Question:You see Gram-positive cocci in chains on a throat culture.What is your NEXT test?
✅ Correct Answer:
B) Catalase
🧠 Explanation:
Gram-positive cocci in chains strongly suggest:
👉 Streptococcus species
The next step is to perform a catalase test to differentiate:
• Staphylococcus → catalase positive
• Streptococcus → catalase negative
🔬 Why this is the NEXT step:
Before doing anything else (like PYR, bacitracin, or CAMP), you must first:
👉 Rule out Staphylococcus vs Streptococcus
That’s why catalase comes FIRST
❌ Why the other options are not next:
A) Coagulase
• Used AFTER catalase (to ID Staph aureus)
• Not the first step here
C) Oxidase
• Used mainly for Gram-negative organisms
• Not relevant for Gram-positive cocci
D) Indole
• Used for Gram-negative rods (Enterobacteriaceae)
• Not used for cocci
💡 Quick Recall Tip:
🧫 Gram + cocci → ALWAYS start with Catalase
Then:
➡️ Catalase negative → Streptococcus
➡️ Catalase positive → Staphylococcus
👇 Did you get it right? Drop a 🧫 or 💜 below!