Hi Flashcards
Mycology
fungi
Phycology
algae
Robert Hooke
cell wall
Anton van Leeuwenhoek
microorganisms as animalcules; Father of Microbiology; single lens
Louis Pasteur
Germ theory of Disease; fermentation; aerobes and anaerobes
Edward Jenner
smallpox vaccine
Joseph Lister
aseptic surgery
Bacteria
Outer cover: Cell wall composed of peptidoglycan
Categories of bacteria:
1. Gram-negative bacteria with outer membrane
2. Gram-positive bacteria with thick peptidoglycan layer
3. Acid-fast bacteria with lipid-rich cell wall
4. Bacteria without cell wall
Fungi
Outer surface: chitin; made up of ergosterol
Paul Ehrlich
Salvarsan, treatment for syphilis
Alexander Fleming
penicillin from Penicillium notatum
Protozoa
representative for parasites; outer surface: pellicle
Prokaryotes
simple; unicellular; no nucleus
Eukaryotes
complex; multicellular; has nucleus
Cyst
infection stage
Viruses
outer surface: capsid, composed of repeating subunits called capsomeres
Algae
outer surface: cellulose
Shapes
Bacilli: rod
Cocci: round
Diplococci: pairs
Streptococci: chains
Staphylococci: clusters
Tetrad: groups of four
Octad: groups of eight
Flagella
Thread-like structure made up of protein subunits called flagellin
Types of Flagella:
Monotrichous: single
Lophotrichous: tuft
Amphitrichous: both ends
Peritrichous: around
Atrichous: without flagella
Shapes of Bacteria
Vibrio: comma
Treponema: spiral
Corynebacterium: club
Glycocalyx
Composed of polysaccharides or polypeptides, or both
Capsule: strongly attached and Indicative of virulence
Slime layer: loosely attached
Cell Wall
Principal component: peptidoglycan (murein)
Provides rigid support
Cytoplasmic Membrane
Selectively permeable
Pili or Fimbriae
Function: adherence to cell surface, exchange of genetic material (conjugation)
Axial Filaments
Also called endoflagella
Composed of bundles of fibrils
Internal Structures
Endospores: composed of dipicolinic acid
Acid-fast cell wall: composed of mycolic acids
Microbial Growth
Increase in number of cells
pH conditions:
Alkaliphiles: >8.4-9.0
Neutrophiles: 7.4-7.5
Acidophiles: <4.0
Bacterial Colony
Composed of thousands of cells
Osmotic Conditions
Nutritional Requirements:
Carbon
Nitrogen, Sulfur, and Phosphorus
Inorganic ions:
Magnesium: stabilizes ribosomes
Potassium: for normal functioning
Calcium: resistance of endospores
Iron: component of cytochromes
Trace Elements: component of enzymes
Growth Factors:
Resident flora: fixed types
Transient flora: temporarily present on skin
Physical Requirements
Moisture / Water
Temperature:
Thermophiles: >40°C
Mesophiles: 20-40°C
Psychrophiles: 10-20°C
Oxygen:
Aerobes: utilize molecular O2
Strict aerobes: require oxygen
Obligate anaerobes: can’t survive without O2
Facultative anaerobes: can survive with or without O2
Microaerophiles: grow at low O2
Capnophiles: require additional CO2
4 Phases of Bacterial Growth
- Lag Phase: period of adjustment
- Exponential Phase: rapid cell division
- Stationary Phase: period of equilibrium
- Death Phase: period of rapid cell death
Factors Eliminating Non-Resident Flora
Lysozyme
Acidic pH
Free fatty acids
Sloughing of skin
Regions of Skin
- Axilla, perineum, and toe webs
- Hand, face, and trunk
- Upper arms and legs
Skin Organism Remarks
Staphylococcus epidermidis: major skin inhabitant
Lactobacillus spp: predominant vaginal flora that prevents infection
Staphylococcus aureus: found in nose
Micrococci:
Lysozyme
Acidic pH
Free fatty acids
Sloughing of skin
Regions of Skin:
1. Axilla, perineum, and toe webs
2. Hand, face, and trunk
3. Upper arms and legs
Skin Organism Remarks
Staphylococcus epidermidis: major skin inhabitant
Lactobacillus spp: predominant vaginal flora that prevents infection
Staphylococcus aureus: found in nose
Micrococci: 20-80% in the population
Gram-negative Bacilli: seen in moist intertriginous areas
Lipophilic: with hair
Non-lipophilic: hairless
Anaerobic diphtheroids: rich in sebaceous glands
Asepsis
Free of microorganisms
Sepsis: develops systemic reaction
2 Categories of Asepsis:
1. Medical asepsis: absence of disease-causing microorganisms
2. Surgical asepsis: absence of all microorganisms
