IIA. Systemic Bacteriology | 7. Escherichia coli. Flashcards
I. Basics - The microflora of the digestive system
2. Describe microflora of the digestive system in the UPPER PART
- poor in bacteria (101-102/g in stomach)
- more than 104 CFU/g if the stomach pH is higher than 2
I. Basics - The microflora of the digestive system
1. What is The microflora of the digestive system influenced?
- throat flora
- the flora of the saliva
- food
I. Basics - The microflora of the digestive system
3. Describe microflora of the digestive system in the Duodenum
- 103-104 CFU/g
- Streptococcus sp. and Lactobacillus sp.
I. Basics - The microflora of the digestive system
1. Describe microflora of the digestive system in the UPPER PART
I. Basics - The microflora of the digestive system
4. Describe microflora of the digestive system in the Ileum
I. Basics - The microflora of the digestive system
5A. Describe microflora of the digestive system in the Large intestine
I. Basics - The microflora of the digestive system
5B. What are obligate anaerobes in the Large intestine
I. Basics - The microflora of the digestive system
5C. What are Facultative anaerobes in the Large intestine
- Enterococcus
- Enterobacteriaceae
- E. coli: only ~ 1% !
I. Basics
6. What is the role of normal GI flora?
I. Basics
7A. Explain Colonisation of the infants
I. Basics
7B. What are the features of Caesarean section?
- Delayed colonisation
- Might be gastrointestinal and immunological problems in the future!
I. Basics
7C. What are the Influencing factors in Colonisation of the infants?
- Mother’s dietary intake
- Breast feeding – Bifidobacterium versus bottle feeding – adult flora
- Premature infants, etc.
I. Basics
8. What are the reasons for Imbalance of the GI normal flora?
- dietary changes
- wide spectrum antibiotic
I. Basics
9. What is the result of Imbalance of the GI normal flora?
- absorption problems
- hypovitaminosis
- peristaltic problems
- increased gas production
I. Basics
10. What is the Antibiotic effect
II. Enterobacteriaceae family
1. What are the features of Enterobacteriaceae family?
II. Enterobacteriaceae family
2. What is the morphology of Enterobacteriaceae family?
2-4 µm rod
II. Enterobacteriaceae family
3. What do we cultivate Enterobacteriaceae family on?
Cultivation on selective culture medium
II. Enterobacteriaceae family
4. What are Biochemical tests used for identification?
II. Enterobacteriaceae family
5. Tick this table
II. Enterobacteriaceae family
7. Make a schematic diagram of gram-negative rods facultative anaerobic attack sugars by fermentation oxidase-negative
II. Enterobacteriaceae family
8. Make a schematic diagram of Enterobacteriaceae
II. Enterobacteriaceae family
9. What are the Two main types of infectious disease associated with Enterobacteriaceae?
- intestinal diseases
- extraintestinal diseases
II. Enterobacteriaceae family
10. What are some human infections caused by Enterobacteriaceae family?
II. Enterobacteriaceae family
11A. What are features of Extra intestinal infections?
II. Enterobacteriaceae family
12. What are features of Urinary tract infections (UTI)?
II. Enterobacteriaceae family
13. What are the features of nosocomial infections?
II. Enterobacteriaceae family
14. What are the features of ESBL?
II. Enterobacteriaceae family
15. What are the features of MBLs?
- Metallo-beta lactamases
- Resistance to all β-lactams, including carbapenems !
- Klebsiella, Pseudomonas, Acinetobacter
II. Enterobacteriaceae family
16. What is the Treatment of Enterobacteriaceae infections?
III. Escherichia coli
1. What are the features of Escherichia coli?
III. Escherichia coli
2. What is the morphology of E.coli?
Morphology: 2-4 µm, flagellated rod
III. Escherichia coli
3. What is the staining of E.coli?
Gram-negative
III. Escherichia coli
4. How should we cultivate Escherichia coli?
normal agar, EMB agar
III. Escherichia coli
5. What are the biochemical properties of Escherichia coli?
1/ glucose +
2/ lactose +
3/ indol +
4/ urease –
5/ H2S –
III. Escherichia coli
5. Describe the antigenic structure?
„O” >180
„H” 55
„K” 100
III. Escherichia coli
6. What are the intestinal infections caused by E.coli?
- EPEC enteropathogenic E. coli dyspepsia coli – colitis of the newborns
- ETEC enterotoxic E.coli – cholera like diarrhea, „traveler’s disease”
- EIEC enteroinvasive E. coli - dysentery
- EHEC enterohaemorrhagic E.coli, dysenteriform diarrhea
- Enteroaggregative E. coli - EAEC
III. Escherichia coli
7. What are the features of Enteropathogenic E. coli - EPEC?
- Attachment to the epithel cells of the small intestine
- Children < 1 year
- „dyspepsiacoli”
- Outbreaksinnursing homes
III. Escherichia coli
8A. What are the features of Enterotoxin producing E. coli - ETEC?
III. Escherichia coli
8B. What is the therapy for Enterotoxin producing E. coli - ETEC?
antibiotics, fluid replacement
III. Escherichia coli
9A. What are the features of Enterohaemorrhagic E. coli - EHEC?
- Shiga-like toxin or Verotoxin from Shigella on plasmid
- Severe, bloody enteritis, without fever
- Maybe HUS
- Contaminated beef + milk
III. Escherichia coli
9A. What is the therapy of Enterohaemorrhagic E. coli - EHEC?
antibiotics, fluid replacement
III. Escherichia coli
10A. What are the features of Enteroinvasive E. coli - EIEC?
III. Escherichia coli
10B. What is the transmission of Enteroinvasive E. coli - EIEC?
– contact spread
– less easy than Shigella
III. Escherichia coli
11A. What are the features of Enteroaggregative E. coli - EAEC?
III. Escherichia coli
12. What are the features of Neonatal menigitis caused by Escherichia coli?
III. Escherichia coli
13. Look at this picture and explain E.coli