One deck to rule them all Flashcards
3 solutions for acid-fast staining
- carbol fuschin stain
- 3% acid alcohol
- methylene blue
Detecting bacterial capsule (2)
Quellung/ neufeld reaction or capsule stain
Solutions for capsule stain
India ink and carbol fuschin
Detection of spore (4)
- phase contrast microscope
- zhiel neelsen
- moeller stain
- gram stain (negative stain)
What is the flagella stain?
tannic acid and aluminium potasium phosphate
What does Neisser stain detect?
presence of polar / volutin / babes-ernst granules in C; dyphteriae
Differenciating - selective culture media?
Eosin-methylene blue, only gram negative bacteria grow, differenciates w/ lactose fermentation
Volume sample blood culture adults
20-30mL / blood culture
What is streaking?
A technique to isolate a pure strain from a single species of bacteria
Aerobic bacteria (2 ex)
- p. aeruginosa
- m. tuberculosis
Parameters of culture of aerobes
37°C, 70-80% humidity, 02, 1 atm
Parameters of culture of microaerophiles
5%O2, 10% CO2, 85% N2
What does hippurate positive mean?
It means that it hydroxylyses sodium hippurate
What does CAMP test positive mean?
Increased zone of hemolysis when put with s. aureus
How long do you keep each solution on the slide for gram staining?
Crystal violet : 2 minutes
Iodine : 1 minute
Ethanol : until it’s no longer purple
Safranin : 1 minute
Neisser 1 solution
Methylene blue, glacial acetate, 96% ethanol, distilled water
Neisser 2 solution
10% crystal violet in 96% ethanol, 96% ethanol, distilled water
Chrysoidin solution
1% chrysoidin aqueous solution in distilled water
Result of neisser staining
Bacterium : yellow, granules : purple
How do we differenciate acid-fast bacteria?
Acid-fast bacteria are resistant to decolorizer (acid) due to high amount of lipoidal material in their cell wall.
How long do we keep each solution on the slide for the acid fast?
Carbol fuschin : 5 minutes (after heat)
Acid alcohol : 5 minutes
Methylene blue : 2 minutes
What type of objective is used for acid fast stain?
1000x oil immersion objective
Size of microorganisms and virus
Bacteria : 0.1-50 microM
Fungi, protozoa : 5-100 microM
Viruses : 20-400 nM
What is waterhouse friedrichen syndrome?
hemorrhage of the adrenals
What is a bacterial lawn?
sheet of bacteria that covers an agar plate used to determine antibiotic resistance of that species or for bacteriophage typing
Example of a selective medium (2)
- manitol salt agar
- chocolate agar with vancomycin for h. influenzae
Example of a differenciation medium
eosin methylene blue agar
2 microaerophilic bacteria
campylobacters, neisserias
Microaerophilic agar for C.Jejuni
skirrow campylobacter selective agar
What is anaerostate
physical method of anaerobic incubation, with N2 and CO2 instead of room air
chemical methods for anaerobic culture of bacteria
- broth
- thioglycolate bouillon
- gaspack jar
IC bacterias grown on animals
- t. pallidum grown on rabbit testis
- m. leprae on the feet of a mouse or armadillo
examples of obligate IC bacteria
- rickettsia
- coxiella
- chlamydia trachomatitis
- mycobacterium leprae
What is a biofilm?
A collection of surface associated microbial cells that is enclosed in an ECM
2 gram positive rods
- corynebacterium
- listeria
How to diferenciate gram negative rods
lactose fermentation and oxidase test
What are the obligate structures of bacteria? (5)
- cell wall
- plasma membrane
- cytoplasm
- nucleoid
- periplasmic space
Non-essential structures of bacteria (6)
- capsule
- plasmid
- spore
- fimbriae
- pili
- flagella
How are plasmids transferred?
binary fission or conjugation
Spore formation process (4)
- bacteria divides asymmetrically
- fore spore is engulfed by mother cell
- Spore is dehydrated to mature
- Endospore is released when destruction of mother cell
Arrangements of flagella (3)
- monotrichous (p. aeruginosa)
- amphitrichous
- peritrichous (e. coli)
What do streptococci ferment?
glucose
Detection of biofilm (3)
- tissue culture plate
- tube method
- congo red staining
optimum growth media for campilobacter jejuni
- 42 degrees
- skirrow media
- microaerophilic
optimum growth media for listeria monocytogenes
- 4 degrees
- facultative anaerobic
bacteria with positive urease test
klebsiella, proteus
enterobacteriacecae family (4)
escherichia, klebsiella, salmonella, shigella
Serological reactions using precipitation (5)
- Disk precipitation
- Flocculation
- Elek test
- Radial immunodiffusion
- Electrophoresis
Serological reactions using agglutination (3)
- slide agglutination
- tube agglutination
- co-agglutination
Validation of serological tests
- experiment : precision, repetability…
- incremental process
- statistical verification
- constant observation and maintenance
- reassessment of test performance for each population
types of allergic skin test (3)
- scratch test
- intradermal
- patch
3 susceptibility tests and their uses
- Tuberculin test (tb)
- Schick test (diphteria)
- Lepromin test (type of leprosy)
3 roles of the capsule
- major virulence factor : protects from phagocytosis
- antigenic properties (K antigen) for identification
- aids adhesion
Which bacteria can form spores?
