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35 Cards in this Set

  • Front
  • Back

Which two species of bacteria can form endospores?

Bacillus and Clostridium

Endospores

A heat resistant cell wall structure that can allow the organisms to lay dormant for long periods of time

Vegi Cell

Normally growing cell that forms the endospore

Why heat the malachite green stain?

Heat is needed for the malachite green stain to force the dye into the endospore

What color is an endospores former?

Green with some red vegi cells

List endospore stain procedure

-Smear bacteria (heat fix etc)


-Place oval piece of paper towel over slide


-Flood slide with malachite green


-Heat/steam slide for 5mins (with applicator stick


-Let cool


-Remove paper towel and rinse well with water


-Safranin counter stain (1min)


-Rinse and blot

How is clinical different from classical?

Clinical performs multiple tests with one media while classical IDs unknowns with specific biochemical tests

Classical microbiology method steps

-Achieve pure culture


-Gram stain


-Biochemical characterization tests


-Compare results

Clinical microbiology method steps

-Create list of suspects based on symptoms and location of infection



-Streak for isolation using differential/selective media



-Identify suspicious colony



-Conduct gram stain and additional test

Selective media

Media that contains ingredients that inhibit the growth of a certain group of bacteria



ex: gram positive bacterium does not grow on MacConky due to bile salts

Differential media

Media that contains ingredients that provide biochemical information



ex: pH indicator

What type of bacteria is MacConky used for? (in clinic setting?)

Isolates Salmonella and Shigella (Stool samples)

What type of bacteria is EMB used for? (Clinical setting)

Fecal coliform bacteria

MacConky interpretation (When IDing)

pH indicator: Ferments lactose - Red/pink (less than 6.8 pH)



pH indicator: Does not ferment lactose: yellow (above pH 8)



Inhibitor: Growth - Gram negative (not Staph)



Inhibitor: No growth - Gram positive (Staph)

EMB characteristics when IDing

pH indicator: (Strong fermenters) Ferments Lactose - Metallic green or black



pH indicator: (Weak fermenters) Does not ferment lactose - Pink/purple



Inhibitor: Growth - Not gram positive


Inhibitor: No growth - (probably) gram positive

MacConky ingredients

- Lactose and neutral red (pH indicator)



- Crystal Violet and bile salts (inhibitor)

Eosin Methylene Blue (EMB) ingredients

- Sucrose and Lactose



- Eosin and Methylene blue (pH indicator and inhibitor)


Mannitol salt agar (MSA) ingredients

- High salt 7.5% (inhibitor)



- Mannitol (carb/sugar) with pH indicator phenol red

MSA characteristics

Growth: Haloduric (high salt tolerant organisms)



No growth: Does not tolerate salt



Pink/yellow color: Ferments mannitol



Red color: Does not ferment mannitol

Blood agar ingredients

- 5% Sheep red blood cells


- TSA

Blood agar characteristics (when IDing)

- Clearing around colonies: Produces betahemolysins



Greenish halo around colonies: Produces AlphaHemolysins

Evidence of S. aureus after tests? (The results)

-Gram positive (Purple cocci)


-Catalase positive (Bubbles)


-Ferments mannitol (Yellow/pink)


-Salt tolerate (Grows on MSA)


-Beta hemolytic (Clearing around colonies)


-Congulase positive


-Meduim sized gold (On MSA)

Describe beta hemolysis on BA (Blood agar)

Clearing around colonies

Describe alpha hemolysis on BA (blood agar)

A greenish halo around the colony (It is not completely dissolving the RBC membranes)

What does a staph suspicious colony look on MacConky and EMB?

No growth, MacConky and EMB inhibits growth of gram positive organisms

What does a staph suspicious colony look like on MSA?

Yellow/Pink because it ferments mannitol and is salt tolerant

What does a staph suspicious colony looked like on BA? (Blood agar)

There will be a clearing around the colonies

What does staph look like after coagulase test?

Small blue clots in reagent

Four mechanisms by which bacteria become resistant to antibiotics

1) Chromosomal mutation that causes a change in the structure of the drug binding site. (Drug can't bind)



2) Chromosomal mutation that causes a change in membrane permeability. (Drug can't enter the cell)



3) Acquisition of a gene that enables the bacterium to produce an enzyme that destroys the drug. (Drug is destroyed or inactivated)



4) Acquisition of a gene that enables the bacterium to produce an MDR (multiple drug resistance) pump. (The drug is pumped out of the cell before it can have an effect)

Five different modes of action of antibiotics

1) inhibition of cell wall synthesis


2) inhibition of protein synthesis


3) inhibition of enzyme activity


4) injury to cell membrane


5) inhibition of DNA synthesis

Name one example antibiotic for inhibition of cell wall synthesis

1) Penicillin, methicillin, amoxicillin, cephalosporins, cephamycins (beta-lactam antibiotics)



2) Bacitracin



3) Vancomycin



4) Carbapenmes

Name one example of an antibiotic that inhibits protein synthesis

1) tetracycline


2) streptomycin


3) Gentamicin


4) Kanamycin


5) Erythromycin


6) Chloramphenicol


7) Ketolides/Macrolides = Azithromycin

Name one example for an antibiotic that inhibits enzyme activity

1) Sulfonamides


2) Trimethoprim

Name one antibiotic example that injures cell membrane

1) Polymyxins


2) Nystatin

In one example of an antibiotic that inhibits DNA synthesis

1) Ciprofloxacin (Fluoroquinolones)


2) Norfloxacin (Quinolones)