Lecture 18 - Proteus, Klebsiella, Enterobacter, and Pseudomonas Flashcards
Motile
Proteus + Enterobacter
Non-motile
Klesiella
Lactose fermentation
Klebsiella + Enterobacter
Urease
Proteus + Klebsiella
H2S production in TSI
Proteus
Nosocomial Infections: Klebsiella
Surgical wounds + Urinary tract + Blood
Nosocomial Infections: Enterobacter
Contaminated cleaning solutions
UTI
What species of enterobacter is responsible for nosocomial infections due to contaminated cleaning solutions ?
E. Cloacae
What species of enterobacter are responsible for nosocomial infections causing UTI’s?
E. Cloacae + E. Hormaechei
What does PESSKY Strains stand for?
Proteus E. Coli Salmonella Shigella Klebsiella Enterobacter Yersinia Serratia
What do you see clinically most often with proteus infections?
Chronic otitis externa
What animal most often sees otitis externa due to Proteus?
Dogs
What three bacteria are most commonly the cause of chronic otitis externa in dogs?
Pseudomonas aeruginosa
Proteus
Enterococcus
What bacteria is the most common cause of otitis externa in dogs?
P. Aeruginosa
What animals are most commonly infected with Klebsiella?
Dogs
Cats
Horses
Cattle
Where is Klebsiella a normal part of the flora in dogs and cats?
Nasopharyngeal + Intestinal
What is Klebsiella associated with in cats and dogs?
GI + Gentiourinary tract infections
Systemic bacteremia
Nosocomial infections
What are virulence factors seen in Klebsiella that affects dogs and cats?
Shiga toxin
What is klebsiella a common cause of in horses?
Chronic endometritis
Why is endometriosis caused by klebsiella most often chronic in nature?
Forms a biofilm making antibiotics less efficient
What does Klebsiella cause in stallions?
Balanoposthitis
Is Klebsiella a STD?
NO, but is sexually transmitted
What occurs with cattle infected with Klebsiella?
Coliform mastitis
What bacteria with Klebsiella can also cause coliform mastitis in cattle?
Enterobacter
What type of enterobacter infects dogs and cats?
E. cloacae
What is Enterobacter Cloacae responsible for in cats and dogs?
Nosocomial infections, most commonly in the IV catheter
When are dogs more at risk for infection by Enterobacter?
Any prior AB use
Surgery
Increased duration in the hospital
What can Proteus, Klebsiella, and enterobacter be cultured on most commonly?
Blood agar + MacConkey
Which of the bacteria shows a swarming growth pattern on blood agar?
Proteus
Which of the bacteria appear yellow on MAC? (including from previous lectures)
Proteus + Salmonella
Which of the bacteria appear pink on MAC? (including from previous lectures)
Enterobacter + Klenellia + E. Coli
What needs to be taken into consideration with treatment of Klebsiella?
Geographic AB resistance
What should a UTI due to Klensiella be treated with most commonly?
Cephalexin + Cephalosporin
What strain of Proteus is most commonly responsible for UTI’s?
P. Mirabilis
What should a UTI due to P. Mirabilis be treated with?
Ampicillin
What readily kills Proteus, Klebsiella, and enterobacter?
Sunlight + desication
What are Proteus, Klebsiella, and enterobacter NOT killed by?
Freezing
Pseudomonas: Gram
Negative
Pseudomonas: motile
Single or multiple polar flagella
Pseudomonas: Capsule
Carbohydrate containing
Alginate
Pseudomonas: Oxygen requirements
Aobligate aerobe
Pseudomonas: Oxidase
Positive
Pseudomonas: Catalase
Positive
Pseudomonas: MacConkey
Growth, no fermentation = Yellow
What are the four pigments created by Pseudomonas?
Pyo - cyanin + verdin + rubin + melanin
What does pyocyanin stand for?
Chloroform soluble - generate ROS
Virulence factor
What does pyoverdin mean?
Presence of siderophore
Florescent
When you see pyorubin and pyomelanin?
Late in the infections
What are the four most significant pseudomonas species?
Aeruginosa
Putida
Fluorescens
Syringae
Where is P. Syringae found?
Plants
When is P. Fluorescens possible pathogenic?
Can grow in blood products
What is P. Putida used for?
Bioremediation
What is the most common cause of veterinary related diseases when it comes to Pseudomonas?
P. Aeruginosa
What is important to note about pseudomonas infections?
Ubiquitous in environment
Impossible to prevent exposure
What are the two big determining factors on whether Pseudomonas causes an infection?
Host + Environment
What are the virulence factors in pseudomonas?
Exotoxin A
Bioflims
Resistance
What is Exotoxin A?
Cytotoxic
Extracellular = tissue damage + septicemia
What delivers Exotoxin A to the host?
T3SS via injectosome
What causes the bioflim in pseudomonas?
Aliginate - slime like polysaccharide
What are the methods pseudomonas uses to be more resistant to AB’s?
Low outer membrane permeability
Muti-drug efflux pumps
What does pseudomonas tend to do to the skin in infections?
Maceration
What three structures allow for pseudomonas to adhere to tissue?
Fibriae + Capsules + Flagella
What helps pseudomonas further in the attachment process?
Exoenzymes + Biofilm + Siderophore production
What occurs in post invasion of pseudomonas?
Tissue damage (Exotoxin A) Pyocyanin (ROS production)
What kind of pathogen is pseudomonas? (based on infection requirements)
opportunistic - needs alteration in host defense
What types of infections are seen with pseudomonas?
Pneumonia + Bacteremia + Infections of eyes, ears, UT + Surgical sites
Pseudomonas: Dogs
Chronic purulent otitis externa
Ulcerative Keratitis
Pseudomonas: Horses
Ulcerative Keratitis
Chronic Endometriosis
Balanoposthitis
Pseudomonas: Sheep
Dermatitis
Fleece rot
Pseudomonas: Minks, Chinchillas
Septicemic Disease
Pseudomonas: Poultry
Septicemic disease
What animals is highly sensitive to pseudomonas?
Minks
Pseudomonas: Snakes
Necrotic stomatitis
Pseudomonas: Goats
Gangrenous mastitis
Pseudomonas: Cattle
Mastitis
What does pseudomonas look like on blood agar plates?
Gunmetal grey
Very large colonies
Pseudomonas: Hemolysis
Beta
Pseudomonas: Oxidase
Positive
How do you tell pseudomonas apart from enterobacteriacea?
E. is oxidase negative
Pseudomonas: MacConkey
Lactose negative
Pseudomonas: TSI
unchanged
What AB’s are commonly used with Pseudomonas infections?
Aminoglycosides + Carboxypenicillins
what is a bad AB’s to use with Pseudomonas infections? why?
B-lactams
Many pseudomonas strains have B-lactamase
What animals have vaccines against pseudomonas?
Minks + Chinchillas
What should life threatening pseudomonas infections in dogs and cats be treated with?
Carbenicillin + Aminoglycosides
What are good AB’s to use in empiric therapy in dogs and cats with pseudomonas?
Gentamicin
Amikacin
Tobramycin
What is the Pseudomonas vaccine type for minks and chinchillas?
Multicomponent
Protein antigens from LPS + Toxoids