MicroBiology Flashcards

1
Q

What is a Human pathogen?

A

organism capable of causing disease through infection (or other means)

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2
Q

Describe the 5 Classes of human pathogens

Bacteria, Virus, Fungi, Proin, Protazoa

A

Bacteria - single celled prokaryote
Virus - obligate parasite (ie non-living)
Fungi - plant like eukaryote organism, eg thrush
Prion - protein based infective agent (CJD)
Protazoa - single celled animals/eukaryotes

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3
Q

Cell wall + staining colours

A

Gram positive - stains Purple
Gram negative - stains Pink

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4
Q

Why does Gram- positive stan purple?

A

-thick cell wall with many peptidoglycan layers
-absorbs more of the stain
-hence you get a darker

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5
Q

Key differences between GRAM + AND GRAM -?

A
  • Gram + wall composed of many ropes of peptidoglycan layered on top of each other.
  • Gram - has wall composed of single layer of peptidoglycan, however contains an outer membrane
  • Gram - wall contains large periplasmic space
  • Gram - wall contains LPS chains which project from outer membrane, known as endotoxins
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6
Q

Cocci/ Coccus

A

Spheres
Largely exist in 3 different ways → Diplococcus, Streptococcus or Staphlycoccus:

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7
Q

Diplococci

examples

A

division occurs in 1 plane, isolated pairs
Key examples → Strep pneumoniae (gram +), Neisseria species (gram -)

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8
Q

Staphylococcus

examples

A

division occurs in 3 planes to produce a ‘clump’ (staff meeting)
Staph Aureus (gram +), staph epidermidis

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9
Q

Streptococci

examples

A

division occurs in 1 plane, forms continues long chains (strep form strips)
Strep pneumoniae, Strep Pyogenes (GAS)

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10
Q

Baccilus

examples

A

Rod shaped bacteria
Contain flagella to help with motility/ movement
e.g. Escherichia (ie E.coli), Klebsiella , Shigella, Salmonella

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11
Q

most bacteria causing diarrhoea tend to be?

A

gram NEGATIVE

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12
Q

Coccobacillus

A

somewhere between a cocci (sphere) and bacillus (rod), rod w blunted edges
e.g. H. influenza

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13
Q

Curved Rod/ Vibrios

examples

A

curved rod shape
e.g. Vibrio Cholera (causes cholera lol)

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14
Q

Spirillum and spirochaete

A

Syphilis and Lyme disease are both caused by spirochaetes

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15
Q

Virulence

A

the ability of a microbe to cause damage to the host

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16
Q

Commensals

A

an organism that is part of the normal flora, often mutualistic relationship, found in gut and on skin

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17
Q

Opportunistic pathogen

A

an organism that is not normally pathogenic, however when circumstances arise (such as when you are ill, recovering from infection etc) jump at the chance to proliferate and cause infection (C.diff).

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18
Q

Properties of Bacteria

A

Aerobic - grow in oxygen/air.
Obligate aerobes - require oxygen.
Obligate anaerobes - killed by oxygen.
Capnophilic - prefer high CO2 levels.

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19
Q

How to distinguish between organisms?

A

Gram stain → Gram positive or Negative
Shape form? → Cocci in strips? Cocci in clusters? Rod shaped/ bacillus?
Catalase enzyme present? → Staph are catalase +ve, strep are catalase negative

20
Q

Staph Test

A

Coagulase test, Oxidase test, Catalase test (+)

21
Q

Strep test

A

Blood agar/ haemolysis

22
Q

What is Haemolysis?

A

essentially the amount of blood cells the bacteria can chew through

23
Q

3 types of Haemolysis

A

Beta haemolytic → complete haemolysis, appears clear on blood agar plate (Strep pyogenes, other GAS)
Alpha haemolytic → partial haemolysis or green haemolysis (Strep viridans, strep pneumo)
Gamma haemolytic→ no haemolysis occurs (Enterococcus sp)

24
Q

Golden haemolysis

A

Very specific, buzzword for Staph Aureus

eve tho haemolysis is for strep not staph

25
Q

How do we distinguish between different Staphylococcus types?

