Minimals Flashcards
What does sterilization 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?
180°C; 1 hour, 160°C; 2 hours, 140°C; 3 hours.
Parameters of the autoclaving?
+ 1 atm overpressure, 121°C, 20-30 minutes or 134°C, +2 atm overpressure 10 minutes
Chemical agents used for gas sterilisation?
Etilene oxide, formaldehyde, beta-propiolacton
The theoretical background of plasma sterilisation?
Hydrogen-peroxide in high electric 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 the 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 the LPS
What are the disinfectants?
Chemical agents used on inanimate/non-living surfaces.
What are the antiseptic agents?
Chemical agents used disinfection on 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? (3 example)
a. Live attenuated microbe; killed microbe, toxoid, antigens of the microbe.
- What does native examination of the microbe mean in microbiology?
a. The microbe is examined without killing procedure.
- What kind of information can we got by light microscopically examination? (3 example)
The size of the microbe, the shape of the microbe, the motility, the staining can be
examined.
- The solutions of the Gram-stain?
a. Sodium oxalate, cristal violet, Iodine solution, 96% of ethanol, fuchsin or safranin.
- What kind of devices can be used for anaerobic cultivation?
a. Anaerostate, Gas-pack jar, high agar, anaerobic chamber.
a. Anaerostate, Gas-pack jar, high agar, anaerobic chamber.
bacteriostatic: inhibits bacterial growth
b. bactericide: kills bacteria
- Definition: selective toxicity
a. the antibiotic has an effect only on the bacteria, but not on the human host
- Chemotherapeutic index?
a. dosis tolerata maxima (DTM)/dosis curativa minima (DCM)
- Cell wall synthesis inhibitor antibiotics?
a. Penicillin, Cephalosporin, Carbapenem, Glycopeptide.
- Glycopeptide antibiotics
a. vancomycin, teicoplanin
- Membrane function alternating antibiotics are:
a. Polymyxines
- What are the protein synthesis inhibitor antibiotics? (3 example)
a. Aminoglycosides, Tetracycline, Macrolide, Chloramphenicol, Linezolid
- Nucleic acid synthesis inhibitors are: (2 example)
a. Quinolones, rifampicin, sulphonamide, trimethoprim.
- Three possible ways of horizontal gene transfer
a. conjugation (plasmid)
b. transduction (bacteriophage)
c. transformation (uptake of naked DNA from the environment)
- Antibiotic resistance mechanism are:
a. Enzymatic degradation or modification of the antibiotics, efflux pump, modifying of the
antibiotic binding site
- What does MRSA mean?
a. Methicillin-resistant Staphylococcus aureus
- What does ESBL mean?
a. Extended spectrum of beta lactamase enzyme.
- What does MIC mean?
a. Minimal bacteriostatic concentration of an antibiotic measured in ug/ml.
- What does MBC mean?
a. Minimal bactericidal concentration of an antibiotic measured in ug/ml.
- Definitions: MBL, MACI, PACI
a. MBL: metallo-beta-lactamase (=carbapenemase)
b. MACI: multi-resistant Acinetobacter
c. 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!
- What kind of specimen can be sent to the microbiological diagnostic laboratory in the case of
typical pneumonia?
a. Sputum and haemoculture
- What kind of specimen can be sent to the microbiology diagnostic laboratory in the case of
atypical pneumonia?
a. Blood, urine, broncho-alveolar lavage.
- What kind of bacterial infection can be treated by antitoxin? (2 example)
a. Infections caused by bacterial exotoxins: tetanus, botulism, diphtheria
- Which bacteria can be differentiated with the catalase test?
a. Staphylococci (+) and Streptococci (-)
- Which bacteria can be differentiated with the coagulase test?
