Bacteriology - Not on Sketchy Flashcards
3 examples for other Cougulase Negative Staphylococci?
S. Haemolyticus
S.Lugduenesis
S.Hominis
S. Hemolyticus
Transmission and Resivoir
Resivoir - Part of Normal Skin flora
Opportunistic Pathogen - Wound Infection, Endocarditis, Bacteremia and Sepsis.
S. Hemolyticus
Lab Diagnosis
S. Hemolyticus - Lab Diagnosis:
Cougulase Negative and Gram Positive
Beta Hemolysis
S. Lugdunensis
Transmission and Pathogesis
Oppurtonistis Pathogen - Skin flora
Aggressive Endocarditis and Other involvement in Cardiovascular Infections.
(Cougulase Negative and Gram Positive)
S. Hominis
Hemolytic Activity
Transmission
No Hemolytic Activity (Gamma) but Contribuits to Body Odor :)
Cougulase Negative and Gram Positive
Opportunistic Pathogen from Skin Flora
Common features of the Streptococcus Genus: (4)
Gram-Positive Cocci
Arranged in Pairs or Chains
Facultative Anaerobe
Catalase Negative (and Isolation on Blood Agar)
Strep. Hemolysis Classification on Blood agar:
Alpha - Examples for Bacteria
Beta - Examples for Bacteria
Gamma - Examples for Bacteria
Strep. Hemolysis Classification on Blood agar:
Alpha - S. Pneumoniae / S. Virdans
Beta - S. Pyogenes / S. Agalactiae
Gamma - Enterococcus Faecalis
Hemolysis Classification on Blood agar:
Alpha - Meaning
Beta - Meaning
Gamma - Meaning
Hemolysis Classification on Blood agar:
Alpha - Green or Partial Hemolysis, Reduction of Hb
Beta - Complete Hemoysis Colonies
Gamma - None Hemolysis Colonies
Strep. Lancifield Classification (A-U) - Antigen Dependent (A-G in human) Examples for :
A -
B -
D -
Strep. Lancifield Classification (A-U)
A - S.Pyogenes
B - S. Agalactiae
D - S. Bovis and E. Facaelis
Molecular Classification of Strep. (16S rRNA)
Pyogen Examples
Pyogen Examples
S. Pyogenes, S.Agalactiae
Molecular Classification of Strep. (16S rRNA)
Anginosus Examples
Anginosus
S. Anginosus
Molecular Classification of Strep. (16S rRNA)
Mitis Examples
Mitis
S.Pneumoniae and S.Mitis
Molecular Classification of Strep. (16S rRNA)
What is unique about Sanguinis and Mutans?
Dental Carries
Virdans Group Diseases for:
Sanguis and Oralis
Mutans
Bovis
Sanguis and Oralis - Endocarditis
Mutans - Dental Caries
Bovis - Malignancies of GI
Streptococcus Mutans
Metabolic Products (Cariogenesis)
Streptococcus Mutans
Metbolizes Sugars to Lactic Acid allowing for Low pH enviorment.
Produces Polysacchrides from Sucrose.
