Pathology - Gram Negative Bacteria Flashcards
Gram Negative Bacteria
Bacteria containing an OM and IM containing a pg cell wall within a periplasm, highly resistance to bacteria.
What are the two groups of GNB in regards to ICU patients?
Enterobacteriacea and Nonfermenting
Enterobacteriaceae
A group of GNB, facultative anaerobic Bacilli typically inhabiting mammallian gut.
Nonfermenting gram negative bacilli
Aerobic, non-spore forming bacilli that can degrade carbohydrates in ways other than through fermentation.
Bacterial fermentation
Anaerobic catabolic reactions producing ATP by substrate-level phosphorylation.
What are the three layers that can exist exterior to the OM in GNB?
Capsule and S-layers.
Capsule
A gel like- polysachharide rich layer exterior to the outer membrane.
What is the first line of defense for bacteria?
The capsule.
What is the structure of the Capsule in Gram POSITIVE Bacteria?
A viscous layer of carbs covalently bound to the cell wall.
How do CPS achieve virulence?
Masking the more conserved, immunogenic components of bacteria.
What are some characterisitcs of the PS?
Diverse structures with HMW and are water saturated.
What does the plateua of CPS do?
Creates a water saturated layer that blocks infection, limits dessication and thrwarts phagocytosis by phagogcytes by restricting antigen access.
What are the three LPS regions?
Lipid A, Oligosaccharide and the O Antigen
Structure of Lipid A
A diphosphorylated N-Acetylglucosamine disaccharide with acyl chains extending from them.
What is the structure of the Core Oligosaccharide?
Has an inner core bound to Lipid A and an outer core linked to a terminal heptose of the inner core.