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Gram-negative bacteria are seen less frequently: Haemophilus influenzae , Klebsiella pneumoniae , Escherichia coli , Pseudomonas aeruginosa , Bordetella pertussis, and Moraxella catarrhalis are the most common. These bacteria often live in the gut and enter the lungs when contents of the gut (such as vomit or faeces) are inhaled.
Haemophilus influenzae (formerly called Pfeiffer's bacillus or Bacillus influenzae) is a Gram-negative, non-motile, coccobacillary, facultatively anaerobic, capnophilic pathogenic bacterium of the family Pasteurellaceae. The bacteria are mesophilic and grow best at temperatures between 35 and 37 °C. [1]
The bacteria remain susceptible to aminoglycosides and some cephalosporins, and varying degrees of inhibition of the beta-lactamase with clavulanic acid have been reported. Infections due to multidrug-resistant gram-negative pathogens in the ICU have invoked the re-emergence of colistin.
Serratia is a genus of Gram-negative, facultatively anaerobic, rod-shaped bacteria of the family Enterobacteriaceae. [5] They are typically 1–5 μm in length, do not produce spores, [6] and can be found in water, soil, plants, and animals. [7]
S. marcescens is a motile organism and can grow in temperatures ranging 5–40 °C (41–104 °F) and in pH levels ranging from 5 to 9. It is differentiated from other Gram-negative bacteria by its ability to perform casein hydrolysis, which allows it to produce extracellular metalloproteinases which are believed to function in cell-to-extracellular matrix interactions.
Tatumella ptyseos is a species of Gram-negative bacteria first isolated from human clinical specimens, predominately sputum. It has been isolated from several food sources including powdered infant formula and pineapples.
Escherichia hermannii is a Gram-negative, rod-shaped species of bacterium.Strains of this species were originally isolated from human wounds, sputum, and stool.The species is named for American microbiologists George J. Hermann and Lloyd G. Herman.
The best sputum samples contain very little saliva, [2] as saliva contaminates the sample with oral bacteria. This is especially true for samples for laboratory testing in cytology or microbiology. Specimen adequacy is assessed by the laboratory technologists by examining a Gram stain or cytology stain of the sputum.