bacteriology (done) Flashcards

1
Q

what are bacteria?

(1 mark)

A

single cell microbe with simple cell structure

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2
Q

info of bacteria?

(6 marks)

A
  • most bacteria are vital for animal life (commensal) with few being parasites / pathogens that cause disease
  • cell contains no nucleus, allowing cells to reproduce rapidly by binary fission
  • DNA replicated within the cell, which seperates into 2 daughter cells
  • cocci, bacilli / spirochete shape commonly
  • can be oxygen obligate aerobe / anaerobe / facultative (can do both)
  • produce endo + exotoxin which cause damage to host cell
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3
Q

bacteria general requirements for life?

(4 marks)

A
  • water
  • essential nutrients - vary according to species (usually carbon + nitrogen)
  • correct pH - most mammalian pathogens require pH of 7.4
  • correct temp - optimum temp for most pathogens is body temp e.g. 37-40 degrees C.
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4
Q

danger of bacteria that can form endospores?

(2 marks)

A
  • the endospores are often dormant + resistant to hostile environmental conditions e.g. heat, cold, radiation, disinfectants
  • these bacteria commonly cause serious infectous disease that are toxic to many organisms e.g. Anthrax
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5
Q

structure of bacteria?

(11 marks)

A
  • ribosome - protein building, repair damage
  • cytoplasmic membrane surrounded by peptidoglycan cell wall gives structure
  • gel like matrix ‘cytoplasm’ made up of water, nutrients, gases + waste. contains the cell structures (ribosomes, chromosomes, DNA loops + plasmids)
  • various external structures - e.g. flagellae for locomotion
  • pilli - enable bacterium to attach to host. also involved with conjunction.
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6
Q

the 3 groups of bacteria based on their response to gaseous exchange?

(3 marks)

A
  1. obligate aerobes
  2. obligate anaerobes
  3. faculative anaerobes (both O2 + none)
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7
Q

how is bacteria classified?

(4 marks)

A
  • size
  • shape
  • arrangements
  • structure
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8
Q

shapes of bacteria?

(4 marks)

A
  • cocci
  • bacillus
  • vibro
  • spirochette
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9
Q

why might the vet decide to conduct a bacterial culture?

(6 marks)

A
  • disease diagnosis
  • treatment management
  • antimicrobial selection
  • prevent antimicrobial resistance
  • environmental surveillance
  • post mortem
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10
Q

what does bacterial culture allow?

(4 marks)

A
  • cultivation of bacteria from sample
  • identification of cause of infection +/ antibiotic sensitivity test
  • ensuring most appropriate antibiotic selected for treatment
  • reduces risk of antibiotic resistance
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11
Q

what are the common sampling sites?

(16 marks)

A
  • fluids - blood, urine, CSF. synovial fluid, exudates, semen, sputum
  • swabs - ear, skin, wounds, abscess, mucosa
  • other - infection control surveillance
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12
Q

how to collect specimen?

(5 marks)

A
  • ensure appropriate PPE available - zoonotic risk
  • obtain sample as soon as possible following onset of clinical signs
  • obtain the sample prior to administration of medication / 7-10 days post medication if possible
  • asepsis should be maintained during sampling process to prevent contamination
  • swab samples obtained pre- and post-cleaning and debridement can be useful
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13
Q

swab collection considerations?

(4 marks)

A
  • remove crusts to expose exudate of scabbed lesions
  • obtain sample from the edges of the lesions where infection is most active
  • sterile saline can be used to moisten swab + improve harvest of cells
  • use appropriate transport media, for sample being collected
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14
Q

transport media preservation + storage aims?

(3 marks)

A
  • maintain viability (keep alive)
  • prevent reproduction (doesnt look worse than is)
  • must contaim essential nutrients
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15
Q

oxygen requirements?

(3 marks)

A
  • obligate aerobes - oxygen for growth
  • obligate anaerobes - grow in abscence of oxygen
  • facultative anaerobes - grow aerobically when oxygen present, also function in abscence of oxygen
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16
Q

swab preservation and storage?

(5 marks)

A
  • correct use of transport media - depends on sample obtained
  • aimies media with charcoal common for aerobic bacteria
  • aimies without charcoal
  • virus transport media for viral sample
  • anaerobic transport media - specific container with vacuum to ensure abscence of oxygen
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17
Q

other sample storage and preservation techniques?

(10 marks)

A
  • urine - boric acid preservative, refigerated
  • blood - blood culture broth
  • faeces - sterile tube, refridgerated
  • CSF - EDTA (DO NOT refridgerate)
  • synovial fluid - EDTA
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18
Q

speciment collection considerations?

(7 marks)

A
  • keep specimen cool to avoid bacteria growth
  • label container appropriately including potential zoonosis
  • deliver quickly to external lab
  • follow specific guidelines set by external lab to ensure valid resuts
  • full clinical history + patient signalment should be provided to the lab
  • ensure containers aterile to prevent erroneous results
  • anaerobic bacterial samples should not be exposed to oxygen
19
Q

bacterial culture aims?

(4 marks)

A
  • maintain viability
  • encourage reproduction
  • inhibit growth of unwanted microflora
  • isolate individual bacterial colonies for species identification
20
Q

2 types of culture media?
(and what they are used for)

(4 marks(

A
  1. liquid nutrient broths - used for bacteria that grow within liquid e.g. blood
  2. solid (jelly) nutrient solutions - agar based media prepared in a flat petri dish
21
Q

use of solid media?

