nantY L L>D DL,D DL DL D DL,(L) DL,L L> D L,DL ~ Lactic acid isomer(s + (*) f + + + + + + + I 0.9-1.4 0.6-1.4 0.6-1.3 0.7-1.5 0.8-1.2 5.0-6.0 4.7-6.0 4.9-5.7 4 . 9 4 .0 4.1-5.1 3.3-4.0 3.3-4.4 3.3-4.3 4.0-5.0 3.5-4.3 5 R .3 Q -I---- - - Peptidoglycan (moVmol of glutamic acid) -I + - - + + + + - V Teichoic acid (components) d Cell-wall composition V f (+) +. + V + +** f, - + (-) - + 1 I Glutamic acid polymer (glutamic acid 2 1.3 mol/mol lysine) Coagu- Hemol. Acety!- Nitrate ribonuD~xyPhoslase ysis methyl- reducphatase (pref. (pref. rarbinol tion clease rabbit) bovine1 (+) (-) + + Growth at 45 C Resistance to Growth on 10% ;rowth NaCl 3t 15 C agar a Characters were selected based on their ease of distinction and wide differences (270%) in their type frequencies between two or more species. A single listed symbol denotes a type frequency of 90 to 100%; parentheses around symbols denote a type frequency of 70 to 89%; two symbols are listed for a character when either type is in frequency below 70'70, but together equal 80 to 100%.Symbols for characters (unless noted otherwise): +, positive; i,weak; - , negative: V, variable ( + , f,and - ) . Symbols for colony profile and light transmission: RT, raised (flat) and translucent; RST. raised (flat) and slightly translucent; CO, convex and opaque: LCO. low convex and opaque. Symbols for cell arrangement: PS, pairs and single cells; T, tetrads; V, variable (pairs, singles, and tetrads common). Symbols for anaerobic growth: +. dense uniform; *. gradient of growth from dense to light down tube; +C, large individual colonies; c. small individual colonies to absence of visible growth: V, variable (dense uniform, gradient growth, and individual colonies). 'Without exposure. 'ND, Not determined. (All of the strains were not tested. Some of the strains of S. xylosus and S . saprophyticus tested contained glucose. and most of the strains of S . saprophyticus tested contained glucosamine.) - S . aureus . . . . . . . . . . . + S . simulans . . . . , , , . . + s. xylosus . . , . . . . . . . + S . cohnii . . . . . . . . . . . . + S . saprophyticus . . . . + S . haemolyticus . . . . . +,S . warneri . . . . . . . . . . + S . hominis . . . . . . . . . . + S . epidermidis . . . :. . + S . capitis . . . . . . . . . . . + Species 6-8 5-7 5-9 5-7 5-8 4-8 3-5 3-4 2-4 1-3 Species - Colony diameter (mm) TABLE 12. Scheme for the classification of human cutaneous staphylococcia STAPHYLOCOCCI FROM HUMAN SKIN. 11. VOL.25, 1975 77 Species colony morphology and pigment pattween S. simulans and certain other species in the parameters of anaerobic growth in thio- terns are illustrated in Fig. 1. These characters glycolate, lactic acid configuration, growth a t were very useful in making the preliminary different NaCl concentrations and temperature species identification of strains on the original extremes, coagulase activity, hemolysis, acetyl- isolation plates. Species having very distinctive methylcarbinol production, nitrate reduction, colony characteristics include S. hominis, S. and phosphatase, DNase, and bacteriolytic ac- warneri, S . epidermidis, and S . capitis. It was tivities. Several of the properties of S . sirnulans somewhat difficult to differentiate a certain few overlap with those of five unusual coagulase- strains of S. xylosus, S. saprophyticus, S . positive strains isolated in this study that cohnii, and S . haemolyticus from one another appear to be similar to strains previously de- using these characters alone. It should be pointed out that the species scribed by Reeder and Ekstedt (14)and Oeding (12). There is also a n overlap of several proper- character variation observed in this study, ties with those of human strains of s.aureus. It through very similar for the strains isolated from would appear then that S . sirnulans is closely cities in North Carolina and New Jersey, may be somewhat different with strains obtained related to the coagulase-positive staphylococci. Character variation in Staphylococcus from certain other geographical areas. For exspecies. Summary data of the morphological, ample, in this study we did not recover any of physiological, biochemical, and antibiotic char- the violet-pigmented strains