Bacteriology Test Questions – Flashcards
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Acid-fast |
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Mycobacterium Nocardia (partial) |
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Aerobic respiration |
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oxidation of substrates coupled to electron transport with O2 as final electron acceptor 38 ATP/glucose |
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Aerointolerant |
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anaerobes with non-oxygen final electron acceptors very sensitive to oxygen radicals quite a few of the medically relevant bacteria |
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Aerotolerant |
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anaerobes with non-oxygen final electron acceptors can detoxify oxygen radials with superoxide dimustase and catalase quite a few of the medically relevant bacteria |
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Anaerobic respiration |
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oxidation of substrates coupled to electron transport with different final electron acceptor (not O2) less efficient than aerobic: 30 ATP/glucose |
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Antigenic variation |
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make surface proteins look different to immune system than did previous generation |
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Autolysins |
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enzymes produced by bacteria that break Beta-1,4 glycoside bonds of PG used during growth and division |
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Auxotroph |
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requires at least one organic product from environment b/c can't synthesize it |
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Capsule |
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hydrophyilic gell that is carbohydrate based anti-phagocytic function seen as halo after India ink staining |
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Cell wall |
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provides shape and rigidity protects against osmotic lysis acts as semi-permeable barrier transport site protects from host defense mechanisms mediates adherence senses and signals about the environment provides motility |
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Conjugation |
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DNA is transferred directly by cell-to-cell contact extremely efficient exchange of genetic information one bacterium must of a self-transmissible plasmid (F plasmid) |
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Core |
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domain of the LPS diversity of sugars, used to classify species KDO - 8C sugar, 1st attached to Lipid A 7C sugars follow, then regular sugars polarity of core prevents hydrophobic passage across OM |
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Death phase |
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toxic products build up and autolytic enzymes forming death rate exceeds growth rate seen in body when immune system is winning |
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Definitive (specific) therapy |
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specific diagnosis available narrow drug choice to avoid NF damage and opening areas as new infection site |
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Drug targets of prokaryotic cells |
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supercoiled bacteria (no chromatin or histones) complex cell wal 70S ribosomes (not 80S) |
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Empirical therapy |
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based on most probably cause of infection no specific dx yet/available reserved for emergency situations use broad drug choice, sometimes combination of drugs |
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Endospore advantages |
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resist boiling, radiation, desiccation, and most enzymes/chemical disinfectants respiratory, wound or oral transmission |
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Endospore forming genera |
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Bacillus Clostridium (G+) |
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Endospore parts |
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core - highly dessicated DNA, tRNA, amino acids, nucleic acids and other essential cytoplasmic components cortex - condensed form of cell wall spore coats - protein-based coat that is put on by mother cell |
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Faculative anaerobes |
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uses O2 or inorganic electron acceptors adapts to multiple environmental niches most flexible group most of the medically relevant bacteria |
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Fermentation |
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no electron acceptor available, oxidation of substrates leaves organic products less efficient that an(aer) respiration |
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Flagella |
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thicker, longer projections (compared to pili) funtion: locomotion in response to chemical gradient polar - out of one end peritrichous - all over cell |
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Generalized transduction |
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Virulent bacteriophage involved Bacterial DNA is packaged into viral capsid instead of bacteriophage DNA |
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Gram negative, coccus |
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Neisseria |
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Gram negative, pleomorphic |
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Chlamydia Rickettsiae |
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Gram negative, rod, enterics |
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Escherichia coli Shigella Salmonella Yersinia Klebsiella Proteus Enterobacter Helicobacter Serratia Vibrio Campylobacter Pseudomonas Bacteroids |
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Gram negative, rod, non-enterics |
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Haemophilus Bordetella Legionella Yersinia Francisella Brucella Pasteurella Gardenerella |
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Gram negative, spiral |
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Treponema Borrelia Leptospira Require darkfield microscope to see |
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Gram positive, branching |
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Actinomyces Nocardia |
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Gram positive, coccus |
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Streptococcus Staphylococcus |
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Gram positive, rod |
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Corynebacterium Listeria Bacillus Clostridium |
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Gram-negative cell wall |
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3-5nm thick PG layer emphasizes fluidity 2nd membrane with LPS outside PG layer |
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Gram-positive cell wall |
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20-30nM thick PG layer emphasizes sturdiness one membrane, no LPS |
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Heterotroph |
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requires organic matter for energy source, most of the relevant bacteria |
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Insertion sequences |
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repeats, hot spot for recombination |
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KDO |
