Anaerobic Bacteria Flashcards

1
Q

Anaerobic Bacteria

A
  • obligate anaerobes
  • can be aerotolerant of facultative
  • use other flashcards about fermentation pathways-inefficient, intermediate waste product,leave energy in final, waste is organic acid or alcohol, repertoires
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2
Q

common sources of pathogen 1

A
  • normal flora escape normal compartment
  • actinomyces, B corrodens, P melaninogenica in mouth
  • B fragilis in colon and vagina
  • abcess fills with bacteria and dead neutrophils, swells, becomes painful
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3
Q

common source of pathogens 2

A
  • soil-spores enter through wounds, germinate, produce exotoxins
  • C tetani
  • C perfringens
  • C botulinum
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4
Q

Route of entry 2 from soil

A
  • spores germinate in vacuum packed foods
  • C perfringens in food poisoning:bacteria briefly survive in gut and release enterotoxin
  • C botulinum in infants-bacteria survive briefly in gut and release neurotoxin
  • Botulism in foodborne-bacteria do not survive in gut but already filled food with neurotoxin
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5
Q

anaerobes in lab

A
  1. sample must be handles anaerobically and labeled as such

2. standard clinical labs are anaerobic culture, gram stain, gas chromatography

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6
Q

liquid culture

A
  • innoculate test tube of media
  • add a reducing agent like thoglycolate to eliminate dissolved oxygen
  • fill completely, stopper tightly and incubate WITHOUT SHAKING
  • aerobe grows on top, anaerobe on bottom, both in middle
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7
Q

agar plates

A
  • quickly streak onto agar media with usual benchtop sterile technique
  • place plates in anaerobic culture jar
  • add a chemical system to remove oxygen from jar’s atmosphere and color indicate successful removal (Gas-Pak)
  • airtight seal
  • place whole jar in incubator for 48 hours
  • note that colonies will die very shortly after removal from jar unless using a glovebox
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8
Q

glovebox

A
  • box with oxygen free atm
  • airlock for bringing plates and instruments in and out (flood with nitrogen)
  • gloves attached to box for manipulations within
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9
Q

Identifying anaerobes

A
  • gram stain
  • chemical testing-ability to ferment, hydrolize various macromolecules
  • gas chromatography
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10
Q

gas chromatography

A
  • analyzes organic acids being produced by the anaerobes fermentation pathways
  • extracts from culture or pus sample are run against control mixes
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11
Q

treatment of anaerobic infections

A
  • surgical care for abscess
  • antitoxin for toxigenic disease-tetanus/botulism
  • antibiotics-penicillin G, cefotoxin, chloramphenicol, clindamycin
  • metronidazole-specific for anaerobic bacteria-broken down to active form where the bacteria are
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12
Q

clostridium

A
  • clostridium all gram pos and rods and in soil, except C dif
  • spores to survive transfer
  • all make exotoxins
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13
Q

GNAB

A
  • gram neg anaerobic bacilli-normal flora gone bad
  • bacteriodes and prevotella
  • rods
  • no spores
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14
Q

actinomyces

A
  • gram pos
  • long rod
  • no spores
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15
Q

C. tetani

A
  • spores are environmental: soil, dust, manure, some human skin and GI
  • gram pos
  • spore-forming
  • transmitted to humans by soil contamination of wounds-splinters, thorns, punctures, IV septic surgery, septic handling of umbilical cord
  • insertion beneath the skin surface limits air contact
  • spores germinate- vegetative cells release exotoxin tetanospasmin
  • large and small subunit, small unit delivered, retrograde axonal transport to CNS
  • acts as protease, cleaves synaptobrevin in inhibitory motor nerves of CNS, no inhibitory motor neuron activity
  • can’t stop contracting
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16
Q

generalized tetanus

A
  • bacteria from locus of infection
  • exotoxin tetanospasmin enters bloodstream
  • morbidity
  • > 50% untreated mortality from resp failure
  • 21-31% treated mortality
  • vaccination can save
17
Q

C dif

A
  • gram pos spore forming rod
  • pseudomembranous colitis
  • disrupts normal flora
  • normal gut flora for 3% general pop, 30% hospitalized
  • fecal oral, especially nosocomial from spores on hospital instruments or on hands of HCWs
18
Q

c dif pathogenesis

A
  • recent course of antibiotics or cancer chemotherapeutics supresses other normal flora
  • germinating cells release exotoxin A, disrupts tight junctions, causing swelling and IF
  • exotoxin B is major toxin, disrupts cytoskeleton by depolymerizing actin, kills surrounding cells
  • more virulent and drug resistant in 2001-2002
  • mortality increased from 6%
19
Q

c dif diagnosis and treatment

A
  • sigmoidoscopy
  • patches of dead and dying cells appear as yellow white plaques
  • withdraw initial antibiotic cures 20%
  • oral metronidazole or vancomycin
  • surgical resection or removal of the colon may be required
  • toxic megacolon or colonic perforation may occur