4: Diagnosis of Infectious Diseases Flashcards
These are conditions or
associated with pathogens
Infectious diseases
These are conditions or
associated with pathogens
Infectious diseases
These are microorganisms or microbes
which has the capability to cause diseases
Pathogens
Pathogens present in the environment that cause certain diseases which may also cause certain infections are?
- Bacteria
- Fungi
- Virus
- Parasites
Molecular techniques are also referred to as?
GENOTYPE ASSAYS or GENOTYPE TESTING or GENOTYPING
HOW TO IDENTIFY THAT A CONDITION IS CAUSED BY AN INFECTIOUS AGENT
Identify whose role:
Diagnosis?
Physician
HOW TO IDENTIFY THAT A CONDITION IS CAUSED BY AN INFECTIOUS AGENT
Identify whose role:
Isolates the pathogen
from different clinical specimens?
MT
HOW TO IDENTIFY THAT A CONDITION IS CAUSED BY AN INFECTIOUS AGENT
Identify whose role:
Isolates the pathogen
from different clinical specimens?
MT
HOW TO IDENTIFY THAT A CONDITION IS CAUSED BY AN INFECTIOUS AGENT
Summary of the process of identifying diseases?
ISOLATE the PATHOGEN (clinical specimens) → MICROBIOLOGY section → IDENTIFY (Genus and Species) ‘name’ → BASIS of TREATMENT
HOW TO IDENTIFY THAT A CONDITION IS CAUSED BY AN INFECTIOUS AGENT
The actual name of microbe/pathogen?
Genus and the species
HOW TO IDENTIFY THAT A CONDITION IS CAUSED BY AN INFECTIOUS AGENT
T or F
Identifying isolated genus and species is important since it will be the basis of treatment
T
HOW TO IDENTIFY THAT A CONDITION IS CAUSED BY AN INFECTIOUS AGENT
T or F
treatment associated to your pathogen is universal to other genus and speciest
F (treatment associated to your pathogen is SPECIFIC for its genus and species)
HOW TO ISOLATE THE PATHOGEN?
What classical,traditional,usual or routine method is used to identify microorganism?
phenotyping analysis (microscopic analysis)
HOW TO ISOLATE THE PATHOGEN?
Focuses more on the physiological or physiologic properties of microorganism
Phenotype
HOW TO ISOLATE THE PATHOGEN?
2 Common methods of phenotype analysis?
- See through naked eye
- Microscope
HOW TO ISOLATE THE PATHOGEN?
A Common way of identifying presence of microorganisms in phenotype analysis?
staining procedures
HOW TO ISOLATE THE PATHOGEN?
T or F
Staining procedures identifies both the presence/absence of microorganism as well as the name (genus and species)
F (PRESENCE OR ABSENCE OF MICROORGANISM ONLY)
HOW TO ISOLATE THE PATHOGEN?
Before identifying specific name of microogranism in phenotype analysis, this should be done
Culture the specimen
HOW TO ISOLATE THE PATHOGEN?
Before identifying specific name of microogranism in phenotype analysis, this should be done
Culture the specimen
HOW TO ISOLATE THE PATHOGEN?
grow the microorganism outside the body using artificial environment
Culture
HOW TO ISOLATE THE PATHOGEN?
majority of the microorganisms will grow during the span of these hours
24-48 hours
HOW TO ISOLATE THE PATHOGEN?
Denote the presence or growth of bacteria or pathogen, specifically if the one we isolated is clinically significant.
colonies
HOW TO ISOLATE THE PATHOGEN?
After presence of colonies, to specifically know the genus and species what dhould be done as a follow up?
Follow-up testing through biochemical testing
HOW TO ISOLATE THE PATHOGEN?
T or F
One biochemical test is enough to know genus and species of microogranism
F (series of biochem test)
What are the 2 ways of detection of pathogen/diagnosis?
- Diagnosis using NAATS
- Diagnosis using SEQUENCING
WAYS OF DETECTION OF PATHOGENS
→Most common method of diagnosis
→Amplify small amount of nucleic acid
Diagnosis using NAATS
WAYS OF DETECTION OF PATHOGENS: NAATS
→Among all the Amplification assays, this is the most common (very popular method)
PCR based amplification techniques
WAYS OF DETECTION OF PATHOGENS: NAATS
what are the PCR based amplification techniques?
qPCR, RT-PCR, real time PCR, multiplex, duplex PCR, enzyme-based PCR,
WAYS OF DETECTION OF PATHOGENS: NAATS
T or F
when we perform or do a nucleic acid amplification technique, it is important to know the specific target sequence or location or position of the gene
T
WAYS OF DETECTION OF PATHOGENS: NAATS
Common target sequence of genes for bacteria?