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8-carbon sugar of core of LPS that is always the first one or couple sugars attached to Lipid A |
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LPS |
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unique G- molecule Lipid A, core and O antigen domains |
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Lag phase |
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initiation of culture, adjustment to new environment sensing what is and isn't available in media |
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Lipid A |
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domain of LPS endotoxin highly conserved between bacteria GlcNac dimers connected by phosphates that have fatty acid chains the fatty acids are highly branched and saturated --> unique to bacteria fatty acis prevent hydrophilic molecules from passing OM of G- cell |
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Lipoteichoic acid |
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unique to G+ bacteria, derived from techoic acid glycerol phosphates linked with fatty acids pro-inflammatory molecule |
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Log/exponential growth phase |
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rapid growth, as fast as possible in provided media measured in turbidity (cloudiness) using spectrophotometer seen in privileged sites in body (low NF and low immune presence) |
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Lysozyme (muramidase) |
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enzymes in human body fluids that break Beta-1,4 glycoside bonds of PG more effective against G+ than G- |
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MBC |
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minimal bactericidal concentration min. conc. needed to kill 99.9% of organisms |
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MIC |
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minimal inhibitory concentration min. conc. needed to inhibit bacterial growth |
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Microaerophiles |
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don't do aerobic respiration, but require oxygen for other essential purposes must have LOW levels of oxygen few of the medically relevant bacteria |
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O antigen |
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part of LPS polymer of sugar units highly diverse, used to classify strains of species polarity of prevent passage of hydrophobic molecules |
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Obligate aerobes |
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require oxygen for life some are medically relevant |
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Peptidoglycan (PG) |
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unique to bacteria long glycan chains cross-linked by short peptides determines physical integrity and shape of cell wall highly polar =<100,00Da pass pro-inflammatory molecule |
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Periplasm |
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"space" between membranes of G- bacteria where PG layer is located has lots of proteins used for transport |
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Pili |
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hair-like, very small projections function: attach to host cell, sex for genetic info transfer |
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Plasmids |
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extrachromasomal DNA provide accessory, non-essential information (virulen, antiB resistance) typically circular, single or multi copies sorting between daughter cells is not well organized, can result in loss of copies or information |
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Porins |
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proteins of outer membrane of G- bacteria trimerize to form channel through membrane that aids in nutrient attainment |
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Prokaryotic chromosomes |
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1-10Mbases, 10^3 to 10^4 genes haploid supercoiled in nucleoid region |
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Prokaryotic cytoplasmic membrane |
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selectively permeable carrier-mediated transport electron transport system |
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Prototroph |
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can synthesize all organic products that it needs; does not require any from its environment |
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Quorum sensing |
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ability to sense own population and alter gene expression based on that info |
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R factor |
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F' plasmid with drug resistance genes on plasmid transferred via conjugation always implies transfer of drug resistance |
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Regulon |
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multiple operons under control of a single transcription regulator |
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Specialized transduction |
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Temperate bacteriophage involved error in splicing of phage DNA from the bacterial DNA, results in mixed DNA in phage packages |
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Stationary phase |
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nutrients are running low, no net growth seen metabolically inactive, quiet see in walled off abscess of body not good for some antiBs b/c only work on actively dividing cells |
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Targets for antibiotics |
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cell-wall synthesis cell membrane DNA integrity folic acid synthesis protein synthesis (30S or 50S) RNA synthesis |
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Teichoic acid |
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unique to G+ bacteria series of phosphate-linked surgars with glycerol or ribitol phophate-linkages has substiuents like D-Ala that are bacteria unique pro-inflammatory molecule |
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Transduction |
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Bacteriophage carries bacterial DNA from one bacterium to others |
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Transformation |
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Naked DNA fragments released from one lysed bacterium binds to cell wall of another competent bacterium and is taken up and incorporated into the new bacterium's chromosome |
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Transposase |
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recognizes sequence of DNA, opens it, inserts a copy of itself and transposon |
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Transposon |
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moveable elemtsn of DNA consists of insertion sequences, virulence/resistance genes, and transposase encoding |
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Two-component regulators |
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consists of sensing extra-cellular component, transmembrane domain, and intracellular signaling domain recognizes signal from external environemnt, autophosphorylates tail, tail phosphorylates regulator, signal cascade proceeds and gene expression is altered |
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Mechanism of adverse reactions to drugs |
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direct toxicity sensitivity superinfections |
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Optimal salinity, temp and pH |
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0.85% 30-37*C 6-8pH |
