question
father of antisepsis
answer
Joseph Lister
question
antimicrobial agent
answer
any natural and synthetic agent used to inhibit or kill microorganisms
question
Bacterostatic
answer
does not kill, temporarily inhibits bacterial growth
question
bactericidal
answer
kills the bacteria
question
Bacteriostatic and bactericidal are affected by what factors?
answer
concentration and length of contact, "make it stronger or leave it longer"
question
Disinfectants
answer
chemical agents used on inanimate objects
question
antiseptics
answer
used on living tissues
question
Sanitiziers
answer
reduce number of microbes present but does not sterilize. Common in food industry. Capable of killing 99.99%, known as a 5-log reduction of a specific bacterial test population, and to do so within 30 seconds
question
biofilms
answer
accumulation of bacterial cells that are attached to a surface. Formed in stages, formed in medical settings, and can cause serious infections.
question
Pseduomonas aeruginosa
answer
biofilm formation in lungs of cystic fibrosis patients. Bacteria are protected from the immune system and more resilient to medications.
question
Periodontal disease
answer
bacteria within plaque produce acid and cause dental cavities.
question
Serratia marcescens
answer
biofilms in tubs and toilets (red ring)
question
determining concentrations
answer
C1V1=C2V2
question
antibiotic
answer
chemical produced by a microbe that kills or inhibits the growth of another microbe. (all derivatives originated from products produced by bacterial or fungal species)
question
how are drugs classified
answer
based on their molecular structure, spectrum of activity, and mechanism of action
question
Who discovered penicillin?
answer
Alexander Fleming
question
selective toxicity
answer
the ability to treat the causative agent of the infection without harming the host.
question
mechanisms of antimicrobial action
answer
bacteria have their own enzymes for cell wall formation, protein synthesis, DNA replication, RNA synthesis, and synthesizes of essential meltabilities.
question
____________ if only found in bacteria
answer
peptidoglycan
question
What factors promote antibiotic resistance?
answer
over prescription of antibiotics, exposure to sub-optimal levels of antimicrobial agents(not taking full does of Rx), and exposure to microbes carrying resistance genes.
question
Superbug
answer
MRSA
question
MRSA
answer
methicillin-resistant staphylococcus aureus
- hospital or community acquired
-more deadly than aids
- hospital or community acquired
-more deadly than aids
question
common resistant bacteria
answer
N. gonorrhoae, Streptococcus spp., Enterococcus spp.
question
disc diffusion method
answer
spread dilute culture of bacteria over plate. Place sterile filter paper disc containing known amount of antibiotic on plate. Antibiotic diffuses out of disc, creates a concentration gradient.
question
farther from disk=
answer
less concentrated
question
if the bacteria is susceptible, then
answer
a zone of inhibition is produced
question
the larger the ZOI,
answer
the more sensitive the organism
question
a qualitative test- based upon zone sizes, the following determinations are made
answer
sensitive, intermediate, resistant
question
Minimum inhibitory concentration (MIC) of the antibiotic by measuring-
answer
ZOI, smallest amount of agent needed to inhibit the growth of a microbe. Will vary based on agent and microorganism, determine ZOI and use standardized tables to determine MIC
question
what is a ZOI?
answer
area of clearing around the antibiotic disk (no bacterial growth), measure the diameter.
question
The ZOI has an ______ relationship with the MIC
answer
inverse
question
The larger the ZOI, the greater the __________ to the antibiotic
answer
sensitivity
question
The larger the ZOI, the ___________ the concentration of antibiotic needed for the inhibition
answer
smaller
question
psychrophilic
answer
0 to 20
question
mesophilic
answer
20 to 45
question
thermophilic
answer
45 to 80
question
hyperthermophilic
answer
80 or higher
question
cold _________ growth, _______ kills bacteria
answer
inhibits, heat
question
dry heat
answer
Slower, not suitable for all materials, ash, etc.
