Bacterial Identification Methods

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Questions and Answers

What is the purpose of bacterial identification in a clinical setting?

  • To study the movement patterns of bacteria.
  • To determine the appropriate treatment for a bacterial infection. (correct)
  • To analyze the genetic mutations within the bacterial colony.
  • To estimate the number of bacteria present.

What information do microbiology labs provide for patient care?

  • Recipes for specialized diets.
  • Recommendations for exercise routines.
  • Infectious agent identification. (correct)
  • Home cleaning schedules.

Why is proper specimen collection important in bacterial identification?

  • To ensure accurate results and prevent contamination. (correct)
  • To increase the size of the bacterial colony.
  • To speed up the bacterial growth process.
  • To change the bacteria’s genetic makeup.

Visual inspection of samples or cultures is part of which identification method?

<p>Direct Microscopic Examination. (D)</p> Signup and view all the answers

What information does a stained preparation provide during direct microscopic examination?

<p>Staining reaction and cell shape. (D)</p> Signup and view all the answers

Gram staining differentiates bacteria based on what?

<p>Their cell wall structure. (D)</p> Signup and view all the answers

What is examined when observing colony morphology in culture-based identification methods?

<p>Size, shape, and color of colonies. (A)</p> Signup and view all the answers

Some bacteria require oxygen for growth, what are they called?

<p>Aerobic. (B)</p> Signup and view all the answers

What does 'KIA' stand for regarding microbiology testing?

<p>Kligler Iron Agar. (D)</p> Signup and view all the answers

What is the purpose of the catalase test?

<p>To differentiate Staphylococci and Streptococci. (B)</p> Signup and view all the answers

Why is it crucial for microbiology labs to monitor and track bacterial infections?

<p>To contribute to public health surveillance and outbreak control. (A)</p> Signup and view all the answers

A microbiologist notices a thin film on the surface of a fluid growth media. What is this observation likely indicative of?

<p>A surface pellicle formed by certain bacteria. (C)</p> Signup and view all the answers

In the Gram staining procedure, what would be the appearance of Gram-positive bacteria after the addition of the decolorizer (alcohol or acetone)?

<p>Purple (B)</p> Signup and view all the answers

A microbiologist observes a bacterial colony on blood agar with a clear zone surrounding it. What type of hemolysis is likely occurring?

<p>Beta-hemolysis (D)</p> Signup and view all the answers

What principle underlies the use of selective media in bacterial identification?

<p>Promoting the growth of desired bacteria while inhibiting others. (B)</p> Signup and view all the answers

After performing an Indole test, a microbiologist adds Kovac's reagent to the test tube. Which of the following indicates a positive result?

<p>Pink ring (C)</p> Signup and view all the answers

What does the Methyl Red test specifically detect about a bacterium's metabolic capabilities?

<p>The production of a large amount of acid from glucose fermentation. (A)</p> Signup and view all the answers

A bacterial isolate demonstrates a blue color change on Simmon's citrate agar. What does this result indicate about the organism?

<p>It can utilize citrate as its sole carbon and energy source. (C)</p> Signup and view all the answers

In the context of bacterial identification, what is the primary purpose of animal inoculation?

<p>To observe bacterial effects in a living host and identify pathogens. (C)</p> Signup and view all the answers

In disc diffusion antibiotic susceptibility testing, a smaller zone of inhibition generally indicates:

<p>Lower effectiveness or potential resistance to the antibiotic. (B)</p> Signup and view all the answers

Microbiology labs offer essential data for patient management, including identifying infectious agents and fungal susceptibility testing.

<p>False (B)</p> Signup and view all the answers

A fresh, unstained film is used for direct microscopic examination to observe bacteria in a static, non-motile state.

<p>False (B)</p> Signup and view all the answers

When performing a Gram stain, Gram-positive bacteria appear colorless after the decolorization step.

<p>False (B)</p> Signup and view all the answers

Selective media are designed to inhibit the growth of specific bacteria while promoting the growth of others, thus assisting in bacterial isolation.

<p>True (A)</p> Signup and view all the answers

In fluid media, uniform turbidity indicates growth concentrated at the bottom of the tube.

<p>False (B)</p> Signup and view all the answers

Blood agar can differentiate bacteria based on their hemolytic properties and is classified as alpha, beta, and gamma hemolysis.

<p>True (A)</p> Signup and view all the answers

The Triple Sugar Iron (TSI) test identifies bacterial fermentation of glucose, fructose, and mannose.