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Resistance strategies |
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prevent drug access to target modify drug modify target of drug change metabolic status of bacterium |
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Prevention of drug access |
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barrier lack of binding target anaerobic for O2-dependent drugs lack of activating enzyme alteration in porins efflux pumps |
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MLS(R) phenotype |
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overlapping binding site of multiple drugs is effect by one methylation change in rRNA due to presence of erm gene |
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Stratgies for drug resistance |
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prevent access to target modify drug modify drug's target modify metabolism (state or processes) |
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Commensal |
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bacterium that causes no apparent disease es: normal flora |
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Opportunistic pathogen |
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can cause disease, but depends on right conditions ex: +/- virulence factor, host barrier status and host immune status |
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Obligate pathogen |
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always causes disease |
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Extracellular Bacteria |
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Path - resist phagocytosis Disease - acute onset, faster resolution, unless biofilm Fever - usually WBC - PMNs, pus formation Clearance - by humoral immunity |
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Intracellular Bacteria |
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Path - survive in host cells Disease - chronic infection, slower onset and recovery Fever - maybe WBC - macrophage, lymphocytes Cleared - by cell-mediated immunity |
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Tropism |
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selective infection of specific tissues or cells |
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Siderophores |
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bacteria enzyme with high affinity for Fe3+, chelators strip Fe3+ from lactoferrin and transferrin |
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Fe-binding receptors |
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bacterial molecules that help with Fe scavenging bind Fe-loaded siderophores, bind free Fe3+ and bind Fe-loaded host molecules |
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Exotoxins |
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act distal to infection site commonly enzymes that damage host directly disrupt host processes or membrane AB toxins, non-AB toxins, activation requirements |
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Endotoxins |
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elicit inflammatory response and activates complement --> cell damage indirectly part of outermembrane of G- bacteria |
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AB toxins |
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protein complex of 2 subunits A = active subunit, enters host cell and has toxic effects B = binding subunit and delivers A to susceptible cell |
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Host cell process-disruption by exotoxin |
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protein synthesis signaling (G-proteins) ADP-ribosylation (inactivates proteins, shut down pathway) |
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Host cell membrane-disruption by exotoxin |
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osmotic balance -> lysis phospholypases -> digest membrane pore-formation -> lysis/permeability hemolysins -> lyse RBC, release Fe` |
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Autoinducers |
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molecules that serve as signals of population density G- = HSL G+ = peptides |
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Type III Secretory Apparatus |
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"molecular syringe" structure that bacterial cell inserts into host membrane and injects effector into host cytoplasm effectors: induce apoptosis, suppress cytokine production, shut down phagocytosis, etc. |
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Polymicrobial biofilm |
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mixed infection, i.e. wound or areas of normal flora (pathogen binds to biofilm of normal flora) particularly advantageous |
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Monomicrobial biofilm |
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only one pathogen, usually in sterile site |
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Sessile cells |
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bacteria located in biofilm not moving, less active |
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Planktonic cells |
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bacteria of biofilm colony that aren't in the biofilm, free-floating, more active capable of leaving to form new colonies elsewhere |
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Advantages of biofilm |
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adherence, nutritional opportunity, protected environment extracellular bacteria can cause chronic infection this way |
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Sialyation of LPS |
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molecular mimcry, prevents MAC deposition (i.e. complment mediated cytosis) |
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C5a peptidase |
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counter strategy of bacteria to complement system prevents inflammatory response |
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Invasins |
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proteins expressed by bacteria that rearrange cytoskeleton in host cell induce actin polymerization that forms pseudopods and takes in bacteria forces phagocytosis by non-pros |
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Systemic Inflammatory Response Syndrome (SIRS) |
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abrupt on set of 2: fever, tachycardia, tachypnea, and leukocytosis can be due to infection or severe trauma with lots of tissue damage good prognosis if underlying issue is solved |
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Sepsis |
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clinical symptoms of SIRS + documentation of bacterial infection progression to severe sepsis guaranteed |
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Bacteremia |
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viable bacteria in blood stream, document by Gram stain possible migration though body, does not require SIRS symptoms for Dx, usually transient |
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Severe sepsis |
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Sepsis (SIRS + documentation) and signs of organ failure DIC --> organ damage 1* COD is resp. failure |
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Disseminated intravascular coagulation |
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dysfunction in clotting cascade abnormal clotting and bleeding poor perfusion to organs --> damage seen in severe sepsis |
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MODS |
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multiple organ dysfunction of syndrome worsening situation of severe sepsis |
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Septic shock |
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severe sepsis (SIR + documentation + organ failure) and extreme hypotension profoundly low BP that is unresponsive to fluid treatment |