Microbiome, Biofilm, AMR Flashcards

(33 cards)

1
Q

Define microbiome

A

Microbiome
* Collection off genomes from all microorganisms in any given environment

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2
Q

Define microbiota

A
  • Microbiota: collection of microorganisms in an environment
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3
Q

What factors impact the microbiota

A

o Many factors: Species/age/organ/diet/medication
o Most are impacted by maternal microbiome (except chickens – no contact with mother

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4
Q

Why is microbiota important

A
  • Many roles: immune/heart/other aspects off health
    o Product antimicrobial peptides = prevent pathogen overgrowth

Microbiome influences vaccine response/wound healing/AMR

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5
Q

List the main bacteria in the GI/skin/resp/urogenital

A
  • Gut: Bacteroides/Firmicutes/Lactobacillus
    o Clostridium (opportunistic)
  • Skin: Corynebacterium/Pseudomonas
    o Staphylococcus (opportunistic)
  • Resp: Pasteurella/Mycoplasma/Bordetella
  • Urogenital: Lactobacillus/Streptococcus
    o Escherichia (opportunistic)
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6
Q

Define dysbiosis

A

Dysbiosis: imbalance in microbiota = disrupt microbiome

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7
Q

How is necrotic enteritis related to microbiome in poultry

A

Poultry: Necrotic Enteritis
1. Exposure to Eimeria or feeding indigestible non-starch polysaccharides or high protein or immunosuppression
2. Reduce abundance of lactic acid producing bacteria
3. Promote Clostridium perfringens growth + promote Enterobacteriaceae in chicken intestine

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8
Q

How is post-weaning diarrhea associated with microbiome in swine

A

Swine: Postweaning diarrhea
1. Stress at weaning (waned early 3 weeks = before a stable microbial population is formed)
2. Disrupt microbiota by reducing lactobacillus spp.
3. Promote enterotoxigenic EE. Coli

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9
Q

How is colitis associated with microbiome in horses

A

Horse: colitis
1. Sudden det change (grain overload) or antimicrobials (macrolide/lincosamides)
2. Disrupt intestinal microbiota (reduce firmicutes)
3. Promote proliferation of colitis-associated bacteria
a. Clostridium perfringes and difficile/Salmonella/Lawsonia intracellularis/E. coli)

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10
Q

How is BRD associated with microbiome in cattle

A

Cattle: BRD
* Complex
o Virus/bacteria
o Stress: transport/new environment/diet
* Bacterial invasion with Mycoplasma bovis/Histophilus somni/Mannheimia haemolytica/Paasturella multocida

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11
Q

How is IBD associated with microbiome in dogs/cats

A

Dog/Cat: IBD
* Chronic irritation of GI
1. Stress/allergies/genetics
2. Disrupt bacteria: reduce firmicutes
3. Reduce diversity of pathogenic bacteria (Campylobacter jejuni/C. difficile/ C. perfringens/Salmonella)

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12
Q

Define biofilm

A

Biofilm: assembly of surface associated microbial cells that are enclosed in an extracellular polymeric substance matrix
* Population that is attached to a surface and all the substances that envelops it

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13
Q

What is the function of biofilms

A
  • Protects bacteria:
    o Dehydration
    o UV light
    o Immune system
    o Aantimicrobials
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14
Q

What are the 5 steps of biofilm formation

A

Biofilm Formation: some bacteria will have (some not)
1. Reversible adhesion: planktonic cells attached to surface – if environment is right it will proliferate
a. Critical because it is the stage in which we can intervene + remove
b. Length of time in this stage depends on bacterial and surface type
2. Irreversible adhesion; extracellular matrix produced
3. Biofilm proliferation: extracellular matrix envelop cells
4. Biofilm maturation
5. Deadhesion

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15
Q

What are nosocomial infections? Provide 3 examples

A

Nosocomial infections: all associated with biofilm formation
* Ventilator associated pneumonia
* SSI due to contaminated instruments
* Catheter associated infections
* Common bacteria: Staphylococcus aureus and epidermidis

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16
Q

How is biofilms important in dairy industry

A

Dairy: biofilm formation in milking equipment/water sprinklers/bulk tank
* Can cause contagious mastitis and corrosion of expensive equipment

