Micro - Basic Bacteriology (Misc. Categories) Flashcards

Pg. 121-122 Sections include: Obligate aerobes Intracellular bugs Encapsulated bacteria Catalase-positive organisms Vaccines Urease-positive bugs Pigment-producing bugs Bacterial virulence factors

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1
Q

What is the defining characteristic of obligate aerobes?

A

Use an O2-dependent system to generate ATP

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2
Q

What are 3 examples of obligate aerobes?

A

(1) Nocardia (2) Pseudomonas (3) MycoBacterium tuberculosis; Think: “Nagging Pests Must Breathe”

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3
Q

What kind of metabolism does M. tuberculosis have as it pertains to oxygen use (or lack thereof)? What implication does this have for reactivation tuberculosis? FYI - What are 2 things that can cause M. tuberculosis reactivation?

A

Obligate aerobe; Reactivation of M. tuberculosis (e.g., after immune compromise or TNF-alpha inhibitor use) has a predilection for the apices of the lung, which have the highest PO2

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4
Q

What kind of metabolism does P. aeruginosa have as it pertains to oxygen use (or lack thereof)? In what contexts is P. aeruginosa seen?

A

Aerobe; Seen in burn wounds, complications of diabetes, nosocomial pneumonia, & pneumonias in cystic fibrosis patients

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5
Q

What are 3 examples of obligate anaerobes?

A

(1) Clostridium (2) Bacteroides (3) Actinomyces; Think: “anaerobes Can’t Breathe Air”

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6
Q

What is/are the defining characteristic(s) of obligate anaerobes with regard to function, identification/detection, and production?

A

They lack catalase and/or superoxide dismutase and are thus susceptible to oxidative damage; Generally foul smelling (short-chain fatty acids), are difficult to culture, & produce gas in tissue (CO2 and H2)

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7
Q

Where in the body are anaerobes normal flora? Where are they considered pathogenic?

A

GI tract; Elsewhere

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8
Q

Which antibiotics are ineffective against anaerobes, and why?

A

Aminoglycosides are ineffective against anaerobes because these antibiotics require O2 to enter into bacterial cell; Think: “AminO2glycosides require O2”

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9
Q

What are the obligate intracellular bugs, and why are they obligate intracellular?

A

(1) Rickettsia (2) Chlamydia; Think: “stay in side (cells) when it is Really Cold”; Can’t make own ATP

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10
Q

What are the 8 facultative intracellular bugs?

A

(1) Salmonella (2) Neisseria (3) Brucella (4) Mycobacterium (5) Listeria (6) Francisella (7) Legionella (8) Yersinia pestis; Think: “Some Nasty Bugs May Live FacultativeLY”

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11
Q

What are 7 examples of encapsulated bacteria?

A

(1) Streptococcus pneumoniae (2) Haemophilus influenaze type B (3) Neisseria meningitidis (4) Escherichia coli (5) Salmonella (6) Klebsiella pneumoniae (7) Group B Strep; Think: “SHiNE SKiS”

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12
Q

What 2 purposes can bacterial capsules serve with regards to immunity?

A

(1) Their capsule serves as an antiphagocytic virulence factor (2) Capsule + protein conjugate serve as an antigen in vacicnes

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13
Q

What kind of patients are particularly at risk for encapsulated bacterial infections, and why? What precautionary measures should be taken in this patient population?

A

Asplenics; Encapsulated bacteria are opsonized, and then cleared by the spleen, so Asplenics have decreased opsonizing ability & are at risk for severe infections; Give S. pneumoniae, H. influenzae, N. meningitidis vaccines.

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14
Q

What is the function of Catalase? What are 7 examples of catalase-positive organisms?

A

Catalase degrades H2O2 before it can be converted to microbicidal products by the enzyme myeloperoxidase; (1) Pseudomonas (2) Listeria (3) Aspergillus (4) Candida (5) E. coli (6) S. aureus (7) Serratia; Think: “you need PLACESS for your CATs”

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15
Q

Which disease is related to infection with catalase-positive organisms, and why?

A

People with chronic granulomatous disease (NADPH oxidase deficiency) have recurrent infections with these microbes because they degrade the limited H2O2

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16
Q

What is important to know about polysaccharide antigens with regard to vaccines?

A

For vaccines containing polysaccharide capsule antigens, a protein is conjugated to the polysaccharide antigen to promote T-cell activation and subsequent class switching. A polysaccharide antigen alone cannot be present to T cells; therefore, only IgM antibodies would be produced.

17
Q

What is the main difference between Pneumovax and Prevnar?

A

Pnuemovax = polysaccharide vaccine with no conjugated protein; Prevnar = conjugated vaccine

18
Q

Give 3 examples of conjugated vaccines.

A

(1) Prevnar (for S. pneumoniae) (2) H. influenzae type B (3) Meningococcal vaccines

19
Q

What are the 8 urease-positive bugs?

A

(1) Crytococcus (2) H. pylori (3) Proteus (4) Ureaplasma (5) Nocardia (6) Klebsiella (7) S. epidermidis (8) S. saprophyticus; Think: “CHunk norrise hates PUNKSS”

20
Q

Which bacteria are associated with yellow “sulfur” granules versus yellow pigment?

A

Actinomyces israelii - yellow “sulfur” granules which are composed of filaments of bacteria; S. aureus - yellow pigment; Think: “Israel has yellow sand” & “ aureus (Latin) = gold”

21
Q

Which bacteria is associated with a blue-green pigment?

A

Pseudomonas aeruginosa; Think: “Aerugula is green”

22
Q

Which bacteria is associated with a red pigment?

A

Serratia marcescens; Think: “RED MARaschino cherries”

23
Q

What is the general purpose of bacterial virulence factors? What are 3 examples of such factors?

A

They promote evasion of host immune response; (1) Protein A (2) IgA Protease (3) M Protein

24
Q

What is the mechanism of Protein A, and what is the resulting outcome? Which bacteria expresses Protein A?

A

Binds Fc region of Ig; Prevents opsonization and phagocytosis; Expressed by S. aureus

25
Q

What is the mechanism of IgA protease? Which bacteria secrete it, and why?

A

Enzyme that cleaves IgA; Secreted by S. pneumoniae, H. influenzae type B, and Neisseria (SHiN) in order to colonize respiratory mucosa

26
Q

What function does M protein serve? Which bacteria expresses it?

A

Helps prevent phagocytosis; Expressed by group A steptococci