-incineration, hot air ovens, used for sterilization of glassware
-incineration, hot air ovens, used for sterilization of glassware
question
moist heat
answer
production of water vapor results in much better transfer than dry. Less time.
question
mechanism of moist heat
answer
enzyme denaturation, protein coagulation
question
examples of posit heat
answer
pasteurization, boiling, autoclaving
question
boiling does/does not kill all spores
answer
does not
question
Pasteruization
answer
uses precisely controlled heat to decrease the microbial load found within certain liquids (like milk)
question
ESL pasteurization
answer
extend shelf life. 63 degrees for 30 min followed by membrane filtration
question
HTST pasteruization
answer
high temp, short time. 72 degrees for 15 seconds. 5-log reduction, killing 99.99% of the number of microbes in milk. Adequate for destroying almost all mold, yeast, and spoilage microbes.
question
goal for post pasteurized milk
answer
<20,000 CFU/ml to <10,000 CFU/ml total bacteria
question
autoclaving
answer
sealed device that uses steam under pressure to kill microbes. By increasing the pressure within a closed vessel, you can raise the boiling temperature of water. Directly proportional to pressure applied.
question
autoclaving uses
answer
used in medical waste facilities to sterilize equipment and waste
question
autoclaving kills _______, ________ debatable
answer
endospores; prions
question
autoclaving does not kill
answer
archaea species of microbes
question
TDT
answer
thermal death time- time required to kill all microbial cells at a specific temperature. Used in pharma and cosmetic industries.
question
DTD-
answer
decimal reduction time, time required to kill 90% of organisms present at a given temperature, common in canning industry.
question
shorter wavelengths have ______energy
answer
more
question
ionizing radiation examples
answer
x-rays and gamma rays- shorter wavelength, higher energy.
question
what is ionizing radiation
answer
have enough energy to remove electrons from atoms, creates "free radicals". Can be used for sterilization, but cost of equipment if high and special facilities required for containment. Medical supplies.
question
Non-ionizing radiation examples
answer
UV, visible light, infrared, microwave, and radiowave
question
longer wave lengths, _______ energy
answer
lower
question
explain non-ionizing radiation
answer
electromagnetic radiation that does not have sufficient energy to remove electrons from the outer sell of atoms.
question
uses for non-ionizing
answer
can be used to disinfect exposed surfaces, air/water, can be used to sterilize operating rooms, food preparation areas, etc.
question
UV is divided into
answer
UVA, UVB, UVC depending on wavelength
question
UV radiation below _______ are not absorbed by air and do not reach living organisms
answer
200nm
question
Because of the absorption in the atmosphere's ozone layer, 98.7% of the UV radiation that reaches the Earths surface is _____.
answer
UVA
question
when exposed to moderate levels of UV radiation, what happens?
answer
melanin production is up-regulated
question
DNA structure
answer
complementary base pairing holds two strands together- A and T, C and G. Double helix structure
question
UV light effects DNA how?
answer
UV light causes adjacent thymine's to pair- formation of a pyrimidine dimer. "Bulge" in the double helix- must be repaired before replication, if not repaired mutations may result.
-change in the DNA sequence
-repair may not occur if damage is too severe or too long.
-change in the DNA sequence
-repair may not occur if damage is too severe or too long.
question
light repair
answer
photoreactivation. Photolyases are activated upon exposure to visible light to repair the damage. Bind the DNA in the dark and interact with folic acid in the presence of light to repair the damage.
question
Dark repair
answer
excision repair. Enzymes are not light regulated. Instead of repairing the damage, the stretch of nucleotides around the dimer are removed. Polymerase then adds new bases, and the strand is rejoined by DNA ligase.
question
UV exposure can be an effective sterilization method in -
answer
healthcare facilities and research labs
question
UV radiation is commonly used as a sterilization method in
answer
lab working areas such as on a surface (within biosafety cabinets), useful for materials that cannot withstand high temperatures. Can be used in water treatment, food safety, disinfection of operating rooms, etc.
question
Xeroderma Pigmentosum (XP)
answer
rare autosomal recessive disease, extreme sensitivity to UV light, people with XP have defective nucleotide excision repair pathways, children with skin cancer as young as 10.
question
foodborne illness is most commonly due to
answer
improper handling and preparation or food-processing and distribution errors
question
Top 8 microorganisms causing hospitalization, illness, and sometimes death in US
answer
Salmonella spp., Clostridium spp., Camplyobacter jenjuni, Staphylococcus aureus, Listeria monocytogenes, Escherichia coli, Norovirus, Toxoplasma
question
eggs, poultry, dairy
answer
Salmonella spp.
