Pathogenic Bacteria 2 Flashcards

1
Q

What is a key feature of gram-negative bacteria and what does it allow?

A

It has a thinner peptidoglycan cell wall and thick lipopolysaccharide outer membrane layer, so is less readily exposed to the external environment.

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2
Q

What is a useful prelimary test to classify gram negative bacilli?

A

Lactose fermentation.

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3
Q

Define coliforms.

A

Organisms which are in the family Enterobacteriaceae.

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4
Q

Where are gram negative bacilli mainly found?

A

Mainly commensals of the human large intestine.

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5
Q

State Strict, aerobic bacilli.

A

Pseudomonas spp

  • May contaminate medical equipment and is a hospital acquired cause of sepsis i.e. UTI, bacteraemia, pneumonia
  • Feared respiratory pathogen in cystic fibrosis
  • Multi-drug resistance mechanisms
  • Limited treatment options
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6
Q

What is Aerobic Gram-negative cocci:

A

Neisseria spp

  • Neisseria meningitidis causes meningitis. Often life threatening.
  • Neisseria gonorrhoeae Causes gonorrhoeae, which causes urethritis in men and pelvic inflammatory disease in women. Spread by sexual contact.
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7
Q

Outline Small aerobic bacilli.

A

Haemophilus influenzae

  • Causes respiratory tract infection (second to S. pneumoniae)
  • Capsulate form (type B) was formerly an important cause of meningitis in children (Hib conjugate vaccine)
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8
Q

Outline examples of coliforms of aerobic gram- negative bacteria.

A

Escherichia coli, salmonella app

other coliform- shigella spp, klebsiella spp, proteus spp

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9
Q

Outline Escherichia coli and the infection it causes.

A
  • Ferments lactose
  • Several virulence mechanisms i.e. pili, capsule, endotoxin and exotoxins
  • Strains vary considerably in disease potential
  • Important cause of UTI
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10
Q

What does - Enterotoxogenic E.coli cause?

A

traveller’s diarrhoea

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11
Q

What does - Enterohaemorrhagic E.coli cause?

A

bloody diarrhoea and haemolytic uraemic syndrome.

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12
Q

What can salmonella spp. not do?

A
  • Does not ferment lactose

- Can be invasive i.e. enters bloodstream

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13
Q

What does Salmonella enterica cause?

A

cause bacterial diarrhoea

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14
Q

What does Salmonella typhi causes?

A

causes typhoid fever

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15
Q

What do the other coliform shigella spp, klebsiella spp, proteus spp cause?

A
  • Shigella spp: another cause of diarrhoea, dysentery
  • Klebsiella spp: cause of UTI
  • Proteus spp: cause of UTI, often associated with stones
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16
Q

Outline examples of microaerophilic bacilli.

A
  • Curved bacilli Campylobacter spp

- Spiral bacilli- Helicobacter pylori

17
Q

Describe microaerophilic Curved bacilli Campylobacter spp/

A
  • Source: domestic animals and chickens
  • Spread via faecal-oral route
  • Commonest cause of bacterial diarrhoea in UK.
18
Q

Describe microaerophilic Spiral bacilli- Helicobacter pylori?

A
  • Curved rods
  • human stomach habitat
  • Damages mucosa and causes ulcers
  • Strong risk factor for gastric adenocarcinoma
19
Q

What is an example of strictly anaerobic gram-negative bacilli?

A

Bacteroides

20
Q

What are Anaerobes and examples?

A

They are often part of a polymicrobial infection

Examples: Bacteriodes spp., Prevotella, Porphyromonas

21
Q

Outline Bacteriodes spp., anaerobe.

A

Bacteroides fragilis- part of normal colonic flora. Cause intra-abdominal abscess and may spread to other sites.

22
Q

Outline prevotella, porphyromonas anaerobes.

A

They are oral anaerobes.

  • Important in aetiology of periodontal disease and may be part of polymicrobial dental abscesses.
  • Role in aspiration pneumonia.
  • Human and animal bite infections.
23
Q

List the Miscellaneous bacteria.

A

Mycobacteria, Spirochaetes, Chlamydia, Mycoplasma.

24
Q

How are these miscellaneous bacteria visualised?

A

Resistant to decolourisation by acid or alcohol after staining with carbol fuchsin.

25
Q

How is Mycobacteria identified?

A

Visualised with special stains e.g. Ziehl-Neelsen or Auramine phenol.
However, it doesn’t identify the species.
Culture required for ID. Growth takes weeks.
Molecular detection and identification of MTB if possible.