Midterm 2 - Notes 1 (Part 3) Flashcards
What are 6 epidemiologic problems associated by molecular strain typing?
- Dynamics of disease transmission
- Risk determination in sporadic occurrence of disease
- risk of getting the disease when there is an outbreak - Stratifying data and refining study designs
- Distinguishing pathovars and non-pathovars
- Addressing nosocomial infections
- eg) USA 100 and 300 staphococcus aureas - Identifying genetic determinants of disease transmission
Pathovars
Bacterial strains with similar characteristics, that is differentiated at infra-subspecific level from other strains of the same species on the basis of distinctive pathogenicity to one more plant hosts
- can case a disease
Non-pathovars
Will not cause the disease
What is pla involved with?
The immune response from the host
- typically found in the plague virus
- found on the smallest plasmid
Simplicity
Molecular techniques may be similar to execute and simpler to train people to use
High throughput
Capacity of a test to process a large number of specimens simultaneously
Cost
Widespread use of molecular biology reagents have reduced costs in developing countries
Appropriateness
The capacity of a test to address epidemiologic problems not possible to address by conventional methods
- if conventional test can be used and there is no disadvantage to use it, then there is no need to use a molecular technique
Typeability
Ability of a technique to generate an unambiguous result for an isolate tested
Reproducibility
Ability of a test to produce identical results when a strain is tested repeatedly
Ease of interpretation
Information derived from molecular techniques has to serve as a stratum in epidemiological study
Ease of use
Same as simplicity
Stability
The character used for molecular typing is not subject to rapid evolution or last from host
- if you lose the plasmid it will not be stable
Epidemiologic concordance
Molecular typing compares favourably with a previously validated test
What is the validity of a test?
It is its ability to correctly predict or identify those who truly have the characteristics the test is trying to detect and exclude those who do not have the characteristics
What is the point for validating a disease?
Confirms methods for pathogens causing disease recognized to occur as an outbreak
What are the types of phenotypic strain typing? (4)
- Typing by growth and morphologic characteristics
- Typing based on biochemical characteristics
- Typing by serologic characteristics
- Typing by fundamental or physiologic characteristics
What is an example of typing by growth and morphological characteristics?
Colour and shape of colonies on agar plates
- S. aureus on Vogel Johnson agar are black colonies surrounded by a cleared yellow zone
What are 2 examples of typing based on biochemical characteristics?
- Targeting an enzyme associated with a disease
- lactose fermenting E. coli cause diarrhea
- targeting lactose fermentation for detection of infectious agents - Mannitol fermentation for staphylococcus aureus
What is typing by serological characteristics based on?
Differences in antigenic determinants of infectious agents
What are 2 examples of serological characteristics?
- E. coli can be subtype by O polysaccharide and further sub-typed by flagellar protein H
- hamburger disease (E. coli O157:H7) –> associated with cattle - Influenza virus is typed by H and N antigenic proteins (H5N1)
What is an O polysaccharide important for?
Important to invade the immune system
- involved in the immune response from the host
What are 7 examples of typing by functional or physiological characteristics?
- Antimicrobial susceptibility
- Phage tagging
- Colicin (bacteriocin) tying
- Cell culture assay
- Survival characteristics (in vitro or in vivo)
- Toxigenicity bioassays
- Multilocus enzyme electrophoresis (MLEE)
What are 2 examples of antimicrobial susceptibility?
- Betalactamase (ampicillin)
2. Rifampin