Nonfermentative GNB Flashcards
Where are nonfermentative GNB found and what percent of all GNB are nonfermentative GNB (NFB)?
- water, soil, food, plants, few are normal flora in humans
- 20%
List general traits of NFB
oxygen requirement
sporulation
carb metabolism
oxidase
TSI
Grow on what plate(s)
- obligate aerobes
- don’t form spores
- don’t ferment carbs
- most are oxidase pos
- TSI: K/no change
- SBA and varied MAC growth
Most important NFB
Pseudomonas aeruginosa
Pseudomonas fluorescent group
- P. aeruginosa
- P. fluoresceins
- P. putida
All members of Pseudomonas fluorescent group produce ____ pigment
fluorescein aka pyoverdin
yellow fluorescent pigment
____ agar enhances fluorescein production
Cetrimide
P. aeruginosa disease association
- eye (contact lens) infections
- ear infections (swimmers ear)
- cystic fibrosis lower resp tract infection
- burn wound infections
- immunocomprosmised pt
How does P. aeruginosa fare against disinfectants?
- resistant to a lot of disinfectants
- nosocomial infections in hospitals, equipment, whirlpools, and swimming pools
P. aeruginosa biochemical traits
oxidase
motility
lactose
growth temp
grows on MAC?
colony color
- oxidase pos
- motile
- lactose neg
- 42°C
- yes, grows on MAC
- bluish green pigment
P. aeruginosa virulence factors
- Pili
- LPS endotoxin
- Exotoxin A
- extracellular alginate slime to inhibit phagocytosis
- proteolytic enzymes
- intrinsic antimicrobial resistance
P. aeruginosa colony morphology
- large irregular colonies with grape-like odor and metallic sheen on SBA
- beta hemolytic with feathery edge on SBA
- mucoid colonies if isolated from CF pt
- pyocyanin blue pigment unique
Stenotrophomonas maltophilia disease association
- pneumonia
- UTIs
- wound infections
How is S. maltophilia acquired?
hospitals
S. maltophilia identifying traits
oxidase
maltose
lysine decarboxylase
antimicrobial resistance
- oxidase neg
- one of only NFB that is oxidase neg and maltose pos
- one of 2 NFB that is lysine decarboxylase positive
- resistant to most Abx
Burkholderia cepacia disease association
- nosocomial infections
- CF pt (2nd to P. aeruginosa)