of S. epiderrnidis acters found in the various Staphylococcus found by Marples (7) on people living in Philaspecies isolated from human skin are shown as delphia, Pa., and recently found by one of us follows: colony morphology and pigment and (W.E.K.) and W. C. Noble (unpublished data) cell arrangements, Table 5; anaerobic growth on people living in London, England. Strains in thioglycolate, growth on 10% and 15% NaCl originating from animals other than man may agar, and growth at 15 and 45 C, Table 6; also show somewhat different character variacoagulas e , he mol y sis , acety lm e t hy lcarbinol tion from the human strains. Occurrence of Staphylococcus species on production, nitrate reduction, phosphatase, DNase, and bacteriolytic activities, Table 7; human skin. A summary of the occurrence and carbohydrate reactions, Tables 8 and 9; lyso- distribution of Staphylococcus species on hustaphin susceptibility, Table 10; and antibiotic mans is shown in Table 13. As can be seen from susceptibilities, Table 11. A summary scheme the data, some species show preferences for showing the key characters used for the classifi- certain regions of the cutaneous habitat. S. cation of cutaneous Staphylococcus species is epiderrnidis was a predominant species in all presented in Table 12. This information is regions tested, including the head, nares, axilbased on species described in the companion lae, arms, and legs. S. hominis was a predominant species on the head, axillae, arms, and paper (15) and this one. TABLE 13. Occurrence of Staphylococcus species on human skin % of 40 Species S . aureus . . . . . . . . . . S . simulans . . . . . . . . s. xylosus . . . . . . . . . S . cohnii . . . . . . . . . . . S . saprophyticus . . . S . haemolyticus . . . . S . warneri . . . . . . . . . S . epidermidis . . . . . S . hominis . . . . . . . . . S . capitis . . . . . . . . . . individuals with species 52 12 42 35 70 78 52 100 100 65 Mean 7%of skin sites occupied by specieshndividual Head Nares Axillae Arms Legs 4b 2 2 4 4 12 3 15 17 31 21 15 87 43 2 5 15 12 5 12 78 4 1 5 6 17 8 0 92 11 7 11 18 28 28 9 82 69 27 9 2 8 19 32 26 9 62 77 17 Mean % of species of total staphylococci (CFU) recoveredsite per individual" Head' Nares 1.6 x 1 0 4 ~ 7.8 x lo6 5 1 4 3 3 4 1 46 22 11 30 0.1 0.06 0.3 0.1 0.3 0.3 63 5 0.8 Axillae 1.0 x 10' 0.02 0.05 0.2 0.2 0.3 0.9 0 64 34 0.3 * The number of colonies isolated from each site to determine the percentage of species present represents an estimated 22 f 1%of the total staphylococcus colony-forming units (CFU) recoverable. Number of sites per individual. Average number of staphylococci per site per individual. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 78 KLOOS AND SCHLEIFER Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44 INT. J. SYST.BACTERIOL. VOL.25, 1975 STAPHYLOCOCCI FROM HUMAN SKIN. 11. legs, and to a lesser extent in the nares. S. cupitis was a predominant species on the head and to a lesser extent on the arms. S. uureus, as expected from a considerable number of earlier reports, was often a predominant species in the nares. ACKNOWLEDGMENTS We are greatly indebted to Margaret Musselwhite for her excellent technical advice and assistance throughout this study. We are also grateful to E. Hagner, I. Pomper, and B. Popp for their capable assistance. We are thankful for the help provided by Merrill Emmett for maintaining and shipping cultures, Susan Kloos and Wesley L.Kloos for assisting in collecting skin samples from persons living in New Jersey, and Renee Johnson for assembling and typing tabular data and assisting in preparing the manuscript. We also thank the many people who provided us with samples of their skin flora. This research was supported by Public Health Service research grant A1 08255 from the Institute of Allergy and Infectious Diseases and the Deutsche Forschungsgemeinschaft. Funds were provided by the North Carolina Agricultural Experiment Station for the color plate, which was photographed by Ralph Mills and printed by Prolab, Raleigh, N.C. REPRINT REQUESTS Address reprint requests to: Dr. Wesley E. Kloos, Department of Genetics, North Carolina State University, Raleigh, N.C. 27607. LITERATURE CITED 1. Auletta, A. E.,and E. R. Kennedy. 