a. Staphylococcus aureus (+) and the other staphylococcus species (-, so called „coagulasenegative staphylococci”)
- Microscopic morphology of Staphylococci
a. Gram-positive cocci, arranged in grape-like structures
- Colony morphology of Staphylococcus aureus on blood agar plate
a. average size, round colonies with butter consistency, golden pigment production and betahaemolysis
- What are the non-toxic virulence factors of Staphylococcus aureus? (3 example)
a. Protein A, endocoagulase (clumping factor), exocoagulase, adhezins, teicoic acid,
hialuronidase, protease, lipase, DN-ase
- What are the toxic virulence factors of Staphylococcus aureus?
a. Leucocidin, toxic shock syndrome toxin, exfoliative toxin, enterotoxin, haemolysin
- Disease (non toxin mediated) caused by Staphylococcus aureus?
a. Folliculitis, furuncle, carbuncle, impetigo, pneumonia, osteomyelitis, food poisoning.
- Diseases caused by Staphylococcus aureus exotoxins? (2 example)
a. Food poisoning, scalded skin syndrome, toxic shock syndrome
- List at least 2 coagulase-negative staphylococcus species (from the list provided below)!
a. S. epidermidis,
S. saprophyticus,
S. haemolyticus,
S. lugdunensis
- Diseases caused by coagulase negative staphylococci?
a. Nosocomial infections, biofilm production on the surface of plastic devices.
- Which bacterium can cause „Honeymoon cystitis”?
a. Staphylococcus saprophyticus
- Colony morphology of Streptococcus pyogenes on blood agar plate
a. small, pin-point colonies, surrounded by large, strong beta-haemolytic zone
- Which streptococci show beta-haemolysis?
a. Streptococcus pyogenes, Streptococcus agalactiae
- Which streptococci show alpha-haemolysis?
a. Streptococcus pneumoniae and viridans streptococci (e.g. S. mutans, S. mitis, S. salivarius)
- Which species is the Lancefield group A streptococcus?
a. Streptococcus pyogenes
- Which species is the Lancefield group B streptococcus?
a. Streptococcus agalactiae
- What is the causative agent of scarlet fever?
a. Streptococcus pyogenes?
- Which bacterial virulence factor is the causative agent of scarlet fever?
a. Streptococcus pyrogenic exotoxin or erythrogenic toxin
- What is the capsule of S. pyogenes made of?
a. hyaluronic acid
- Diseases (non toxin mediated) cause by Streptococcus pyogenes? (3 examples)
a. Pharyngitis, tonsillitis, sinusitis, impetigo, erysipelas,
- What kind of post streptococcal infections can be caused by Streptococcus pyogenes?
a. Acute rheumatic fever, glomerulonephritis
- Which two streptococcus species show 100% penicillin sensitivity still now?
a. Streptococcus pyogenes and Streptococcus agalactiae
- What kind of disease can be caused in new-borns by Streptococcus agalactiae?
a. In new born meningitis, sepsis, pneumonia.
- Which bacterium is the leading cause of neonatal meningitis?
a. Streptococcus agalactiae
- Microscopic morphology of Streptococcus pneumoniae
a. Gram-positive diplococci
- How can be prevented the invasive diseases caused by Streptococcus pneumoniae?
a. By 23 valent polysaccharide capsule vaccine or by 13 valent conjugated vaccine.
- Which two bacteria can be differentiated based on their optochin sensitivity / resistance?
a. S. pneumoniae (S) and viridans streptococci (R)
- What kind of disease can be cause by viridans group streptococci?
a. Dental decay or endocarditis.
- Which are the 2 most frequent human pathogenic Enterococcus species?
a. E. faecalis and E. faecium
- Microscopic morphology of Neisseria gonorrhoeae?
a. Gram-negative, non capsulated diplococci.
- What kind of culture media can be used to cultivate Neisseria gonorrhoeae?
a. Chocolate agar or Thayer Martin agar.
- Microscopic morphology of Neisseria meningitidis?
a. Gram-negative, capsulated, diplococci.
- How can Neisseria meningitidis spread ?
a. By respiratory droplets and will colonize the nasopharynx.
- What kind of disease can be caused by Neisseria meningitidis?
a. Sepsis, meningitis, Waterhouse-Friderichsen syndrome.
