Microbiology

Enterobacteriaceae

Non-spore forming  Facultatively anaerobes  Glucose fermenters  Oxidase (-) (exc. Plesiomonas)  Catalase (+) (exc. Shigella dysenteriae)  Commensal flora except Salmonella, Shigella, Yersinia (true pathogen)  Nonencapsulated except (Klebsiella & Enterobacter) E. coli Primary marker for fecal contamination in water Disease Association Most common cause of nosocomial infections E. coli BIOTYPES Meningitis/sepsis-associated E. coli Infection Meningitis Virulence Factor …

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Nocardia, Rhodococcus

Gram (+) Branching Partially acid-fast Nocardia Characteristics Beaded appearance  Strictly aerobic  Presence of DAP  Produces Nocobactin – ironchelating compound  Urease (+) Disease association Cutaneous infection Actinomycotic mycetoma Nocardia brasiliensis – most common cause of cutaneous infection and actinomycotic mycetoma. Nocardia asteroides – causes pulmonary infection Organism Casein Hydrolysis Nocardia brasilisiensis + Nocardia asteroides – Rhodococcus …

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Gardnerella vaginalis

gram variable / gram (-) beta-hemolytic (HBT agar) / nonhemolytic (BAP) causes bacterial vaginosis Causes Bacterial Vaginosis  Gardnerella vaginalis  Prevotella spp.  Peptostreptococcus spp.  Porphyromonas spp.  Mobiluncus spp.  Mycoplasma hominis NUGENT SCORING SYSTEM – most accurate means of diagnosing bacterial vaginosis than culture NUGENT SCORING SYSTEM Lactobacillus morphotypes (boxy, gram (+) bacilli Gardnerella & Bacteroides (pleomorphic, …

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Erysipelothrix Rhusiopathiae

Gram (+) bacilli Catalase (-) Non-branching H2S (+) in TSI Erysipelothrix rhusiopathiae Disease Association Erysipeloid bacteremia cutaneous infection Colony Appearance on BAP Large, rough, or small, smooth and translucent Shows alpha-hemolysis after prolonged incubation Identification Test-tube brush-like pattern in gelatin stab culture.

Listeria, Corynebacterium

Gram (+) bacilli Catalase (+) Non-spore formin Non-branching Corynebacterium diphtheriae Virulence Factors Diptheria Toxin  blocks protein synthesis  causes demyelinating peripheral neuritis Bacteria is infected by lysogenic Betaphage TONSIL / PHARYNX – most common site of infection. Disease Association  Respiratory Diphtheria – development of pseudomembrane (gray to white) Cutaneous Diphtheria – non healing ulcers (dirty gray) …

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Bacillus

Aerobic and facultatively anaerobic Gram (+) Catalase (+) Spore-forming bacilli B. anthracis characteristics non-motile “bamboo rod” appearance  Produces endospores Appearance in 5% SBA:  Medusa head  Ground glass appearance  Beaten egg whites In MHA:  String of Pearls Virulence factors Protective Antigen – facilitates transport of two other protein into the cell.  Edema factor (adenylate cyclase) – …

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Streptococcus And Enterococcus

Gram (+) cocci  In pairs or chains  Aerotolerant anaerobes  Some are capnophilic Characteristics COLONY  Usually small and transparent CATEGORIES OF NECROTIZING FASCIITIS Type Description 1 Polymicrobial infection (aerobic & anaerobic) 2 Consist of Group A Streptococci 3 Clostridial myonecrosis Saltwater Necrotizing Fasciitis Caused by Vibrio spp Organism Lancefield Smith and Brown’s S. pyogenes A Beta …

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Staphylococcus and Micrococcus

Gram (+) cocci  Facultatively anaerobes (except for S. saccharolyticus – OBLIGATE ANAEROBE)  In tetrads or in clusters  Catalase (+)  Oxidase (+)  Non-motile  Grows in 7.5 – 10% NaCl Characteristics COLONY Produced after 18-24 hrs. Medium-sized (4-8 um) COLORS: Cream-colored White Rarely light gold “buttery-looking” HUMAN NARIS (NOSTRILS) – PRIMARY RESERVOIR FOR STAPHYLOCOCCI S. aureus Disease …

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Antimicrobial Susceptibility Testing

AST STANDARDIZATION McFarland Turbidity Standards 1% H2SO4 1.175% BaCl2 0.5 McFarland – most commonly used Growth Medium pH – 7.2 – 7.4 cation concentration blood and serum components thymidine content Testing Medium for Different Organism Organism Media Incubation Notes Enterobacteriace ae P. aeruginosa Enterococci Mueller Hinton 35°C; air 16 – 20 hrs.   Staphylococi MH …

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Molecular Diagnostics

POLYMERASE CHAIN REACTION  DENATURATION – 94 – 95 degree Celsius (15 – 30 secs)  For dsDNA separation  PRIMER ANNEALING – 45 – 65 degree Celsius (30 secs. – 2 mins.)  Anneals primer to target DNA PRIMER EXTENSION – 68 – 72 degree Celsius Synthesis of new strands of DNA PCR COMPONENTS  Template DNA – target …

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