CSIM 1.54: Major Bacteria Producing Gastroenteritis Flashcards
What is gastroenteritis?
Inflammation of the stomach and intestines
What parasitic causes of GI illness exist?
- Protozoa
* Helminths
What are the common bacterial causes of gastroenteritis?
- Salmonella
- E. coli
- Shigella
- Clostridium difficile
- Campylobacter
- S. aureus
- Vibrio cholerae
What are the host-related factors which control whether someone is likely to get bacterial gastroenteritis?
- Age
- Immune factors (e.g. IgA levels)
- Host receptors for microbial toxins
- Host receptors for microbial adhesion
- Intestinal motility
- Nutritional status
- Gastric acidity
- GI flora competition
What foods most frequently contain bacteria capable of causing gastroenteritis?
- Dairy products
- Eggs
- Meat
Describe the pathogenic process of bacterial gastroenteritis
1) Bacteria escape the gastric acidity
2) Adhesion to the intestinal receptors allows establishment, multiplication and competition with existing gut flora
3) • Here, some bacteria invade into epithelial cells and submucosa towards lymph nodes causing abdominal pain
• Some bacteria invade the bloodstream, causing fever and systemic illness
• All bacteria produce toxins, which can lead to diarrhoea and vomiting
What is a coliform and which bacterial causative agents of gastroenteritis can be described as coliforms?
Rod-shaped, gram-negative bacteria:
• E. coli
• Salmonella enterica
• Shigella
In terms of gastroenteritis, what do the following do?
1) Enterotoxins
2) Cytotoxins
1) A toxin which leads to fluid secretion without mucosal damage (–> diarrhoea)
2) Mucosal damage causing dysentry (blood in stools)
What is food poisoning?
A lay term referring to gastroenteritis caused by contamination by:
• Bacteria
• Bacterial toxins
NB: BACTERIA DONT HAVE TO BE PRESENT, toxins are enough to cause food poisoning
What are the two prominent serotypes of Salmonella enterica? How many serotypes are there?
- Typhimurium
- Enteritidis
2000 serotypes
What does Salmonella enterica typhimurium do? What is the incubation period for this?
Invades the bloodstream from the gut, causing typhoid (fever with an eruption of red spots on the chest and abdomen and severe intestinal irritation)
• 10-14 days incubation (invasion after first week
How long does salmonella food poisoning take to take affect?
Incubation period: 8-48 hours
What is the most common cause of dysentry in the UK?
Bacillary dysentry by the four Shigella species releasing CYTOTOXINS
How many species of Shigella are there?
four: • S. dysentriae • S. flexneri • S. boydii • S. sonnei
How is E. coli serotyped
Based on: • Lipopolysaccharide antigen (LBS • Somatic antigen (O) • Flagella antigen (F) • Capsular antigen (K)
E.g.: O157:H7