1966.Deoxyribonucleic acid base composition of some members of the Micrococcaceae. J. Bacteriol. 92:28-34. 2. Baird-Parker, A. C. 1963.A classification of micrococci and staphylococci based on physiological and biochemical tests. J. Gen. Microbiol. 30:409-427. 3. Baird-Parker, A. C. 1965.The classification of staphylococci and micrococci from world-wide sources. J. Gen. Microbiol. 38:363-387. 4. Davis, G. H. G., and B. Hoyling. 1974.Observations on 79 anaerobic glucose utilization tests in StaphylococcusMicrococcus identification. Int. J. Syst. Bacteriol. 24:l-5. 5. Gordon, M. H. 1905. Report on bacterial test whereby particles shed from the skin may be detected in the air. Annu. Rep. Med. Officer Local Gov. Board (London) 5:387-409. 6. Kloos, W. E., T. G. Tornabene, and K. H. Schleifer. 1974. Isolation and characterization of micrococci from human skin, including two new species: Micrococcus lylae and Micrococcus kristinae. Int. J. Syst. Bacteriol. 24~79-101. 7. Marples, R. R. 1969.Violagabriellae variant of Staphylococcus epidermidis on normal human skin. J. Bacteriol. 100:47-50. 8. Marples, R. R., and A. M. Kligman. 1971. Ecological effects of oral antibiotics on the microflora of human skin. Arch. Dermatol. 103:148-153. 9. Marples, R. R., A. M. Kligman, L. R. Lantis. and D. T. Downing. 1970.The role of the aerobic microflora in the genesis of fatty acids in human surface lipids. J. Invest. Dermatol. 55:173-178. 10. Mitchell, R. G., V. G. Alder, and K. Rosendal. 1974.The classification of coagulase-negative Micrococcaceae from human and animal sources. J. Med. Microbiol. 7:131-135. 11. Noble, W. C. 1969.Skin carriage of the Micrococcaceae. J. Clin. Pathol. 22:249-253. 12. Oeding, P. 1973. Wall teichoic acids in animal Staphylococcus aureus strains determined by precipitation. Acta Pathol. Microbiol. Scand. Sect. B 81:327-336. 13. Perry, J. J. 1969.Isolation of Staphylococcus epidermidis from Tobacco. Appl. Microbiol. 17:647. 14. Reeder, W.J., and R. D. Ekstedt. 1973.Unique teichoic acid isolated from the cell walls of a strain of Staphylococcus aureus. Infect. Immunity 7586-588. 15. Schleifer, K. H., and W. E. Kloos. 1975. Isolation and characterization of staphylococci from human skin. I. Amended descriptions of Staphylococcus epidermidis and Staphylococcus saprophyticus and descriptions of three new species: Staphylococcus cohnii, Staphylococcus haemolyticus, and Staphylococcus xylosus. Int. J. Syst. Bacteriol. 25:50-61. 16. Schleifer, K. H.,and M. Kocur. 1973. Classification of staphylococci based on chemical and biochemical properties. Arch. Mikrobiol. 93:65-85. FIG. 1. Colonies of Staphylococcus species isolated from human skin. The “seed” inoculum was incubated at 34 C for 5 days (unless otherwise noted). (All rows read from left to right.) ( A ) S . aureus: top, GH 38; middle row, KL 207, JL 68, KES 1; bottom row,GH 39, M A W306, HK 91 (Staphylococcus sp. related tolor a variety of S . aureus). ( 3 )S . simulans: ATCC 27848 (MK Z#), ATCC 27849 ( AW 215), ATCC 27850 ( K L 240). ( C ) S . xylosus: top row, A W 124, DM 37, A W244, GH 30; middle row, DSM 20266 ( K L 162),KH 168, TM 76, RM349; bottom row,DBM 194, GH 9 (Staphylococcus sp. related tolor variety of S . xylosus). ( D )S . cohnii: DM 224, DSM 20260 (GH 137),MK 247. ( E )S . saprophyticus: top row, TW111, K L 20, DM 100; bottom row, SE 1 1 , G H l%, SM 118. (F)S . haemolyticus: top row, DM 70, TW268, GS 1 , MK 67; bottom row, KH 99, DSM2026.3 (SM 131), RM 419. ( G ) S . warneri: top row,MAW314, ATCC 27838 (MK 155),ATCC 27836 ( AW25);bottom row, ATCC 27837 (RM 130),ATCC 27839 (DW 138), DM 229. ( H I ) S . hominis (incubated 5 days): top row,ATCC 27844 (DM 122), GH 180, LK 89, JM 16; bottom row, ATCC 27845 ( K L 2431, BS 14, ATCC 27847 (KES 131, ATCC 27846 (MK 129). (H2)S . hominis (incubated 7days): colony identification same as above as in ( H l ) .( I ) S . epidermidis: top row, KL 275, MK 214, A W269; bottom row, RK 13, JRM 1 , KH 141, (4S . capitis: ATCC 27840 (LK 499), ATCC 27842 (MCS 1 1 ) , ATCC 27841 (DM 267). Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Wed, 14 Jun 2017 18:39:44
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