Lecture 7 Flashcards

1
Q

Staphylococcus

A

Gram positive
Cocci
Grape-like clusters
Facultative anaerobes
Non-motile
Capsules and slime layers
Catalase positive
Commonly found in the environment
Slime layer allows bacteria to form a biofilm
Commonly found in hospital settings
Increased risk of nosocomial infection
Normal flora (commensals)
Most commonly on skin and mucous membranes
Skin, eyes, ears
Respiratory tract, urogenital tract, GI tract

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2
Q

Example of staphylococcus

A

S.aureus
MRSA
S.intermedius

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3
Q

hemolysis

A

Damages RBCs and hemoglobin
Most have some degree of hemolysis
Staph pathogenic factor

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4
Q

Coagulase

A

Binds to fibrin and causes clotting
Fibrin can cover the bacteria → helps bacteria to hide and to resist phagocytosis
Also causes pus to thicken
Staph pathogenic factor

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5
Q

Staph is normal flora where

A

Most commonly on skin and mucous membranes
Skin, eyes, ears
Respiratory tract, urogenital tract, GI tract

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6
Q

Staph is what type of disease

A

Primarily opportunistic
Disease occurs when natural defense mechanisms are compromised
Trauma to the skin or mucosa
Inflammation

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7
Q

Mastitis in cows #1 cause is

A

Staphylococcus aureus is the #1 cause of mastitis in North American dairies
Other species:
S. intermedius
S. epidermidis

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8
Q

Mastitis infection occurs due to

A

Opportunistic infection occurs due to:
Poor herd health management
Poor hygiene
Stress of 3rd trimester pregnancy, gestation
Change in diet rations
Lactation - physiological change as well as trauma to teats

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9
Q

Subclinical mastitis

A

subclinical mastitis due to S. aureus:
Difficult to identify and treat
Milk looks and smells normal, mammary gland appears normal, cow is “healthy” on PE
There is decreased total milk yield over time
Increased somatic cell count in milk
Milk may contain low numbers of bacteria
May be infected for months to years

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10
Q

Cannot eliminate S.aureus mastitis due to

A

Uniquity
Normal flora
Very resistant to dying - can survive weeks in the environment
Very resistant to changes in temperature - can survive cold and pasteurisation
Can persist in up to 12% NaCl and survive in 1% phenol for up to 15 min.
Antibiotic resistance

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11
Q

Prevention of mastitis

A

Maintain milking equipment
Better milking practices (teat dipping)
Fly control
Nutritional management
Calving management
Continued screening of herd for chronic subclinically infected cows and removing them from the herd

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12
Q

MRSA stand for and is resistant to

A

Methicillin Resistant Staphylococcus aureus
Resistant to methicillin
Methicillin is an antibiotic
Semisynthetic derivative of penicillin
Was used against bacteria resistant to penicillin
Bacterial resistance to methicillin developed

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13
Q

Types of MRSA

A

Community-acquired MRSA
Hospital-acquired MRSA strains
Hospital-acquired MRSA

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14
Q

How to treat MRSA

A

Bacteria are resistant to a wide range of different antibiotic classes
Very difficult to treat
Patients are typically isolated/quarantined if in hospital to prevent spread
Has become a problem in vet clinics → skin and ear infections
Community-acquired MRSA
Up to 2% of the human population carries MRSA as part of normal flora
Antibiotic resistance is more limited -mostly to the beta-lactam class
Immunocompromised can develop mild illness → difficult to treat

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15
Q

Prevention of MRSA

A

Test before using antibiotics and only use when required
Autoclave materials before reuse
Hand washing

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16
Q

Staph Pyoderma is caused by and is what type of pathogen

A

Commonly caused by Staphylococcus intermedius in dogs
Normal skin flora
Opportunistic infection affects patients with:
Allergies (especially food allergy), atopy
Primary inflammation causes a warm, moist environment that allows normal flora to overgrow
Damages skin barrier so bacteria can enter subcutis
Skin parasites (mites, fleas, lice)
Immunosuppressions

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17
Q

How to collect culture

A

Clean AROUND lesion gently with water and mild cleanser.
Do not use disinfectant or alcohol.
Use a sterile culturette swab to collect sample. If open lesion, rub gently over lesion. If intact pustule, rub hard enough to break open.
If crusted, lift crust to reveal lesion. Avoid fur.
Place in transport media.