<p>False (B)</p> Signup and view all the answers

A positive methyl red test is indicated by a pink color, signifying the bacteria's inability to produce stable acids from glucose fermentation.

<p>False (B)</p> Signup and view all the answers

The oxidase test is used to detect the presence of cytochrome oxidase, where a negative result typically shows a deep blue coloration.

<p>False (B)</p> Signup and view all the answers

In antibiotic susceptibility testing, a smaller zone of inhibition around an antibiotic disc indicates increased sensitivity of the bacteria to that antibiotic.

<p>False (B)</p> Signup and view all the answers

Accurate bacterial identification is important for diagnosis and treatment of bacterial infections.

<p>True (A)</p> Signup and view all the answers

Microbiology labs provide information on antibiotic susceptibility.

<p>True (A)</p> Signup and view all the answers

Proper specimen collection is not important to prevent contamination.

<p>False (B)</p> Signup and view all the answers

Direct microscopic examination involves visual inspection of samples.

<p>True (A)</p> Signup and view all the answers

Gram staining differentiates bacteria based on their size.

<p>False (B)</p> Signup and view all the answers

Bacteria do not need nutrients to allow isolation of individual colonies.

<p>False (B)</p> Signup and view all the answers

Aerobic bacteria need oxygen to grow.

<p>True (A)</p> Signup and view all the answers

Selective media favor the growth of specific bacteria.

<p>True (A)</p> Signup and view all the answers

The Urease test indicates the ability of bacteria to produce amylase.

<p>False (B)</p> Signup and view all the answers

PCR amplifies small amounts of DNA.

<p>True (A)</p> Signup and view all the answers

Escherichia coli (E. coli) is a virus commonly found in the intestines of humans and animals.

<p>False (B)</p> Signup and view all the answers

All strains of E. coli are pathogenic and cause severe illnesses.

<p>False (B)</p> Signup and view all the answers

E. coli is only found in human intestines.

<p>False (B)</p> Signup and view all the answers

E. coli can only survive in oxygen-rich environments.

<p>False (B)</p> Signup and view all the answers

MacConkey agar is a selective and differential medium used in microbiology.

<p>True (A)</p> Signup and view all the answers

E. coli is a Gram-positive bacteria.

<p>False (B)</p> Signup and view all the answers

E. coli cannot cause urinary tract infections.

<p>False (B)</p> Signup and view all the answers

The natural host of E. coli is the intestinal tract of humans and animals.

<p>True (A)</p> Signup and view all the answers

Klebsiella species are Gram-positive bacteria.

<p>False (B)</p> Signup and view all the answers

Klebsiella pneumoniae is the least common subspecies of Klebsiella.

<p>False (B)</p> Signup and view all the answers

Most strains of E. coli are beneficial and aid in nutrient absorption.

<p>True (A)</p> Signup and view all the answers

E. coli is identified as Gram positive, rod-shaped bacteria under a microscope.

<p>False (B)</p> Signup and view all the answers

E. coli is characterized as a non-motile bacteria.

<p>False (B)</p> Signup and view all the answers

Lactose non-fermenting colonies on MacConkey's medium will produce rose pink colonies.

<p>False (B)</p> Signup and view all the answers

The IMViC test is useful for distinguishing between different members of the Enterobacteriaceae family because each member has the same result formula.

<p>False (B)</p> Signup and view all the answers

The presence of E. coli always indicates a dangerous contamination that requires immediate action.

<p>False (B)</p> Signup and view all the answers

If a stool sample is collected for E. coli testing, transport media is not needed as the bacteria is hardy and will survive the transport time.

<p>False (B)</p> Signup and view all the answers

Klebsiella pneumoniae is a gram-positive bacteria.

<p>False (B)</p> Signup and view all the answers

The Klebsiella species is commonly isolated on MacConkey agar because it inhibits the growth of gram-positive bacteria.

<p>True (A)</p> Signup and view all the answers

A sputum and urine sample is not appropriate for Klebsiella testing, blood and cerebrospinal fluid are the appropriate test specimens.

<p>False (B)</p> Signup and view all the answers

Which characteristic distinguishes Enterobacteriaceae that are lactose fermenters from non-lactose fermenters when grown on MacConkey's agar?

<p>Lactose fermenters produce rose-pink colonies, while non-lactose fermenters produce pale yellow colonies. (C)</p> Signup and view all the answers

Why is it important to use transport media when collecting specimens for E. coli testing if there will be a delay in delivering the specimen to the lab?