question
endospores, anaerobic, meat, poultry, fish, improper canned foods
answer
Clsotridium spp.
question
undercooked meats and shellfish
answer
Campylobacter jejuni
question
custards, creams transmitted during handling
answer
Staphylococcus aureus
question
Listeria monocytogenes
answer
fresh soft cheeses, milk products psychrotolerant
question
can produce toxins like 0157:H, undercooked meat, vegtables, and fruit
answer
E. coli
question
common cruise illness
answer
Norovirus
question
protist
answer
Toxoplasma
question
what is the primary vehicle responsible for transmission of the diseases of the digestive system
answer
food
question
what kind of inoculation is done to study food contamination?
answer
spread plating
question
NNTC, NFTC?
answer
30-300
question
With a standard mesophililc bacteria, how many bacteria can result if 1 BACTERIUM is left at room temperature for 7 hours?
answer
2,097,252
question
SS agar stands for
answer
Salmonella and Shigella
question
SS agar is
answer
selective and differential for enteric pathogenic bacilli
question
SS is selective for ___________ because of ?
answer
bile salts and dyes (brilliant green) inhibit Gram + and most gram - bacilli
question
SS is differential for
answer
lactose/neutral red and sodium thiosulfate/ferric citrate
question
SS if positive for lactose fermentation
answer
reddish/pink colonies, non fermenters are colorless
question
SS is H2S production is positive
answer
colonies with black centers
question
Rule of thumb for diagnostic micro-
answer
majority of GI pathogens do not ferment lactose, while the majority of intestinal normal flora do ferment lactose
question
EMB stands for
answer
Eosin Methylene Blue agar
question
EMB is
answer
selective and differential
question
EMB is selective for
answer
gram negative bacteria, Eosin and methylene blue are dyed that inhibit the growth of gram + organisms
question
EMB is differential for
answer
lactose fermentation
question
strong acid in EMB produces what result
answer
greenish metallic sheen
question
lactose fermentation produces what on EMB
answer
pink
question
MSA agar stands for
answer
Mannitol Salt Agar
question
MSA is
answer
selective and differential
question
MSA is selective for
answer
Gram + organisms such as Staphylococcus, because they are halophilic
question
MSA is differential because
answer
presence of mannitol, a common carbohydrate
question
MSA color change?
answer
yellow color change results from pH indicator in response to acid production
question
halophilic bacteria are commonly found
answer
as normal flora of the skin
question
The good environment of the skin
answer
urea, amino acids, salts, lactic acids, and lipids are secreted through the skin and provide microbes with what they need to grow
question
bad environment of the skin
answer
low pH, dry and salty conditions make for an inhospitable environment that only certain species of bacteria can withstand
question
moist =
answer
more nutrients
question
many microbes grow around the
answer
sweat gland and hair follicle
question
Impetigo
answer
most often begins as a red sore near the nose or mouth which soon breaks, leaking pus or fluid, and forms a yellowish (or honey-colored) scab followed by a red mark which heals without leaving a scar. Sores are not painful but may be itchy and peel.
-Very common in children
-Staphylococcus or Streptococcus infection
-Very common in children
-Staphylococcus or Streptococcus infection
question
Ecthyma
answer
ulcers forming under a crusted surface infection, usually on the lower extremities. Deeper skin infections.
-Untreated impetigo can turn into this
-Usually corresponds with poor hygiene
-Higher chances of infection if immunocompromised
-Untreated impetigo can turn into this
-Usually corresponds with poor hygiene
-Higher chances of infection if immunocompromised
question
Folliculitis
answer
the inflammation of one or more hair follicles.
-Common
-Superficial - outer skin layer
-Deep - penetrates the inner dermis layer - usually due to toxin producing strains
-Common
-Superficial - outer skin layer
-Deep - penetrates the inner dermis layer - usually due to toxin producing strains
question
Cellulitis
answer
spreading infection of skin and tissues immediately beneath the skin
-Redness, pain, tenderness, sometimes accompanied by fever and chills
-Will require antibiotic treatment most of the time
-Redness, pain, tenderness, sometimes accompanied by fever and chills
-Will require antibiotic treatment most of the time
question
Abscesses
answer
furuncles (boils) and carbuncles
question
abscesses are caused by
answer
caused by hair follicles, thus resulting in the localized accumulation of pus and dead tissue.
