ENTERICS Flashcards
What are the most clinically identified Enterobacteriaceae
Escherichia
Klebsiella
Enterobacter
Salmonella
Shigella
Proteus
Yersinia
What are the characteristics of Family Enterobacteriaceae
Gram-negative
Short rods
Straight-sided bacilli
Non-sporulating
Facultative anaerobes
Motile
All ferment glucose
All are able to reduce nitrate to nitrite
Catalase; positive
Most are Cytochrome C oxidase; negative
All Enterobacteriaceae are motile except …
Shigella
Klebsiella
and some species of Escherichia, Salmonella, Yersinia
All motile species have what type of flagella
Peritrichous flagella
All species have peritrichous flagella except
Tatumella ptyseos
Tatumella ptyseos have what type of flagella
Monotrichous flagella
All Enterobacteriaceae are catalase positive except
Shigella dysenteriae
Enterobacteriaceae common antigens are
O: outer membrane
H: flagella
K: capsule
Vi: Capsule of Salmonella
What is the protein marker found on the surface of bacteria
Antigens
O antigen is also known as
Somatic antigen
It is heat stable and associated with the lipopolysaccharide or endotoxin moiety of the cell-wall
Somatic antigen
The antigen that makes organism to be virulent
O antigen
Mucus with blood defecating
Dysentery
K antigen is also known as
Envelop or capsular antigen
What kind of antigen is also known as capsular antigen
K antigen
H antigen is also known as
Flagellar antigen
What kind of antigen is also known as flagellar antigen
H antigen
It is an antigen that is heat-labile and protein in nature
H antigen
What are the indole test positive organisms
Klebsiella oxytoca
Citrobacter koseri
Proteus vulgaris
Escherichia coli
Morganella morganii
Providencia
Methyl Red positive organisms
Salmonella spp.
Shigella spp.
Escherichia coli
Proteus spp.
Yersinia
Citrobacter
Methyl Red negative organisms
Klebsiella pneumoniae
Enterobacter spp.
Serratia marcescens
Hafnia spp.
Vogues Proskauer positive organisms
Klebsiella pneumoniae
Enterobacter spp.
Serratia marcescens
Hafnia spp.
Citrate positive organisms
Klebsiella pneumoniae
Enterobacter spp.
Citrobacter freundii
Salmonella spp.
Serratia marcescens
Proteus mirabilis
Providencia
Citrate variable organisms
Proteus mirablis
Vibrio cholerae
Vibrio parahaemolyticus
It is degradation product of the amino acid TRYPTOPHAN together with pyruvic acid and ammonia
Indole test
Enzyme to degrade TRYPTOPHAN
TRYPTOPHANASE
What broth is used in indole test
Tryptophan or peptone broth
What is the reagent of indole test
5 drops of Kovacs reagent containing PDAB
2 methods of indole test
Conventional tube method
Spot indole test
A type of indole test method used for weak indole-producing organism
Conventional tube method
A type of indole test method used to detect rapid indole-producing organism
Spot indole test
What are the 3 most common agar for multitest agar
Sulfide-Indole-Motility (SIM)
Motility-Indole-Urease (MIU)
Motility-Indole-Ornithine (MIO)
It is the detection of end-product glucose fermentation
Methyl Red Test
It is a test that uses Alpha naphthol as a catalyst or color intensifier
Vogues-Proskauer
Acetoin is oxidized to …
Diacetyl
What is the Barrits-B in Vogues Proskauer test
40% KOH or NaOH
Vogues Proskauer must be check/observed within …
1 hour
This test determines if an organism can use sodium citrate as the sole carbon source and ammonia as the nitrogen
Citrate Utilization Test
What is the pH indicator of the Methyl red test
Methyl red
What is the pH indicator of Citrate Utilization Test
Bromthymol Blue
What is the alternative medium of Citrate Utilization Test
Christensen’s medium
Christensen’s medium uses what kind of pH indicator
Phenol red
What sugars are in TSI
Lactose
Sucrose
Glucose
This test is useful for the presumptive identification of gram-negative enteric
Triple Sugar Iron Agar
What is the pH indicator of TSI test
Phenol red
What is the H2S indicator of TSI
Ferrous sulfate and Sodium thiosulfate
What is the sugar ratio of TSI
10:10:1
A/A, Gas + organisms
Escherichia
Klebsiella
Enterobacter
K/A, H2S, Gas organisms
Salmonella
Proteus
Arizona
Citrobacter
Edwardsiella
K/K organism
Pseudomonas
Motility media have a concentration of …
0.4% or less
This test is useful for the differentiation of Vibrio spp. and Aeromonas spp
Distilled water motility test
This test determines whether an organism can hydrolyze urea
Urease test
Principle of Urease test
Urea + Urease = CO2+H20+Ammonia
pH indicator of Urease test
Phenol Red
Presumptive test for Helicobacter pylori
Urease test
Urease test used agar
Christensen’s urea agar
Delayed positive organism in Urease test
Klebsiella spp.
Enterobacter spp.
