Enterobacteriaceae PART1 Flashcards

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1
Q

Sites where members of the enterobaacteriaceae are considered “usual flora”

A

GI tract, uncommon normal flora of other areas

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2
Q

Sites where members of the enterobacteriaceae are considered always pathogenic

A

Normally sterile areas

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3
Q

Characteristics that are common among all members of Enterobacteriaceae

A
  1. GNR - straight
  2. Facultative anaerobes
  3. Peritrichous flagella (if motile)
  4. Ferment glucose
  5. Nitrates reduced to nitrites
  6. Oxidase negative
  7. Grow well on Mac agar
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4
Q

What Enterobacteriaceae generally look like on a SBA

A

Large, smooth, grey colonies on SBA

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5
Q

Factors which contribute to pathogenicity of Enterobacteriaceae (8)

A
  1. Endotoxins
  2. Exotoxins
  3. Invasiveness
  4. Adherence to epithelial cells
  5. Capsules
  6. Colonization
  7. Certain antigens
  8. Hemolysins/ Enzymes
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6
Q

When trying to isolate from areas with normal flora you may need to….?

A

Add several types of differential and selective media

- stool- MAC, HECK, XLD for example

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7
Q

5 identification schemes of identifying Enterobacteriaceae

A
  1. Crosshatch/checkerboard
  2. Grouping systems
  3. Branching Flow Diagrams
  4. Numerical coding systems
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8
Q

Problem with crosshatch/ checkerboard methods

A

Accurate but tedious

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9
Q

Problem with Grouping Systems (Edwards and Ewing)

A

Quicker but additional material may be needed

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10
Q

Problem with Branching Flow Diagrams

A

Simple but dangerous

-atypical organisms may be misidentified

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11
Q

Problem with coding systems

A

Need to use your brain not rely strictly on the number identification

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12
Q

Purpose of serologic typing

A
  • identification of isolate

- Epidemiologic “fingerprinting” (helps trace where its coming from)

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13
Q

Most frequently serotyped GNRs

A

Salmonella
Shigella
Escherichia coli (selective isolates)

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14
Q

Serologic Typing Antigenic Structure

- K (name and 3 facts)

A

Capsular antigen

  • polysaccharide
  • heat labile
  • may block O antigen
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15
Q

Serologic Typing Antigenic Structure

- H (name and two facts)

A

Flagellar antigen

  • protein
  • heat labile
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16
Q

Serologic Typing Antigenic Structure

- O ( name and two facts)

A

Somatic antigen

  • part of cell wall
  • heat stable
17
Q

Serologic Typing

  • what media
  • what antisera
  • what to do if O group is blocked
A
  • non-sugar containing and non-selective media (tsoy, sea)
  • Polyvalent antisera
  • boil organism and retype (because of capsule present)
18
Q

Problems involved with the treatment of infections from Enterobacteriacea

A
  • High mortality rate for GN septicemia
  • antimicrobial resistance due to not taking all of antibiotics
  • Potentially harmful effects of antimicrobials used for treatment