Microbiome Flashcards
human microbiome
- around 100 trillion prokaryotic and euykaryotic microorganisms
- Microorganisms of the human microbiota have more than 5 million genes
→ second genome called microbiome
benefits of the microbiota of the human body
- metabolism of food products
- provides essential growth factors
- protects against infections with highly virulent microorganisms
- stimulates the immune response
Exposure of an individual to microorganisms can lead to one of three outcomes:
1) transient colonization of the person;
2) permanent colonization of the person;
3) production of the disease
Disease due to m.o.s
- Microorgs that colonize humans (whether for a short period or permanently) do not interfere with normal body functions
- Disease occurs due to a pathologic process characterized by damage to the human host
Strict pathogens
- cause few infections
- always associated with disease
most human infections are caused by
opportunistic pathogens -> typically members of humans normal flora but can produce disease when they are introduced into unprotected sites (blood,tissues)
microbial flora of human skin
- environment of skin does not support the survival of most m.o.s
most common organisms on skin surface
gram positive bacteria
which bacterium is found on 20% of healthy individuals?
clostridium perfringens
What type of fungi are found on moist skin surfaces?
fungi candida and malassezia
what did the human microbiome project find out?
→ uncultureable gram- negative rods may be the most common microorganisms on the skin surface
what type of bacteria aren’t commonly cultured from human skin?
gram negative rods
Whats the most common type of bacteria on the outer ear?
coagulase-negative staphylococcus
Which ones are also potential pathogens of the ear and eye?
S. pneumoniae, Pseudomonas aeruginosa, and members of the Enterobacteriaceae family
What colonizes the surface of the eye?
coagulase-negative staphylococcus
Which bacteria can be rarely found in the nasopharynx?
e.g., Haemophilus spp., Neisseria spp., viridans streptococci
Where can relatively avirulent and rarely associated with disease, bacteria be dangerous?
- in normally sterile sites (sinus, middle ear and brain)
What are the most common bacteria of the upper respiratory tract?
Streptococcus, Haemophilus, and Neisseria spp
Which m.o.s can be potentially pathogenic ?
- streptococcus pyogenes, streptococcus pneumonia’s, S.aureus, Neisseria meningitis, Haemophilus influenza and moraxella catarrhalis
what characterizes the flora of the lower respiratory tract?
- generally sterile (larynx, trachea, bronchioles and lower airways
which colonization might occur?
transient colonization of upper airways
which bacteria can cause acute disease?
more virulent bacteria from upper respiratory tract
What could be caused by chronic aspiration?
polymicrobial disease
- anaerobes are predominant pathogens (peptostreptococcus)
how many species are found in the flora of the mouth?
700
which bacteria are predominant in the mouth? are they culturable?
streptococci and gram - anaerobic rods
- most of them uncultureable
what m.o.s are found in the esophagus?
oropharyngeal and yeast like fungi, bacteria from stomach
Which are the most common infections in the esophagus?
- candida spp. and viruses like, herpes simplex virus and cytomegalovirus
name the most common m.o.s found in the flora of the stomach?
- small numbers of acid-tolerant bacteria such as lactic acid producing bacteria (lactobacillus and streptococcus spp.) and heliobacter pylori
Which bacterium can cause gastritis and ulcerative disease?
H. pylori
What type of bacteria are mostly in the small intestine?
- most of the bacteria are anaerobes such as peptostreptococcus, porphyromonas and prevotella
Causes of gastroenteritis?
e. g. Salmonelle and campylobacter spp.
- in small numbers as asymptomatic residents
What colonizes the large intestine in large numbers?
- various different bacteria and yeast like fungi
Most common bacteria of the large intestine are?
Bifidobacterium, Eubacterium, Bacteroides, Enterococcus, and the Enterobacteriaceae family
What are the most common causative agents of intraabdominal disease?
- Escherichia coli and Bacteroides fragilis = minor members of the intestinal flora
What are the most common bacteria in the large intestine but rarely responsible for disease?
eubacterium and bifidobacteriumm
name the causes of antibiotic treatment to the flora of the l.i.
can rapidly alter the population, causing the proliferation of antibiotic-resistant microorganisms, such as Enterococcus, Pseudomonas, and yeast-like fungi
What are the anatomic areas of the genitourinary system which are permanently colonized with m.o.s?
anterior urethra and vagina
What are the most numerous m.o.s in the anterior urethra?
lactobacilli, streptococci, and coagulase-negative staphylococci the most numerous → relat. avirulent
Which organisms can also colonize the urethra transiently?
fecal organisms like Enterococcus, Enterobacteriaceae, and Candida
Which pathogens are common causes of urethritis and can persist as asymptomatic colonizers of the urethra?
N.gonorrhoae and C.trachomatis
Which bacteria are present in the vaginal flora of newborn girls and how long do they stay?
lactobacilli at birth
predominate for 6 weeks
How does the vaginal flora change?
to include staphylococci, streptococci and enterobacteriaceae
How and when does the v. flora change again?
- estrogen in the puberty
- lactobacilli become preoominant again
What are important causes of vaginitis?
N. gonorrhoeae, Trichomonas vaginalis,
C. albicans and Candida glabrata
What are causes of persistent infections?
herpes simplex virus and papillomavirus
What colonizes the cervix?
- not normally colonized
What bacteria can cause cervicitis?
N. gonorrhoeae and C.trachomatis
actinomyces can also produce disease
The persistent air microbial flora contains?
- micrococci (e.g. micrococcus flavus), sarcina spp. (e.g. sarcina alba) and fungal spores