-Individual boils can cluster together and form an interconnected network of boils called carbuncles.
-In severe cases, boils may develop to form abscesses.
-A severe deep tissue infection
-Individual boils can cluster together and form an interconnected network of boils called carbuncles.
-In severe cases, boils may develop to form abscesses.
-A severe deep tissue infection
question
Staphylococcal Scalded Skin Syndrome
answer
•Desquamative rash; caused by toxins released by Staphylococcus aureus
•Causes layers of the skin to detach; followed by peeling away of the detached layers
•Caused by certain toxin - producing strains (not all strains produce toxins!)
•Causes layers of the skin to detach; followed by peeling away of the detached layers
•Caused by certain toxin - producing strains (not all strains produce toxins!)
question
Propinonibacterium
answer
•Common but opportunistic skin bacteria
Primarily found in hair follicles and sebaceous glands
•Cause of some types of acne
•Can also cause infection after operations
•Anaerobic
•Gram-positive bacilli
Primarily found in hair follicles and sebaceous glands
•Cause of some types of acne
•Can also cause infection after operations
•Anaerobic
•Gram-positive bacilli
question
streptococcus spp.
answer
typically group A, Gram + cocci, usually in chain arrangement. Large threat to neonates. Infections can be mild or severe. Toxic Shock Syndrome
question
Streptococcus pneumoniae presents in
answer
diplococci
question
women are scanned for group _____ streptococcus before delivery
answer
B
question
Pseduomonas aeruginosa, location and significance
answer
soil and water, gram - bacillus, skin rashes and ear infections, immunocompromised. Green pigment can be seen at infection site.
question
Clostridium infections
answer
spore-forming, gram + rods, tetanus, gas gangrene.
question
Clostridium perfringens
answer
gas gangrene- muscle death, shock, amputations
question
Clostridium tetani
answer
tetanus-cells become vegetative again and release toxins once exposed to preferable environment (commonly associated with puncture wounds). Vaccines
question
staphylococcus spp.
answer
gram + bacteria that arrange in clusters, salt tolerant, healthy people carry, only a problem if it gets into the body
question
common staph species
answer
aureas, epidermis, saprophyticus
question
staphylococcus aureus
answer
"golden cluster seed", facultative anaerobe, coagulase positive, grape-like clusters. Has golden-yellow colonies, often with hemolysis when grown on Blood agar.
question
most common cause of staphylococcal infections of the skin
answer
aureus
question
hemolysis
answer
ability to degrade hemoglobin causing the lysis of RBCs. Streptococcal and staphylococcal spp. are commonly differentiated by their hemolytic ability.
question
alpha hemolysis
answer
partial breakdown, leaves a greenish-brown halo around the bacterial growth.
question
Beta hemolysis
answer
compete hemolysis, area where growth is has a clearing and is almost completely see through
question
gamma hemolysis
answer
lack of hemolysis, growth appears as usual
question
Blood Agar Plate (BAP)
answer
used to visualize hemolytic properties. Basic nutrient agar with a small percentage of sheep blood added
question
catalase test
answer
tests for the presence of enzyme catalase. add some H2O2 to bacteria on the slide, and bubbles (O2 released) is positive.
question
who produces catalase
answer
all aerobic organisms and most facultative anaerobes. Staphylococcus spp. are catalase positive and streptococcal spp are catalase negative.
question
coagulase enzyme
answer
causes activation of the human blood clotting system,- converts fibrinogen to fibrin- resulting in the clotting of blood
question
coagulase test
answer
tests for coagulase enzyme, enzyme is found on the bacterial surface= coats itself in a clot, and hides from immune system.
question
which is the only staph + for coagulase
answer
aureus
question
MSA agar
answer
selective for gram + bc it has a high concentration of sodium chloride. Differential for mannitol- pH because of pH indicator phenol red, and the
question
upper respiratory tract
answer
mouth, nose, nasal cavity, sinuses, throat, and larynx. In contact with the air we breathe
question
lower respiratory tract
answer
trachea, bronchi, bronchioles, and alveoli. Normally sterile due to ciliary escalator
question
bacteria in upper respiratory tract
answer
staphylococcal, streptococcal (mostly), Neisseria, and Haemophilus spp.
