Denise - Listeria Flashcards

1
Q

What type of bacteria is Listeria

A

Gram Positive Non-endosporing rod

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2
Q

What is the main listeria species of interest

A

L. monocytogenes

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3
Q

Describe L. monocytogenes

A

Relatively short rods
Gram positive
Catalase positive
Oxidase Negative
B-haemolytic narrow zone
Motile at 20-25 degrees but nonmotile at 37

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4
Q

Write about the pathogenicity of L. monocytogenes

A

Facultative anaerobe
Non sporulating
Psychrotrolerant
Acid tolerant
Bile salt tolerant
Can survive in food for long period
Major concern for food industry

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5
Q

How psychrotolerant is L. monocytogenes

A

Can initiate growth from -1.5 to 45 degree celsius
Can grow in fridge

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6
Q

How acid tolerant is Psychrotolerant is > monocytogenes

A

Can grow at Ph as low as 4.4

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7
Q

How salt tolerant is Listeria Monocytogenes

A

Can grow in 10 to 12% sodium chloride

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8
Q

What are the most important of the 13 Listeria monocytogenes serotypes

A

1/2 a
1/2 b
4b

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9
Q

What are the main reservoirs for L. monocytogenes

A

Animals - direct or indirect contact
Environment - soil and water
Humans - carriers in food processing environments and transmission in hospital setting (neonates)

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10
Q

Write about Listeria gastroenteritis

A

Contaminated food source
Oral entry route
Colonisation of the intestine
Intestinal translocation - replication in liver and spleen
Resolution or haematogenous spread to other organs
Immunocompetent symptoms include enteritis or a febrile flu-like condition

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11
Q

Write about Listeria epidemiology

A

22 total infection in 2018
11 were 4b
6 were 1/2a
1 was 1/2 b

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12
Q

Write about L. monocytogenes outbreaks

A

While listeriosis outbreaks attract the most attention
But most cases of human listeriosis are sporadic as it is a rare disease

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13
Q

Why is listeriosis food poisoning so difficult to tract

A

Incubation times up to 5 weeks

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14
Q

Write about the pathogenesis of listeria

A

Ingestion
Activation of PrfA

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15
Q

How does listeria cause infection

A

Entry into macrophage
Uptake by macrophage and incorporation into phagolysosome
Escape from phagolysosome
Replication
Actin tail allows movement into other cells via
Extrusion via filopods
Enters other cell

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16
Q

What are the virulence factors of listeria

A

Internalins
Listeriolysin O
Phospholipases
ActA

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17
Q

What are the two main internalins and what are they

A

InIA and InIB

Surface associated proteins

18
Q

How does InIA work

A

Binds to E-cadherin on host epithelial cells
Role in adherence and invasion
Responsible for uptake into epithelial cells is required for crossing the intestinal and placental barriers
Intestinal and placental barriers

19
Q

How does InIB work

A

Mediates entry into a variety of cell types and plays a role in invading human placenta in conjunction with InIA

Binds to Met on host cells

20
Q

How does InIB work

A

Mediates entry into a variety of cell types and plays a role in invading human placenta in conjunction with InIA

Binds to Met on host cells

Role in invasion

BBB or CSF

21
Q

What is listeriolysin O also called

A

B haemolysin

22
Q

Write about Listeriolysin O/B haemolysin

A

Haemolysin gene hly
Cholesterol dependent pore forming toxin
Required for survival and proliferation within macrophages and epithelial cells
Virulent strains only

23
Q

What does Listeriolysin O do

A

Disrupts phagosome
Antigenic
Oxygen labile

24
Q

What are phospholipases

A

3 different enzymes with phospholipase C activity (PLC)

PI PLC and PC PLC

Mechanical function in the escape of the phagolysome

25
What is PI PLC
Phosphatidyl inositol-specific phospholipase C
26
What is PC PLC
Phosphatidylcholine phospholipase C Lecithinase
27
Write about ActA
Surface protein that promotes polymerization of actin to form "actin tails" Actin based intracellular motility
28
What samples are there for Listeria
CSF Blood
29
What media is Listeria put up on
Listeria chromogenic agar Fraser broth
30
How is direct detection done for listeria
Molecular detection
31
Write about listeria chromogenic agar base
Peptones/salts/chromogenic substrate/lithium chloride/antibiotics Listeria species growth in blue colonies (halo around L. monocytogenes) The lipase is responsible for the opaque white halo which surrounds L. monocytogenes B-glucosidase is common to all listeria species giving the colonies their blue
32
What are the basic characteristics of Listeria
Gram positive bacilli KoH negative Catalase positive Oxidase negative Narrow zone of B haemolysis
33
What confirmatory tests are there for listeria
Biochemical identification Rapid detection from culture MALDI
34
What biochemical tests are done on day 2 and 3 for listeria
Carbohydrate utilisation CAMP test Aesculin hydrolysis Haemolysis Motility
35
Write about Listeria biochemical tests
Aesculin hydrolysis Acid production without gas from glucose, maltose and salicin No acid production from mannitol
36
Write about the confirmation of listeria results
CSF/Blood sent to IMSRL - temple street Irish meningitis and sepsis reference laboratory Real time PCR directly on specimen
37
Write about the confirmation of listeria results
CSF/Blood sent to IMSRL - temple street Irish meningitis and sepsis reference laboratory Real time PCR directly on specimen
38
Write about the motility of listeria
L. monocytogenes strains are highly flagellated Motile at low termperatures such as 30 degrees Not motile at 37 degrees
39
Write about Listeria serotyping
For epidemiological purposes Listeria possess group-specific surface proteins Somatic (O) antigens Flagellar (H) antigens 1/2a, 1/2b and 4 b are responsible for 98% of documented human listeriosis cases Serotypes 4a and 4c are rarely associated with outbreaks of the disease
40
How is epidemiological typing done
Molecular basis WGS Investigating foodborne disease outbreaks Tracking strains of L. monocytogenes through the food chain and in the environment
41
How is listeria treatment
Ampicillin Gentamycin