PPE (Personal Protective Equipment)
Mask
Sterile gowns
Bouffant cap
Impermeable boots
Mouth and Respiratory Tract
Tongue: inhabited by Streptococcus species (S. mutans, S. salivarius, S. sanguinis)
Pharynx: Mycoplasma
Upper respiratory: Bordetella pertussis
Lower respiratory: usually sterile
Antisepsis
Use of chemical agents
Bactericidal: kills bacteria
Bacteriostatic: inhibits growth of bacteria
Sterilization: killing all microbial forms
Digestive Tract
Esophagus and stomach: Helicobacter pylori, common cause of duodenal ulcers
Small intestine: Bacteroides
Large intestine:
- Anaerobes (95-97%): Bacteroides fragilis
- Facultative anaerobes (1-4%): E. coli
Physical Methods of Sterilization
Heating: common method expressed in thermal death time
Factors affecting the process of sterilization
Nature of heat
Temperature and time
Number of microorganisms
Nature of microorganisms
Type of material
Presence of organic materials
Types of Heat
Moist heat: preferred over dry heat; causes coagulation and denaturation
Dry heat: penetration of heat
Freezing
Preservation of microorganisms in a process called lyophilization
Effective bactericidal concentration
75-80%
Classification of Chemical Disinfectants
Consistency
Spectrum of activity
Mechanism of action
Target Structures
Cell wall
Cell membrane
Nucleic acids
Metabolic activity
Mechanisms of Action
Surfactant active agents (SPA):
- Cationic: effective at alkaline pH
- Anionic: effective at acidic pH
Phenolic compounds:
- High concentration: disinfectant
- Low concentration: antiseptic
- Phenols: toxic to human cells
- Cresols: phenol derivatives
Desiccation
Bactericidal and fungicidal; used for food preservation
Chlorhexidine
Wound irrigation
Alcohols (BIME)
Benzyl: preservative
Isopropyl: disinfects surfaces
Methyl: disinfects inoculation
Ethyl: skin antiseptic
Denaturation
Loss of protein structure
Denaturing Agents
Acids and alkalis
Alcohol and aldehydes
Phenol and cresol
Modification of Functional Groups
Heavy metals: damage enzymes
Halogens: inactivation of enzymes
Alkylating agents:
- Aldehyde: damage nucleic acids
- Formaldehyde: kills M. TB
- Glutaraldehyde: cold sterilant
- Ethylene oxide: gaseous sterilization
Cells included in WBC
Granulocytes (50-80%)
Lymphocytes (20-45%)
Monocytes and macrophages (3-8%)
Neutrophils (Acute)
Bacterial infections
Lymphocytes (Chronic)
Viral infections
Antigen
Recognized by the immune system
Target Cells of Immune Response
B cells
T cells
Antigen-presenting cells
Presentation of antigens to T cells
Dendritic cells
Act as a messenger between innate and adaptive immunity
Epitopes
Structure in antigens
Hapten
Low molecular weight, induces immune response
Eosinophils
Play a role in type I hypersensitivity; secrete major basic protein
Basophils
Contain histamine
Platelets
For blood coagulation
Target Cells of Immune Response
B cells
T cells
Antigen-presenting cells
presentation of antigens to T cells
Dendritic cells
act as a messenger between innate and adaptive immunity
Epitopes
structure in antigens
Hapten
low molecular weight, induces immune response
Eosinophils
play a role in type I hypersensitivity; secrete major basic protein
Basophils
contain histamine
Platelets
for blood coagulation
NK cells
classified as cytotoxic T cells
Central Lymphoid Organs (Primary)
Sites for differentiation and maturation of important cells
Consist of bone marrow and thymus
- B cells mature in bone marrow
- T cells mature in thymus
Peripheral Lymphoid Organs (Secondary)
Consist of lymph nodes, spleen, and mucosa-associated lymphoid tissues
Innate Immunity
Also known as natural immunity and non-specific
First line of defense: skin, mucous membrane
Second line of defense: phagocytosis, inflammation
Adaptive Immunity
Specific response takes 7-10 days
Final line of defense:
- Th1 cells: inflammatory response
- Th2 cells: antibody response
- Innate humoral: cytokines
- Adaptive humoral: antibodies
Types of Vaccines
Live attenuated
Toxoid
Killed
Subunit
Bacteremia
bacteria in blood
Toxemia
toxins in blood
Viremia
viruses in blood
Virulence
degree of pathogenicity