Microbiology Flashcards

1
Q

appendages of bacteria and their purpose

A

flagellum
- protein
- motility

pilus/fimbria
- glycoprotein
- helps bacteria adhere to cell surface
- forms “sex pilus” during conjugation (transfer of DNA from one bacteria to another)

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2
Q

components of bacterial cell envelopes

A

capsule (not all bacteria)
- polysaccharide
- protects against phagocytosis

slime (S) layer
- polysaccharides (loose network)
- helps with cell adhesion
- supports biofilm formation
- common in indwelling catheters

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3
Q

why can encapsulated bacteria cause more severe disease?

A

the capsule prevents macrophages from identifying the bacteria before opsonization with Ab, can hangout in the body and cause damage longer before they are identified

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4
Q

what are the important encapsulated bacteria?

A

Please SHine my SKis
- pseudomonas aeruginosa
- strep pnemoniae (not opsonized)
- H flu type B (not opsonized)
- neisseria meningitidis (not opsonized)
- e coli
- salmonella
- klebsiella pneumoniae
- group B strep

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5
Q

components of outer membrane of gram negative bacteria

A

outer leaflet: endotoxin (LPS/LOS)
- lipid A induces TNF and IL1

embedded proteins
- porins: transport across outer membrance (transmission of substances)

inner leafleft: phospholipids

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6
Q

difference in outer cell wall between gram - and gram + bacteria

A

gram neg bacteria
- outer membrane
- periplasm (space between cytoplasmis membrane and outer membrane, peptidoglycan is in the middle) - hydrolytic enzymes can accumulate here as they exit

gram pos
- larger cell wall

both have cell walls made up of peptidoglycan sugar backbones with peptide side chains
- rigid support
- protection against osmotic pressure damage

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7
Q

composition of cytoplasmic membrane

A

phospholipid bilayer sac with embedded proteins
- penicillin binding proteins > help with cell wall synthesis
- lipoteichoic acids (gram + only) extend from membrane to outer exterior (induce TNFa and IL1)
- site of oxidative and transport enzymes

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8
Q

explain gram staining

A
  • crystal violent stain is applied
  • iodine (fixes stain)
  • alcohol (decolorizer; gram POS still retain violet dye due to their THICK peptidoglycan layer)
  • counterstain > gram NEG appear red/pink
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9
Q

what are spores?

A
  • only occur in gram POS bacteria (bacillus, clostridium)
  • kertain-like coat, contains peptidoglycan, and DNA
  • helps resist dehydration, heat, and chemicals
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10
Q

what are the urease positive organisms?

A

Pee CHUNKSS
- proteus
- cryptococcus
- H pylori
- Ureaplasma
- Nocardia
- Klebsiella
- S epidermidis
- S saprophyticus

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11
Q

positive versus negative stains

A

positive
- basic
- bacteria are neg (proteins)
- take up pos stain
- bacteria will be in color under microscopy
- ex: methalene blue

negative
- acidic
- bacteria are neg
- repel neg stain
- bacteria will be white/clear w color background under microscopy
- ex: india ink, nigrosin

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12
Q

what bacteria can not gram stain and why?

A

These Little
Microbes
May Unfortunately
Lack Real Color, But Are Everywhere

  • Treponema, Leptospira (too thin)
  • Mycobacteria (cell wall with high lipid content)
  • Mycoplasma, Ureaplasma (no cell wall)
  • Legionella, Rickettsia, Chlamydia, Bartonella, Anaplasma, Ehrlichia (intracellular)
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13
Q

what is an acid fast/ziehl-neelsen stain

A
  • stains acid fast bacteria (mycobacteria and nocardia)
  • uses carbol fuchsin > turns bacteria red
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14
Q

what is choc agar

A

heated up blood agar
IDs H flu

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15
Q

what is macconkey agar

A
  • fermentation produces acids
  • colonies turn pink
  • lactose-fermenting bacteria (enteric gram NEG) > colorless colonies
    -** lactose fermenters (e coli, citrobacter, klebsiella, enterobacter) > pink colonies**
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16
Q

what is eosin-methylene blue (EMB) agar

A

colonies have green metallic stain
IDs: E coli

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17
Q

what is sabouraud agar

A

fungi exclusively; too acidic for bacteria

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18
Q

what are anaerobes? give examples

A

Cant Breathe Fresh Air
- clostridium
- bacteroides
- fusobacterium
- actinomyces israelii

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19
Q

what are the obligate intracellular bacteria

A

stay inside when its Really Chilld and Cold

  • rickettsia
  • chlamydia
  • coxiella
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20
Q

what are the facultative intracellular bacteria

A

Some Nasty Bugs May Live FacultativeLY
- salmonella
- neisseria
- brucella
- mycobacterium
- listeria
- francisella
- legionella
- yersinia pestis

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21
Q

what does catalase do?

A

degrades H2O2 into water and oxygen; helps bacteria survive ROS

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22
Q

what are the catalase positive organisms?

