Lecture 11-Cronobacter Flashcards

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1
Q

Which Cronobacter species is the most common?

A

C.sakazakii and is one of the species that has been involved in neonatal infection

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2
Q

Cronobacter

A
  • gram-negative, non-spore forming, straight, rod-shape bacteria
  • flagella, nonhalophilic, and facultatively anaerobic
  • grows from 6 to 45C
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3
Q

What is the most associated vehicle for transmission of Cronobacter?

A

-powdered infant formula

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4
Q

Is Cronobacter mortality high?

A

Yes but the incidence of disease is very low

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5
Q

Why would premature infants be more at risk of cronobacter?

A

Premature neonates secrete less gastric acid than older infants, and this may be important in the long term survival of Cronobacter

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6
Q

What are some symptoms seen in infants with cronobacter infections?

A

Necrotizing enterocolitis, speticemia, meningitis

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7
Q

Outer membrane PRO (OMP)

A
  • cell-surface exposure and contribution in export of extracellular virulence factors
  • anchores the structures that mediate adhesion and motility
  • OmpA helpc cells adhere to GI epithelial cells
  • involved in invasion of epithelial cells and BBB
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8
Q

Which OMP breech the blood brain barrier?

A

OmpA

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9
Q

OmpX

A

helps invasion on the apical side of GI epithelial cells, but also helps cronobacter survive on the basolateral side as well

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10
Q

Virulence Factor: Enterotoxin

A

Heat stable toxin

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11
Q

Virulence Factor: Outer membrane protease

A

provides protection from the immune system
-encoded by gene cpa: render serum resistance by cleaving complement components, activating plasminogen and inactivating plasmin inhibitor

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12
Q

Virulence Factor: Sialic acid utilization

A

confers in pathogenesis

-remain undigested in neonates and infants

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13
Q

Virulence Factor: Iron acquisition system

A

encodes iron-update system

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14
Q

Virulence Factor: Efflux system

A

Facilitates invasion of brain cells

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15
Q

Virulence Factor:Proteolytic enzymes

A

Deformation and rounding of cells

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16
Q

Virulence Factor: Lipopolysaccharides

A

Disrupts epithelial cells

17
Q

Virulence Factor: Type 3 hemolysin

A

hemolytic activity

18
Q

What are some disease prevention for cronobacter?

A
  • refrigerate prepared infant formula to 4C within 1 hr of preparation
  • prepare only small volumes of IF
  • use only chilled, sterile water
  • discard any IF remaining in the bottle after feeding
  • use PIF within 4 wks of opening can
  • sterilize bottle prior to reconstitution