Other Aerobic Spore Formers Bacilli:
Antibiotics Producers + Antibiotic
(Try to Remember at least 3 examples)
Brevibacillus Brevis - Gramicidin
Bacillus Subtilis - Bacitracin
Bacilus Cereus - Cerexin
Paenibacillus Polymyxa - Polymyxin
Bacillus Circulans - Circulin
Other Aerobic Spore Formers Bacilli:
Kind Used for Testing Heat Sterilization Procedures
Geobacillus Stearothermophilus
Used for Testing Heat Sterilization Procedures
Other Aerobic Spore Formers Bacilli:
Kinds Occasionally isolated from Gastroeneritis
(Try to Remember at least 3 examples)
B. Subtilis ,B. Circulans ,B. Coagulans ,Brevibacillus Brevis, B. Pumilus
Conditions for Anaerobic Gram Negative Rods
CO2 and O2 Values - Finegold
CO2 - More than 10%
O2 - less than 8%
Anaerobic Gram Negative Rods
4 Enzymes Missing
1) Cytochromes for Oxygen Metabolism
2) Supraoxide Dismutase
3) Catalase (Partly)
4) Peroxidase (Partly)
Anaerobic Gram Negative Rods
Noraml Flora of Oral Cavity (1:10 - Aero/Anaero)
Peptococcus
Peptostreptococcus
Lactobacillus
Bifidobacterium
Prophyromonas
Fusobacterium
Anaerobic Gram Negative Rods
Noraml Flora of Colon (1:1000 - Aero/Anaero)
Peptococcus
Peptostreptococcus
Lactobacillus
Bifidobacterium
Prophyromonas
Fusobacterium
Eubacterium
Anaerobic Gram Negative Rods
Noraml Flora of Skin (10:1 - Aero/Anaero)
P. Acnes
Propionibacterium
Prevotella
Bacteroides
Anaerobic Gram Negative Rods
Noraml Flora of Vagina (Changing Aero/Anaero)
Peptostreptococcus
Lactobacillus
Bifidobacterium
Eubacterium
Anaerobic Gram Negative Rods
Peptococcus - Normal Flora of…
Colon and Oral Cavity
Anaerobic Gram Negative Rods
Peptostreptococcus - Normal Flora of…
Colon, Vagina and Oral Cavity
Anaerobic Gram Negative Rods
Lactobacilus - Normal Flora of…
Colon, Vagina and Oral Cavity
Anaerobic Gram Negative Rods
Bifidobacterium - Normal Flora of…
Colon, Vagina and Oral Cavity
Anaerobic Gram Negative Rods
Bacteroids - Normal Flora of…
Colon, Skin and Oral Cavity
Anaerobic Gram Negative Rods
Prophyromonas- Normal Flora of…
Colon and Oral Cavity
Anaerobic Gram Negative Rods
Eubacterium - Normal Flora of…
Colon and Vagina
Anaerobic Gram Negative Rods
Upon displacement from normal flora enviorment to dying body tissue:
Examples, Conditions met and General Consequences
Conditions - 1) Lower O2: Shock, Angiopathy and DM
2) Barrier Cut - Aspiration, Operation and Trauma
Results in Endogenous Infection and Complex Pathogenesis
Anaerobic Gram Negative Rods
Antibiotics Treatment:
What should be determined before given? Which type?
Only after MIC Determination
Metronidazole - Effective against most anaerobes
Clindamycin, Chloramphenical are also a possibility
Moraxella Genus
Lab Findings and General Charcteristics
Gram Negative
Diplococci
Oxidase Positive
White Colonies on Culture Media
Moraxella Genus
Normal Flora of…
Moraxella Genus - Normal Flora of…
Skin, Upper respiratory Tract and Genitourinary Tract.
Moraxella Catarrhalis
Specific Biochemical Features (other than Oxidase+)
Obligate Anaerobe
Beta-Lactamase+
Moraxella Catarrhalis
Epidemiologic Factors, Diseases and Treatments
Epidemiologic Factors - Childrens or Respiratory patients
Diseases - Bronchopneumonia, Bronchitis, Sinusitis and Otitis Media
Treatment - Amoxicillin with Clavulinic Acid
Moraxella Lacunata
Disease
Treatment
Moraxella Lacunata
Subacute Conjectivitis
Amoxicillin with Clavulinic Acid
Moraxella Osloensis and Moraxella Nonliquefaciens
Normal Flora of…
Kind of Infection
Moraxella Osloensis and Moraxella Nonliquefaciens
Skin surface, Mucosal Membranes of Mouth and Genitourinary Tract.
Causes Rare Opportunistic Infections
How can we diffretiate between N. Meningitidis and N. Gonorrohea?