A

Big cats Have BeeN to PLACESS

  • bordatella pertussis
  • h pylori
  • burkholderia cepacia
  • nocardia
  • pseudomonas
  • listeria
  • aspergillus
  • candida
  • e coli
  • serratia
  • staphylococci
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23
Q

staphlycocci general characteristics

A
  • skin/mucous membranes
  • spherical cells in irregular clusters
  • gram pos
  • lack spores/flagella
  • may have capsules
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24
Q

staph aureus effects, if any, on:
skin/skeletal

A
  • boils, carbuncles
  • impetigo
  • scalded skin syndrome
  • osteomyelitis
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25
Q

staph aureus effects, if any, on:
CV, lymphatic, systemic

A
  • endocarditis
  • TSS
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26
Q

staph aureus effects, if any, on:

GI

A

food intoxication

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27
Q

staph aureus effects, if any, on:

respiratory

A

pneumonia

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28
Q

coag-neg staph effects, if any, on:
skin/skeletal

A

surgical infections

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29
Q

coag-neg staph effects, if any, on:

CV/lymphatic/systemic

A

endocarditis

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30
Q

coag-neg staph effects, if any, on:

urogenital

A

UTIs

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31
Q

strep pyrogenes (group A) effects, if any, on:

skin/skeletal

A
  • pyoderma (impetigo)
  • erysipelas
  • necrotizing fasciitis
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32
Q

strep pyrogenes (group A) effects, if any, on:

CV/lymphatic/systemic

A
  • scarlet fever
  • rheumatic fever
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33
Q

strep pyrogenes (group A) effects, if any, on:

respiratory

A
  • pharyngitis (strep throat)
  • sinusitis
34
Q

strep pyrogenes (group A) effects, if any, on:

urogenital

A

glomerulonephritis

35
Q

strep agalactiae (group B) effects, if any, on:

skin/skeletal

A

wound infections

36
Q

strep agalactiae (group B) effects, if any, on:

nervous/muscle

A

neonatal meningitis

37
Q

strep agalactiae (group B) effects, if any, on:

CV/lymphatic/systemic

A
  • neonatal sepsis
  • endocarditis
38
Q

strep agalactiae (group B) effects, if any, on:

respiratory

A

neonatal pneumonia

39
Q

enterococci effects, if any, on:

skin/skeletal

A

wound and surgical infections

40
Q

enterococci effects, if any, on:

urogenital

A

healthcare associated UTIs

41
Q

strep viridans effects, if any, on:

CV/lymphatic/systemic

A

subacute endocarditis

42
Q

strep viridans effects, if any, on:

GI

A

dental caries

43
Q

strep pneumoniae effects, if any, on:

nervous/muscle

A

pneumococcal meningitis (adult)

44
Q

strep pneumoniae effects, if any, on:

respiratory

A
  • pneumonia
  • otitis media
  • sinusitis
45
Q

neisseria gonorrhoeae effects, if any, on:

skin/skeletal

A

gonococcal opthalmia

46
Q

neisseria gonorrhoeae effects, if any, on:

urogenital

A

gonorrhea

47
Q

neisseria meningitidis effects, if any, on:

nevous/muscle

A

meningococcal meningitis

48
Q

staphylcoccus aureus general characteristics

A
  • grows in large, round, opaque colonies
  • facultative anaerobe
  • withstands high salt, pH extremes, high temps
  • produces many virulence factors
49
Q

staphylcoccus aureus epidemiology/pathogenesis

A
  • present in most environments frequented by humans
  • readily isolated from fomites
  • 20-60% in healthy adults in ant nares, skin, nasopharynx, intestine
  • inc in community acquired methicillin resistance (MRSA)
  • predisposition to infection: poor hygiene and nutrition, tissue injury, pre-existing primary infection, diabetes, immunodeficiency
50
Q

staph aureus pathology

A
  • localized skin infections (folliculitis, furuncle, carbuncle, impetigo)
  • osteomyelitis
  • bacteremia (>endocarditis)
  • toxigenic dz (food intoxication, scalded skin syndrome, TSS)
51
Q

coagulase negative staphylococci

A

healthcare associated and opportunistic infections in immunocompromised pts

  • S epidermidis - skin and mucus membranes (endocarditis, bacteremia, UTI)
  • S hominis - around apocrine sweat glands
  • S capitis - around scalp, face, external ear
    all three above can cause wound infections by penetrating through broken skin
  • S saprophyticus - infrequently lives on skin, intestine, vagina, UTI
52
Q

what differentiates staph aureus from other staph species?

