(written by Riona Adams) Microbiology - basics Flashcards
Give 3 gram positive cocci
- ) Staphylococci
- ) Streptococci
- ) Enterococci
Give 2 gram negative cocci
- ) Neisseria
- ) Moraxella
Give 3 gram positive bacilli
- ) C. diptheriae
- ) Listeria monocytogenes
- ) Clostridia
- ) Propionibactiera
Give 5 gram negative bacilli
- ) E. coli
- ) Campylobacter
- ) Pseudomonas
- ) Salmonella
- ) Shigella
- ) Proteus
What colour does positive gram bacteria stain?
Purple
What colour does negative gram bacteria stain?
Pink
What is a gram positive anaerobic cocci?
Peptostreptococcus
What test do we do to differentiate between streptococcus and staphylococcus?
Catalase test
How does streptococcus stain in a catalase test?
Negative, no bubbles
How does staphylococcus stain in a catalase test?
Positive, bubbles
What test do we do to differentiate streptococcus?
Haemolysis on Blood agar
What colour does beta haemolytic strep stain?
White/clearing/yellow
What colour does alpha haemolytic strep stain?
Green
Give an example of beta haemolytic strep
Antigenic group A, B, C, G
Give an example of alpha haemolytic strep
Viridans strep
What test do we do to differentiate between alpha haemolytic streps
Optochin test
What are the results of the optochin test?
Resistant or sensitive
Give an example of a sensitive alpha haemolytic strep
S. pneumoniae
What test do we do to differentiate between staphylococcus?
Coagulase
What are the results of the coagulase test?
Positive or negative
Give an example of a coagulase positive staphylococcus
S. aureus
Give an example of a coagulase negative staphyloccocus
staph epidermis
Give an example of an anaerobic gram negative rod
B. fragilis
What do we do to differentiate between gram negative bacilli?
Lactose fermentation
What are lactose fermenting bacteria?
Enterobacteriaceae (coliforms)
Give an example of a lactose fermenting enterobacteriaceae
E. coli, Klebsiella
What do we do to distinguish between enterobacteriaceae? (2)
Biochemical identification and sensitivity tests
Give an example of a biochemical identification test
API strip
Give 2 examples of a non lactose fermenting bacteria
- ) Shigella
- ) Salmonella
- ) Pseudomonas
- ) Proteus
What test do we do distinguish between non lactose fermenting bacteria?
Oxidase test
What are the results of the oxidase test
Positive and negative
Give an example of an oxidase test negative bacteria
Enterobactericeae
Give an example of a non lactose fermenting enterobacteriaceae
- ) Proteus
- ) Shigella
Give an example of a oxidase test positive bacteria
Pseudomonas species
What do we do to test pseudomonas species?
Anti-pseudomonal sensitivity tests
What colour does a positive coagulase test stain?
Gold
What colour does a negative coagulase test stain?
White
What colour does non-lactose fermentation stain?
Yellow/colourless
What colour does lactose fermentation stain?
Pink
What colour does a positive oxidase test stain?
Purple
What colour does a negative oxidase test stain?
Not purple/no change
Define pathogen
An organism that causes/is capable of causing disease
Define commensal
An organism which colonises the host but causes no disease in normal circumstances
Define opportunist pathogen
A microbe that only causes disease if host defences are compromised
Define virulence/pathogenicity
The degree to which a given organism is pathogenic
Define asymptomatic carriage
When a pathogen is carried harmlessly at a tissue site where it causes no disease
Give 2 colonisation factors
-) Adhesions
-) Invasins
-) Nutrient acquisition
-) Defence
Etc
Define toxins
Effectors that are usually secreted proteins that cause damage and subversion
What are the 2 main shapes of bacteria?
Cocci (round) and bacilli (rod)
Why does a positive gram stain response occur?
Stain is able to fix to the single membrane cell wall on a gram positive bacteria
Why does a negative gram stain occur?
Stain cannot fix due to 2 membranes on gram negative bacteria
Give 2 types of bacterial toxins
- ) Endotoxin
- ) Exotoxin
Give 3 features of an exotoxin
- ) Made up of protein
- ) Specific action
- ) Labile to heat
- ) Strong antigenicity
- ) Produced by mostly gram +ve
- ) Convertible to toxoid
Give 3 features of an endotoxin
- ) Made up of lipopolysaccharide, LPS
- ) Non-specific action
- ) Stable to heat
- ) Weak antigenicity
- ) Produced by mostly gram –ve
- ) Not convertible to toxoid
What is a toxoid?