Gram positive bacteria :
- bacillus (aerobic)
- clostridium (anaerobic)
Microaerophiles lvl of O2 + example
21% or less
Campylobacter
Example of capnophile
h. influenzae
Enzymes needed for aerobic respiration (3)
- superoxide dismutase
- peroxidase
- catalase
Glucose fermenters (3)
- v cholerae
- clostridium
- streptococci
Mannitol fermenter
S. Aureus
What is the cooking method ineffective against?
tetanus, clostridium, hepatitis agents
Examples of antiseptics and disinfectants (7)
- alcohols
- acid bases
- quaternary ammonium compounds
- oxidizing agents
- halogens
- phenolic compounds
- aldehydes
3 examples of antimicrobial combinations
- TMP/SMX “cotrimoxazole”
- Amoxicillin / clavulanic acid “coamoxiclav”
- Gentamycin / vancomycin
TMP
trimethoprim
SMX
sulfamethoxazole
What type of drug is vancomycin?
glycopeptide
What type of drug is gentamycin?
aminoglycoside
Natures of penicillins (4)
- natural
- aminopenicillins
- penicillase resistant
- antipseudomonal
What is cephalosporin ineffective against?
LAME : listeria, atypical pneumonia, MRSA, enterococci
Beta lactam antibiotics
Penicillins, cephalosporins, carbapenems, monobactams
Mnemonic for names of carbapenems
Ertamerodori-imi
What is special with imipenem
It is given with cilastatin because it is vulnerable against dehydropeptidase in kidney
What is special about monobactams
- Effective against aerobic gram negative only
- binds pbp3
What is bacitracin / polypeptide ab effective against?
Gram positive cocci
Inhibitors of 30S subunit
Aminoglycosides, tetracyclines
Inhibitors of 50S subunit
Amphenicol, macrolides, lincosamides, linezoid
Action of aminoglycosides
Inhibit initiation complex
Action of tetracyclines
Block tRNA from binding A site
Mechanism of action choramphenicol
Blocks peptidyl transferase
Mechanism of action of macrolides
Blocks translocation of 50S
Mechanism of action of lincosamides
Blocks peptide translocation
Detection of flagella (3)
- Flagella stain
- Swarming motility
- Native observation with high magnification
What do you use dark field microscopy for?
For spirochetes (borrelia, treponema, leptospira)
Optimum pH for cultivation of v. cholera
8-9
Optimum pH for cultivation of lactobacillus
5.4-6.6
Different cultivation temperatures
- mesophilic (30-37)
- thermophilic (over 50)
- cryophilic (under 20)
Composition of agar plate
2% agar + bouillon
Composition of blood agar
5% defibrinated sheep blood + agar
4 uses for animal in microbiology
- Study of intracellular bacteria
- Evaluation of sterilization process
- Testing effectiveness of drugs and chemicals
- Determination of toxin production
Dilution method to determine MIC/MBC (2)
- broth dilution
- agar dilution
Diffusion method to determine MIC/MBC (2)
- disk diffusion
- e-test
Mechanism of action of quinolones
inhibits DNA gyrase and topoisomerase IV
Mechanism of action of nitroimidazole
free radical production : breaks dna strands
Mechanism of action of rifamycin
inhibits DNA dependant RNA polymerase
Mechanism of action of formaldehyde (2)
- denatures proteins
- disrupts nucleic acids
Mechanism of action of chlorine (2)
- denatures proteins
- oxidizes peptide links
Mechanism of action of phenolics
- denatures proteins
- inhibits permeases at high conc.
Mechanism of action of detergents (quaternary ammonium compounds)
Disrupts cell membrane
Mechanism of action of isopropyl alcohol
Denatures proteins and DNA
Which medium is used for urease test?
Christensen’s urea agar
What does the indole test detect?
The ability to transform tryptophan into indole (tryptophanase)
3 tube agglutination tests and their use
- Widal (salmonella)
- Weil (rickettsia)
- Wright (brucella)
How do you detect an infection with the titer?
A fresh infection is indicated by at least 2-4x increase in the Ab titer
Bacteria detected using direct immunohistochemistry
Chlamydia trachomatitis
What are paired sera tests?
Sera drawn from patient 2-4 weeks apart are tested simultaneously
Possible results to tuberculin test (3)
- under 10 mm : negative
- between 10 and 20 mm : vaccinated
- over 20 mm : positive
What is conversion in a diagnostic test?
negative test then positive test
What is reversion in a diagnostic test?
positive test then negative test
What is fixed dose procedure?
orally administer toxin to lab animals and determine dose to produce symptoms but not death
What are ppm?
Mass of a chemical per unit volume of water
Phases of acute infection (4)
- incubation
- prodromal
- acute
- convalescence
Routes of transmission of infection (6) + example
- enteral (salmonella)
- inhalation (tuberculosis)
- through skin (tetanus)
- urinary (e. coli)
- sexual (syphilis)
- congenital (toxoplasma)
Difference between mycoplasma pneumoniae and other mycoplasms
Mycoplasma pneumoniae is obligate aerobe while the others are facultative anaerobes
Diseases caused by ureaplasma urealyticum (4)
- Urethritis
- Pyelonephritis
- Spontaneous abortion
- Premature birth
Long term complications of chlamydia
- PID (women)
- Reactive arthritis (Reiter’s syndrome)
Difference between enterococcus and enterobacter?
enterococcus : gram positive cocci
enterobacter : gram negative rod
Toxins of bacillus anthraxis (2)
LF : lethal factor
EF : edema factor
Culturing media for corynebacterium dyphteriae (2)
- tellurite medium
- loefller’s medium