Module 1- Course Introduction Flashcards
Colonization
the presence of bacteria on a body surface without causing disease
Infection
The invasion of a host organism’s tissues by disease causing organisms
Etiology
Cause of infection
Pathogen
Microbe that causes disease
Pathogenesis
Mechanisms by which a pathogen causes disease
Virulence
Degree of pathogenicity
Transmission
Spread of infection from a host to another host
Obligate pathogen
Very virulent, a small number is capable of causing disease
Primary pathogen
Moderately virulent, can cause disease when present in moderate numbers
Opportunistic pathogen
Can cause disease in large numbers when in conjunction with predisposing factors
Gram negative stain
Thin peptidoglycan, outer membrane, pink, Lipid A endotoxin
Gram positive
Thick peptidoglycan, no outer membrane, purple
Acid fast positive
Mycolic acid, gram positive, pink
Bacteria without a cell wall
Mollicutes (mycoplasma) and L-forms
Endotoxin
Released when the bacteria dies
Exotoxin
Made inside of the cell and released while alive
Plasmids
circular extrachromosomal elements containing virulence factors; allow transfer of virulence factors between bacterial cells
Bacteriophage
Virus that kills bacteria
What test measures the serum antibody level?
Antibody titer
What increase in paired titers suggests active infection?
Four-fold
What does a titer of 1280 mean?
Antibody is still present when the serum is diluted to 1 part per 1280
What two things can ELISA test for?
Antigens and toxins
Which bacterial species require special cultures?
Mycoplasma, salmonella, listeria, lycobacterium, and capylobacter
What is the difference between the two types of PCR?
Conventional- agarose gel
Real-Time- Fluorescent dye
Does a low or high Cycle threshold indicate the presence of a pathogen?
Low
Are there more antibody tests or antigen tests?
Antibody
Sterilization
Renders an inanimate object free of ALL microorganisms
Disinfection
Eliminates most microorganisms, but not spores
Decontamination
Reduces microorganisms until safe to handle
Antisepsis
Disinfection of living tissue
Antimicrobial
any substance that kill sor inhibits the growth of a microorganism
Antibiotic
a substace produced by a microorganism that can kill or inhibit other microorganisms
Abx that inhibit cell wall synthesis
beta lactams and glycopeptides
Penicillin
Beta lactam
Ampicillin
Beta lactam
Vancomycin
Glycopeptide
Abx that target nucleic acid synthesis
Sulfonamindes/trimethoprim-Folic acid synthesis, Fluoroquinolones, rifampin
Enrofloxacin
Fluoroquinolone
Ciprofloxacin
Fluoroquinolone
Abx that target protein synthesis in the ribosome
Tetracyclines, macrolides, aminoglycosides, chloraphenicol
Broad spectrum abx
Effective against gram negative and positive; (tetracyclines, chloramphenicol, fluoroquinolone, cephalosporin)
Narrow spectrum abx
only useful against one class (penicillin, linosamides, glycopeptides, streptogramins, rifamycin)
Bactericidal
Kill bacteria (aminoglycocides, beta-lactams, vancomycin, quinolones, rifamycin, metronidazole)
Bacteriostatic
Inhibits bacterial growth (chloramphenicol, erythromycin, clindamycin, sulfonamides, trimethoprim, tetracyclines)
Two kinds of Antimicrobial susceptibility testing
Disk diffusion test and Broth dilution test
Is it better to have a low or high MIC?
Low, it takes less antimicrobial to inhibit the microbe
What would happen if a drug had no PAE?
(Post anti-biotic effect) would need to dose more frequently
Cephalosporin
Beta lactam
Sublactam
Beta lactam
Carbapenems
Beta lactam
Monobactams
Beta lactam
Adverse effects of beta lactams
Time dependent
Oxytetracycline
tetracycline
Doxycycline
Tetracycline
Minocycline
Tetracycline
Tetracycline spectrum of activity
Broad
Tetracycline antibacterial activity
bacteriostatic
Tetracycline adverse effects
Irritant, IV in horses can cause cardiovascular collapse, tooth discoloration, nephrotoxicity, time dependant, cross placental barrier
Gentamicin
Aminoglycocide
Amikacin
Aminoglycoside
Tobramycin
Aminoglycoside
Aminoglycoside spectrum of activity
Broad
Aminoglycocide antibacterial activity
Bactericidal
Aminoglycocide adverse effects
Nephrotoxicity, ototoxicity, concentration dependent, oxygen dependent, physically incompatible with beta lactams, cannot administer orally
Fluoroquinolone spectrum of activity
broad
Fluoroquinolone antibacterial activity
Bactericidal
Fluoroquinolone adverse effects
Arthropathy, ocular toxicity, synthetic, high intracellular concentration in phagocytes, rapid resistance
Erythromycin
Macrolide
Azithromycin
Macrolide
Clarithromycin
Macrolide
Macrolide mechanism
Inhibit protein synthesis
Macrolide spectrum of activity
Broad
Macrolide antibacterial activity
Bacteriostatic
Macrolide adverse effects
GI, intracellular accumulation
Sulphonamide
Sulfa drug
Sulfamethoxazole
Sulfa drug
Sulfadiazine
Sulfa drug
Sulfa drug mechanism
Inhibit folic acid and nucleic acid synthesis
Sulfa drug spectrum of activity
Broad
Sulfa drug antibacterial activity
bacteriostatic
Sulfa drug effects
Allergic reactions in dogs
When to use four-quadrant therapy?
Infection likely, but agent unknown
What is covered in four-quadrant therapy?
Gram negative/positive. Aerobic/anaerobic
Environmentally mediated resistance
Environment is altered so antimicrobial is not effective
Microorganism mediated resistance
Pre-existing property of the organism makes it resistant to the antimicrobial
Acquired resistance
Altered microbial physiology to resistant an antimicrobial
Mechanisms of antimicrobial resistance
Prevention of penetration, rapid efflux, enzymatic destruction, modification of target sites