A toxin treated so that it loses its toxicity but retains its antigenicity
Give 3 ways in which bacteria can get genetic variation
- ) Mutations
- ) Swap bits of DNA with environment (via plasmids)
- ) Gene transfer
Give 3 ways in which gene transfer can occur
- ) Transformation, via plasmid
- ) Transduction, via virus
- ) Conjugation, via sex pilus
What is are plasmids?
Autonomously replicating pieces of DNA
What is coagulase?
An enzyme produced by bacteria that clots blood plasma by forming a fibrin clot around bacteria, may protect it from phagocytosis
Give 3 virulence factors of staphylococcus
- ) Pore forming toxins
- ) Proteases
- ) Toxic shock syndrome
- ) Protein A
Give 3 virulence factors of streptococcus pyogenes
- ) Surface factors (capsule, M protein)
- ) Enzymes
- ) Toxins
Give 3 virulence factors of streptococcus pneumoniae
- ) Thick capsule
- ) Inflammatory wall constiuents
- ) Cytotoxin
What is the most virulent group of viridian’s streptococci?
Milleri
What plate does haemolysis staining us?
Red blood agar
What is Lancefield typing?
Bacteria are grouped according to carbohydrate antigens on cell surfaces
What indicates recognition on a Lancefield typing test?
Clumping
What does ASLO stand for?
Anti-streptolysin O
What do both gram negative and positive bacteria contain?
Peptidoglycan
What plate do enterobacteria grow on?
MacConkey agar
What are enterobacteria (coliforms)?
Gamma proteobacteria
Give 3 examples of gamma proteobacteria
- ) E. coli
- ) Shigella
- ) Salmonella enterica
- ) Proteus mirabilis
- ) Klebsiella pneumoniae
- ) Vibrio cholera
- ) Pseudomonas aeruginosa
- ) Haemophilus influenza
- ) Legionella pneumoniae
Give 2 examples of beta proteobacteria
- ) Bordetella pertussis
- ) Neisseria (meningitides and gonorrhoea)
What is the organism what causes pertussis?
Bordetella pertussis
Give 2 examples of epsilon proteobacteria
- ) Campylobacter
- ) Helicobacter pylori
Why is phagocytosis of fungi hard?
They have a well defined cell wall made up of chitins and polysaccharides
Give 3 ways we can classify fungi
- ) Moulds
- ) Yeasts
- ) Dimorphic
How do fungi move?
- ) Growth
- ) Spores
Where are fungi found?
- ) Food
- ) Soils
- ) Animal faeces
What is the plasma membrane of a fungal cell made up of?
Ergosterol
How do yeasts reproduced?
Asexual budding
How do dimorphic fungi grow, depending on their location/temperature?
- ) Tissue - yeasts
- ) In vitro at room temperature - moulds
What are moulds also known as?
Filamentous fungi
Are fungi eukaryotic or prokaryotic?
Eukaryotic
What 3 levels of infection can fungi cause?
- ) Superficial
- ) Subcutaneous
- ) Systemic
Give an example of a superficial fungal infection
- ) Skin, nail, hair infection
- ) Ringworm/athlete’s foot
- ) Yeast infection/thrust
Give an example of a subcutaneous fungal infection
- ) Chromomycosis
- ) Mycetoma
Give an example of a systemic fungal infection
- ) Usually in immunocompromised
- ) Opportunistic - aspergillus niger
What are mycobacteria?
Aerobic, non-spore forming, non-motile bacilli
Why can mycobacteria survive inside macrophages even in a low pH environment?
High cell wall content of high molecular weight lipids
What are mycobacteria that stain with Ziehl-Nielsen?
Acid fast bacilli
What does the high cell wall content in mycobacteria lead to?
SLOW:
- ) Reproduce
- ) Grow
- ) Culture
- ) Respond to treatment
Give 2 diseases caused by mycobacteria
- ) TB
- ) Leprosy
- ) Disseminated infection in AIDS
What do highly stimulated macrophages become?
Epithelioid cells
What can epithelioid cells fuse to become?
Langhans giant cells, giant multinucleate cells
What occurs if the central tissue of a granulomata necroses in TB?
Caseating granuloma
What is the causative organism of TB?
Mycobacterium tuberculosis
What is the causative organism of leprosy?
M. leprae
What are protozoa?
Single celled eukaryotic organisms
What are the 2 stages of protozoa?
- ) Proliferative stage, tropozoite
- ) Dormant stage, cyst
Give 4 of the 5 main types of protozoa
- ) Flagellates
- ) Amoebae
- ) Microsporidia
- ) Ciliates
- ) Sporozoa
What type of protozoa is giardia lambia?
Flagellate
What type of protozoa is malaria?
