Midterm 1 Flashcards
MIC value
Minimal inhibitory concentration
= lowest conc. of antibiotics that are able to stop the growth of the bacteria
Determination:
Macro/micro/agar dilution, E-test
What can we use serological tests for?
- Demonstration of diseases
- Demonstration of previous diseases
- Complete biochemical identification
- Detection of pathogenic members of species
- For getting data about spreading of serotypes
- For epidemiological research
- Detection of unknown antibody (by known antigen)
- Detection of unknown antigen (by known antibody)
E-test
An elypsoid inhibition zone is made where the bacteria cannot grow.
The size of the zone indicates the MIC, and is measured by a band which starts at the onset point.
MBC value
Minimal bactericidal concentration
= lowest conc. of AB that kills the bacteria
What is serological tests and when is it good to use?
- Laboratory tests with patient serum as specimen
- Good when cultivation takes too long, is dangerous etc
TORCH
Tests for pregnant women T: Toxoplasmosis O: Other (syphilis, varicella-zoster, parvovirus B19) R: Rubella C: Cytomegalovirus (CMV) H: Herpes genitalis (HH2) *Bad to find O and H, rest is good
Antigens on bacteria (4)
O antigen: cell wall
H antigen: flagella
K antigen: capsule
F antigen: fimbria
Weak antigens
Lipids
Polysaccharides
Strong antigens
Enzymes
Proteins
The complement system (where is it, how to inactivate, function)
- Part of normal sera
- Inactivated at 56 ‘C (30 min)
- Make membrane complexes
- Can cause lysis of cells (RBCs, bacteria)
Chemotherapic index
DTM/DCM
DTM: Dosis Tolereta Maxima = dose that host tolerate
DCM: Dosis Curativa Minima = min dose needed to cure
If values are close the AB is very toxic.
Classifications of serological tests
- Qualitative (present/not)
- Quantitative (amount)
- Visible (agglutination, precipitation)
- Invisible (IF, CFT, RIA, ELISA)
What is agglutination?
A reaction in which particles (as red blood cells or bacteria w/antigen on surface) suspended in a liquid collect into clumps and which occurs especially as a serologic response to a specific antibody (google definition)
Types of agglutinations
- Slide agglutination (qualitative, if pos: white dots)
Ag unknown, Ab known (specific sera, e.g O111) - Tube agglutination (quantitative, agglutination on bottom of tube, find titer*)
Ag known, Ab unknown (dilution of patient sera) - Indirect agglutination (carrier - RBC, latex granule or S. aureus)
- Titer: highest dilution fold (lowest Ab conc) where we can see agglutination
How the microbes act
- producing enzymes that destroy the AB
- developing a new structure of binding protein
- developing a new metabolic pathway, that bypass the reaction inhibited by the drug
- developing an altered enzyme, that can still perform its metabolic function, but is less affected by the drug
- elimination of the antibiotic by efflux pump
Hemagglutination
Indirect agglutination with RBC as carrier
Latexagglutination
- Good test for…
Indirect agglutination with latex granule as carrier
- Meningitis
Coagglutination
Indirect agglutination with S. aureus (prod. protein A - bind IgG) as carrier
Precipitation
Ag is SOLUBLE (enzyme, toxin, virus)
- In fluid: ring precipitation
- Agar: precipitation arch (e.g Elek test)
FOR PROKARYORIC CELL:
Main groups? Size? Nucleus morphology? Chromosomes? Mitochondria?
Groups: bacteria Size: 0,5-20 micrometer Nucleus: no membrane Chromosomes: haploid Mitochondria: absent
FOR EUKARYOTIC CELL:
Main groups? Size? Nucleus morphology? Chromosomes? Mitochondria?
Groups: alga, fungi, protozoon, plant, animal Size: >5 micrometers Nucleus: wrapped with membrane Chromosomes: diploid Mitochondria: present
FOR PROKARYORIC CELL:
Ribosome units? Sterol in cytoplasm membrane? Cell wall constituents? Reproduction? Respiration?
Ribosome units: 70S (50S + 30S) Sterol in cytoplasm membrane: no Cell wall constituents: peptidoglycan Reproduction: binary fission Respiration: by cytoplasm membrane
Why can penicillin be used for all non-allergi patients?
It inhibits the enzyme that makes pentaglycine cross bridges in peptidoglycans - a constituent ONLY found in prokaryotic cells (not human cells)
Essential components of bacterial cells?
- Nucleus & ribosomes
- Inner cytoplasm membrane
- Cytoplasm
- Periplasmic space
- Cell wall
+ Outer membrane for gram neg. Bacteria
Accessory components of bacterial cell?
- Plasmid
- Spore
- Capsule
- Fimbria/pili
- Flagella
FOR EUKARYOTIC CELL:
Ribosome units? Sterol in cytoplasm membrane? Cell wall constituents? Reproduction? Respiration?