<p>Transport media maintains the viability and integrity of E. coli bacteria. (B)</p> Signup and view all the answers

Which of the following is a characteristic morphology of Klebsiella observed during microscopic examination of a Gram-stained smear?

<p>Short, plump, encapsulated rods often arranged in pairs or short chains. (B)</p> Signup and view all the answers

Besides stool, what other specimen can be used to test for E.coli?

<p>Urine (B)</p> Signup and view all the answers

In the context of laboratory diagnosis, what is the purpose of serotyping E. coli isolates from a diarrheal sample?

<p>To identify the specific O antigen and determine toxin production. (B)</p> Signup and view all the answers

What is the role of the bacterial capsule in Klebsiella pneumoniae?

<p>Contributing to virulence and evasion of the host's immune system. (D)</p> Signup and view all the answers

Why might a microbiology lab perform PCR on a Klebsiella isolate?

<p>To amplify specific DNA sequences for detection and characterization. (A)</p> Signup and view all the answers

What is the significance of Klebsiella pneumoniae subsp. ozaenae lacking the typical capsule produced by _K. pneumoniae _subsp. pneumoniae?

<p>It causes the subspecies to have different clinical manifestations. (D)</p> Signup and view all the answers

How is Klebsiella oxytoca primarily differentiated from Klebsiella pneumoniae in the laboratory?

<p>By its production of indole and sensitivity to colistin. (B)</p> Signup and view all the answers

What role do selective and differential media, such as MacConkey agar, play in the laboratory identification of E. coli and Klebsiella?

<p>They specifically inhibits the growth of gram-positive bacteria, and differentiate lactose-fermenting from non-lactose-fermenting bacteria. (C)</p> Signup and view all the answers

To ensure accurate results, what is a crucial step when collecting specimens for E. coli testing?

<p>Following aseptic techniques. (C)</p> Signup and view all the answers

What is the Gram stain reaction of Klebsiella?

<p>Gram-negative (D)</p> Signup and view all the answers

Where is E. coli naturally found?

<p>In the intestines of humans and animals (C)</p> Signup and view all the answers

What is the appearance of lactose fermenting colonies on MacConkey agar?

<p>Rose pink colonies (A)</p> Signup and view all the answers

What allows scientists to track outbreaks and identify sources of contamination?

<p>Accurate <em>E. coli</em> identification (D)</p> Signup and view all the answers

What type of bacteria is E. coli?

<p>Gram-negative (B)</p> Signup and view all the answers

Which virulence factor do some strains of E. coli possess that increases their ability to cause disease?

<p>Capsule (A)</p> Signup and view all the answers

Which of the following genera is NOT included in the Enterobacteriaceae family:

<p>Staphylococcus (A)</p> Signup and view all the answers

What color do Klebsiella colonies typically exhibit on MacConkey agar due to lactose fermentation?

<p>Distinctive pink-red (D)</p> Signup and view all the answers

Which of the following tests determines the ability of bacteria to produce acid from glucose fermentation?

<p>Methyl Red Test (D)</p> Signup and view all the answers

What type of bacteria are Salmonella?

<p>Gram-negative (A)</p> Signup and view all the answers

What is the appearance of Salmonella colonies on MacConkey's medium?

<p>Pale yellow (C)</p> Signup and view all the answers

Which of the following diseases is associated with typhoidal Salmonella?

<p>Typhoid fever (B)</p> Signup and view all the answers

What is the primary diagnostic tool used in the first week of suspected enteric fever?

<p>Blood culture (A)</p> Signup and view all the answers

Which test is used to detect antibodies against Salmonella in the second week of infection?

<p>Widal test (B)</p> Signup and view all the answers

What is the purpose of diluting blood samples in blood culture when diagnosing bacteremia and typhoid fever?

<p>To dilute inhibitory substances and enhance bacterial growth (C)</p> Signup and view all the answers

What enrichment media is used to enhance Salmonella growth in stool samples?

<p>Selenite broth (C)</p> Signup and view all the answers

What is a key characteristic of Shigella species?

<p>Non-motile (D)</p> Signup and view all the answers

What is the primary mode of transmission for Shigella?

<p>Fecal-oral route (D)</p> Signup and view all the answers

What type of colonies do Shigella form on XLD agar?

<p>Red (B)</p> Signup and view all the answers

Why is the dilution of blood samples a crucial step in diagnosing bacteremia and typhoid fever through blood cultures?

<p>To dilute inhibitory substances like antibodies and complement, enhancing bacterial growth. (B)</p> Signup and view all the answers

What is the role of selenite and tetrathionate broths in the isolation of Salmonella from stool samples?