Organism positive for Urease test
Proteus spp.
Providencia stuartii
Morganella morganii
Cryptococcus spp.
Corynebacterium spp.
Helicobacter pylori
Brucella spp.
This test is used to determine if a bacterium is a delayed LF or NLF
ONPG Test
What color is ONPG Test positive
Yellow
This test is used to detect the ability of organisms to utilize acetate as a carbon source
MUG Test
This test determines whether the organism has the ability to reduce nitrate to nitrite
Nitrate & Nitrite Reduction
What color is Nitrate & Nitrite Reduction positive
Red color
Escherichia coli was discovered by whom and when
Theodore Escherich in 1885
Escherichia coli was first isolated from …
Feces of newborns
What is Escherichia coli’s morphology on XLD and HEA
Dry yellow colonies
What is Escherichia coli temperature range
15-45 degC
Escherichia coli possesses what type of capsule
Polysialic acid capsule (K1)
F antigen is also known as
Fimbrial antigen
What form of Escherichia coli on Nutrient Agar is emulsifiable in saline
Smooth form
What hemolytic pattern of Escherichia coli on BAP
Beta-hemolytic
E.coli colonies on MAC appears …
Flat and pink (LF)
Sorbitol MAC is slightly selective due to …
Low concentration of bile salts
Crystal violet inhibits …
Gram-positive organism
Differentiation of enteric microorganisms is achieved by the combination of …
Sorbitol and neutral red indicator
What strain of E.coli does not ferment sorbitol
E.coli 0157:H7
E.coli 0157:H7 is associated with …
Hemorrhagic colitis (HC) and Hemolytic Uremic Syndrome (HUS)
E.coli on EMB appears…
Pink with green metallic sheen
E.coli on Liquid Media shows …
Homogenous turbid growth within 12-18 hours
After 72 hours of long incubation, what is formed in the surface
Pellicles
This organism is responsible for more than 80% of all community-acquired UTI
Escherichia coli
Escherichia coli is responsible for how many percent of community-acquired UTI
80%
What are the subdivided group of E.coli
Enterotoxigenic E. coli (ETEC)
Enteropathogenic E.coli (EPEC)
Enteroaggregative E.coli (EAEC)
Enterohemorrhagic E.coli (EHEC)
Enteroinvasive E.coli (EIEC)
Diffusely-Adherent E.coli (DAEC)
What E.coli strain is known to cause “Montezuma’s revenge”
ETEC
EPEC is known to cause …
Nursery outbreaks diarrhea (watery/infantile diarrhea)
EAEC is known to …
Produce stable and labile toxins
EHEC is also known as …
Shiga toxin-producing E.coli
EHEC pathogenicity is caused by …
Verotoxin production
EIEC invades the …
Intestinal epithelium causing Shigella-like infection
The 6th class of strains of E.coli
DAEC
This spp. is responsible for mucoid colonies
Klebsiella
This spp. are all non-motile
Klebsiella
Klebsiella is all lactose fermenters except …
Klebsiella rhinoscleromatis
Klebsiella ozaenae
Most commonly isolated Klebsiella spp.
Klebsiella pneumoniae
Klebsiella IMVC result
Neg, Neg, Pos, Pos
Klebsiella is also known as …
Friedlander’s bacillus
Klebsiella is often found in …
Upper Respiratory Tract
K. ozaenae is known to cause
Ozaena
K. rhinoscleromatis is known to cause …
Rhinoscleroma
This spp. is routinely isolated from bloodstream and wound sites
Serratia marcescens
The 3rd leading cause of nosocomial infection
Serratia marcescens
Pigment produced by Serratia marcescens
Prodigiosin
This organism is often confused w/ K. pneumoniae
Enterobacter
This spp. is weak positive on the urease test
Enterobacter cloacae
A NLF, that may resemble Salmonella
Hafnia
Media maintenance for Hafnia
CTA (Cystine Tryptic Agar)
This organism has burnt gunpowder/burnt chocolate odor
Proteus
Proteus has swarming on BAP, but not on ….
MAC
Separation line of two strains of Proteus
Deine’s line/phenomenon
This organism has acid production from mannose but does not produce gas
Morganella
This organism may often fund on sewage, water
Citrobacter
All Salmonella spp. are motile except
Salmonella pullorum
Salmonella gallinarum
All Salmonella spp. can produce gas except
Salmonella typhi
Salmonella gallinarum
This spp. causes salmonellosis
Salmonella typhimurium
This spp. causes typhoid fever
Salmonella typhi
Common sources of Salmonella
Poultry and Egg
Agar for Salmonella
Salmonella-Shigella Agar
A parasite of the digestive tract of humans
Shigella
A screening test in an immunological test
Widel test
The causative agent of Philippine dysentery epidemic
Group B - Shigella flexneri
The causative agent of the most severe type of dysentery (Japanese epidemic)
Group A - Shigella dysenteriae
It interferes with protein synthesis
Shiga toxin
Oxidase positive organisms
Pseudomonas
Vibrio
Neisseria
Campylobacter
Helicobacter