Minimal questions 1-99 Flashcards
What does sterilisation mean?
Killing procedure of any kind of germs.
What does disinfection mean?
Procedure where the number of the germs are reduced to a safety level.
Which parameters can influence the effectivity of the sterilisation?
The number of the germs, the resistance of the germs,
the concentration of the disinfectants, the presence of the organic materials, the initial time, the presence of the biofilm.
Parameters of the hot-air sterilisation cupboard protocol?
a. 180 degrees C; 1 hour
b. 160 degrees C; 2 hours
c. 140 degrees C; 3 hours
Parameters of the autoclaving?
a. +1 atm overpressure, 121 degrees C, 20-30 minutes,
or
b. +2 atm overpressure, 134 degrees C, 10 minutes
Chemical agents used for gas sterilisation?
Etilene oxide, formaldehyde, beta-propiolacton
The theoretical background of plasma sterilisation?
Hydrogen-peroxide in high electrical field will form plasma stage. The produced free radicals will kill the microbes. At the end of the procedure will be produced water, oxygen and other nontoxic products.
Biological method used for checking effectivity of the sterilisation?
By Bacillus/Geobacillus stearothermophilus spores. If the procedure was performed in correct way, the spores cannot be cultivated.
Detection of the presence of pyrogenic material in drugs?
LAL test; The blood of the horseshoe crab will coagulate in the presence of LPS.
What are the disinfectants?
Chemical agents used on inanimate/non-living surfaces.
What are the antiseptic agents?
Chemical agents used for disinfection animate (tissue, skin, mucous membrane) surfaces.
What does serological reaction mean?
Reaction based on the antigen-antibody reaction performed in vitro.
What does agglutination mean?
Serological reaction where the antigen is cell mediated.
What are the bacterial cell surface antigens?
O: Cell wall
H: Flagella
K: Capsule
What does antibody titre mean?
The highest dilution fold or the lowest antibody concentration where we can see in vitro antigen-antibody reaction.
What does precipitation mean?
Serological reaction where the antigen is soluble (enzyme, toxin or virus particle)
What does iatrogenic infection mean?
Infection caused by medical staff during the investigation or treatment.
What does nosocomial infection mean?
Infection occurred in hospital after 48 hours of the hospitalisation.
What are the contents of the vaccines?
Live attenuated microbe; killed microbe, toxoid, antigens of the microbe
What does native examination of the microbe mean in microbiology?
The microbe is examined without killing procedure.
What kind of information can we get by light microscopically examination?
- Size of microbe
- Shape of microbe
- Motility
- Staining can be examined
The solutions of Gram-stain?
Sodium oxalate, crystal violet, iodine solution, 96% ethanol, fuchsin or safranin.
What kind of devices can be used for anaerobic cultivation?
Anaerostate
Gas-pack jar
High agar
Anaerobic chamber
Definitions: Bacteriostatic, Bactericide
Bacteriostatic: inhibits bacterial growth
Bactericide: kills bacteria
Definition: Selective toxicity
the antibiotic has an effect only on the bacteria, but not on the human host
Chemotherapeutic index?
Dosis tolerata maxima (DTM) / Dosis curativa minima (DCM)
Cell wall synthesis inhibitor antibiotics?
Penicillin, Cephalosporin, Carbapenem, Glycopeptide
Glycopeptide antibiotics
Vancomycin, Teicoplanin
Membrane function alternating antibiotics are:
Polymyxines
What are the protein synthesis inhibitor antibiotics? (3 examples)
Aminoglycosides Tetracycline Macrolide Chloramphenicol Linezolid
Nucleic acid synthesis inhibitors are: (2 examples)
Quinolones, rifampicin, sulphonamide, trimethoprim
Three possible ways of horizontal gene transfer:
Conjugation (plasmid)
Transduction (bacteriophage)
Transformation (uptake of naked DNA from the environment)
Antibiotic resistance mechanism are:
Enzymatic degradation or modification of the antibiotics, efflux pump, modifying of the antibiotic binding site
What does MRSA mean?
Methicillin-resistant Staphylococcus aureus
What does ESBL mean?
Extended spectrum of beta lactamase enzyme
What does MIC mean?
Minimal bacteriostatic concentration of an antibiotic measured in micrograms/ml.
What does MBC mean?
Minimal bactericidal concentration of an antibiotic measured in micrograms/ml
Definitions:
MBL
MACI
PACI
MBL: metallo-beta-lactamase (=carbapenemase)
MACI: Multiresistant Acinetobacter
PACI: pan-resistant Acinetobacter
Which 3 vaccines contain capsular polysaccharide?
a. Hib (against Haemophilus influenzae type b)
b. Prevenar / Pneumovax (against 13/23 serotypes of Streptococcus pneumoniae)
c. Meningococcus vaccines (against serotypes ACWY) - but not B!