Major gram - bacteria Flashcards

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1
Q

types of bacteria and characterisiscs

A

Types bacteria

1) gram +
- purple
2) gram –
- stain pink
- 2 membranes
- LPS outside

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2
Q

flagellum

A
  • called H antigen
  • surface antigens used to class different bacteria
  • allows bacteria to swim
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3
Q

K antigen

A

capsule

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4
Q

LPS O antigen use

A

outer membrane
LPS
- Deter complement proteins (therefore preventing complement cascade and antigens)
- Capsule repels complement proteins or antibodies

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5
Q

gram - cell envolope made of

A

LPS interacts with the immune system (can be called endotoxin)

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6
Q

Gram - quick summary

A
  • Gram – bacteria have 2 membranes with the OM(outermembrane) connected to LPS layer
  • thin peptidoglycan layer (between the membranes)
  • do not retain gram stain
  • Outer layers and released are LPS major antigens (K H O)
  • LPS and Capsule help immune evasion
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7
Q

what type of bacteria is neisseria spp

A

Gram – diplococci

Common commensals

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8
Q

Pathogenic neissieria speciess

A

n meningitis

n gonorrhoeae

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9
Q

n meningitis

A
  • meningitis/meningococcal septicaemia
  • infection of CSF and meninges
  • commensal carriage in pharynx/nasopharyx
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10
Q

what are oligosaccharides good for and found on

A

invading immune system

gonorrhoea

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11
Q

what can neisseria meningitis/gonorrhoea be grown on

A

Both fastidious growth (heated blood) + CO2
Nutritionally fussy, have to be grown on blood (dark), due to the iron leaked out as the blood cells have been heated and burst, incubated at 37 degrees

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12
Q

meningitis symptoms

A
  • Rapid onset fever
  • dislike to light
  • rash (does not blanch when pressed unlike normally)
  • stiff neck
  • not feeling well
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13
Q

what is meningitis

A

Inflammation around brain and spinal column (meninges)

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14
Q

how many serogroups does meningitis have and what do these depend on

A
polysaccharide capsular antigen
A 
B
C  
Y
W 135
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15
Q

how does meningitis spread

A
  • Either directly to subarachnoid space

- or through nasopharyngeal mucosa to enter bloodstream

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16
Q

what does mengigitus have

A

IgA protease for serum resistance

17
Q

diagnosis of meningitis

A

1) Cerebro spinal fluid
- mainly PMNLs, presence of bacteria - diplococci
2) blood/CSF/throat swab cultures and for DNA extraction
- sub culture on chocolate agar

18
Q

how to serogroup meningitis

A
  • Elisa for capsule types and surface OM antigens
  • PCR for species and strain specific genes
  • Whole genome sequencing – routine for strain epidemiology
19
Q

treatment of meningitus

A

Antibiotics (often accompanied by steroids)

Cefotaxime and penicillin

Often with corticosteroids (to reduce inflammation )

Vaccines available for group A C Y and W135

20
Q

neisseria summary

A
  • gram – diplococci
  • cause of gonorrhoea and meningitis
  • variable surface capsule – major virulence factor
21
Q

what causes haemophilus influenzae and how does the bacteria invade

A

gram - cocco bacillis
(causes septicaemia, pneumonia, meninigits)

  • penetration of submucosa of nasopharynx
22
Q

H influenza pathogenesis

A

6 capsule types a-f (some non capsulate commensals)

capsule is major virulence factor
IgA protease

23
Q

how does capsule work for H influenza

A

avoidance of c3b binding

- most disease caused by type b capsule

24
Q

diagnosis of h influenza

A

Sputum, throat swabs, blood culture
Chocolate agar 5-10% CO2
- check for development of gram - cultures

Meningitus
- antigen detection/ PCR

25
Q

what do haemophili require for growth

A

X and V

H influenzae requires both X and V
H ducreyi requires only X

26
Q

pseudomonas arguginosa

A

human commensal
grame -
motile rod
strictly aerobic

27
Q

what does pseudomonas arguginosa look like on agar plate

A

Colonies on agar with characteristic green spreading shape and grape smell

28
Q

what is a cause of infection after burns and what can it lead to

A

pseudomonas arguginosa

- septicaemia (ecythma gangrenous lesions)

29
Q

kelbsiella

A

opportunistic pathogen
antibiotic resistant
mucoid colonies, capsule allows immune evasion

30
Q

what is used to treat klebsiella

A

carbapenems and cephalosporins