Enterobacteriaceae Flashcards
What are the characteristics of enterobacteriaceae?
Gram negative, non spore forming, rod shaped bacteria.
oxidase (-) negative
Ferment glucose and may or may not produce gas in the process
Reduce nitrate to nitrite
Are facultative anaerobes
Normal inhabitants of intestinal tract
Some are enteric pathogens and others are urinary or respiratory tract pathogens
How is differentiation based on in regards to enterobacteriaceae?
Its based on biochemical reactions and differences in antigenic structure
What do most enterobacteriaceae grow well on?
Lab media developed for the selective isolation of enteric pathogens
Addition of dyes and bile salts inhibit the growth of gram positive organisms
Many enterobacteriaceae are differentiated based on whether or not they ferment _________ and/or produce _______
Lactose
H2S
What are the three most useful media for screening stool cultures for potential pathogens are?
TSI (KIA)
LIA
urea
phenylalanine agar
The antigenic structure of enterobacteriaceae may be used to differentiate organisms within a genus or species. What are the three major classes of antigens found?
O antigens - heat stable
Flagellar H antigens - heat labile
Envelope or capsule K antigens - boiling destroys this and unmasks the O antigens
The K antigen is called what in salmonella?
It is called the Vi (virulence) antigen in salmonella
What bacteria is a major cause of urinary tract infection?
E. coli
E. coli?
Is a normal inhabitant of the GI Tract
Some strains cause various forms of Gastroenteritis
Is a major cause of urinary tract infection and neonatal meningitis and septicemia
E. coli biochemistry?
TSI = A/A + gas LIA = K/K Urea (-) Indole (+) Citrate (-) Motility (+)
K/K on KIA means?
No carbohydrate fermentation
K/A reaction on KIA means?
Examples of these species are?
Glucose is fermented but not lactose
Or in order: lactose not fermented
Glucose fermented
Example is the shigella species
A/A reaction on KIA means?
Examples of these species are?
Lactose and glucose fermented.
Examples: E. coli; klebsiella- enterobacter species
K/A / H2S reaction on KIA means?
Examples of these species are?
Lactose not fermented; glucose fermented and hydrogen sulfide produced.
Examples: salmonella; citrobacter; proteus species
What are the virulence factors of E. coli?
Hint: (it is a toxin)
Toxins: enterotoxins: which are produced by enterotoxigenic strains of E.coli. These cause a movement of water and ions from the tissues to the bowel resulting in watery diarrhea.
What are the two types of enterotoxins (ETEC) in E. coli?
LT and ST
LT: heat labile causes amplification of cAMP to increase movement of ions and water to bowel
ST: heat STABLE and causes amplification of cGMP to increase movement of ions and water to bowel
E. coli is the leading cause of what clinically?
Urinary tract infection!
Which can lead to acute cystitis (bladder infection) and pyelonephritis (kidney infection)
E. coli also causes what?
Neonatal meningitis and gastroenteritis
What are the several types of E. coli that lead to gastroenteritis?
ETEC
EIEC
EPEC
EAEC
EHEC (hemmoraging) caused by serotype O157:H7!! Also produces shiga like toxins!!!
Shigella species
Contains what four types?
S. dysenteriae
S. flexneri
S. boydii
S. sonnei
What is the biochemistry of Shigella species?
TSI: K/A with NO gas!
LIA: K/A
Urea (-)
Motility (-)!
Salmonella species have two species?
s. enterica which causes most human infections
s. bongori