Here is a thorough, clinically organized reference list of aerobic and anaerobic bacteria, drawn from Tietz Textbook of Laboratory Medicine, Fitzpatrick's Dermatology, Goldman-Cecil Medicine, and supplemented by standard medical microbiology.
Aerobic and Anaerobic Bacteria - Clinical Reference List
Classification Overview
Bacteria are grouped by their oxygen requirement:
| Category | Oxygen Requirement |
|---|
| Obligate (strict) aerobes | Require O2 to grow |
| Microaerophiles | Grow best at low O2 tension |
| Facultative anaerobes | Grow with or without O2 |
| Aerotolerant anaerobes | Tolerate O2 but do not use it |
| Obligate (strict) anaerobes | Cannot survive in the presence of O2 |
AEROBIC BACTERIA
Obligate Aerobes
These bacteria require oxygen and cannot grow without it.
| Organism | Key Features / Clinical Relevance |
|---|
| Mycobacterium tuberculosis | TB; strict aerobe, thrives in O2-rich lung apices |
| Mycobacterium leprae | Leprosy |
| Nocardia asteroides | Pulmonary/CNS nocardiosis |
| Pseudomonas aeruginosa | Opportunistic; burns, cystic fibrosis, UTI |
| Bordetella pertussis | Whooping cough |
| Francisella tularensis | Tularemia |
| Bacillus anthracis | Anthrax (aerobic spore-former) |
Microaerophiles
Grow best at 5-10% O2 (less than atmospheric).
| Organism | Key Features / Clinical Relevance |
|---|
| Campylobacter jejuni | Most common bacterial gastroenteritis |
| Helicobacter pylori | Peptic ulcers, gastric cancer |
| Treponema pallidum | Syphilis |
| Borrelia burgdorferi | Lyme disease |
FACULTATIVE ANAEROBES
Grow aerobically or anaerobically; very commonly encountered in clinical practice.
Gram-Negative Rods (Enterobacteriaceae and others)
| Organism | Key Features / Clinical Relevance |
|---|
| Escherichia coli | UTI, neonatal meningitis, gastroenteritis |
| Klebsiella pneumoniae | Hospital-acquired pneumonia, UTI |
| Proteus mirabilis | UTI, struvite stones |
| Salmonella typhi | Typhoid fever |
| Salmonella spp. | Gastroenteritis, bacteremia |
| Shigella spp. | Dysentery |
| Yersinia pestis | Plague |
| Yersinia enterocolitica | Gastroenteritis |
| Haemophilus influenzae | Meningitis, epiglottitis, pneumonia |
| Vibrio cholerae | Cholera |
| Aeromonas hydrophila | Wound infections, gastroenteritis |
Gram-Positive Cocci
| Organism | Key Features / Clinical Relevance |
|---|
| Staphylococcus aureus | Abscesses, endocarditis, MRSA, toxic shock |
| Staphylococcus epidermidis | Catheter infections, prosthetic valve endocarditis |
| Staphylococcus saprophyticus | UTI in young women |
| Streptococcus pyogenes (Group A) | Pharyngitis, rheumatic fever, cellulitis |
| Streptococcus agalactiae (Group B) | Neonatal meningitis/sepsis |
| Streptococcus pneumoniae | Pneumonia, meningitis, otitis media |
| Enterococcus faecalis/faecium | UTI, endocarditis |
Gram-Positive Rods
| Organism | Key Features / Clinical Relevance |
|---|
| Listeria monocytogenes | Meningitis in pregnant women, neonates, elderly |
| Corynebacterium diphtheriae | Diphtheria |
ANAEROBIC BACTERIA
Gram-Negative Rods (most common anaerobic pathogens)
| Organism | Key Features / Clinical Relevance |
|---|
| Bacteroides fragilis | #1 anaerobic pathogen; intra-abdominal abscesses, peritonitis |
| Bacteroides thetaiotaomicron | Colon flora; infections post-bowel surgery |
| Bacteroides vulgatus | Intra-abdominal infections |
| Bacteroides ovatus | Colon; post-surgical infection |