- What kind of diseases can be caused by Nesseria gonorrhoeae?
a. Gonorrhoea, blenorrhoea neonatorum, proctitis, orchitis.
- What is the causative agent of Waterhouse-Friderichsen syndrome?
a. Neisseria meningitidis
- What kind of tests can be performed from liquor in case of Neisseria meningitidis infection?
a. Microscopic examination, Gram-stain, latex agglutination.
- What can be do prophylactic with the contact person who suffering by Neisseria meningitidis
infection?
a. Chemoprophylaxis by rifampicin or ciprofloxacin.
- What can cause Nesseria gonorrhoeae in newborns?
a. Ophthalmoblenorrhoea neonatorum
- Which serotype of Haemophilus influenzae can cause invasive infection?
a. The Haemophilus influenzae with capsule „b” serotype.
- How can be prevented the invasive infections caused by Haemophilus influenzae strains?
a. By Hib vaccine
- What kind of disease can be caused by Haemophillus ducreyi?
a. Ulcus molle (chancroid).
- What is the causative agent of whooping cough?
a. Bordetella pertussis.
- What are the virulence factor of Bordetella pertussis? (2 examples)
a. Fimbria, pertactin, pertussis toxin, tracheal cytotoxin, dermatonecrotic toxin.
- What is the causative agent of tularemia?
a. Francisella tularensis
- What are the causative agents of human brucellosis? (2 examples)
a. Brucella abortus, B. melitensis, B. suis, B. canis
- What are the diseases caused by Bacillus anthracis? (2 examples)
a. Cutaneous anthrax, pulmonary anthrax, gastrointestinal anthrax.
- What kind of disease can be caused by Bacillus cereus?
a. Food poisoning (vomiting, diarrhoea), wound infection.
- What is the causative agent of pseudomembranosus colitist?
a. Clostridium difficile
- What kind of bacteria can cause flaccid paralysis?
a. Clostridium botulinum
- What kind of bacteria can cause spastic paralysis?
a. Clostridium tetani
- What is the treatment of Botulism?
a. Giving polyvalent antitoxin.
- What is the treatment of pseudomembranosus colitis?
a. Vancomycin per os, metronidazole, faecal transplantation.
- Which bacteria can cause gas gangrene? (2 example)
a. Clostridium perfringens, Clostridium histolyticum, Clostridium septicum.
- What is the causative agent of diphtheria?
a. Corynebacterium diphtheriae.
- How can be detected the toxin of Corynebacterium diphtheriae?
a. By Elek’s-test, Römer-test (in guinea pig).
- What is the treatment of diphtheria?
a. Passive immunisation, giving antibiotics, artificial ventilation if is necessary.
- Which bacteria belong to diphtheroid group? (2 examples)
a. Corynebacterium pseudodiphtheriticum, Corynebacterium ulcerans, Corynebacterium
minutissimum, Corynebacterium urealyticum.
- What are the diseases caused by Listeria monocytogenes?
a. Meningitis, sepsis, granulomatosis infantiseptica.
- What are the diseases caused by Listeria monocytogenes in adults?
a. Gastrointestinal symptoms, meningitis, sepsis, endocarditis
- What is the treatment of Listeriosis?
a. Ampicillin-gentamicin is the drug of choice.
- Which bacteria can cause dental decay?
a. Lactobacilli and Streptococcus mutans.
- Which bacteria can cause human tuberculosis? (3 examples)
a. Mycobacterium tuberculosis, mycobacterium bovis, Mycobacterium africanum.
- What kind of staining can be used to stain mycobacteria?
a. Ziehl-Neelsen staining.
- How long can be cultivated the causative agent of human tuberculosis on LowensteinJensen culture media?
a. 6-8 weeks.
- How can be prevented the human tuberculosis?
a. By BCG vaccine.
- What are the facultative pathogenic mycobacteria? (2 examples)
a. Mycobacterium avium komplex, Mycobacterium kansasii, Mycobacterium marinum,
Mycobacterium ulcerans.