17
Q

How is biofilms important in dental health

A

Dental: plaque = type of biofilm
* Plaque will calcify to tarter/calculus = gingivitis = periodontal disease = systemic infection

18
Q

Why do some bacteria form biofilms and others don’t

A

some bacteria will have (some not) = virulence factor (some have genes for it and others don’t)

19
Q

Define AMR

A

Antimicrobial Resistance: ability of microorganisms to overcome antibiotics that used to be effective in the past

20
Q

Define antimicrobials

A

can be synthetic or natural, affecting all microbes

21
Q

Define antibiotics

A

Antibiotic: naturally produced only affecting bacteria

22
Q

What are 4 mechanisms that antimicrobials use to work

A

Inhibit cell wall synthesis
Damage cell membrane
Inhibit protein synthesis
Inhibit nucleic acid synthesis or function

23
Q

How do beta lactams work? What are the features of beta lactams? Provide examples of beta lactams?

A
  • Beta-lactams: beta lactam is a ring in the bacterial cell wall – targets bacterial penicillin binding protein
    o Cell wall: peptidoglycan (N-acetylglucosamine and N-acetylmuramic acid layers – bound by penicillin binding proteins/transpeptidases)
    o Broad spectrum
    o Low toxicity

penicillin/amoxicillin/cephalosporin/carbapenams/monoobactams

24
Q

What are 2 mechanisms bacteria use to develop AMR

A
  • Acquire resistance mechanisms
    o Acquire exogenous AMR genes: transduction/conjugation/transformation
     Mobile elements/plasmids
     Most common method

o Mutate and form AMR genes: mutation
 More mutations when bacteria under stress conditions

25
List 5 resistance mechanisms thaat bacteria use. Provide examples
1. Develop alternative pathways a. Sulfonamides 2. Drug inactivation a. Beta-lactam 3. Decreased permeability 4. Efflux pumps 5. Target modification a. mecA (MERSA) and beta lactams i. mecA provides methicillin resistant staph aureus with a different transpeptidase molecule
26
How do beta lactam resistant bacteria function?
Beta lactams: has beta-lactamases (break down beta lactam ring down in drug)
27
What are the 3 main pressing AMR related issues in human med
 ESKAPE pathogens: o “Enterococcus faecium, Staphylococcus aureus, Klebsiella pneeumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, Enterobacter” o Infections difficult to deal with  Clostridium difficile after abx therapy  Increasing AMR in community acquired bacteria o E. coli/Strep pneumoniae/Salmonella/Neisseria
28
What are the 5 main pressing AMR related issues in vet med
 Methicillin resistant staph (aureus/pseudointermedius) – common in dogs  Beef cattle: BRD-associated bacteria resistance to macrolides o Tulathromycin resistance  Horses: MRSA skin infections  Fish/shrimp: AMR Edwardsiella spp.  Chicken/pig: zoonoses from Salmonella/Campylobacter
29
Can antimicrobial use in animals affect human health
 Yes (but most of the problems in humans stem from antimicrobial use in humans)
30
How are antimicrobials categorized worldwide and in CA
 WHO antimicrobial classification o Based on 5 criteria/priorities  ‘used to treat infections caused by bacteria possible transmitted from non-humans/or with resistance genes from non-humans’  ‘Is bacteria zoonotic’  Critically important antimicrobials meet these criteria  Canada Antimicrobial Categorization o Criteria  Indication: a drug that is important for treating serious infections in people  Are there alternatives to these drugs
31
What are some of the best practices related to antimicrobial use in vet med
Consider * Drug type * Dose * Species * Route of administration * Duration * Medical records Try and ensure that your first choice is an approved vet drug (on or off label) with a drug of a lower importance in human med * culture and sensitivity
32
Why is culture and sensitivity a good test but not perfect?
* Sensitivity is defined by ‘breakpoints’/thresholds that are species dependent o Send samples to vet labs not human ones (using human vs. animal breakpoints o breakpoints related to the concentration of antimicrobials that reach the site of infection/the bacteria causing infection/mechanism of action of drug
33