Staphylococcus aureus
| Morphology | Gram-positive cocci, usually occurs in clusters, nonspore forming, non-motile, coagulase positive, facultative anaerobes. | 
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| Disease | Toxic shock syndrome, food poisoning, intoxication, impetigo. | 
| Zoonosis | Yes, indirect and direct contact with infected animals, especially cows. | 
| Host Range | Humans and Animals. | 
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| Modes of Transmission | Ingestion of food containing enterotoxins, contact with nasal carriers, contact with draining lesions or purulent discharges, also spread by person-to-person contact; Indirectly by contact with fomites, Indirectly or directly by contact with infected animals. | 
| Signs and Symptoms | Accidental ingestion: Violent onset of severe nausea, cramps, vomiting, and diarrhea if preformed enterotoxin is present. Surface infections: Impetigo, follicutis, abscesses, boils, infected lacerations. Systemic infections: onset of fever, headache, myalgia, can progress to endocarditis, meningitis, septic arthritis, pneumonia, osteomyelitis, sepsis. | 
| Infectious Dose | Virulence varies for different strains. | 
| Incubation Period | 30 minutes to 8 hours when consuming contaminated food with enterotoxin. Otherwise, typically 4 to 10 days. Disease may not occur until several months after colonization of mucosal surfaces. | 
| Prophylaxis | Hand-hygiene; Elimination of nasal carriage by using topical mupirocin. Mupirocin also eliminates transient hand carriage by eliminating the mucosal reservoir. | 
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| Vaccines | None available | 
| Treatment | Incision and drainage for localized skin infections; antibiotic therapy for severe infections; Many strains resistant to antibiotics; Sensitivity must be determined for each strain. | 
| Surveillance | Monitor for signs of food poisoning when ingestion occurs. Monitor for skin inflammation; isolation of organism from wound, blood, CSF or urine. | 
| MSU Requirements | Report any exposures | 
| Laboratory Acquired Infections (LAIs) | 29 reported cases up to 1973 with 1 death. Most common cause of laboratory infection was accidental self-exposure via the mucous membranes by touching contaminated hands to face or eyes. | 
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| Sources | Contaminated food, blood, abscesses, lesion exudates, CFS, respiratory specimen, feces, and urine. Cultures, frozen stocks, other samples described in IBC protocol. | 
| Canadian MSDS: | https://www.canada.ca/en/public-health/services/laboratory-biosafety-biosecurity/pathogen-safety-data-sheets-risk-assessment/staphylococcus-aureus.html | 
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| BMBL: | https://www.cdc.gov/labs/BMBL.html | 
| NIH Guidelines: | https://osp.od.nih.gov/wp-content/uploads/NIH_Guidelines.pdf | 
| Risk Group 2 | Agents that are associated with human disease which is rarely serious and for which preventive or therapeutic interventions are often available. | 
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| BSL2 | For all procedures involving suspected or known infectious specimen or cultures. | 
| ABSL2 | For all procedures utilizing infected animals. | 
| Small | Notify others working in the lab. Remove PPE and don new PPE. Cover area of the spill
                                                with absorbent material and add fresh 1:10 bleach:water. Allow 20 munutes (or as directed)
                                                of contact time. After 20 minutes, cleanup and dispose of materials. | 
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| Large | 
 | 
| Mucous membrane  | Flush eyes, mouth, or nose for 5 minutes at eyewash station. | 
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| Other Exposures  | Wash area with soap and water for 5 minutes.  | 
| Reporting | Immediately report incident to supervisor, complete a First Report of Injury form, and submit to Safety and Risk Management. | 
| Medical Follow-up  | During business hours: Bridger Occupational Health 3406 Laramie Drive. Weekdays 8am -6pm.  Weekends 9am-5pm After business hours: Bozeman Deaconess Hospital Emergency Room 915 Highland Blvd Bozeman, MT | 
| Disinfection | Susceptible to 1:10 bleach:water, 70 % ethanol and 2 % gluteraldehyde, chlorohexadine, formaldehyde, and 0.25 % benzalkonium chloride. | 
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| Inactivation | Inactivated by moist heat (1 hour at 121oC) and dry heat (1 hour at 170oC). | 
| Survival Outside Host | Carcass and organs – 42 days; Skin – 30 minutes to 38 days; meat products – 60 days; floor – less than 7 days; glassware – 46 hours; sunlight – 17 days; UV light – 7 hours. | 
| Minimum PPE Requirements | Lab coat, disposable gloves, safety glasses, closed toed shoes, long pants | 
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| Additional Precautions | Additioanl PPE may be required depending on lab specific SOPs and IBC Protocol. | 
