Lect 10 - Normal Microbiota - Tue 13th Oct Flashcards

(32 cards)

1
Q

what is normal flora?

A

Organisms found in a given location in a state of health

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2
Q

what is Colonisation

A

Establishment at a site in the body

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3
Q

what is Symbiosis

A

Two or more organisms co-exist in close physical association

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4
Q

what is Mutualism

A

Both organisms benefit from symbiosis

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5
Q

what is neutralism?

A

Neither organism derives benefit or harm

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6
Q

what is Commensalism?

A

One organism benefits, the other derives neither benefit nor harm

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7
Q

what is Parasitism?

A

One organism (parasite) benefits at the expense of the other (host)

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8
Q

describe the non sterile sites of the body

A
conjunctiva
nasopharynx
GI tract
Vagina
Skin
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9
Q

what maintains sterile sites?

A

Sterility maintained by surface cleaning

barriers that allow uni-directional flow

physical separation from non-sterile sites

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10
Q

what sterile site in the body is maintained by surface cleaning?

A

Lower respiratory tract

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11
Q

what sterile sites in the body are maintained by barriers?

A
Upper genital tract (Cervix)
Urinary tract (Urethra)
Middle ear (Eustachian tube)
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12
Q

what sterile sites in the body are maintained by physical separation

A

Plural cavity
Peritoneal cavity
Spinal cord and meninges

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13
Q

what is Tissue tropism

A

Propensity for a particular organism to grow in a particular habitat

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14
Q

what Physical variables lead to certain microbes growing

A
Moisture
Temperature
pH
O2 availability
Nature of surface
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15
Q

what is the Gingival crevice?

A

base of teeth near gums.

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16
Q

what is the normal skin flora?

A

Coagulase-negative staphylococci

Staphylococcus aureus

Propionibacterium species

note skin near any body orifice may be similar to those in the orifice.

17
Q

what mouth flora are there?

A

Viridans/oral streptococci
Anaerobes
Many others

18
Q

what flora in the nasopharynx are there?

A
Streptococcus pyogenes (group A) 
Haemophilus influenzae
Streptococcus pneumoniae
Neisseria meningitidis 
S. aureus
19
Q

how does the vagina change in terms of micro-organisms post puberty?

A

glycogen produced due to circulating oestrogens.

changes from lower GI flora to Lactobacillus spp. and Lactobacillus acidophilus which Ferment glycogen.

they Maintain pH ≈3, preventing overgrowth of other species

20
Q

What stomach Flora is there?

A

Predominantly aerobic bacteria

- acid-tolerant Lactobacilli
- Helicobacter pylori
21
Q

what large intestine flora is there?

A

95-99% Anaerobes
Bacteroides spp., Clostridium spp. Bifidobacteria spp

some Aerobic bacteria - Enteric Gram-negative bacilli

22
Q

what does ssp. after a name mean?

A

many species of that group.

eg Clostridium spp = lots of different Clostridium bacteria.

23
Q

what vitamins do you get from your flora?

A

vitamins K (E coli) and B12 secreted by enteric bacteria

24
Q

how are you protected by normal flora?

A

Colonisation resistance

Induction of cross-reactive antibodies

25
does normal flora stay the same throughout life?
no.
26
what conditions may be impacted by microbiome?
``` Inflammatory bowel diseases Metabolic disorders, diabetes Hypertension Obesity Cancer Infection ```
27
what hospital associated infection leads to diarrhoea after overuse of antibiotics?
Clostridium difficile
28
what novel treatment may be useful in combating C diff?
faecal transplant
29
what types of pathology of normal flora are there?
Overgrowth Translocation (wrong site) Cross-infection
30
give an example of overgrowth.
Vaginal thrush | - often after Treated with broad spectrum antibiotic
31
give an example of translocation
Conjunctivitis - Red eyes and purulent conjunctival discharge following URTI with cough and runny nose. Haemophilus influenzae
32
what clinical conditions can be caused by "normal" flora
dental caries, peridontal disease, pharyngitis endocarditis urogenital infection Gastroenteritis/peritonitis Pneumonia Abscesses