N. Meningitidis has a Capsule and Ferments Maltose while N. Gonorrohea Does Not.
Other Apathogenic Neisseria:
Important Species (Try to remember at least 3)
Other Apathogenic Neisseria:
Lactemica , Subflava, Flavescens, Mucosa, Pharyngitidis, Pharyngococcus
Other Apathogenic Neisseria:
Rare Pathogenesis Consequence
Cultivation in contrast to Pathogenic Neisseria
Rare Pathogenesis - Respiratory Tract Infections, Endocarditis or Conjunctivitis (N.Lactamica)
Cultivation - Easier, Normal Neiserria Media, Ferments several Sugars
Other Apathogenic Neisseria:
General Features and Habitat
General Features - Gram-, Aerobic, Oxidase+
Habitat - Oral and Nasopharyngeal
Proteus Spicies
Most Infections Source
Other Kinds
Most Infections by P. Mirabilis
Other less infective - P. Penneri, P. Vulgaris
EAEC - Enteroaggregative E. Coli
MOA, Disease
EAEC - Enteroaggregative E. Coli
MOA - Attachment to epitheial cells of Small Intesine by Pili , Bacterial Aggregation and release cytotoxins
Sever wattery diarrhea in Children in developing countries (Chronic >14 days)
EIEC - Enteroinvasive E. Coli
MOA, Disease, Plasmid Activity
EIEC - Enteroinvasive E. Coli
MOA - Colon Destruction of Epithelial Cells
Dysentery - Wattery Diarrhea, Mucos and Fever
Plasmid Activity - Full Invasion of Plasmid from Shigella
EPEC - Enteropathogenic E. Coli
Transmission ,MOA, Disease
EPEC - Enteropathogenic E. Coli
Transmission - Nursing homes Outbreaks
MOA - Attachment to epitheial cells of Small Intesine by Intimin/Tir Complex - Pedestal Formation!
Wattery Diarrhea in Newborns
Salmonella Genus
Biochemical Properties
Types in Animal GI, Gastroenteitis
Salmonella Genus
Biochemical Properties - H2S+, Lactose(-)
Types in Animal GI,Gastroenteitis - S.Enteriditis and S. Typhimurium
Vibrionaceae Familly
General Characteristics
Vibrionaceae Familly
Gram Negative, Comma Shaped
Oxidase Positive
Primarily Found in Water
Vibrio Parahaemolyiticus
Lab Diagnosis
VF
Incubation time
Vibrio Parahaemolyiticus
TCBS Medium Culture
Enterotoxin
24hrs
Vibrio Parahaemolyiticus
Transmission and Symptomes
Vibrio Parahaemolyiticus
Shellfish, Undercooked asian food or Sea water
Self Limited Severe Gastroenteritis with Diarrhea
Wound Infection from Sea Water
Vibrio Vulnificus
Transmission
VF
Diseases
Vibrio Vulnificus
Shellfish, Undercooked asian food or Sea water
VF: Capsule, Cytolysins, Collagenases, Proteases, Siderophores (Iron-Carrier Enzyme)
Severe Wound infection - Erythema, Bullae Formation and Necrosis
Sepsis (Septicemia)
Plesiomonas Shigelliodes
Lab Diagnosis
Transmission
Clinical Feature
Plesiomonas Shigelliodes
Gram Negative, Motile and Oxidase Positive
Transmitted by Seafood
Gastroenteritis with Wattery/Bloody Diarrhea
Aeromonas Hydrophila
Lab Diagnosis
Treatment
Aeromonas Hydrophila
Gram Negative, Rod Shaped, Facultative Anaerobic
Oxidase and Indole Positive
Fluroquinalone : Ciprofloxacin
Aeromonas (e.g. A. Hydrophila)
Transmission
Clinical Features
Transmitted by Meat and Dairy Products/ Immunocompremised Paitents
Bloody Diarrhea from food infection
Wound Infection - Cellulitis from Infected Water
Bulkholderia, Stenotrophomonas and Acinetobacter
General Common Features
Bulkholderia, Stenotrophomonas and Acinetobacter
Contaminate Moist Hospital Sites - Nosocomial Infection
Sinks, Showers, Respirators