Lecture 63 - Urogenital Bacteriology 1 Flashcards
urobiome
collection of microbes that reside in urogenital tract
urinary system
- kidneys
- ureters
- bladder
- urethra
*filter and excrete waste via urine
reproductive system
- ovaries/testes
- uterus
- vagina
- penis
*produce gametes and enable fertilization
commensal bacteria
harmless microorganisms that coexist with the host. maintain balanced microbial environment and can prevent colonization by pathogens
opportunistic pathogens
microorganisms that can cause infection when the host’s immune system is compromised
why is the systems-based approach better than taxonomic
taxonomy does not predict the virulence of disease, but systems-based indicates pathogenesis
immune defenses of the urogenital tract
- mucosal immunity
- acidic pH
- physical barriers
urogenital pathogenic mechanisms
- biofilm formation
- urolith formation
- adhesions for attachment
- toxin secretion
T/F: lower UTIs are most common bacterial infections in animals
TRUE
what are symptoms of lower UTIs
- stranguria (painful u+)
- pollakiuria (increased U+)
- periuria (inappropriate U+)
- pyuria/hematuria (cloudy/bloody U+)
how are lower UTIs diagnosed
- urine culture
- urine sensitivity
what are the common pathogens of lower UTIs
- E. Coli
- Klebsiella
- Proteus
upper UTI symptoms
pyelonephritis vs systemic
- fever
- polyuria/polydipsia
- systemic illness
- flank pain
- renal failure
what are the common pathogens of upper UTIs
same as LUTIs + leptospira
how are upper UTIs diagnosed
- urine culture
- urine sensitivity
- PCR
- serology
what is different about the antibiotics given in upper UTIs vs lower
antibiotics are required to penetrate the renal parenchyma
recurrent UTI
3 or more episodes of UTI in a 12-month period
refractory UTI
same organism isolated more than once in the face of appropriate tx
relapsing UTI
same organism isolated multiple times with 6-month period with apparent clearance in between positive cultures
re-infection
different organism isolated within 6-month period with apparent resolution of previous infection
what are examples of reproductive infections
- pyometra
- infertility/stillborn/abortion
- contagious equine metritis
how can reproductive infections be diagnosed
- culture
- PCR
- serology
what bacteria causes contagious equine metritis
taylorella equigenitalis
where can samples be collected from when reproductive infection is suspected
- urine - cysto, cath
- vaginal, preputial, or uterine swabs
- semen samples
- prostatic fluid
- tissue biopsy
- abomasal fluid from aborted fetus
- peripheral blood
what media should each pathogen be cultured on?
a. T. equigenitalis
b. brucella spp.
c. mycoplasma spp.
- castaneda agar
- chocolate agar
- mycoplasma agar
a = 2
b = 1
c = 3
wet mount microscopy
direct observation of bacteria, RBC, WBC, crystals, etc.
gram or other staining
rapid differentiation of bacteria in samples
sediment cytology
identification of intracellular bacteria
what are serological tests for reproductive infection
- latex agglutination & rose Bengal test
- ELISA
- microscopic agglutination test
- immunofluorescence assay
bacterial resistance vs. resilience
resistance is the use, overuse, and misuse of antibiotics that selectively pressure bacteria to become resistant and proliferate whereas resilience is the pathogenic evasion mechanisms
T/F: many urogenital infections are caused by zoonotic organisms
TRUE
what are barriers to urogenital infection
- normal micturition
- normal development of anatomic structures
- mucosal defense barriers
- antimicrobial properties of urine
- systemic immune competence
uromodulin
tamm-horsfall mucoproteins
abnormal micturition
- changes in urine volume (Cushing’s and CKD)
- urinary retention (IVDD and DUD)
- urinary continence (sphincter incompetence)
abnormal anatomic structures
- urethral abnormalities (prostatic disease, urethritis)
- urothelial disease (neoplasia, polyploid cystitis)
- abnormal development (recessed vulva, ectopic ureters, pooling of urine)
- foreign objects bypass anatomy (urinary cath, tube cystostomy, perineal urethrostomy)
what influences the mucosal defense system
- breakdown of GAG layer
- sequestration of bacteria from the immune system
- local immune suppression
abnormal urine composition
- minimal concentration
- glucosuria
- +/- proteinuria
systemic immune suppression
- medications (steroid or cyclosporine)
- hyperadrenocorticism
- diabetes