A

coagulase POS

53
Q

streptococci general characteristics

A
  • gram pos spherical/ovoid cocci in long chains, usu pairs
  • non spore forming, non motile
  • can form capsules and slime layers
  • faculatative anaerobes
  • no catalase, but have peroxidase system
  • small, nonpigmented colonies
  • sensitive to drying, heat, disinfectants
  • most parasitic forms are fastidious and require enriched media
54
Q

streptococcus subspecies breakdown

A

beta hemomlytic
- bacitracin sensitive: group A strep (pyogenes)
- bacitracin resistant: group B, C strep

alpha hemolytic
- optochin sensitive: strep pneumoniae
- optochin resistant: group D, viridans strep

55
Q

strep pyogenes

hemolysis type
habitat
pathology

A

beta hemolytic
human throat
skin, throat infections, scarlet fever

56
Q

strep agalactiae

hemolysis type
habitat
pathology

A

beta hemolytic
human vagina, cow udder
neonatal, wound infections

57
Q

Strep equi

hemolysis type
habitat
pathology

A

beta hemolytic
various mammals
rare; abscesses

58
Q

Strep dysgalactiae

hemolysis type
habitat
pathology

A

beta hemolytic
cattle
rare

59
Q

enterococcus faecalis

hemolysis type
habitat
pathology

A

alpha, beta, N hemolytic
human, animal intestine
endocarditis, UTI

60
Q

E faecium, E durans

hemolysis type
habitat
pathology

A

alpha hemolytic
human, animal intestine
endocarditis, UTI

61
Q

strep bovis

hemolysis type
habitat
pathology

A

no hemolysis
cattle
subacute endocarditis, bacteremia

62
Q

Strep sanguinis

hemolysis type
habitat
pathology

A

alpha hemolytic
human oral cavity
endocarditis

63
Q

strep mutans

hemolysis type
habitat
pathology

A

no hemolysis
human oral cavity
dental caries

64
Q

Strep pneumoniae

hemolysis type
habitat
pathology

A

alpha hemolytic
human respiratory tract
bacterial pneumonia

65
Q

Strep anginosus

hemolysis type
habitat
pathology

A

beta hemolytic
humans, dogs
endocarditis, URT infections

66
Q

strep salivarius

hemolysis type
habitat
pathology

A

no hemolysis
human saliva
endocarditis

67
Q

strep pyogenes surface antigens

A
  • C carbohydrates: protects against lysozymes
  • fimbriae: adherence
  • M protein: resistance to phagocytosis
  • Hyluronic acid capsule: provokes no immune response
  • C5a protease: hinders complement and neutrophil response
68
Q

strep pyogenes major extracellular toxins

A
  • streptolysins (hemolysins): streptolysin O (SLO) and streptolysis (SLS); both cause cell and tissue injury
  • erythrogenic toxin (pyrogenic) - induces fever and typical red rash
  • superantigens - strong monocyte and lymphocyte stimulants; cause release of tissue necrosis factor
69
Q

strep pyogenes extracellular enzymes

A
  • streptokinase: digests fibrin clots
  • hyluronidase: breaks down CT
  • DNase - hydrolyzes DNA
70
Q

strep pyogenes epidemiology and pathogenesis

A
  • humans only reservoir
  • unapparent carriers
  • transmission: contact, droplets, food, fomites
  • portal of entry generally skin or pharynx
  • children predominant group for cutaneous and thraot infxns
  • sys infxn and progressive sequelae possible if untreated
71
Q

strep pyogenes pathology

A
  • skin infections (impetigo/pyoderma, erysipelas)
  • throat infections
  • systemic infections (scarlet fever via erythrogenic toxin, septicemia, TSS)
72
Q

strep pyogenes/group A strep
long-term complications

A
  • rheumatic fever: follows overt or subclinical pharyngitis in kids, carditis with extensive valve damage, arthritis, chorea, fever
  • acute glomerulonephritis (PSGN): nephritis, inc BP, occ HF, can become chronic > kidney failure
73
Q

strep agalactiae/Group B strep
location, transmission, pathology

A
  • resides in human vagina, pharynx, large intestine
  • can be transferred to infant during delivery and cause neonatal pneumonia, sepsis, and meningitis
  • wound and skin infections and endocarditis in immunocompromised people
74
Q

group D strep

name
location
pathology

A
  • enterococus faecalis, e faecium, e durans
  • normal colonists of human large intestine
  • cause opportunistic urinary, wound, and skin infections, esp in immunocompromised ppl
75
Q

groups C and G strep

location
pathology

A
  • common animal flora, frequently isolate from upper respiratory
  • pharyngitis, glomerulonephritis, bacteremia
76
Q

strep viridans general information

A
  • gums, teeth, oral cavity; nasopharynx, genital tract, skin
  • alpha hemolytic
  • not very invasive; dental/surgical procedures facilitate entrance
  • strep mutans, oralis, salivarus, sanguis, milleri, mitis
77
Q

strep viridans pathology

A

bacteremia, meningitis, abdominal infection, tooth abscesses

subacute endocarditis - blood bourne bacteria settle and grow on heart lining or valves
- ppl with preexisting heart dz at high risk
- colonization of heart by forming biofilms

78
Q

strep mutans pathology

A

slime layers that adhere to teeth > basis of plaque
- dental caries
- give ppl with preexisting heart conditions prophylactic antibiotics before surgery or dental procedures

79
Q

strep pneumoniae details and pathology

A
  • small, lanclet shaped cells in pairs and short chains
  • lack catalase and peroxidase (cultures die in O2)
  • culture requires blood or chocolate agar
  • causes 60-70% of bacterial pneumonias,
  • otitis media
80
Q
A