Background 1 Flashcards
Microorganisms that can cause disease in the human host and are rarely part of the normal flora are
pathogens
microorganisms which are often present on or in the human host and usually do not cause disease are called
normal flora or commensals
disruption of the normal flora can lead to pathogens becoming the predominant flora resulting in
infection
antibiotic associated diarrhoea occurs due to the use of broad spectrum oral antibiotics such as
cephalosporins
cephalosporins alter the normal flora in the gi resulting in overgrowth of which bacteria
clostridium difficile
toxins produced by c.difficile in the gi causes
explosive diarrhoea
what life threatening condition can be caused by c.difficile
toxic megacolon
post threatment thrush can result from the use of broad spectrum antibiotics such as
beta lactams - amoxycillin
what can beta lactams such as amoxycillin usually be used for
UTI
Altering normal flora within the vaginal tract results in the proliferation of
candida sp. (yeast) resulting in thrush
contaminating a sterile device with the patients normal flora during insertion causes
prosthetic joint infections
prosthetic joint infections usually require removal of the
infected joint, removal of surrounding tissue and long term antimicrobial therapy
suseptibility testing is done using
antimicrobials
each lab has definite times in which they expect results to be completed and issued, these are called
turn around times
all positive reports are forwarded to the
consultant microbiologist
laboratory turn over time for urine culture is
<24 - 48 hours
laboratory turn over time for wound swab culture is
48 - 72 hours
laboratory turn over time for faeces culture is
38 - 96 hours
laboratory turn over time for throat swab culture is
24-48 hours
diagnostic molecular techniques can only that that a target organism is
present. not whether it is viable or what antibiotic the organism is suseptible to
lab based identification has changed from a system based on organisms biochemical profile to one that is molecular in nature, an example is
MALDI-TOF
maldi tof has revolutinaised what aspect of microbiology
the timescale in which an organism is identified
traditionally it takes 18 hours to identify an organism, MALDI TOF takes
minutes
the role of media is still important in MALDI TOF because
the organism has to be isolated first
new technologies mean disadvantages
increased cost per test and less skilled workforce
solid media used agar which is derived from
seaweed as a support matrix for bac to grow on. metabolites such as glucose, blood etc, added to aid growth
before agar is used in lab it is sterilised at
121 degrees for 15 minutes and allowed to cool
agar is poured into petri dishes in approx
20mL volumes
liquid media does not contain
agar