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18
Q

Streptococcus

A

Gram-positive
Cocci
Chains or pairs
Non-motile
Facultative anaerobes
Pathogenic species ferment carbohydrates
Catalase NEGATIVE
used to differentiate from Staphylococcus

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19
Q

Capsules

A

Help resist phagocytosis by WBCs
The more pathogenic species and strains have capsules
Strep pathogenic factor

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20
Q

Exotoxins

A

Step pathogenic factor
Hemolysin
Cardiotoxin
Streptococcal pyrogenic exotoxins - Cause toxic shock syndrome
Streptococcal group antigens
Carbohydrates found on the surface of the bacteria
Species are grouped according to markers (A, B,…)
May help in attaching to certain tissues

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21
Q

Strep is what type of pathogen

A

Primarily opportunistic
If present in urine or internal tissues, likely pathogenic
Can be secondary organism in diseased tissue
Present in higher than normal numbers, but did not cause the disease

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22
Q

Types of strep in vet med and what they cause

A

S. agalactiae → #2 cause of chronic mastitis in dairy cows
S. dysgalactiae → summer mastitis
S. uberis → environmental mastitis
S. bovis → ruminal acidosis; endocarditis
S. suis → septicemia, meningitis, endocarditis in pigs; emerging zoonosis
S. equi subspecies equi → strangles
S. canis → skin infections

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23
Q

Gram positive rods two types

A

Spore-forming
Bacillus anthracis
Clostridium
Non-spore-forming
Listeria monocytogenes - zoonotic, neurological
Rhodococcus equi - foal pneumonia

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24
Q

Bacterial endospores

A

“Hibernation” stage in certain bacteria
Bacillus spp.
Clostridium spp.
Different from persister cells
Sporulation triggered by starvation
Spore genes are turned on and the genes for metabolism, growth and repair are turned off
Germination triggered by return of water and nutrients
Genes responsible for growth, replication and repair are turned “ON”
Bacteria returns to metabolically active form
Very rapid process