A

ALL staph are catalase POSITIVE
Next test for coagulase:
Coagulase +ve = Staph. Aureus
Coagulase -ve = staph epidermidis, other staph species

26
Q

Browns Classification

A
27
Q

Examples of Gram -ve cocci

A

N. meningitidis
N. gonorrhoeae

28
Q

Examples of Gram +ve cocci

A

Group A Strep (GAS) - Strep pyogenes.
Strep pneumoniae - alpha haemolytic cocci
Non-haemolytic strep eg enterococcus faecalis and enterococcus faecium
All staphylococcus species

29
Q

Staph Aureus Treatment

A

Flucloxacillin

30
Q

What is Staph Aureus

A

Staph aureus causes, skin commensal (eg ally) however causes wound infections, prosthetic infections + cardiac implant infections. PWID (people who inject drugs) is a buzzword for a staph aureus infection.

31
Q

Examples of Gram -ve rods

A
  • Salmonella
  • Gut commensals and Pathogens - E. coli, klebsiella, enterobacter, proteus.
  • Coliforms - term used to describe species of gram negative bacilli that look like E. coli on gram film and when cultured on agar. Many part of normal bowel flora.
32
Q

Example of Gram +ve rods

A

C.diff (spore forming anaerobe)

33
Q

3 Mechanisms of antibiotics

A
  • Target cell wall
  • Target Prokaryotic nucleic acid (target bacterial DNA)
  • Target Bacterial Protein synthesis
34
Q

3 examples of antibiotics that target cell wall?

A

Penicillins
Cephalosporins
Glycopeptides

35
Q

3 examples of antibiotics that target prokaryotic nucleic acid (target bacterial DNA)?

A

Fluoroquinolones (class of Abx)
Metronidazole (singular abx type)
Trimethoprim (singular abx)

36
Q

3 examples of antibiotics that target Bacterial Protein synthesis?

A

Macrolides
Tetracyclines
Aminoglycosides

37
Q

How do Penicillins + cephalosporins Target cell wall?

A
  • Contain structure called Beta-lactam ring
  • which binds to the ‘penicillin-binding-protein’ (PBP) found on cell wall of bacteria
  • Prevents addition of peptidoglycan layers formation, killing bacteria
38
Q

How do Glycopeptides Target cell wall?

A

bind to the LPS side chains on cell wall, preventing formation. Only work on Gram -ve bacteria since only gram -ve contain Lipopolysaccharides (LPS)

Vancomycin

39
Q

How do quinolones Target Prokaryotic Nucleic acid?

A

Quinolones → inhibit DNA synthesis by preventing DNA ‘supercoiling’
Eg. ciprofloxacin

40
Q

How do Trimethoprim Target Prokaryotic Nucleic acid?

A

Trimethoprim → inhibits folic acid synthesis
Causes tendonitis (achilles heel)

41
Q

How do Metronidazole Target Prokaryotic Nucleic Acid?

A

Metronidazole → causes DNA structure to unwind
NO ALCOHOL
Used against anaerobes + protazoa

42
Q

How do Tetracyclines Target Bacterial Protein synthesis?

A

Tetracyclines → bind to 30s and stops protein chain elongation
Eg doxycycline

43
Q

How do Macrolides Target Bacterial Protein synthesis?

A

Macrolides → binds to 50s subunit of ribosome, interferes with protein synthesis
Eg erythromycin (Note, this macrolide is safe in pregnancy)

44
Q

How do Aminoglycosides Target Bacterial Protein synthesis?

A

Aminoglycosides → Binds to aminoacyl site of 16s within 30s subunit to cause misread of genetic code
Gentamicin

45
Q

What are the 4 Naughty Cs?

A

Cephalosporins
Ciprofloxacin
Clindamycin
Co-amoxiclav

Don’t give to over 65s, higher risk of C.diff infection

46
Q

How to treat C.Diff?

A

oral vancomycin