(1 mark)

A

isolation of individual species can only be achieved on solid media

22
Q

media types?

(4 marks)

A
  • simple media
  • enrinchment media
  • selective / differential media
  • transport media
23
Q

use of simple basal media?

(and examples)

(2 marks)

A

provides basic nutrition for growth of nutritionally undemanding species
example: nutrient broth, nutrient agar

24
Q

use of enrinchment media?

(2 marks)

A

nutrient agar base with added ingredients to encourage growth of fastidious bacteria e.g. blood, egg

25
Q

use of selective / differntial media?

(and example)

(2 marks)

A

basic nutrient agar with added ingredients to inhibit the growth of some bacteria strains, while not effecting other e.g. sabourauds for fungal culture

26
Q

labelling of the agar plate inoculation?

(3 marks)

A
  • patient name
  • date + time of inoculation
  • VS initals
27
Q

what temperature should the plate be inoculated at?

(2 marks)

A

incubate at 37 degrees C for 18-24h
if no growth after this, incubate for further 24h

28
Q

how do colonies of bacteria appear?

(2 marks)

A
  • round raised lumps along streak lines
  • colonies of diff species may show diff characteristics (e,g, colour) help for identification
29
Q

what techniques may be used to help identify bacterial strains?

(3 marks)

A
  • microscopic evaluation
  • gram staining
  • Zeihl Neelson - acid fast
30
Q

use of staining bacteria?

(1 mark)

A

allows cell morphology to be observed, easier classification / identification

31
Q

how does gram staining classify the bacteria?

(2 marks)

A

categorised by the colour they stain:
* gram +/ve is purple
* gram -/ve is pink

32
Q

alternative bacterial stains?

(what they are and how they are differnt)

(6 marks)

A
  • simple / structural stains (methylene blue) - allows shape, size + arrangement observation
  • differential stains (gram stain, Ziehl-Neelsen) - combination of fixative + 2 dyes, primary and counter stain that allows differentiation cell types
  • structural stains - stains certain parts of the cell (e.g. flagella, microspore and capsule
33
Q

info of gram positive bacteria?

(2 marks)

A
  • thick, porous peptidoglycan layer which absorbs both stains, but purple crystal violet stain is most visable
  • absorbent layer will absorb toxic substances so much easier to destroy
34
Q

info of gram negative bacteria?

(3 marks)

A
  • thin peptidoglycan layer which is protected by a further impenetrable outer membrane
  • thin peptidogylcan layer doesn’t retain crystal violet stain but absorbs pink safranin stain
  • outer membrane + ‘slime layer’ repel the stain and disinfectant - much more difficult to destroy
35
Q

How to gram stain?

(8 marks)

A
  1. introduce slide to crystal violet - primary stain
  2. iodine - makes dye less soluble so it adheres to cell wall
  3. alcohol - decolouriser washes stain from gram-negative cell wall
  4. safranin - counterstain allows dye adherence to gram-negative cells
36
Q

example of gram-negative and postitive bacteria?

(2 marks)

A
  • positive - staphylococcus
  • negative - pseudomonas
37
Q

info of acid fast bacteria?

(5 marks)

A
  • rarely diagnosed in veterianry
  • have waxy (mycolic acid) outer layer
  • highly resistant to staining and treatmnet
  • Zieh Neelsen stain required (appears red, all other organisms stain blue).
  • zoonotic
38
Q

examples of acid fast bacteria?

(2 marks)

A

mycoplasma
myobacterium tuberculosis

39
Q

how to Ziehl-Neelsen stain?

(4 marks)

A
  • apply carbolfuschin (primary stain) for 30 secs
  • heat fix cells
  • decolourise with acid alcohol for 15-20 secs
  • apply methylene blue (counterstain) for 30 secs
  • rinse excess stain
40
Q

what is the purpose of sensitivity testing?

(3 marks)

A
  • allows selection of the most appropriate antimicrobial
  • allows patient to be treated quickly and effectively
  • reduces the risks associated with antimicrobial restistances
41
Q

how does antibiotic resistance in bacteria occur?

(4 marks)

A
  1. in a popuation of bacteria, one bacterium mutates and becomes antibiotic resistant
  2. antibiotic kills of all bacteria except for the antibiotic resistant bacterium
  3. antibiotic resistant bactrium multiples, forming a population of antibiotic resistant bacteria
  4. antibiotic resistant bacteria can transfer their mutation to other bacteria
42
Q

what is the disc agar infusion method?

(how it works)

(2 marks)

A
  • most used method, determines the susceptibility of a microorganism to a specific antimicrobial agent
  • antimicrobial agent diffuses into the solid medium from the filter paper resulting in the inhibition of reproduction of the microorganisms on its surface
  • a zone of inhibition forms around the disc, beyond this zone an unaffected area of normal microbial growth is present.
43
Q

how is the disc agar method carried out?

(5 marks)

A
  • bacterial colony from loop / swab spread over agar plate
  • manufactered disc containing range of antibiotics is applied to plate surface
  • incubate for 18-24hrs at 37 degrees C
  • resistance zone cut off is specific to each antibiotic
  • accurate measurement of the zone diameter and comparison to an interpretation chart is necessary to properly interpret the test
44
Q

disposal of bacteriological sample equipment?

(3 marks)

A
  • place all equipment in suitable disinfectant, following use, during the procedure
  • seal all equipment in autoclave bag and autoclave prior to disposal or re-use
  • once autoclaved, equipment to be disposed of should be placed in infectious waste