Microbiology Flashcards
Where do antibiotics target?
Cell wall Ribosomes DNA replication DNA gyrases Metabolic pathways
What are the two types of bacteria and how are they different?
Gram positive - has a double layered cell wall
Gram negative - has a single layered cell wall
Which antibiotics act on the cell wall?
Penicillins
Cephalosporins
Glycopeptides
How do penicillins and cephalosporins (beta-lactams) work?
They are bacteriocidal and blocks synthesis of the cell wall
What are the types of penicillins and what type of bacteria do they act on (+ve or -ve)?
Flucloxacillin - Gm +ve Amoxicillin - Gm +ve and -ve Co-amoxiclav - Gm +ve and -ve Temocillin - Gm-ve (Piperacillin/tazobactam) - Gm +ve and -ve
What are the 4 C’s you should avoid using?
Cephalosporins
Co-amoxiclav
Ciprofloxacin
Clindamycin
Why should you avoid using the 4 C’s?
They are broad spectrum antibiotics so have a higher risk of c. Difficile infection
Protozoa is a eukaryote. True or false?
True
What type of microorganism can undergo haemolysis?
Streptococci
What are some microbiological tests?
Blood culture Urine culture Faeces culture Swab of pus PCR
What does exogenous microorganisms mean?
Not normal flora
What does virulence mean?
The ability of a microbe to cause damage to a host
What is a pathogen?
A harmful organism producing a pathology
Commensal bacteria is part of your normal flora, ture or false?
True
Where would an opportunistic pathogen be found?
In an immunocompromised patient
Give examples of some gram negative bacteria.
Neisseria
Escherichia
Salmonella
Shigella
Give examples of gram positive bacteria.
Streptococcus
Staphylococcus
Enterococcus
Give examples of fungi
Candida spp. (Yeast)
Aspergillus (mould)
Give examples of protozoa
Malaria
Toxoplasma
How do viruses work?
Attach Enter (non-enveloped enter via endocytosis, enveloped ones fuse their membrane and the cells membrane) Uncoat Nucleic acid and protein synthesis Assembly Release (exocytosis)
What is a coliform?
Species of GM-ve bacilli that look like Escherichia coli on gram film and when cultured on blood agar
Note many are part of normal gut flora
What is the first line antibiotic used to treat coliform infections?
Gentamicin
Why is haemolysis of streptococci used?
To help classify the streptococci
What happens in alpha-haemolysis?
Partial haemolysis- causes a greenish decolourisation around the colony
What happens in beta-haemolysis?
Complete haemolysis - there is a complete clearing around the colony (looks like its glowing)
What happens in gamma-haemolysis?
No haemolysis
What are the most pathogenic streptococci?
Beta-haemolytic group A
What causes scarlet fever?
Streptococci in group A
Enterococci is non-haemolytic, true or false?
True
Give examples of staphylococcus bacterium.
S. Aureus (+ve)
S. Epidermidis (-ve)
What does neisseria spp cause?
STD/STI
Meningitis
Where does escherichia coli effect?
GI tract
What are the 5 i’s of infection?
Inhalation Ingestion Inoculation Mother to infant Intercourse
What genus does a gram positive sample belong to if it is cocci in clusters?
Staphylococcus
What is haemolysis?
The ability of the bacterium to break down the red blood cells
How can you physically tell the difference between streptococci and staphylococcus?
Streptococci = chains
Staphylococcus = clusters
What does MRSA stand for?
Methicillin resistant staph aureus