Pseudomonas Flashcards

1
Q

Pseudomonas is commonly encountered as a _____ pathogen

A

Nasocomial

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2
Q

Pseudomonas likes to be in ____ env

A

Moist

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3
Q

Pseudomonas aeruginosa manifests in

A
Lung optimistic infx 
Skin
Urinary tract 
Ear
Eye
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4
Q

Pseudomonas morphology

A
Aerobic
Gram negative 
Rods
Identified in agar (non fastidious) 
Has polar flagellum
Many pili (type 4)
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5
Q

Alginate

A

Extracellular polysaccharide (mucous)
Produced by all pseudomonas
Esp seen in cystic fibrosis
Impt role in biofilm formation

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6
Q

Centrimide agar

A

Selective media allows growth of pseudomonas but not others

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7
Q

Lactose fermentation test

A

Shows e colo n most enteric bacteria bc they ferment lactose

Pseudomonas are nonfermentative

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8
Q

Cytochrome oxidase test

A

Pseudomonas has cytochrome enzyme so will cause reagent to turn black

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9
Q

Coloured pigments

A

Pseudomonas will turn blue yellow or rust when in culture with the pigments

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10
Q

Number — cause of ventilator associated pneumonia

A
#2 
Staph aureus is #1
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11
Q

Number — gram neg cause for UTI

A

2,

Ecoli is one

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12
Q

P aeurginoas is associated most with ppl who have

A
Cystic fibrosis 
Or 
Burn patients
Or 
Ppl with neutropenia
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13
Q

Collectins

A

Surfactant proteins A, D

Soluble molecules involved in innate resistance to p aeruginosa

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14
Q

Bacterial attachment is mediated by

A

Alginate
Pili n flagellum
Outer membrane proteins
Lipopolysaccharide (LPS) binds to CFTR cystic fibrosis transmembrane conductance regulator

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15
Q

Stages of biofilm formation (5)

A
Reversible attachment
Irreversible attachment
Microcolony formation
3S structures (stalks n towers) form
Dispersion or detachment of bacteria
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16
Q

Quorum sensing system 2 types

A

Las
Rhl
Both use acyl homoserine lactomes as signalling molecules

Promote formation of biofilm

17
Q

Ahl system

A

Ahl activates nf-kb protein complex
Produces cox2
That results in prostaglandin production
This induces mucous secretion vasodilation and edema

Ahl induces apoptosis of neutrophils and macrophages
Ahl increases production of inflammatory cytokines

18
Q

Alginate is made of — and fx

A

D mannurinic acid
L glucuronic acid

Fx to anchor bacterial epithelial cell and to mucin
Protects from deposition opsinozation n phagocyte engulfment

Associated with chronic infx

19
Q

Exotixin a

A

Enzyme
Immunosuppressant
Causes cel death by disrupting actin
Contributes to pathogen entry

20
Q

Infx by injection

A

Exoenzymes s t u y
Introduced directly from bacterial cytosol into host cytoplasm
Requires direct cell contact

21
Q

ExoS

A

Disrupt cell machiney
May activate monocytes

Targets endosomes and Golgi and ER

22
Q

ExoU

A

Cleaves membrane phospholipids

23
Q

Type 3 secretion system results in

A

Epithelial cell damage - facilitates bacterial spread n tissue invasion plus necrosis
Epithelial cell death - translocation of pore

Done by exoS&U

Happens when proteins are introduced to target cells

24
Q

Elastases

A

Cause spread of infx
LasA n LasB act together to degrade elastin and damage elastin containing tissues

Cause damage to lung parenchyma

Alkaline protease cause tissue destruction
Phospholipase C is heat liable hemolysin that causes tissue destruction
Rhamnolipid is heat stable hemolysin

25
Acute infx
Tissue damage by proteases and toxins Cell to cell signalling allows for cell density dependent production of extracellular factors
26
Chronic infx
In cystic fibrosis Alginate protects from host Low production of extra virulence factors Tissue damage due to chronic inflammation
27
Pneumonia
1' cause is bacterial invasion | 2' cause is bacteremia
28
Clinical manifestations
``` Swimmers ear Eye infx Skin folloxulitis Cns - meningitis n brain abscess Endocarditis- heart valves Pneumonia Bone n joint infx Urinary tract infx ```
29
Treatment
Combined use of antibiotics | Monotherapy good for some strains
30
Resistance
Intrinsic or acquired