Introduction to microbiology Flashcards

1
Q

What is the important of looking at a microorganism under a microscope?

A

Helps you to identify what microogranism is causing an infection and therefore this influences your treatment approach

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2
Q

What bacteria can cause pneumonia?

A

Asperigillus

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3
Q

What are the key groups of microorganisms?

A

bacteria (prokaryotes - biggest group), virus, fungi and parasites
2 groups of parasites - protozoa (similar to plants) and worms

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4
Q

Where do infections usually come from?

A

from ourselves = more bacterial cells than human cells - from our own flora

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5
Q

What are common endogenous infectious micro-organisms on the skin?

A

Staphylococcus aureus

Staphylococcus epidermidis

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6
Q

What are common endogenous infectious micro-organisms in the mouth/throat?

A

Viridans streptococci - can cause dental infections and also associated with endocarditis

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7
Q

What are common endogenous infectious micro-organisms in the gut?

A

Escherichia coli = aerobes

Bacteriodes species = anaerobes

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8
Q

What are common endogenous infectious micro-organisms in the vagina?

A

Lactobacilli = rarely cause infection - colonise in the vagina and protect it against infection

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9
Q

What is a common endogenous infectious micro-organisms in the vagina/mouth/skin?

A

Candida albicans - it occurs when lactobacillus is knocked out = causes thrush

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10
Q

Where do you catch exogenous infections?

A

From another person - e.g. chicken pox or from mother to child
From an animal - E.g. E.Coli 0157- carried in cow’s guts but not occurs and therefore contaminated burgers can infect us causing us to become very unwell
Vector - indirect method e.g. needle stick, beef burger Is the vector, malaria
Environment - certain organisms are just in the environment e.g. legionella can be found in water and can cause pneumonia

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11
Q

What is the structure of bacteria?

A

Prokaryotes
Single celled organisms
Divide by binary fission- divide rapidly e.g. E.coli divides every 20 mins
Single chromosome of circular DNA
Their cell wall is important for classification

Capsulated bacteria = helps to protect them
some have pili to help them adhere to surfaces

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12
Q

How are bacteria classified?

A

Shape = Cocci, Bacilli (rods), Spirochaetes (spirally), filamentous (grow in chains)
Gram stain - not all stain with this stain
Dependence on oxygen = anaerobes or aerobes
Spore formation = this function is very useful for bacteria because it means they are very resistant and can survive in the environment more easily
Metabolism - what they do to sugar filamentation

DNA sequencing e.g. of 16s- using mass spectrometry you can identify the organism in 10 minutes whereas it used to take 24 hours

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13
Q

What are the chemical used in gram staining?

A

Crystal violet
Iodine
Acetone
Neutral red

1) stain with crystal violet
2) fix with iodine
3) wash with acetone
4) counterstain with neutral red

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14
Q

What is the cell wall/membrane structure of gram positive and gram negative bacteria?

A

Almost all bacteria have a cell wall but the structure of it depends on the bacteria
Gram positive bacteria only have a thick peptidoglycan cell wall and no cell membrane

Gram negative bacteria have a thinner peptidoglycan cell wall which doesn’t bind crystal violet and they have an additional cell membrane on top of their cell wall

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15
Q

What are some examples of gram +ve cocci?

A

Staphylcocci aureus (clusters)

  • round purple circles grouped together like a bunch of grapes
  • about 30% of us carry it
  • if it invades tissue it acts as a pathogen
  • produces a golden colony on plates

Staphylcocci epidermis

  • tends not to be pathogenic
  • on our skin it helps to protect us from invasion
  • can cause a problem though if it breaches the skin barrier e.g. central line
  • it isn’t particularly nasty but it will still cause infection

Streptococci (chains)

  • produce a toxin that surrounds their colony
  • streptococci pneumonia = occurs in pairs and has a green clearing
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16
Q

What are some examples of gram +ve bacilli?