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25
Bacillus anthracis
Gram positive Long chain rods Strict anaerobe Spore-forming
26
Physical changes caused by bacterial endospores
Thick protein coat develops around nucleoid Chromosomal DNA condenses Water is removed from cytoplasm
27
Bacillus anthracis transmission and exposure
Horizontal transmission Most common route of infection in herbivores is ingestion of contaminated soil while grazing Gastrointestinal anthrax Can affect all species Cattle and sheep most commonly reported Zoonotic
28
Anthrax epidemiology
Endemic in Saskatchewan since 2006 Environmental reservoir Soil, water, dried organic matter Can be aerosolized and spread in air/wind If flooding or excessive groundwater, can cause spores to reach surface faster and spread
29
Anthrax pathology
Ingested spore enters the small intestine Germination triggered; bacteria replicates Incubation period a few hours to 3 weeks depending on infectious dose Vegetative B. anthracis produces exotoxin that are absorbed into circulation Toxin #1 –causes severe edema and tissue necrosis necrotic tissue has decreased oxygen so bacteria can spread Toxin #2– exotoxin kills WBCs so host cannot fight off the infection
30
Clinical signs of anthrax
Clinical signs are related to tissue necrosis and edema Most common clinical sign noted is death Edema toxin causes such severe damage to vessel walls that there is fatal hemorrhage Death usually occurs in 24-48 hours of start of clinical signs
31
Anthrax treatment, prevention and control
Vegetative form easy to treat with antibiotics Vaccine available for at-risk animals Once spores form, very hard to destroy in environment Control spread of spores Prevent air exposure Plug all openings of carcass Secure head in a plastic bag tied tight around neck Protect from scavengers Burn carcass Anthrax is a REPORTABLE DISEASE Suspect and confirmed cases of anthrax must be reported to the CFIA
32
Reportable disease
Diseases of public health importance that are tracked by the government Impact human health, animal health and the economy Must be reported to CFIA by diagnosing vet or lab
33
Purpose of tracking diseases
to identify source of infection to prevent spread to track rate of spread
34
Characteristic of reportable disease
High mortality or morbidity (often no treatment) High risk of transmission between animals Economic importance Zoonosis Emerging (newly evolving) diseases
35
Notifiable disease
Immediately notifiable diseases Diseases exotic to Canada or no have no control or eradication programs Only labs are required to notify Annually notifiable diseases Diseases present in Canada but not reportable or immediately notifiable Laboratories send information to CFIA
36
Clostridium perfringens
Widespread in nature Can be found in most species as part of normal GI flora Different from other Clostridia because is NOT a strict anaerobe Common cause of bacterial diarrhea: Most common cause of small animal diarrhea Scours (calves, lambs, piglets, foals) Some strains cause a fatal diarrhea in adult livestock (cattle, sheep, poultry) Associated with antibiotic triggered diarrhea in pocket pets Zoonotic
37
Diagnosing C. perfringens diarrhea:
Commonly diagnosed by in-clinic fecal smear Swab of rectum or fecal sample Diagnosis is by over-representation of typical large gram positive rods, with or without spores
38
Gram Negative Rods - Family Enterobacteriaceae
Range from non-pathogenic to primary pathogens Includes most of the intestinal pathogens Some saprophytic bacteria Many are coliforms Facultative anaerobes to strict anaerobes Flagella → motile Catalase negative Can be divided based on ability to ferment lactose
39
Gram Negative Rods - Family Enterobacteriaceae egs
Escherichia* Salmonella* Enterobacter Klebsiella Proteus Yersinia
40
MacConkeys agar works how
Selective – bile salts select for enteric bacteria Selective – crystal violet inhibits Gram positive growth Differential – lactose and phenol red identify bacteria that produce lactic acid
41
E.coli characterisitcs
Gram negative bacilli Facultative anaerobe Motile Catalase negative Lactose fermenter (pink on MAC) Large grey colonies on BA (some are hemolytic) Normal intestinal flora Ubiquitous Coliform Can survive up to 6 months in manure Common in organic biofilms Some strains are non-pathogenic, some are opportunistic, others are pathogenic Depends on the strain and infectious dose A strain may be normal flora in one species, but will cause disease if introduced into another species Eg. EHEC O157:H7 E. coli can cause severe disease if allowed to invade internal organs Opportunistic, depends on health status of the host
42
E.coli pathogenic factors
Endotoxin – triggers inflammation Capsule – resists drying and phagocytosis Some strains are hemolytic Different strains produce different exotoxins Enterotoxins are toxins that act on the GI tract Acquired antibiotic resistance Hospital and community strains of multi-drug resistant E. coli
43
E.coli disease control and prevention
Hygiene Control of feces in the environment Control fecal contamination of food and water supplies, safe food preparation Host health Vaccination Fecal exposure Most disinfectants Pasturization
44
E. coli Diarrhea, Enteritis and Food-Borne Disease
One of three most common causes of food-borne illness in people E. coli, Salmonella, Campylobacter Causes bacterial enteritis, resulting in diarrhea Fecal-oral transmission Animal-to-animal Zoonosis Contaminated meat, dairy and produce