question
mucocilary escalator function
answer
ciliated cells beat and throw microbes back into the mouth
question
microbial antagonism
answer
competition between microbes
question
many respiratory infections are _______ and ________________
answer
viral and some fungal
question
non strep bacterial respiratory infections
answer
Bordetella pertussis (whooping cough) and corynebacterium diphtheriae bacterium (diptheria)
question
Strep Lancefield Groups
answer
Based on the grouping of cell wall carbohydrates; most important are A, B, and D
question
group a
answer
streptococcus pyrogens- causes strep, skin infections, beta hemolytic, susceptible to bacitracin (antibiotic)
question
group B
answer
streptococcus agalactiae- can be found in genital tract of women and results in neonatal meningitis/sepsis
question
group D
answer
enterococcus faecalis, UTI
question
groups can be identified by
answer
using agglutination testing
question
viridans
answer
alpha hemolytic, predominant in oral cavity and cause cavities
question
streptococcal pharyngitis
answer
commonly caused by streptococcus pyrogens, white patches on tonsils, strep throat
question
most common cause of bacterial pneumonia
answer
Streptococcus pneumoniae
question
identification of streptococcal species
answer
catalase negative, hemolysis, antibiotic resistance/sensitivity
question
Streptococcus pyogenes
answer
upper
question
Streptococcus pneumoniae
answer
lower
question
optochin sensitivity
answer
used for the presumptive identification of streptococcus pneumoniae, Os, from other alpha hemolytic streptococci such as streptococcus viridans (Or)
question
Bactitracin
answer
used to differentiate streptococcus pyrogens from other streptococcal spp. S. pyrogens is sensitive Bs to bacitracin while other strep are resistant Br
question
MS agar
answer
mitis- salivarius
question
MS media
answer
used for isolation of viridians Streptococci, common cause of dental cavities. Selective- inhibits gram + (except strep) with Crystal Violet. Contains potassium tellurite that inhibits gram -. Differential because of growth differences, that identify species of strep.
question
S.salivarius
answer
Large pale blue-dark blue opaque mucoid colonies with a gum drop appearance.
question
S. oralis
answer
Blue small colonies with a dome center
question
S. mutans
answer
Raised convex colonies with a frosted glass appearance
question
S. sanguis
answer
Raised smooth hard colonies that appear "embedded" in the agar
question
S. faecalis
answer
(now enterococcus faecalis) dark blue-black colonies
question
Streptococci prefer a ____________ _____________ environment. In lab ___________ __________ is used
answer
CO2 rich - cangle jar
question
Gut microbiome plays an important role in
answer
digestion, metabolism, immune system
question
Upper GI has _______ bacteria. why?
answer
less, less than 10^4 orgnaisms/ml of secretions. B/C gastric acid in stomach and rapid movement of food through the small intestine- peristalsis
question
Large intestine bacteria populations are ___________, primarily in the __________
answer
significant, colon.
question
up to __________ bacteria per gram of ___________
answer
10^11, feces
question
Large intestine bacteria- most are _______________ and have a _______________ relationship with the host.
answer
commensals, mutualistic
question
large intestine vitamins
answer
K, biotin, folic acid, etc.
question
Many __________ bacteria typically prevent ____________ bacteria from taking over
answer
residential, pathogenic
question
most GI diseases result from -
answer
the ingestion of contaminated food or water
question
large intestine consists mostly of _________________
answer
anaerobes
question
Most fecal contamination is associated with
answer
G- facultative anaerobes (enteric family)
question
upper GI
answer
stomach and duodenum (biopsy)
question
Lower-small and large intestine
answer
+Stool- presence of mucus, blood, etc. Color and consistency can be absorbed, may require selective and differential media. Salmonella, shigella spp. may require enrichment. Can also look for parasites and test for viral infections
+Rectal swab
+sometimes blood cultures- typhoid fever resulting from Salmonella infection
+Rectal swab
+sometimes blood cultures- typhoid fever resulting from Salmonella infection
question
MAC agar selective agent
answer
bile salts and crystal violet inhibit gram positive organisms
question
MAC differential
answer
pH indicator and lactose fermenters
question
MAC agar pH indicator
answer
neutral red. Pink/red= lactose fermenting
question
BEA agar
answer
bile esculin agar
question
BEA is used to identify
answer
members of the genus Enterococcus
question
BEA selective
answer
Bile inhibits the growth of gram-positive bacteria other than Enterococcus and some streptococcus. Many gram - will grow
question
BEA differentiates
answer
the ability to hydrolyze esculin. If an organism can hydrolyze esculin in the presence of bile, the product esculin is formed. Esculin reacts with ferric citrate, which turns the slant a dark black or brown color.