| Prevotella melaninogenica | Oral/pulmonary infections, aspiration pneumonia |
| Prevotella intermedia | Periodontal disease |
| Prevotella bivia | Female genital tract infections |
| Prevotella denticola | Oral anaerobic infections |
| Porphyromonas gingivalis | Periodontitis |
| Fusobacterium nucleatum | Lemierre's syndrome, periodontal disease |
| Fusobacterium necrophorum | Lemierre's syndrome, pharyngitis complications |
| Bilophila wadsworthia | Gangrenous cholecystitis |
| Parabacteroides distasonis | GI flora; opportunistic infections |
Gram-Positive Cocci
| Organism | Key Features / Clinical Relevance |
|---|
| Peptostreptococcus anaerobius | Mixed wound infections, abscesses |
| Finegoldia magna | Skin/soft tissue, bone infections |
| Peptoniphilus asaccharolyticus | Wound/abscess infections |
| Anaerococcus vaginalis | Female genital tract infections |
| Parvimonas micra | Oral/dental infections, endocarditis |
Gram-Positive Spore-Forming Rods (Clostridia) - Most Virulent Anaerobes
| Organism | Key Features / Clinical Relevance |
|---|
| Clostridium perfringens | Gas gangrene (myonecrosis), food poisoning |
| Clostridioides difficile | Antibiotic-associated colitis, pseudomembranous colitis |
| Clostridium tetani | Tetanus |
| Clostridium botulinum | Botulism (foodborne, wound, infant) |
| Clostridium septicum | Gas gangrene; associated with colorectal cancer |
| Clostridium novyi | Gas gangrene |
| Clostridium ramosum | GI and wound infections |
| Clostridium bifermentans | Wound infections |
Gram-Positive Non-Spore-Forming Rods
| Organism | Key Features / Clinical Relevance |
|---|
| Actinomyces israelii | Actinomycosis (cervicofacial, thoracic, abdominal) |
| Actinomyces naeslundii | Dental plaque, periodontal disease |
| Actinomyces odontolyticus | Dental caries |
| Cutibacterium acnes (formerly Propionibacterium) | Acne vulgaris, prosthetic joint/implant infections |
| Propionibacterium propionicum | Lacrimal canaliculitis, actinomycosis-like infections |
| Eubacterium spp. | Colon flora; root canal infections |
| Bifidobacterium breve | Neonatal intestinal flora; rarely pathogenic |
| Lactobacillus spp. (anaerobic) | Normal vaginal/GI flora; rarely cause bacteremia |
| Mobiluncus curtissii | Bacterial vaginosis |
Gram-Negative Cocci
| Organism | Key Features / Clinical Relevance |
|---|
| Veillonella parvula | Oral flora; endocarditis, meningitis (rare) |
| Veillonella dispar | Oral/respiratory flora |
Key Memory Aids
"NACHO" - Obligate Aerobes: Nocardia, Pseudomonas Aeruginosa, (Myco)bacteria tuberculosis, Bordetella pertussis, Francisella tularensis
Strict Anaerobes mnemonic - "FAB PC CCC":
- Fusobacterium, Actinomyces, Bacteroides fragilis, Peptostreptococcus, Clostridium spp.
Most clinically important anaerobes by site:
| Site | Key Anaerobes |
|---|
| Oral/dental | Fusobacterium, Prevotella, Porphyromonas, Peptostreptococcus |
| Lung (aspiration) | Fusobacterium, Peptostreptococcus, Prevotella, Bacteroides |
| Intra-abdominal | Bacteroides fragilis, Clostridium, Peptostreptococcus |
| Female genital tract | Prevotella bivia, Peptostreptococcus, Bacteroides |
| Skin/soft tissue | Clostridium perfringens, Cutibacterium acnes, Finegoldia |
Sources: Tietz Textbook of Laboratory Medicine 7e; Fitzpatrick's Dermatology; Goldman-Cecil Medicine; Murray & Nadel's Respiratory Medicine; ScienceDirect Anaerobic Bacterium Overview