Test 2 Review (NEW) Flashcards
-Associated with water and HIGH temperatures
-Slow progressing pulmonary infection
M. xenopi (Runyon 3)
Buruli ulcer – tropical disease
M. ulcerans (Runyon 3)
Causes scarring and can progress to the bone
- LOW temperatures
M. ulcerans (Runyon 3)
-Requires hemin
-Skin infections but can disseminated
M. haemophilum (Runyon 3)
fast growers typically culture <7 days
Others: >7 days
Runyon group IV
Name of the TB vaccine?
BCG (Bacille Calmette-Guerin)
What are the antibiotics that target gram positive?
Glycopeptide
Macrolides
What are the antibiotics that target gram negative bacteria?
-Monobactam
-Aminoglycosides
-Polymixin (except proteus)
What are the antibiotics that target the 30S ribosomal subunit?
-Tetracycline
-Aminoglycosides
-
What are the antibiotics that target DNA?
Quinolone
Fluoroquinolone
Metronidazole
Rifampin
what are the antibiotics that target the cell wall?
-Cephalosporin
-Glycopeptide
-Carbapenem
-Beta-Lactams
Penicillin
-Monobactam
Antibiotics that target the Cytoplasm membrane
Polymyxin
Antibiotics that target 50S subunit?
-Macrolides
-Licosamide
Antibiotic that targets RNA polymerase
Rifampin
Antibiotic that targets folic acid?
Sulfonamides
what can tetracycline and doxycycline treat?
Mycoplasma, rickettsiae, and chlamydiae
examples of Quinolone
Fluoroquinolone antibiotics?
Nalidixic acid
Ciprofloxacin
what antibiotic class can treat Mycobacteria
Anaerobes?
Quinolone
Fluoroquinolone
what is an example of a glycopeptide?
Vancomycin
What antibiotic would be used for Streptococcus
Staphylococcus
MRSA
Bacillus spp.
C. diff?
Vancomycin
What is Cefazolin (first gen) used to treat?
E. coli
What is Cefoxitin (second gen) used to treat?
H. influenzae and Bacteroides
What is Cefdinir (3rd gen) used to treat?
Neisseria and Enterics
What are the three types of Cephalosporins?
1st gen:
Cefazolin
2nd gen:
Cefoxitin
3rd gen:
Cefdinir
what is sulfamethoxazole used to treat?
Chlamydia and Actinomyces
What is Streptomycin
Gentamicin
Amikacin used to treat?
Enterobacteriaceae family
E. coli
What are examples of Aminoglycosides?
Streptomycin
Gentamicin
Amikacin
example of Carbapenem?
Meropenem and Imiperum
what is meropenem used to treat?
M. tuberculosis
MRSA
C. diff
P. aeruginosa
What is Penicillin used to treat?
Group A strep
S. pneumoniae
Enterococcus (ampicillin)
C. botulinum
Example of a Macrolides?
Erythromycin
What is Erythromycin used to treat?
C. trachomatis
T. pallidum
Enterococci
Example of Licosamide?
Clindamycin
What is clindamycin used to treat?
C. botulinum
Example of a monobactam?
Aztreonam
what is Aztreonam used to treat?
P. aeruginosa
What is rifampin used to treat?
M. tuberculosis and other Mycobacterium
What is Metronidazole used to treat?
Bacteroides
Fusobacterium
C. diffa
What are examples of Polymyxin antibiotics?
Colistin
Polymyxin B
what is Polymyxin used to treat?
Gram negative bacteria
Common synergistic:
beta-lactam + aminoglycosides
What is it called when the The antibiotic never possessed activity against the pathogen?
Intrinsic resistance
This is achieved through transfer of genetic material that confers resistance
Acquired resistance
What type of antibiotic resistance do we test for?
*WE TEST FOR ACQUIRED RESISTANCE NOT INTRINSIC RESISTANCE
examples of acquired resistance?
Horizontal gene transfer:
o Transformation
o Transduction
o Conjugation
Often Plasmid mediated
what is the gene for clindamycin resistance?
Erm gene
beta-lactamase gene responsible for resistance to ampicillin
Bla(SHV)
codes for PBP2A that has a lower affinity for beta-lactams, penicillin resistance
mecA gene (For MRSA)
codes the beta subunit of RNA polymerase for Rifampin resistance
rpoB gene
Vancomycin genes (detected by PCR)
VanA, VanB, VanC
VanA is the most common on Enterococcus faecalis
What is the D-test used for?
determine if organisms can have inducible resistance to clindamycin by erythromycin. (Erm gene)
When must a D-Test be performed?
Any Staphylococcus or beta streptococcus that test susceptible to clindamycin and RESISTANT to erythromycin
The zone around _________ disc will be blunted if clindamycin resistance can be induced by erythromycin.
Clindamyicin
Bacteroides are all ___________ positive.
Catalase
What has a safety pin appearance in vacuoles?
Bacteroids
What is anaerobic tonsillitis called ?
Vincent’s disease (Fusobacterium)
Drum stick, or tennis racket GPR
Clostridium tetani
Box car shaped spore, forming GPB
Clostridium perfringens
What are the virulence factors of clostridium difficile?
Toxin A and toxin B, & GDH
What is egg yolk agar used for differentiation of?
Clostridium species
What is the reverse camp test used to differentiate?
C. Perfringens and other Closteridium species
C. Perfringens interacts with CAMP factor from strep agalactiae to produce synergistic hemolysis
Florescence under UV light – brick red
Prevotella (obligate anaerobe)
Fusobacterim- __________ disease
Vincents
Nonfermenter*, pigmented brick, red under fluorescent light
Porphyromonas
Esculin hydrolysis is used to differentiate….
Bacteroides sp.
Dark brown or black complex
What agar is used for C. Diff?
CCFA
-it will turn the indicator to pink orange to yellow
Ground glass colony
What is sulfur granules?
Actinomyces
-A. Israelii
-lumpy jaw
-older colonies, referred to as molar tooth
-gram-positive rods
Actinomyces