Understanding Bacterial Differentiation Flashcards

1
Q

Describe how bacterial biochemistry can differ and how this can be used for selective culture.

A
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2
Q

How do you distinguish between bacteria?

A

Morphology.

Motility.

Cell wall composition – i.e. Gram type.

Respiration.
(Aerobic/ Anaerobic/ facultative anaerobe/ microaerophilic)

Colony morphology on specific plates.

Growth on specific media.

Haemolysis.

Substrate utilisation.
(i.e. what can the bacteria metabolise a big list)

Presence and absence of specific enzymes (i.e. catalase, oxidase).

Tolerance to compounds (Enterobacteriaceae tolerate bile salts).

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3
Q

What is biochemical separation?

A

Once a pure culture has been established, various test can be carried out to asses biochemical differences which could be checked on media alone

The use of multiple tests can categorise bacteria into genera and in some cases species

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4
Q

What are API test strips?

A

Combine a number of biochemical test & extensive data base for interpretations

Established reference technique
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5
Q

List common tests and how they can support diagnosis.

A
  • Haemolysis
  • Catalase Test
  • Oxidase Test
  • Coagulase Test
  • Urease Test
    -Fermentation Assays
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6
Q

Describe the Haemolysis test

A

Tests the ability to lyse erythrocytes
(when on blood agar some lyse or damage blood cells to access iron

Blood Agar used

Three common descriptions for haemolysis:

Alpha - incomplete produces green zone of lysis.

Beta - complete destruction clear zone of lysis.

Gamma - absence of any haemolysis.

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7
Q

Describe the Catalase and Oxidative tests

A

Illustrate how components relating to respiration can be present or absent in different bacteria and used to help discrimination

Catalase test
-Catalase catalyses the decomposition of hydrogen peroxide to water and oxygen.

-It helps protect cells from oxidative damage by reactive oxygen species (ROS).

-Catalase trigger decomposition of hydrogen peroxide so it fizzes as it produces oxygen.

Oxidase
-Oxidase test identifies bacteria that produce cytochrome c oxidase, Cytochrome c is an enzyme of the bacterial electron transport chain used by bacteria growing aerobically.

-The colour change to blue comes from reduction of test compound.

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8
Q

Describe the Coagulase Test

A

Shows how properties can impact on the patient

Identify the presence of bound coagulase or clumping factor, which is attached to the cell walls of the bacteria.

Bound coagulase reacts with the fibrinogen in plasma, causing the fibrinogen to precipitate.

Main clinical use:

To separate coagulase positive /negative Staphylococcus aureus and also separate other groups of non-coagulase positive staphylococci S. epidermidis.

Coagulase is often associated with virulence but some coagulase negative strains can cause disease.

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9
Q

Describe the Urease test

A

pH based indicator test.

In this case urease breaks down urea to CO2 and ammonia.

The indicator is more red the more alkaline it is. A more yellow the more acidic.

Rapid diagnostics.

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10
Q

Describe the fermentation tests

A

Ability to ferment different sugars

Liquid fermentation

Vial is to collect gases produced within the tube

Assays can be changed for different sugars. For example the sugars lactose, fructose, galactose etc.

All assays are based on a pH change more acid if the sugar can be fermented

There is a pH indicator phenol red and is red colour at neutral pH.
At low pH the phenol red turns yellow
Another pH indicator used is neutral red which appears as pink to red when pH is low

The inverted Durham tube in the assays can collect CO2 which is produced by some bacteria when fermenting the sugars.

MacConkey agar does a fermentation test for lactose in a solid format but as you will see multiple tests can be combined and different bacteria have a almost a bar code of which sugars they can or can not ferment.

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11
Q

Describe how susceptibility to antimicrobials compounds can be used for selective media.

A

Selective media contain antimicrobial compounds which inhibit groups of bacteria you do not want allowing those you want to isolate to grow.

Antimicrobials are compounds which inhibits bacterial growth.
Some are selective only acting on certain groups of bacteria.

Example: Certain enteric bacteria (intestinal bacteria) tend to be resistant to bile 
    salts. If you add bile salts to media it will inhibit n a lot of non-enteric bacteria. This 
   means the media can be used to select for intestinal bacterial. 

Antibiotics can also be used to selected for certain groups of bacteria as some bacteria have intrinsic resistances certain antibiotic groups lacking targets for the drugs.