Sporozoa
What is malaria transmitted by?
Bite of a female anopheles mosquito
When should we consider malaria?
Fever and exotic travel
Where do viruses grow?
Inside living cells
What is the structure of a virus?
- ) Outer protein coat (capsule)
- ) Sometimes surrounded by a lipid envelope
- ) Have RNA/DNA
Where do viruses reproduce?
Inside cells
What do the proteins on viruses function as? (2)
- ) Enzymes inside the cell
- ) Allow attachment to complementary receptors on susceptible host cell plasma membranes
What 2 shapes can viruses be?
Helical or polyhedral
What are the 6 stages of viral replication?
1) Attachment
2) Cell entry
3) Interaction with host cells
4) Replication
5) Assembly
6) Release
Give 4 ways in which viruses cause damage
- ) Direct destruction of host cells
- ) Modification of host cell structure or function (physical/functional)
- ) Over-reactivity of host as response to infection, immune pathological damage
- ) Cell proliferation and cell immortalisation
- ) Evasion of extracellular and intracellular host defects (persistence/variability)
Give 2 ways in which viruses are variable
- ) Surface proteins/antigens
- ) Formation of quasi-species
What are interferons?
Naturally occurring antivirals
What are the 3 types of worms?
- ) Nematodes (round)
- ) Trematodes (flat, flukes)
- ) Cestodes (tape)
What do worms produce which may cause disease?
Larvae or eggs
What is the pre-patent period?
Interval between infection and appearance of eggs in stol
How do we diagnose a worm infection?
Microscopy
How are intestinal nematodes transmitted?
Oro-faecally via eggs/larvae that have developed in the soil
What is the most common cause of iron deficiency anaemia?
Hookworm
Where are trematodes found?
Blood, liver lungs, bowel
What is the intermediate host of flukes?
Snails
What is an antibiotic?
An agent produced by micr-organism that kill or inhibit the growth of other microorganism in high dilution
How do antibiotics work?
By binding to a target site on a bacterium
What organism is a risk with the use of antibiotics?
C. difficile
What are the 2 main types of antibiotic?
- ) Bacteriostatic
- ) Bactericidal
How do bacteriostatic antibiotics work?
Prevents growth of bacteria, MIC required
How do bactericidal antibiotics work?
Kill bacteria, MBC required
What does MBC stand for?
Minimal bactericidal concentration
What does MIC stand for?
Minumum inhibitory concentration
What are the 2 major determinant of antibacterial effects?
- ) Concentration
- ) Time remains at binding sites
What are the 4 parts of pharmacokinetics?
- ) Release
- ) Absorption
- ) Distribution
- ) Elimination (metabolism/excretion)
Give 3 considerations for an antibiotic’s distribution
- ) BBB
- ) pH of site
- ) Lipid solubility
- ) Half life
- ) Safe for patient? (allergies, liver function, pregnancy)
Give 3 ways in which the bacteria can prevent the antibiotic from working
- ) Changing target
- ) Destroying antibiotic
- ) Preventing access
- ) Removing antibiotics from bacteria
- ) Resistance
How do we visualise viruses?
Electron microscopy
What does PCR stand for?
Polymerase chain reaction
Which Igs appear when in an infection?
- ) IgM - immediate
- ) IgG - later, stays for longer
How is a gram stain performed? (5)
- ) Fixation of sample
- ) Crystal violet added
- ) Iodine treatment
- ) Decolourisation
- ) Safranin counter stain
How does a catalase test work?
Looks at whether O2 can be reduced by superoxide dismutase to produce H2O2
How does a coagulase test work?
Coagulase activates prothrombin to convert fibrinogen to fibrin
How does haemolysis work?
Looks at ability of bacteria to break down RBCs in blood agar
What are the 3 results of haemolysis, and why?
Alpha - oxidation, green
Beta - lysis, clear
Gamma - nothing, unchanged
How do we detect a cytopathic effect in viruses?
Culture virus in cell, monitor effects
What characteristic of fungi do antifungals target?
Ergesterol plasma membranes
Why is it difficult to develop treatments for fungal infections?
They are eukaryotic/similar RNA and DNA synthesis
Why do fungi rarely cause serious disease?
They cannot survive above 37 degrees and so are eradicated by fever
Name 2 differences between properties of gram negative and positive bacteria
- ) Positive have single cell wall, negative have double
- ) Positive have small peptidoglycan area whereas negative have large
- ) Negative produce endotoxins, positive do not
TB is treated with 4 antibiotics for 6 months, explain why the treatment is so long and why 4 antibiotics are used (2)
Duration - TB replicates slowly
Combined antibiotics - to target all mutations