16S rRNA or 23S rRNA (have varying degrees)
WAYS OF DETECTION OF PATHOGENS: NAATS
Common target sequence of genes for fungi?
18S rRNA (have varying degrees)
WAYS OF DETECTION OF PATHOGENS: NAATS
T or F
Identifiers and sequences (like the 16s rrNA) does not matter
F (it does since these will be used as a basis for designing primers)
WAYS OF DETECTION OF PATHOGENS
→sequencing in detecting pathogens.
DIAGNOSIS WITH SEQUENCING
WAYS OF DETECTION OF PATHOGENS: DIAGNOSIS WITH SEQUENCING
Most common sequencing tests for sequencing?
NGS or next generation sequencing technique.
WAYS OF DETECTION OF PATHOGENS: DIAGNOSIS WITH SEQUENCING
Under NGS, one of the most important things to know is the part of the gene/commonly sequenced is the?
16S rRNA
WAYS OF DETECTION OF PATHOGENS: DIAGNOSIS WITH SEQUENCING
Under NGS, one of the most important things to know is the part of the gene/commonly sequenced is the?
16S rRNA
WAYS OF DETECTION OF PATHOGENS: DIAGNOSIS WITH SEQUENCING
Why is 16s rRNA the most common target to use for nGS?
it contains alternating sequence with conserved regions which contains the signature sequence and makes the organism unique, making it
also highly specific.
IDENTIFY THE SPECIES: MOLECULAR DETECTION OF BACTERIA
→ belongs to the Fastidious microorganisms or Fastidious bacterium
→Arthropod borne
→ Serology is most common method of diagnosis
→ Screening assay is qPCR/real time PCR
→ Confirmatory assays are enzyme-based PCR, microarray techniques, ISH, Blotting techniques
BARTONELLAE SPECIES
IDENTIFY THE SPECIES: MOLECULAR DETECTION OF BACTERIA
is fastidious meaning it very selective in such a way that it requires a special environment or special requirement or special procedures before you can grow it.
BARTONELLAE SPECIES
IDENTIFY THE SPECIES: MOLECULAR DETECTION OF BACTERIA
T or F
Molecular techniques is performed for BARTONELLAE since it is difficult to grow in the lab as it requires a lot of special requirements.
T
IDENTIFY THE SPECIES: MOLECULAR DETECTION OF BACTERIA
T or F
Isolation using classical bacteriological methods is easy to do since it requires minimum requirements
F (Isolation using classical bacteriological methods is laborious and requires specific conditions and prolonged incubation periods)
MOLECULAR DETECTION OF BACTERIA
Most commonly used method of diagnosis for bacteria that looks for antibody production when infected with species
SEROLOGY
MOLECULAR DETECTION OF BACTERIAL BARTONELLA SPECIES
T or F
Serological assay is diffucult for bartonellae since it contain lots of species – more than 30 which cannot be differentiated
T
MOLECULAR DETECTION OF BACTERIA: BARTONELLAE SPECIES
To screen presence of Bartonellae in an infection or condition, the most commonly used assay is?
real-
time PCR techniques (qpcr)
MOLECULAR DETECTION OF BACTERIA: BARTONELLAE SPECIES
After screening through qPCR, waht should be followed?
molecular confirmatory assays targeting several loci
MOLECULAR DETECTION OF BACTERIA: BARTONELLAE SPECIES
Familiarize the confirmatory assays under bartonellae
enzyme-based PCR, microarray techniques, ISH, Blotting techniques
IDENTIFY THE SPECIES: MOLECULAR DETECTION OF BACTERIA
→ arthropod borne
→ genus is under the group of Spirochetes
→ One of its most common arthropod or insect associated with it are ticks
BORELLA SPECIES
MOLECULAR DETECTION OF BACTERIA: BORELLA
→ refer to bacteria that have spiral shape, a feature for BORELLA
Spirochetes
IDENTIFY THE SPECIES: MOLECULAR DETECTION OF BACTERIA
Common insects associated with BORELLA
Ticks
MOLECULAR DETECTION OF BACTERIA: BORELLA
Characteristic symptoms for BORELLA?