Ribosome units: 80S (60S + 40S) Sterol in cytoplasm membrane: yes Cell wall constituents: no cell wall/cell wall with chitin or cellulose Reproduction: sexual, asexual Respiration: by mitochondria
CYTOPLASM MEMBRANE:
Where?
Structure?
Function?
- Between plasma and cell wall
- Phospholipid bilayer
- Selective permeability, transport process, glucose uptake, enzyme production, mezosome formation in gram pos. (helps DNA replication)
PERIPLASMIC SPACE:
Where?
Enzymes?
Properties?
- Between inner cytoplasmic membrane and peptidoglycane
- beta-lactamase, proteases
- potential AND concentration gradient
CELL WALL:
Antigen?
Enzymes?
Made of?
Antigen: O
Enzymes: none
Made of: peptidoglycane
Third and fourth generation, Cefalosporins
Ceftazidime, Cefixime, Ceftibuten, Cefepime
good for treatment of meningitis
effective mainly against Gram negatives
G- cell wall
10-15 nm with 1-2 peptidoglycan layers
Peptidoglycane components
- N-acetyl-glucose-amine
- N-acetyl-muramic acids
- Amino acids (D-conformation)
- Techoic acid: antigen, lysozyme resistance
Pyrogenic risk of giving antibiotics?
Antibiotics release LPS (=endotoxin/pyrogenic material) -> fever -> ENDOTOXIC SHOCK (can kill patient)
OUTER MEMBRANE
Where?
What?
Function?
Important components?
Where: Gram negative bacteria
What: phospholipid bilayer
Function: defense against hydrolytic enzymes, contains receptors, uptake of vitamins and carbohydrates
Important components: LPS, endotoxin (lipidA)
DNA of bacterial nucleoid?
Double stranded
FLAGELLA:
Antigen?
Function?
Where?
Antigen: H
Function: movement
Where: anchored to cytoplasmic membrane
Example of bacterium with monotrichous flagella?
Pseudomonas aerginosa
Example of bacterium lofotrichous flagella?
Chromatium sp.
Example of bacterium with amphitrichous flagella?
Wolinella succinogenes
Example of bacterium with lofoamphitrichous flagella?
Halobacterium halobium
Example of bacterium with peritrichous flagella?
Escherichia coli
A) What is endoflagella?
B) Example of bacteria with endoflagella?
C) Function of endoflagella?
A) Flagella in cytoplasm
B) Spirochaetes
C) Bacteria can move easier in dense fluids
FIMBRIAE/PILI
Location?
No. of pili?
Types of pili?
Example of bacterium with pili?
Location: Anchored in outer membrane
No. of pili: 200-300
Types of pili: sex, common, adhesive
Example: Neisseria gonorrhoeae - allows it to attach to urethra
CAPSULE
Antigen?
Function?
Staining?
Antigen: K
Function: protects from phagocytosis
Staining: Negative with Indian ink
PLASMIDS
What?
Possible function?
- Extra chromosomal elements, circular DNA, can be large
- May code resistance against antibiotics
Structure of spore?
DNA center with peptidoglycan and cytoplasmic membrane layers around and an endospore coat most externally
Example of coccus bacterium?
Coccus shape?
- Micrococcus luteus
- Single cell
Example of diplococcus bacterium?
Diplooccus shape?
- Neiserria gonorrhoeae
- Pair of cells
Example of streptococcus bacterium?
Streptococcus shape?
- Streptococcus pyogenes
- Chain of cells
Example of staphylococcus bacterium?
Staphylococcus shape?
- Staphylococcus aureus
- Cluster of cells
Example of tetragenus bacterium?
Tetragenus shape?
- Planococcus
- Packets of 4 cells
Example of sarcinella bacerium?
Sarcinella shape?
- Sarcina lutea
- Packets of 8, 16 or 32 cells
Example of V, X, Y shaped bacterium?
Cornybacterium
Example of bacillus?
Shape of bacillus?
- Bacillus subtil
- Rod
Example of twisted bacterium?
Vibrio cholerae
Example of spirochetes?
Treponema pallidum
SIZE OF:
a) Spirochaetes
b) Bacilli
c) Coccobacilli
d) Cocci
e) Rickettsia
a) Spirochaetes: 4-30 micrometer
b) Bacilli: 5-10 micrometer
c) Coccobacilli: 1,5 micrometer
d) Cocci: 1 micrometer
e) Rickettsia: 0,5 micrometer
GRAM STAIN:
a) Color of gram positive - why?
b) Color of gram negative - why?
c) Color of intracellular bacteria - why?
a) Violet - more peptidoglycan layers = iodine-methylene complexes are trapped -> blue color is retained
b) Red - methylene blue color is lost because the peptidoglycane layer is so thin, the red is from safranine countercounterstaining (affects the gram positive as well, but it is a weak stain so not important)
c) Colorless