Microbiology 3 - Systemic bacteriology 2 Flashcards Preview

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Flashcards in Microbiology 3 - Systemic bacteriology 2 Deck (45):
1

What species are genus is gram negative cocci?

Niesseria spp.

2

What does Neisseria gonorrhoea cause?

Gonorrhoea

3

What does Neisseria meningitides cause?

Meningitis

4

What does Bordetella pertussis cause?

Whooping cough

5

What does Haemophilus influenzae cause?

Exacerbation of COPD

6

What does E. coli, Klebsiella sp. and proteus sp. cause?

UTI and wound infection

7

What does Helicobacter sp. cause?

Gastritis

8

What does bactericides sp. cause?

Gut commensalsWound infection

9

Are Neisseria sp. aerobic or anaerobic?

Aerobic

10

How does Neisseri appear on gram film?

in pairs (diplococci)

11

What is the commonest cause of bacterial meningitis?

Neisseria meningitidis

12

What are coliforms?

A term used to describe species of gram negative bacilli that look like E. coli on gram film and when cultured on blood agar (many are part of normal bowel flora)

13

What are 6 examples of cloakrooms?

E. coliKlebsiella sp.Proteus sp.Salmonella sp.Shigella sp.E. coli O157

14

Are coliforms aerobic or anaerobic?

Grow best aerobically but can also grow anaerobically

15

How are the coliforms differentiated from each other`/

Biochemcial reactionsAntigenic structure of cell wall (serotyping) - O antigens (cell wall) and H antigen (flagella)

16

Name 4 examples of gut commensal coliforms?

Most strains of E coliKlebsiella spp.Enterobacter spp.Proteus spp.

17

3 examples of gut pathogen coliforms?

Salmonella sppShigella sppVerotoxin (VTEC) producing E. coli

18

What are 2 examples of verotoxin producing E coli?

E coli O157E coli O104

19

What is the first line antibiotic used for the treatment of infections caused by coliforms?

Gentamicin

20

why do patients with coliform sepsis become very unwell very quickly?

Due to the endotoxin released from he gram negative cell wall when the bacteria die

21

What is the molecule which is the endotoxin in gram negative bacteria?

Lipopolysaccharide (LPS)Released from cell wall when bacteria dies which is taken up by cells such as macrophages, which in turn release cytokines, setting off the inflammatory response to infection (and the sepsis pathway)

22

Which gram negative bacilli are strict aerobes?

Pseudomonas aeruginosaLegionella pneumophila (legionnaires disease)

23

Which gram negative bacilli is a small curved bacilli?

Camylobacter

24

What is an example of a spiral gram negative bacilli?

Helicobater sp.

25

What is an example of a small gram negative (cocco) bacillus

Haemophillus influenzae

26

What is the gram positive anaerobic bacilli?

Clostridium spp.

27

Where is clostridium spp. normally found?What allows it to survive outside the body for many months?

Normal bowel flora of man and animalsIt produces spores

28

What is the gram negative anaerobic bacilli?

Bacteroides spp.

29

where is the bactericides spp. normally found?

Many different species make up normal bowel floraUsually non-pathogenic and will only cause infection if they get into a normally sterile site

30

What is the first line treatment for infections by anaerobes?

Metronidazole

31

What is the first line treatment for infections caused by clostridium spp.?

Metronidazole

32

What is the first line treatment for infections caused by Bacteroides spp.?

Metronidazole

33

How are mycobacteria stained?

e.g. mycobacterium tuberculosis, have a thick waxy coat and therefore are stained either as acid fast bacilli or acid-alcohol fast bacilli

34

What are spiral shaped bacteria that do not stain with gram stain?2 examples

Spirochaetes e.g. Treponema pallidum (causes syphilis), Borrelia burgdoferi (causes Lyme disease)

35

What 2 types of DNA does bacteria have?

ChromosomeExtrachromosomal e.g. plasmid

36

What creates genetic variation in bacteria? (2)

MutationGene transfer (this is important because resistance to antibiotics may develop and spread rapidly as a result of bacterial genetic variation)

37

What are the 3 types of gene transfer?

TransformationConjugationTransduction

38

What is transformation? (genetic variation)

DNA released from dead bacteria can be taken up by the living bacteria and incorporated into plaids or the bacterial chromosome

39

What is conjugation? (genetic variation)

Bacterial "sex" - a sex pilus (fimbria) is produced by one bacteria through which plasmid DNA can be transferred

40

What is transduction? (genetic variation)

Viruses that infect bacteria can transfer bits of DNA from one bacterium to another

41

In terms of enzymes, what is one way by which bacteria can become resistant to antibiotics?

Production of enzymes that destroy antibiotics before they have time to work

42

What are 3 examples of enzymes that are produced by some bacteria = antibiotic resistance along with what antibiotics they are resistant to?

Beta-lactamase (early penicillins e.g. amoxicillin)Extended spectrum beta-lactamase (ESBL- resistance to all the penicillins and cephalosporins)Carbapenemase (resistance to all penicillin, all cephalosporins and the carbapenems - antibiotic of last resort)

43

In terms of binding sites, what is another cause of antibiotic resistance?

Altered antibiotic binding sites - antibiotics can't bind

44

What causes MRSA?

Alteration of the penicillin binding protein = staph aureus becomes resistant to flucloxacillin

45

What is the common mechanism of resistance in fungi such as Candida spp.?

Up-regulation of efflux pumps