question
some media may be able to grow on BEA but not
answer
hydrolyze esculin, no color change.
question
BEA agar starts as
answer
light/pale brown
question
Upper urinary tract and bladder are usually
answer
sterile
question
____________ does contain some resident bacteria
answer
urethra
question
females have more UTIs because
answer
shorter urethra
question
most bacteria found in the urine are the result of
answer
skin contamination upon exit
question
infection considered only when greater than ____________ bacteria of a particular species or ______________ coliforms per ml of urine sampled
answer
1000 or 100
question
cystitis
answer
inflammation of the urinary bladder
question
urethritis
answer
inflammation of the urethra
question
pyelonephritis
answer
inflammation of the kidney
question
cystitis, urethritis, UTIs, Pyelonephritis causative agent
answer
Mostly Gram-negative bacilli, especially E.coli. Can be caused by Gram-positives like Staphylococcus spp. or Enterococcus spp.
question
cystitis, urethritis, UTIs, Pyelonephritis pathogenesis
answer
cystitis more common in females, UTIs are often nosocomial
question
Specimen and diagnosis of cystitis, urethritis, UTIs, Pyelonephritis
answer
clean, midstream urine, and culture. Microscopic exam- Presence of cats leukocytes
question
treatment of cystitis, urethritis, UTIs, Pyelonephritis
answer
Fluoroquinolones, Sulfa drugs, Keflex, etc.
Pyelonephritis: Ampicillin, Amoxicillin, Cephalosporins
Pyelonephritis: Ampicillin, Amoxicillin, Cephalosporins
question
clean-catch for urine collection
answer
b/c urine normally becomes contaminated with bacteria during discharge through urethra. wash/wipe then catch.
question
count that indicates a UTI
answer
>10^5 bacteria/ml
question
´Suprapubic aspiration
answer
´Spinal needle through the skin to the bladder; local anesthesia
question
urine sample analysis
answer
•Color
•Odor
•Specific gravity (how diluted)
•pH
•Presence of red blood cells
•Presence of leukocyte esterase
•Proteins, glucose, ketones
•Detection of nitrites
•Think about how many bacteria can reduce nitrate!
•Presence of crystals
•Odor
•Specific gravity (how diluted)
•pH
•Presence of red blood cells
•Presence of leukocyte esterase
•Proteins, glucose, ketones
•Detection of nitrites
•Think about how many bacteria can reduce nitrate!
•Presence of crystals
question
largest number of antibiotic resistant __________ associated pathogens
answer
UTI
question
UTI are very common ____________ infection, acquired by
answer
nosocomial infection, via catheterization
question
common causative agents of UTIs
answer
E. coli, Proteus, Enterococcus, Pseudomonas, Enterobacter, Serratia, Staphylococcus, etc.
question
Pseudomonas P agar (PSP) differential
answer
magnesium chloride and potassium sulfate in the media promote pigment production. Pseudomonas spp produce pigments.
question
P. aeruginosa will appear on PSP as
answer
isolated colonies surrounded by a blueish greenish zone.
question
other pseudomonas will appear
answer
reddish brownish and yellow
question
PSP selective
answer
Irgasan- antimicrobial agent in the medium that inhibits gram + and other gram - other than pseudomonas.
question
Urea
answer
waste product of protein digestion found in the vertebrae urine.
question
urease
answer
exoenzyme that hydrolyzes urea to CO2 and ammonia
question
The urea broth contains the pH indicator _____________.
answer
Phenol red (normally pH 6.8 and orange)
question
positive urea test
answer
fushia
question
many ___________ can break down urea slowly, ____________spp. can do so in a 24 hour period
answer
enterics, Proteus
question
urea test is helpful in identifying ____________ from other species due to the rapid action of the enzyme
answer
Proteus