A

Lysteria

  • associated with soft chest
  • many people are not able to consume soft cheese due to this bacteria= immunosuppressed, elderly and pregnant

Clostridium = anaerobic

  • large family
  • difficile = infection can lead to diarrhoea
  • tetani = produces tetanus toxin
  • botulinum = producers botulinum = paralysis of muscles
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17
Q

What is an example of gram -ve bacilli?

A

Aerobic or anaerobic

e.g. E.coli

18
Q

What are some examples of gram -ve cocci?

A

Nisseria

  • 2 infections: meningitis and gonnorhoea
  • To test for meningitis you take some CSF via lumbar puncture

Gram -ve diplococci =meningitis
Gram +ve diplococci = streptococcus pneumonia = also causes meningitis

19
Q

What are some examples of bacteria that don’t stain with the gram stain?

A

Spirochetes e.g. syphilis

  • cell wall is too thin
  • identified by PCR or dark stain microscopy

Tuberculosis - use acid-fast stain

20
Q

What is the key pathogen for cellulitis?

A

Staph. aureus, streptococcus progenis

21
Q

What is the key pathogen for pneumonia?

A

Streptococcus pneumonias (gram +ve diplococci), Haemophilus influenza (rod)

22
Q

What is the key pathogen for meningitis?

A

Nisseria meningitis, streptococci pneumonia

23
Q

What is the key pathogen for UTI?

A

most commonly from gut bacteria
Occurs more often in women than men due to their shorter ureter
E.Coli - from own flora

24
Q

What is the key pathogen for cholecystitis?

25
What is the key pathogen for appendicitis, diverticulitis?
E.Coli - gut anaerobes coming from bowel
26
What is the key pathogen for gastroenteritis?
Campalobacter, salmonella = both gram -ve bacilli
27
What is the key pathogen for bacteraemia?
bacteria from outside | Brushing of teeth - potentially this happens everyday
28
How do bacteria cause disease?
1) invasion > inflammation 2) Toxin production - release of toxins e.g. botulinum 3) Immunopathogeneis
29
What antibiotics act on cell wall synthesis?
1) beta-lactams e.g penicillins, cephalosporins, carbapenems 2) Glycopeptides e.g. vancomycin, teicoplanin.
30
What antibiotics act on protein synthesis?
1) tetracyclines 2) Aminoglycosides (e.g. gentamicin) 3) Macrolides (e.g. erythromycin)
31
What antibiotics act on Metabolic pathways (folate synthesis)?
1) Trimethoprim | 2) Sulphonamides
32
What antibiotics act on nucleus (DNA synthesis)?
1) Quinolones | 2) Metronidazole
33
Are antibiotics that act against cell wall synthesis safe?
they can't damage our own cell wall, so they are not particularly toxic - Used in pregnancy
34
Why can't penicillins be used against lots of staph. aureus?
Penicillin is a beta-lactam and staph. aureus bacteria have adapted to confer resistance against them
35
What do antibiotics against protein synthesis take advantage of?
It takes advantage that our ribosomal subunits are different to bacterias (30s and 50s subunits)
36
What antibiotic is used to treat cellulitis?
Flucloxadin
37
What are some of the side effects of antibiotics?
Rash, anaphylaxis, diarrhoea C.difficile infection - antibiotics against other infections cause c. diff to grown and therefore this can lead to the production fo toxins, which can in serious conditions lead to mortality Antibiotic resistance
38
How do you test for antibiotic resistance?
On a plate, you have the bacteria and then plates with disks of antibiotics on them to see if the bacteria can grow in the presence of the bacteria If there is a zone of sparing this means the antibiotics are effective
39
What is MRSA resistant to and what do you treat it with instead?
resistant to flucloxacillin and methicillin, so you have to treat it with vancomycin
40
What are the antibiotic resistance mechanisms?
1) Antibiotic degrading/altering enzyme (e.g. penicillinase, extended spectrum beta-lactamase, carbapenemase) 2) Alteration of target site (e.g. penicillin binding protein in MRSA) 3) Reduction in permeability (porin proteins) 4) Efflux pumps (e.g. macrolides) - pump antibiotic back out