enterobacterales Flashcards

(74 cards)

1
Q

enterobacterales are gram ___ and what shape?

A

negative; short straight rods (bacilli)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

which enterobacterales are lactose fermenting

A

klebsiella, e coli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

types of typhoidal salmonella

A

S. typhi, S. paratyphi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what does typhoidal salmonella cause

A

enteric fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where does typhoidal salmonella occur

A

developing countries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

role of antibiotics with typhoidal salmonella

A

decrease mortality and morbidity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

is there a carrier state with typhoidal salmonella

A

yes, for up to a year or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are the reservoirs for non-typhoidal salmonella

A

animal and human

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where does non-typhoidal salmonella occur

A

developed and non developed countries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does non-typhoidal salmonella cause

A

gastroenteritis (diarrhea)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

role of antibiotics in non-typhoidal salmonella

A

may prolong carriage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

is there a carrier state with non-typhoidal salmonella

A

uncommon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the types of non-typhoidal salmonella

A

S. enteritidis and S. typhimurium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the types of shigella

A

S. dysenteriae, S. flexneri, S. boydii, S. sonnei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which shigella produces an exotoxin like shiga toxin

A

S. dysenteriae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

which shigella is common in the US

A

S. sonnei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how can shigella be spread

A

fecal oral and person to person because it is easily transmissible due to a low inoculum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

role of antibiotics in shigella

A

shorten fecal shedding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

reservoirs for entero-associated e coli

A

human and animal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is the strain of EHEC that causes HES

A

O157:H7 (STEC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are contraindications for EHEC, STEC

A

antimotility agents are contraindicated, antibiotics are controversial but generally avoid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

which e coli is infantile diarrhea

A

EPEC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Which e coli is main cause of travelers diarrhea

A

ETEC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what does uropathogenic e coli cause

A

most common cause of UTI. also bacteremia-sepsis and neonatal meningitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
types of klebsiella
K. pneumoniae and K. oxytoca
26
klebsiella pneumoniae causes
community: CAP, UTI
27
klebsiella oxytoca causes
UTI
28
all klebsiella strains are resistant to
ampicillin, amoxicillin, penicillin (inherent)
29
types of proteus
mirabilis, vulgaris
30
what does proteus do
hydrolyzes urea to form kidney stones, associated with UTIs
31
proteus has inherent resistance to
nitrofurantoin and tetracyclines
32
serogroups of vibrio cholerae
O1, O39
33
shape, type of bacteria is vibrio
gram (-) curved rod shaped like a comma, facultative anaerobe
34
vibrio cholerae produces
exotoxin (cholera toxin, endotoxin)
35
all vibrio require __ for growth
salt
36
how is vibrio cholerae transmitted
fecal-oral, requires large inoculum
37
vibrio cholerae reservoirs
animal, water
38
what does vibrio cholerae cause
watery, rice water diarrhea, can be fatal in 24 hours, massive fluid loss (cholera cot)
39
what is vibrio parahaemolyticus associated with
contaminated raw shellfish, seafood-associated gastroenteritis
40
which straight rods/bacilli are facultative anaerobes
enterobacterales fam: e. coli, klebsiella, proteus, salmonella, shigella
41
which straight rods/bacilli are aerobes
legionella pneumophilia
42
which straight rods/bacilli are anaerobes
fusobacterium, prevotella, bacteroides
43
which rods/bacilli are curved
vibrio, campylobacter
44
which aerobic diplococci are spherical
neisseriae family
45
which pleomorphic cocco bacilli are aerobes
bordetella, haemophilus influenzae, moraxella catarrhalis
46
what is a helical/spherical bacteria
helicobacter pylori
47
salmonella is oxidase ____
negative
48
what are the 2 main salmonella species
bongori, enterica
49
what is the common salmonella species
enterica
50
Salmonella typhi, paratyphi, enteritidis, and typhimurium are the ____
SEROTYPES/serovars
51
what does the kauffman white classification differentiate
isolates of a given serotype by determining the major antigens: important for tracking outbreaks to their source
52
what is the O antigen
lipopolysaccharide (LPS)
53
what is the H antigen
flagella
54
what is the Vi antigen/K antigen
bacterial capsule
55
what is the reservoir for typhoidal salmonella
only humans
56
how is typhoidal salmonella acquired
ingestion of fecally contaminated food/water
57
how can non-typhoidal salmonella be transmitted
uncooked/undercooked poultry and eggs, pet reptiles, contaminated marijuana, fecal-oral
58
shigella is oxidase ____
negative
59
shigella disease and reservoir is limited to ____
humans
60
how does shigella invade
cross mucosa via M cells, use invasins to enter epithelial cells,move thru host cell and spread to adjacent host cells via actin based motility
61
does e coli ferment lactose
yes
62
which e coli groups are small intestine
EAEC, EPEC, ETEC
63
which e coli groups are large intestine/colon
EHEC, EIEC
64
what is the pathogenesis of EAEC
adheres to intestinal cells (Stacked bricks), produce mucus and biofilm, cytotoxin damages intestines
65
what is the major etiologic agent of hemorrhagic colitis and HUS
O157:H7 (STEC)
66
STEC is also known as
VTEC (verocytoxin EC)
67
what is HUS
hemolytic uremic syndrome: a triad of microangiopathic hemolytic anemia, thrombocytopenia, acute renal failure
68
what is EIEC related to
Shigella: causes shigella like dysentery; invades and destroys colonic epithelium
69
what causes outbreaks of ETEC
food/water contamination: a high inoculum is required, so no person to person spread
70
what do klebsiella produce
highly mucoid colonies due to luxuriant polysaccharide capsule
71
which bacteria swarm over a moist agar plate
proteus
72
proteus have ____ that aid in colonizing the urinary tract
fimbriae/pili
73
what are the parts of a gram (-) cell wall
outer membrane, periplasmic space containing a thin peptidoglycan layer, cytoplasmic membrane, pili/fimbriae and flagella structures
74
ESBL is most prevalent in which organisms
e coli, klebsiella (pneumoniae and oxytoca), proteus mirabilis