<p>They inhibit the growth of non-Salmonella bacteria, allowing Salmonella to thrive. (D)</p> Signup and view all the answers

In the context of Salmonella and Shigella, what is the purpose of using selective media like Salmonella-Shigella Agar (SSA) and Xylose Lysine Desoxycholate (XLD) agar?

<p>To differentiate between Salmonella and Shigella based on their ability to ferment specific carbohydrates and produce hydrogen sulfide (H2S). (B)</p> Signup and view all the answers

How does the lack of xylose fermentation capability aid in the identification of Shigella colonies on Xylose Lysine Deoxycholate (XLD) agar?

<p>It leads to red colonies because <em>Shigella</em> cannot ferment xylose, and the pH indicator remains unchanged. (A)</p> Signup and view all the answers

How does the Widal test aid in the diagnosis of enteric fever (typhoid fever) caused by Salmonella?

<p>By measuring the levels of antibodies against <em>Salmonella</em> H and O antigens. (B)</p> Signup and view all the answers

Considering that Salmonella are motile and Shigella are generally non-motile, how can a motility test be useful in differentiating between these two genera?

<p>A positive motility test confirms the presence of <em>Salmonella</em>, while a negative test suggests <em>Shigella</em>. (C)</p> Signup and view all the answers

What public health implications arise from individuals becoming carriers of Salmonella?

<p>Carriers contribute to the spread of <em>Salmonella</em> through asymptomatic shedding, leading to potential contamination of food, water, and the environment. (D)</p> Signup and view all the answers

How would a laboratory confirm that pale colonies, grown from a stool sample on MacConkey agar, are Salmonella after initial isolation?

<p>By using biochemical tests and slide agglutination to confirm key characteristics such as the absence of lactose fermentation. (C)</p> Signup and view all the answers

Why is it important to identify whether a species of Shigella can ferment mannitol or not?

<p>It helps categorize <em>Shigella</em> species because some ferment mannitol while others do not, which aids in accurate species-level identification. (A)</p> Signup and view all the answers

What is the significance of Shigella being considered biochemically inert in laboratory diagnostics?

<p>It simplifies laboratory identification because only a few biochemical tests are needed. (D)</p> Signup and view all the answers

Salmonella species are Gram-positive bacilli and form spores.

<p>False (B)</p> Signup and view all the answers

Salmonella produces pink colonies on MacConkey's medium due to its ability to ferment lactose.

<p>False (B)</p> Signup and view all the answers

In the third week of enteric fever, a blood culture is the primary diagnostic tool.

<p>False (B)</p> Signup and view all the answers

The Widal test becomes relevant in the first week of diagnosing enteric fever.

<p>False (B)</p> Signup and view all the answers

Salmonella enteritidis is associated with nontyphoidal Salmonella infections causing gastroenteritis.

<p>True (A)</p> Signup and view all the answers

Fecal carriers of Salmonella unintentionally spread the bacteria through contaminated food or water.

<p>True (A)</p> Signup and view all the answers

Salmonella-Shigella Agar (SSA) inhibits Salmonella from Shigella based on their fermentation of lactose.

<p>False (B)</p> Signup and view all the answers

Shigella species are characterized as motile, spore-forming bacilli.

<p>False (B)</p> Signup and view all the answers

Shigella dysuriae is a non-mannitol fermenter.

<p>False (B)</p> Signup and view all the answers

XLD agar is a selective medium in which Shigella colonies appear red because they cannot ferment xylose.

<p>True (A)</p> Signup and view all the answers

Salmonella and Shigella are bacterial pathogens.

<p>True (A)</p> Signup and view all the answers

Salmonella is a Gram-positive bacillus.

<p>False (B)</p> Signup and view all the answers

Salmonella is motile, non-capsulated, and a non-spore former.

<p>True (A)</p> Signup and view all the answers

Typhoid fever is caused by nontyphoidal Salmonella strains.

<p>False (B)</p> Signup and view all the answers

Nontyphoidal Salmonella primarily causes gastroenteritis.

<p>True (A)</p> Signup and view all the answers

The Widal test is used in the first week to detect Salmonella.

<p>False (B)</p> Signup and view all the answers

Salmonella produces yellow colonies on MacConkey's medium because it can ferment maltose.

<p>False (B)</p> Signup and view all the answers

Shigella are non-motile.

<p>True (A)</p> Signup and view all the answers

Shigella dysenteriae produces Shiga toxin.

