Anaerobic Organisms Flashcards
Gram Positive Bacilli
Clostridium botulinum
Clostridioides difficile
Clostridium perfringens
Clostridium septicum
Clostridium tetani
Gram Negative Bacilli
Bacteroides fragilis group
Campylobacter ureolyticus
Fusobacterium mortiferum
Fusobacterium necrophorum
Fusobacterium nucleatum
Porphyromonas
Prevotella
Gram Positive Rods
Actinomyces israelii
Bifidobacterium
Eggerthella lentum/Eubacterium
Lactobacillus
Cutibacterium acnes
Propionibacterium species
Gram Positive Cocci
Peptostreptococcus anaerobius
Peptoniphilus species
Gram Negative Cocci
Veillonella
Facultative Anaerobes
Grow aerobically and anaerobically
Obligate Anaerobes
Only grow anaerobically
Strict Obligate Anaerobes
Cannot tolerate more than 0.5% O2
Moderate Obligate Anaerobes
Tolerate 2-8% O2
Most clinically significant anaerobes are here
Aerotolerante Anaerobes
Grow poorly in ambient air (approx. 21% O2)
Exogenous Disease
Caused by organisms from outside the body
Spore or toxins enter through body
Endogenous Disease
Caused by host’s normal flora
Most Common Organsims
Bacteroides fragilis
Prevotella
Porphyromonas
Fusobacterium nucleatum
Clostridiium perfringens
Anaerobic cocci
Types of Specimen
Aspirates
Swabs
Tissue
Blood
Aspirates
Small volumes
May be injected into oxygen-free transport
PRAS - ideal transport media
Swabs
Oxygen-free swabs should be used
Tissue
Small pieces of tissue can be placed into Oxygen-freen transport media
Blood
Culture bottles that support anaerobic growth
Anaerobic Blood Agar Plate
Growth of virtually all obligate and facultative anaerobes
BBE (Bacteroides Bile Esculin)
Supports growth of bile-tolerant organisms (specifically Bacteroides)
KVLB (Kanamycin-Vancomycin-Laked Blood)
Supports of growth of Bacteroides and Prevotella species
PEA (Phenylethyl alcohol)
Growth of facultative GP organisms
Thioglycollate
Growth of all types of bacteria
Obligate aerobes and microaerophiles near the top
Obligate anaerobes at the bottom
Facultative anaerobes throughout
Cooked Meat
Same as Thioglycollate
CCFA (Cycloserin-cefoxitin-fructose agar)
Isolation of C. difficle
(turns yellow)
Antibiotic Common Disks
Vancomycin
Colistin
Kanamycin
Lecinthinase
Tests for degrading lecithin to insoluble diglycerides
Positive reaction is white, opaque zone around growth
Lipase
Tests for degrading triglycerides to glycerol and free fatty acids
Positive reaction is a pearly, iridescent sheen
EYA (Egg Yolk Agar)
Used for detection of Lecithinase and Lipase
Clostridium perfringens
Most frequently isolated
Clostidium perfringens causes
Bacteremia
Cellulitis
Intra-abdominal abscesses
Female genital tract infections
Gas gangrene
Myonecrosis
Clostridium perfringens identification
Complete hemolysis zone: Theta-toxin
Partial hemolysis zone: Phospholipase C
Lecinthinase Positive
Reverse CAMP Positive
Clostridioides difficile
Normal flora in 30% neonates and 3-5% in healthy adults
Only toxigenic strains cause disease
Produce toxins A and B