TABLE OF CONTENTS
Title page - - - - - - - - - - I
Certification - - - - - - - - - - ii
Declaration - - - - - - - - - iii
Dedication - - - - . - - - - - .iv
Acknowledgements - - - - . - - - . - - - - - - - vi
Table of Contents - - - - - - - - - . - - vii
List of Tables - - - - - - - ix
List of Figures - - - - - . - - - - - - - .xvi
List of Plates - - - - - - - - - - - - xviii
Abstract - - - - - - - - - - .xix
CHAPTER ONE: INTRODUCTION
1.1Background - - - - - - - . - .1
1.2 Importance of this research - - - - - - - - - . - . 3
1.3 The aim and objectives of the research - - - - - - - - . - . 4
CHAPTER TWO: LITERATURE REVIEW
2.1 The staphylococci - - - - - - - - 6
2.1.1. Important properties - - - - - - .6
2.1.2. Staphylococcus aureus genome - - - - - - - - - - - - - - - - 7
2.1.3. Staphylococcus aureus cell Wall - - - - - .9
2.2. Staphylococcus aureus virulence determinants - - - - 10
2.2.1. Exfoliative toxins - - - - - - - - 11
2.2.2. Adhesins - - - - - - - 12
2.2.3. Superantigenic exotoxins - - - - - - - - 13
2.2.4. Staphylococcus aureus enzymes - - - - - .14
2.2.5. Leukocidins - - - - - - 15
2.3. Staphylococcus aureus pathogenesis - - - - 15
2.3.1. Staphylococcus aureus infections - - - - - .18
2.4. Nasal carriage of Staphylococcus aureus - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 20
2.4.1. Staphylococcus aureus colonization among health-care workers - - - - .21
2.4.2. The environment as a source of infection - - - - - - 22
2.5. Coagulase negative staphylococci - - - - - .23
2.5.1. Biofilm formation in staphylococci - - - . - - - - - 26
2.6. Emergence of antimicrobial resistance - - - - - - - 27
2.6.1. Genetics of antimicrobial resistance - - - - - - - - .28
2.6.2. Evolution of methicillin resistant S. aureus (MRSA) - - - - - - - - - - 28
2.7. Antistaphylococcal agents - - - - - - - - 33
2.7.1. β-lactam antibiotics - - - - - - - . 33
2.7.2. Penicillins - - - - - - - . 33
2.7.3. Penicillinase-stable β-lactams - - - - - - - - - - - . 36
2.7.4. Genetics of methicillin resistance - - - - . 36
2.7.5. Macrolides, Lincosamides & Streptogramins - . - - - .