question
3 ways to differentiate between Staphylococcus aureus and Staphylococcus epidermidis
answer
1. coagulase testing 2. hemolysis 3. mannitol salt agar (MSA- done in lab)
question
1. Are all S. aureus MRSA? 2. are all MRSA S. aureus?
answer
1. no 2. yes
question
MRSA full name/ how it's spread (2)
answer
1. Methicillin Resistant S. aureus 2. person-to-person contact
question
why are patients/health care workers screened for Staph before admission into hospitals
answer
to reduce the spread of staph related infections- if they're carriers they're given a topical antibiotic
question
what percentage of ppl are S. aureus carriers?
answer
20%, 60% intermittent
question
what effect does screening for Staph carriers have on reducing infections in surgical patients (2)
answer
1. eradicating S aureus from nasal carriers has been proven to prevent infections in surgery patients.
2. prevents nosocomial infection (esp MRSA) spread in nurseries etc.
2. prevents nosocomial infection (esp MRSA) spread in nurseries etc.
question
MSA (manitol salt agar) media features (3)
answer
1. Salt= selective for salt tolerant bacteria
2. mannitol= differential for ability to ferment (or not) mannitol: pH indicator, fermentation acid released= yellow color
3. good screening tool for S. aureus carriers (it ferments mannitol)
2. mannitol= differential for ability to ferment (or not) mannitol: pH indicator, fermentation acid released= yellow color
3. good screening tool for S. aureus carriers (it ferments mannitol)
question
bacteria that grows on MSA
answer
salt tolerant
question
CA-MRSA (2)
answer
1. When MRSA bacteria cause infection in people who have not been hospitalized nor had a medical procedure within the last year, it is called CA-MRSA
2. community acquired MRSA
2. community acquired MRSA
question
why is nasal screening considered a screening tool?
answer
because further testing must be done to determine if it is actually S. aureus and to detect MRSA
question
presumptive
answer
likely to be true based on available facts
question
confirmed
answer
proved true, or made certain
question
differential media
answer
allows growth of several types of microbes and displays visible differences among those microbes
question
is CHROMagar a selective media?
answer
no, it grows many different types of microbes
question
is CHROMagar a chemically defined media?
answer
no, its exact chemical composition is not known
question
CHROMagar differential? Why/why not?
answer
1. yes 2. metabolizes diff microbes differently, resulting in unique colony colors
question
define microbial etiology
answer
the study of microbial causes of disease
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how does CHROMagar make microbial etiology easier?
answer
it is a faster and cheaper way to identify bacteria
question
CHROMagar: if a colony appears moist, what MIGHT it indicate
answer
yeast growth
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CHROMagar: why is it important to read the media at 48 hrs and not late
answer
because that's the max incubation time and anything read after that would be invalid
question
bacteremia definition
answer
presence of bacteria in the blood
question
septicemia defintion
answer
blood poisoning caused by bacteria
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sepsis definition
answer
life-threatening organ dysfunction caused by host response to infection
question
can sepsis occur in both gram + and gram - infections?
answer
yes
question
symptoms of septicemia
answer
fever, difficulty breathing, low blood pressure, fast heart rate, and mental confusion
question
what type of microorganisms can a blood culture detect
answer
yeast, bacteria, fungi
question
single blood culture for staphylococci, corynebacteria, bacillus sp or proprionibacteria most likely indicates
answer
low probability of infection
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multiple separate blood cultures for staphylococci, corynebacteria, bacillus sp or proprionibacteria most likely indicates
answer
high probability of infection
question
why is a coagulase positive staph sp. more virulent compared to a coagulase negative strain?
answer
Coagulase is a protein enzyme that converts fibrinogen to just fibrin; the fibrin clot protects the bacterium from phagocytosis and isolates it from other defenses of the host. so a staphyloccocus sp that's coagulase positive is going to be more isolated from the hosts defenses mechanisms than a coagulase negative strain
question
what sugar fermentation test could be substituted for coagulase testing
answer
MSA plate technique; yellow is positive for acid so its staphylococcus aureus and if its red then its staphylococcus epidermidis!
question
are all streptococci Streptococcus sp? are all Streptococcus sp streptococci?
answer
no, yes
question
common blood culture contaminants
answer
staphylococci, bacillus, corynebacteria
question
collecting blood culture samples (4)
answer
1. apply sterilizing solution to skin
2. 2 draws- one for anaerobic one for aerobic
3. needle/syringe: first draw= anaerobic
4. second draw= aerobic
2. 2 draws- one for anaerobic one for aerobic
3. needle/syringe: first draw= anaerobic
4. second draw= aerobic
question
false positive blood culture result meaning
answer
blood tests positive for infection but is not infected- could occur from not using aseptic technique/skin contaminants
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negative blood culture result
answer
bloodstream is not infected
question
what is catalase?
answer
enzyme that breaks down hydrogen peroxide into water and oxygen
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catalase: staphylococcus
answer
ALL staphylococcus are catalase positive
question
catalase: streptococcus
answer
ALL streptococcus are catalase negative
question
glucose fermentation: substrate and products
answer
1. substrate: glucose
2. products: acid and/or gas
2. products: acid and/or gas
question
glucose fermentation: why is a color change observed if glucose is fermented
answer
pH indicator, fermentation releases acid, lowering pH and changing color
question
can mannitol be used instead of glucose?
answer
yes, they are both sugars
question
positive control for AFB
answer
pink stained acid fast bacillus
question
negative control for AFB
answer
blue stained non acid fast bacillus
question
why can the positive and negative control be combined when acid fast staining
answer
because they must be to be valid
question
AFB: what would happen if the control was invalid
answer
the unknown would be invalid
question
AFB: why is a sputum sample more useful than a culture in determining if a patient has TB?
answer
AF bacteria grow very slowly, staining a sputum sample is much faster
question
sputum sample definition
answer
has mucous from URT, would have infectious bacterial cells present but saliva wouldnt
question
what property of mycobacteria requires the use of AF staining technique?
answer
mycolic acid in cell walls of AFB
question
what is another differential staining method other than AF
answer
gram staining
question
mycoplasmids
answer
cell wall less bacteria
question
mycobacteria
answer
acid fast bacteria
question
does acid fast staining specifically detect mycolic acid?
answer
yes
question
mycobacterium smegmatis
answer
sensory/motor function in gut, good bacteria likely to be normal flora
question
why might it benefit a bacteria to be part of a biofilm?
answer
so that it is near an oxygen source and having nutrients provided
question
why might it benefit a bacterium to be free floating?
answer
if it is a facultative anaerobe
question
why does a biofilm make it harder to eradicate infection?
answer
because they're more resistant to antibiotic treatment than free floating bacteria
question
what is the significance of biofilms in medical equipment
answer
can cause ongoing infection in prosthetics, really difficult to remove