Bacteroides spp Flashcards

1
Q

Bacteroides culture conditions

A

Anaerobic 37C blood agar

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2
Q

Anaerobic bacteria

A

Clostridioides
Bacteroides

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3
Q

Anaerobic Gram negative bacillus

A

Bacteroides

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4
Q

Bacteroides colonial morphology

A

1-3mm, round, shiny grey, no haemolysis

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5
Q

Gram stain

A

Gram negative bacilli
Small slender rods
clusters
sometimes coccobacilli

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6
Q

Biochemical tests

A

KOH positive
Catalase positive
Oxidase Negative

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7
Q

Presumptive Bacteroides spp tests

A
  1. Anaerobic growth
  2. Metronidazole susceptibility test
  3. Anaerobic identification discs - MID8
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8
Q

Anaerobic growth + metronidazole susceptibility test procedure

A
  1. Lawn inoculate blood agar purity plate with test organism + PC ( P. aeruginosa) + NC (B. fragilis) and incubate AEROBICALLY overnight at 37C
  2. Lawn inoculate blood agar purity plate with test + controls (PC = B. fragilis, NC = P. aeruginosa).
  3. Place metronidazole disc on secondary inoculum of test organism.
  4. Incubate ANAEROBICALLY for 48hrs using anaerobic jar and AnaeroGen sachet.
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9
Q

Anaerobic growth + metronidazole susceptibility test results

A

Anaerobic organisms only grow anaerobically (no O2) AND anaerobic organisms are SUSCEPTIBLE to metronidazole = produce zone on inhibition of growth around disk.

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10
Q

Anaerobic identification discs - MID8 test procedure

A
  1. Suspend test organism in 5ml water = dense suspension
  2. Lawn suspension on BA plate
  3. Using forceps place MID9 mastring on surface of BA plate.
  4. Incubate anaerobically 37C for 48hrs.
  5. Measure inhibition zones using digitial calipers.
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11
Q

B fragilis MID8 sensitivity results

A

E + RP sensitive
Resistant to the other 4 (CO, PG, K, VA)

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12
Q

MID8 code and corresponding drug
E
RP
CO
PG
K
VA

A

E = erythromycin
RP = rifampcin
CO = colistin sulphate
PG = penicillin G
K = kanamycin
VA = vancomycin

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13
Q

Additional confirmatory tests

A

Vitek, MALDI-TOF

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14
Q

Bacteroides infections

A

Normal commensal of human colon so it is an endogenous infection which occurs when they gain access to tissue/blood following bowel perforation - surgery/trauma.
Causes ABSCESSES - abdominal or peritoneal

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15
Q

Bacteroides treatment

A
  1. AST - AMR is common
  2. Metronidazole.
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