Bull’s eye rash
MOLECULAR DETECTION OF BACTERIA: BORELLA
Classical microbiology method or traditional method for diagnosing bacterial isolate, Borella species ?
Blood Smear preparation
MOLECULAR DETECTION OF BACTERIA: BORELLA
T or F
Blood smear detection analysis is ideal since it gives early diagnostics
F (blood smear can only detect bacteria if it is high enough; meraning the patient is already highly infectious, therefore NOT IDEAL)
MOLECULAR DETECTION OF BACTERIA: BORELLA
Instead of blood smear, what molecular techniques can be used to give early diagnosis?
- PCR
- NGS
- Proteomic Approaches
MOLECULAR DETECTION OF BACTERIA: BORELLA
→ gives the highest viable diagnostic approach specifically during the early stages/acute phases
→ valuable diagnostic approach in acutely ill
patients
early diagnosis thorugh molecular technqiues
PCR
MOLECULAR DETECTION OF BACTERIA: BORELLA
most recently applied techniques for detecting Borella species
early diagnosis thorugh molecular technqiues
NGS and PROTEOMIC APPROACHES
This bacterium is an important cause of Sexually Transmitted Diseases (STD) specifically in the United States (US)
CHLAMYDIA TRACHOMATIS
Chlamydia Trachomatis - T or F
when an individual presents with an infection associated with it, the said infected individual presents as symptomatic
F - Asymptomatic (Majority of cases)
have signs of
symptoms but are very mild
what should be done for patients that are suspected with Chalmydia Trachomatis?
Early diagnosis or
Early screening test
What is the most concernincg factor of Chlamydia Trachomatis?
When missed out, it can easily spread
What ate the three main target genes in chlamydia trachomatis?
- Cryptic plasmid
- Genomic sequences
- rRNA (16S rRNA and 23S rRNA)
in chlamydia what was considered the best target gene specifically for the AMPLIFICATION TECHNIQUES?
also commonly used
cryptic plasmid
CHLAMYDIA TRACHOMATIS
What does the cryptic plasmid contains
introns or the intracellular sequences which can be amplified via a multicopy.
Reasons and applications of typing Chlamydia
trachomatis?
detecting the transmission pattern or
pattern of spread
Reasons and applications of typing Chlamydia
trachomatis? - FORENSIC PRUPOSES
typing for
cases associated with sexual assault
In typing the chlamydia trachomatis, it is based
mainly on the discrimination of?
** 15 different serovars** encoded by the ompA (omp1) gene
CHLAMYDIA TRACHOMATIS
What encodes the 15 different serovars?
ompA (omp1) gene
main focus of its sequencing
CHLAMYDIA TRACHOMATIS
Main advantage when we do typing:
differentiate, which can identify diff serovars (Strains)
A microorganism that is difficult to grow using the classical method because an anaerobe.
CLOSTRIDIUM DIFFICILEA
For an anaerobic microorganism to grow? what is the pre-requisite
NO OXYGEN in the environment
an important cause of nosocomial type
of diarrhea
Clostridium Difficilea
clue: DIFFI = DIFFICATE (natae rawr)
CLOSTRIDIUM DIFFICILEA
what does nosocomial Diarrhea means
hospital-acquired or antibiotic-associated diarrhea
CLOSTRIDIUM DIFFICILEA
Main responsible for hospitalacquired diarrhea.
Nosocomial Diarrhea
is Clostrodium Difficilea are photogenic? TOF
F (Pathogenic)
What is the relative activity of Clostrodium Difficilea when it can be considered pathogenic?
Once it release toxic
Best method for detect Clostrodium Difficilea and why?
TISSUE CULTURE CYTOTOXIN ASSAY – bcos its pathogenic and in this assay we culture the toxic release
In Clostrodium Difficilea what is the target toxin genes of real time PCR?
(1) tcdA
(2) tcdB
(3) tcdC117
C. Difficile
What method besides tissue culture cytotoxin assay and Real time pcr can be used?
Multiplex PCR - one-step, rapid, and specific screening method for C. difficile toxin genes