A whole range of supplements is available to add to media to allow you select out bacteria you do not want.

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12
Q

What is Typing?

A

Separation of bacteria within the same species

Allows linkage between bacteria derived from the same lineage or source

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13
Q

What are methods of Typing?

A

Recognition of variable surface structures
–Serotyping
–Phage typing

DNA variation
–Ribosome sequencing
–Multi locus Sequence Typing (MLST)
–Probe based tests
–PCR

Other
–Mass spectometry profiles

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14
Q

Explain how phage typing can be used to differentiate between bacteria

A

Uses lytic bacteriophage – virus that infects bacteria.

Pattern of susceptibility of a bacterial isolate establishes it phage type (PT).

Phage attaches to surface proteins

These structures can subtly vary between different isolates of the same species or 
    simply be present or absent

Multiple phage are assessed for their ability to infect the bacteria

    The pattern of susceptibility leads to a phage type
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15
Q

Explain how use of antibodies can be used to differentiate between bacteria

A

Serotyping
Use of antibodies that recognize variable structures. Antibody-antigen interaction is very specific!

Example antigen:

O-antigen is the lipopolysaccharide (LPS) of Gram-negative bacteria
Very subtle structural changes between the O-antigen can lead to changes in binding.
Some O-antigen core structures are more conserved so define genera/species of bacteria.
Some more variable used to define different lineages within the same species.
Antibody targets are specific to groups of bacteria.

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16
Q

How do serotyping kits work?

A

Use of latex beads linked with antibodies

Bacteria is lysed and antibodies with blue latex in suspension on card are added.

The lysate (proteins, sugars & lipids etc are mixed with the antibodies

Postive result
Antibodies and antigens bind leading to agglutination of latex beads

Negative result
antibody doesnt bind to antigen

17
Q

Explain the difference between serology and serotyping.

A

Serotyping uses antibodies
defines closely related bacteria using antibodies which bind known antigens of those bacteria

Serology measures antibodies
uses sera from patients to measure if antibodies have been produced by a patient to a specific pathogen
can be used as a diagnostic tool

E.g. ELISA

18
Q

Describe Molecular typing, DNA & pathogen identification in their role to differentiate bacteria in epidemiology.

A

When DNA replicates every so often mistakes occur (mutations)

Over time mutations can accumulate and can distinguish populations that have grown up independently.

This can be used to separate very closely related bacteria.

Genes may also be lost / gained they directly relate to properties of the bacteria.

Molecular diagnostics is a rapidly developing field, current methodologies include:

PCR/qPCR – Polymerase chain reaction

Sequencing

MLST – Multi locus sequence typing

Mass spectrophotometry (MALDI-TOF)
19
Q

Describe PCR/qPCR and its role to differentiate bacteria in epidemiology.

A

cyclic amplification of specific piece of DNA

Use of primers –
small pieces of DNA that are specific and complementary to the target gene to amplify

Three Steps
Denaturation of DNA strands

Annealing of primers

Amplification of PCR product

Identification of specific pathogens
Quantification (qPCR)
PCR product can be sequenced  variation

20
Q

What are the advantages of PCR?

A

Rapid (hours)
Cheap
Specific
High sensitivity
small amounts can be detected
Minimal equipment and consumables
 no need for lots of different media, incubators, biochemical tests
Sample can be frozen

21
Q

What are the disadvantages of PCR?

A

Can not distinguish between viable or dead bacteria as bacterial DNA is stable within the environment

Antibiotic sensitivity testing cannot be performed
(specific AMR genes could be amplified by PCR but you do not know then by which bacteria produced if it is a mix)

22
Q

Describe MLST – Multi locus sequence typing and its role to differentiate bacteria in epidemiology.

A

A method to classify bacterial/fungal isolates to allow epidemiological studies/outbreak tracing etc

Typically 7 housekeeping genes are studied, these genes are essential so each strain will have them!

Each strain is characterized by a profile of 7 allele numbers; the allelic profile

If the sequence is different (even by just 1 nucleotide) to all others, it is considered to be a new allele
and is assigned a unique allele number

Each unique allelic profile is given a one digit sequence type (ST)

23
Q

Describe Mass spectrophotometry (MALDI-TOF) and its role to differentiate bacteria in epidemiology.

A

Newly developed method

Requires a single colony -species identification

Pprofile using graph produced