45
Strains of Enteropathogenic E. coli
Type and severity of diarrhea/damage depends on the strain and the exotoxin it produces 3 major groups (least to most severe): ETEC = Enterotoxigenic E.coli EPEC = Enteropathogenic E.coli EHEC = Enterohemorrhagic E.coli
46
ETEC stands for and characteristics
Enterotoxigenic E. coli There are species specific strains Part of normal flora in healthy animals Infection of a susceptible host causes small intestinal,secretory diarrhea Enterotoxin acts on small intestine cells and causes them to secrete excess ions into lumen water follows No physical damage to intestinal cells Animal becomes dehydrated and loses electrolytes
47
EPEC stands for and is
Enteropathogenic E.coli Attach to the surface of intestinal cells and destroy the microvilli on them Without microvilli, there is decreased absorption of nutrients causing a malabsorptive diarrhea Malabsorption of nutrients (and water) Some microscopic damage to the intestines Diarrhea is mucoid and can be chronic Rabbits, humans, dogs most affected
48
EHEC stands for and is
Enterohemorrhagic E.coli Bacteria produce Shiga toxin Enters intestinal cells and blocks protein synthesis Loss of intestinal epithelial cells results in ulcers and bleeding Result is hemorrhagic diarrhea Many strains of EHEC are part of normal GI flora in veterinary species, but cause enteritis if transmitted to other species Certain strains of EHEC can cause significant disease in calves and piglets
49
EHEC O157:H7
AKA “hamburger disease” Part of normal flora in 30% of cattle Causes a zoonotic hemorrhagic enteritis in people Transmission: food-borne Beef (especially ground beef) Plants fertilized with contaminated manure Feces contaminated milk, unpasteurized milk O157:H7 contamination of meat and produce is responsible for millions of $ of recalls annually Illegal to sell meat with this strain of E. coli
50
E. coli O157:H7 Prevention
General prevention: Hygiene during food processing and food handling Meat and produce inspection Avoid undercooked ground beef Avoid unpasteurized milk Wash raw fruits and vegetables Bacterial counts in fertilizer Targeted prevention: Cannot treat cattle due to normal flora, but can decrease the normal flora load that is made up of O157:H7 Cattle-specific vaccines Vaccine is specific to the O157:H7 strain Boosts immune system to recognize and decrease numbers of specific strain Decreases shedding of E. coli O157:H7 Reduction of human cases 50-85% in tests
51
Raw meat based diets
Diet trend in dogs Part of the holistic and naturopathic movement Large portion of dogs fed RMBD will shed pathogenic/zoonotic E. coli in their feces and saliva Concern if anyone is immunocompromised
52
E. coli - Neonatal Septicemia
Most common Gram negative cause of septicemia Most susceptible are foals, calves, piglets lacking colostrum Can also occur in healthy neonates that ingest large quantities of fecal matter Infection enters through the umbilicus or ingestion of fecal matter →blood→ lungs, liver, spinal cord, heart, kidneys Diagnosis is usually by culturing internal organs, such as liver
53
Coliform mastitis
Acute, severe clinical mastitis Any member of Enterobacteriaceae, E.coli most common Environmental mastitis Associated with fecal contamination of bedding Fecal E. coli→ infects mammary glands → colonization in milk → can reach peak numbers in hours Most cases, infection is cleared by immune system with only mild clinical signs In few cases, severe acute inflammation occurs High numbers of bacteria release large amount of endotoxin Can be local (mammary gland) → severe damage Or can spread systemically –> endotoxic shock Form of mastitis most likely to cause cow death Endotoxic shock Eurhanasia (loss of gland, pain, inability to treat)
54
Coliform mastitis treatment and prevention
Treatment: Fluids, stripping infected gland Often clinical course is too rapid to start effective antibiotic treatment many antibiotics are not allowed in food animals Prevention: Hygiene Vaccine given in dry period
55
E.coli in poultry
E. coli can penetrate the eggshell and infect the yolk sac → spreads to embryo Will cause death of embryo Cellulitis in broilers Bacteria from feces enters via scratches and wounds in skin Most commonly affects breast and around the anus Infection of skin, subcutaneous and muscle → cellulitis Tissue becomes pale, yellow, white, firm Birds are condemned and cannot be eaten
56
E.coli and UTIs is and risk factors
Common cause of UTIs Issues with multi-drug resistant E. coli strains Both community-acquired and hospital-acquired multi-drug resistance E. coli can produce urease enzyme which is secreted into urine and increases pH to 7.5 Can lead to secondary struvite formation Risk factors: Female anatomy; estrus; fecal contamination Urinary catheterization; poor cystocentesis technique
57
UTIs treatment
Treatment depends on strain Most are easily treated Community-acquired multidrug resistant strains are harder to treat Nosocomial hospital-acquired multi drug-resistant strains are very hard to treat Identification of Gram negative rods on urine microscopy is an indication to send for culture and sensitivity
58
Diagnosis of pathogenic E.coli
Can be difficult since it is normal flora and ubiquitous Culture Testing for specific strains Testing for specific enterotoxins Testing for antibiotic sensitivity E. coli has lots of plasmid-based antibiotic resistance Post-mortem samples MUST be from freshly dead animals Intestinal bacteria (especially Clostridium and E. coli) spread rapidly post-mortem
