Lecture 24: Proteus, Klebsiella, Enterobacter, pseudomonas, GI infections and UTI Flashcards
Proteus, Klebsiella, and Enterobacter are gram __bacilli, facultative ___
Negative, anaerobes
Proteus, Klebsiella, and Enterobacter are oxidase __ and catalase ___
Negative, positive
Which are motile: Proteus, Klebsiella, Enterobacter
Proteus and Enterobacter
Which are non-motile: Proteus, Klebsiella, Enterobacter
Klebsiella
Which for lactose fermentation: Proteus, Klebsiella, Enterobacter
Klebsiella and Enterobacter
Which do urease production: Proteus, Klebsiella, and Enterobacter
Proteus and Klebsiella
Which do H2S production on TSI slant: Proteus, Klebsiella and Enterobacter
Proteus
Where are proteus, Klebsiella and Enterobacter found
Widely distributed within the environment
What virulence factors do Proteus, Klebsiella and enterobacter all have
LPS
Lipid A on LPS is endotoxin
What does urease do
Hydrolyzes urea in urine to ammonia and CO2, urinary epithelial cells become damage, change in urinary pH leads to uroliths
What virulence factor do Proteus spp have that allow them to colonize bladder and kidney
Fimbrae
What virulence factor do Proteus spp have the form a pore and play a role in dissemination from bladder to kidney us
Hemolysin
What Proteus spp forms uroliths in dogs
P. Mirabilis
What virulence factors does Klebsiella have
- Capsule
- Endotoxin
- Adhesins
- Cytotoxin
- Shiga toxin of ETEC
What diseases does Enterobacter aerogenes cause
- Coliform mastitis in cattle
- Dog UTI’s
What diseases does Klebsiella pneumonia cause
- Coliform mastitis in cattle
- UTI in dogs
What diseases does Proteus mirabilis and proteus vulgaris cause
- UTI’s in dogs and horses
- Otitis externa in dogs and cats
What value is indicative of UTI on culture
> 100,000 Cfu/ml
What value is not significant for UTI in culture
<10,000 cfu/ml
What agar plates should Proteus, Klebsiella and enterobactera be plated on
Blood agar and MacConkey
Proteus, Enterobacter or Klebsiella: only enterobacteriae that has yellow colonies on MacConkey and does not have a mucoid colony
Proteus
What are some antibiotics to tx enterobacter aerogenes
Aminoglycosides, beta lactams and cephalosporins
What are some antibiotics to tx Klebsiella pneumonia
Aminoglycosides
What are some antibiotics to tx P. Mirablis and P. Vulgaris
Ampicillin, amoxicillin, amoxicillin-clavulanic acid, ceftiofur
What is the most important way to control proteus, Klebsiella and Enterobacter
Wash hands and disinfect of mites
Pseudomonas is a gram___ bacilli and obligate __
Negative, aerobe
Pseudomonas is oxidase __ and catalase ___
Positive, positive
What are the 4 possible pigments for pseudomonas
- Pyocyanin- blue
- Pyoverdin- yellow-green fluorescent
- Pyorubin-red
- Pyomelanin- brown
T or F: pseudomonas when grown on MacConkey does lactose fermentation
False
What does the virulence factor cytotoxin do and what bacteria is it associated with
Inhibits leukocyte function, disrupts pulmonary microcirculation
Pseudomonas
What does exotoxin A do and what bacteria is it associated with
Inhibits protein synthesis and facilitates tissue invasion
Pseudomonas
What does exotoxin S and T do and what bacteria is it associated with
Inhibits protein synthesis
Pseudomonas
What does phospholipase C-hemolysin do and what bacteria is it associated with
Stimulates inflammation
Pseudomonas
What does pyocyanin as a virulence factor do and what bacteria is it associated with
Produces toxic oxygen that mediate tissue damage
Pseudomonas
What does rhamnolipid do and what bacteria is it associated with
Damage to host cell membrane, inhibit macrophage function
Pseudomonas
Pseudomonas is an opportunistic pathogen that enters via
Wounds and trauma
What infections can pseudomonas cause
Pneumonia, bacteremia, infections of eye, ear, urinary tract, and surgery sites
What is the most common infection associated with pseudomonas
Otitis in dogs
What does pseudomonas cause in snakes
Necrotic stomatitis, mouth rot
What does pseudomonas cause in sows
Acute multi glandular mastitis
How would pseudomonas aeruginosa appear on blood agar
Large, gunmetal gray colonies
Rough with zones of hemolysis
Based on this presentation on plate what is likely bacteria
Pseudomonas aeruginosa
What antibiotics can tx pseudomonas infections
Beta-lactams, cephalosporins, combination of gentamicin with tobramycin or with carbenicillin or ticarcillin
In a veterinary hospital to control pseudomonas it is extremely important to manage ___ and ___ on patients
Urinary and Iv catheters