General Bacteriology Flashcards
Ziehl-Neelsen/Kinyoun/Fite stains
mycobacteria stain pink/red
- ZN/Kinyoun = most commonly used
- Fite often used for M leprae (b/c leprae often decolorized by ZN/K). Also for Nocardia
Warthin-Starry stain (positive test, what it tests for)
dark brown/black against a yellow/gold background
- spirochetes (treponema, borrelia, leptospira)
- H pylori
- Bartonella henselae (clue for bacillary angiomatosis or bacillary peliosis hepatis)
Rapidly growing NTM
abscessus group
chelonae
fortuitum group
Streptomyces
Nocardia
Members of aerobic actinomycetes (and micro characteristics)
- nocardia
- rhodococcus
- streptomyces
mAF stain+ (d/t presence of mycolic acids in cell wall)
branching GPR
typically isolated in fungal cx (as opp to standard bacterial cx) d/t slow growth
Antimicrobials w/ poor CNS penetration
- any abx given PO
- beta-lactamase inhibitors
- 1-2nd gen cephs
- cephamycins
- clinda
- FQ
- macrolides
- tetracyclines
Vanc-R Bacteria
- most GNs
- Clostridium innocuum
- Enterococcus gallinarum and casseliflavus (d/t chromosomal vanC)
- Erysipelothrix rhusiopathiae
- Lactobacillus
- Leuconostoc
- Pediococcus
- Weissella
Colistin-R Bacteria
- most GPs
- burkholderia
- inguilinus limosus
- N gonorrhea, N meningitidis
- Pandoraea
- Proteae
- Serratia
SPICE Organisms (what are they and what are they resistant to?)
- Serratia spp
- PSAR
- Indole+ proteae (P vulgaris, Providencia spp, Morganella)
- Citrobacter freundii complex
- Enterobacter
- chromosomal AmpC beta-lactamase –> results in R to penicillins (except piperacillin), amp/sulbactam, amox/clav, 1-2nd gen cephalosporins, and cephamycins
- may become de-repressed on exposure to b-lactams –> R to 3rd gen cephs, zosyn, and erta
Intrinsic R of listeria
cephalosporins
Intrinsic R of Proteae
- colistin
- nitrofurantoin
- tetracyclines
- May have elevated MICs to imipenem
*Refer to SPICE organisms
Intrinsic R of Kleb (not aerogenes)
ampicillin
Intrinsic R of Citrobacter koseri
amp
piperacillin
ticarcillin
Intrinsic R of Burkholderia cepacia complex
- all penicillins and penicillin derivatives
- 1-4 gen cephs (except ceftaz)
- cephamycins
- erta, imi
- aminoglycosides
- colistin
- fosfomycin
- aztreonam
Intrinsic R of non-glucose-fermenting (nonfermenters) GNR
ertapenem
Intrinsic R of aerobic GNR
clinda
vancomycin
a/w poultry
campy
salmonella
a/w oysters
vibrio vulnificus
a/w gravy
C perfringens
a/w eggs
salmonella
a/w chitterlings
yersinia enterocolitica