59
Salmonella characteristics
Gram negative Rods Facultative anaerobe Motile due to flagella Non-lactose fermenting on MacConkey’s Fastidious – May require special transport media Enteric, coliform Primary pathogen Found in all animal species Present in very low numbers in intestines and feces of most NORMAL, HEALTHY domestic animals but is NEVER considered normal flora Animals are asymptomatic carriers Animal reservoirs are maintained by animal-to-animal spread and the use of Salmonella-contaminated animal feeds
60
Salmonellosis is and 3 types
Diseases caused by Salmonella enterica 3 types of clinical disease: Enteritis – Secretory diarrhea Septicemia Enteric fever Pathology and clinical disease are similar in people and animals
61
Transmission and infection of salmonella
Reservoir is asymptomatic carriers Shed intermittently when stressed Feces, egg, milk, contaminated meat Most common transmission: Fecal-oral Food borne Direct from pet reptiles/turtles to peopl
62
Salmonellosis enteritis
Most common clinical presentation 6-48 hours after minimum infectious dose Nausea, fever, vomiting, cramps Secretory diarrhea Bacteria infect cells and alter electrolyte absorption minimal damage to the intestinal cells Last 2 days to 2 weeks, then will resolve if host is otherwise healthy Animal may continue to shed bacteria for a long time after clinical stage resolves
63
Salmonella zoonosis
Salmonella is one of the major causes of food-borne illness in people Sources of food-borne infection include: Contaminated poultry, eggs and dairy Children acquire bacteria most commonly by fecal-oral transmission from contaminated animal feces especially from turtles, lizards Other sources include contaminated water, rodents, wild fowl
64
Mycobacterium is and cell structure
Genus contains a number of bacteria that cause serious disease Tuberculosis Leprosy Bacteria cell structure Very small rods Colonies can form hyphae Distinct cell wall Outermost layers of cell wall contain a lipid layer and a wax layer (mycolic acids) “ACID FAST” Stain with acid fast technique – penetrates wax layer Do not stain properly with Gram stain Resistance Wax layer is very protective Lots of antibiotic drug resistance Very resistant to pH change, detergents, drying IMMUNOGENIC Great at activating inflammation Purified cell wall is a component added to many vaccines to enhance immune activity
65
Mycobacterium characteristics and generation time
Aerobic Non-spore forming Nonmotile Catalase positive VERY LONG generation time Fast growing species produce visible colonies in 7 days Some species can take 2 years to produce colonies
66
Bovine tuberculosis
M. bovis 10% of infected animals develop clinical disease 90% are latent infections Hard to identify Can spread infection Slow progressive lung disease - eventually fatal Hard to treat due to drug resistance Reservoirs in wildlife (deer, elk) Can spread to most other mammals, including people Most common route of transmission: respiratory
67
Diagnosis of bovine tuberculosis
Post-mortem necropsy Presence of tubercules + culture Tuberculin testing CFIA-certified test Tuberculin (cell wall extract from the bacteria) is injected into skin Animals that have been infected for at least 1 month will respond to the tuberculin and create an inflammatory lesion at the injection site Identifies both silent carriers and clinically affected animals
68
Is bovine TB reportable
Reportable Disease (Canada and USA) Suspicion of bovine TB must be reported Mandatory testing of herds in high risk areas Riding Mountain National Park, MB Large population of infected elk If suspect animals found at slaughter, herd will be tested by CFIA
69
Control of spread of bovine TB
Quarantine Investigation Positive animals and all exposed, susceptible animals are destroyed on premises Cleaning and disinfection No restocking for 45 days Producers are compensated per head
70
Mycoplasma cell characteristics
Smallest prokaryotes 0.3- 0 .8 micron diameter Structurally simple Lack cell wall Pleiomorphic Simple genome 470 - 700 genes Limited genes – limited enzymes = limited functions that cell is able to carry out Has complex nutritional requirements Lots of essential aa and cofactors Require external sources of sterols Can hijack host cell’s enzyme pathways
71
Mycoplasma diseases
Different species of Mycoplasma infect different hosts, different tissues within the host and cause different diseases Difficult to treat because: No cell wall Few enzymes to target with drugs
72
Mycoplasma anemia is caused by and causes
Mycoplasma haemofelis Infect RBCs; surface attachment Small blue to purple “dots” on the surface of RBCs Can find with Diff-Quick stains Usually cocci, can be a ring-shaped, cocco-bacilli Less often in the cytoplasm Causes anemia Immune system attacks RBCs that have the Mycoplasma Initial diagnosis is usually on erythrocyte morphology Species-specific, but similar diseases in cattle, dogs, people, mice Can spread via arthropod vectors Ticks, lice, mosquitoes
73
Is Salmonella a primary, or opportunistic pathogen?
Primary
74
How do children commonly acquire Salmonella bacteria?
Fecal-oral contamination
75
What is the gram reaction for Mycobacterium?
Doesn't gram stain Use acid fast instead
76
Name a reservoir for Bovine Tuberculosis.
Wildlife
77
Why are Mycoplasma diseases difficult to treat?
No cell wall Few enzymes to target with drugs
78
Do questions on slides
answers in google docs