<p>True (A)</p> Signup and view all the answers

Humans are not the only reservoir of Shigella.

<p>False (B)</p> Signup and view all the answers

Flashcards

Clinical Importance of Bacterial ID

Crucial for diagnosing, treating, and controlling bacterial infections.

Diagnostic Tools in Microbiology

Microbiology labs provide key information for patient care, including identification and antibiotic susceptibility.

Public Health Impact of Microbiology

Monitoring and tracking bacterial infections aids in public health surveillance and outbreak control.

Specimen Collection and Handling

Essential for accurate results and prevention of contamination.

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Gram Staining Definition

Technique differentiating bacteria via cell wall structure.

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Growth Media

Bacteria are cultured on specific media providing nutrients, enabling growth and isolation.

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Colony Morphology

Colonies are examined for size, shape, color to identify potential bacterial species.

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Bacterial Oxygen Requirements

Some prefer oxygen (aerobic), others thrive without it (anaerobic).

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Selective and Differential Media

Selective media promotes specific bacterial growth, inhibiting others. Differential distinguishes via metabolic reactions.

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Metabolic Reactions

Assess enzymes/pathways in bacteria, giving insights to biochemical profile.

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Diverse Bacterial Identification Methods

Employ diverse techniques, from culture-based to molecular, for identification.

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Fresh Unstained Film

Visual inspection of samples to determine motility of organisms.

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Gram Staining Clinical Relevance

Aids initial assessment of bacterial morphology and guides further testing in patient care.

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Bacterial Culture Conditions

Certain incubation conditions, including the appropriate oxygen levels, are necessary for cultivating bacteria.

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Indole Production Test

Test demonstrates bacteria's ability to decompose tryptophan forming a pink ring.

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Methyl Red (MR) Test

Detects bacteria's ability to produce large amounts of acid from glucose, indicated by red color.

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Animal inoculation

Some bacteria are identified by inoculating laboratory animals with pathological samples.

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Bacterial Typing: Overview

Methods classify bacteria into subspecies, types, or strains and are crucial for epidemiological studies.

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Interpreting Disc Diffusion

The effectiveness of antibiotics can be determined by the size of the inhibition zone.

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Species-specific Targets

PCR amplifies DNA sequences unique to bacterial species, enabling precise identification.

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Direct Microscopic Examination

Visual inspection of samples or cultures to identify bacteria.

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Citrate Utilization Test

Tests for the bacterium's ability to use citrate as its only carbon source, indicated by a blue color change.

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Antibiotic Sensitivity Testing

Testing for the bacterial response to various antibiotics.

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Oxidase Test

A test for the presence of cytochrome oxidase in bacteria. Positive result shows deep purple.

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Urease Test

Tests for the ability of bacteria to produce urease, which breaks down urea. Positive results turn media pink.

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Catalase Test

Distinguishes Staphylococci and Streptococci based on their catalase enzyme production; positive test bubbles.

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Coagulase Test

Test identifies free coagulase enzyme, useful for identifying Staphylococcus aureus; positive test forms a clot.

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Polymerase Chain Reaction (PCR)

Molecular method that amplifies small amounts of DNA for bacterial identification.

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MALDI-TOF Mass Spectrometry

Analyzing bacterial protein profiles to generate a unique fingerprint for bacterial ID.

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Automated Identification Systems

Automated systems use advanced technology to perform biochemical tests and analyze results rapidly and efficiently.

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Stained Preparations

Visual inspection of samples to determine staining reaction, cell shape, size and arrangement.

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Surface Pellicle

Thin film at the top of medium.

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Uniform Turbidity

Cloudiness throughout the medium indicating growth.

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Sediment (Culture Media)

Accumulation of bacteria at the bottom of the medium.

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Sugar Fermentation (Acid)

Acid production with red color change.

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Sugar Fermentation (Acid & Gas)

Acid and gas production (red and bubbles).

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Sugar non-Fermentation

No color change or gas production.

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Biotyping

Differentiates bacteria based on biochemical reactions.

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Serotyping

Classifies bacteria to their antigenic structure

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Disc Diffusion Method

Antibiotic testing by placing antibiotic discs.

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What is E. coli?

A bacterium commonly found in the intestines of humans and animals; some strains are harmless, others pathogenic.

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What is Enterobacteriaceae?

The family of bacteria that includes Escherichia coli, Klebsiella, and Salmonella.

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What are Lactose Fermenters?

Bacteria that ferment lactose, producing rose pink colonies on MacConkey's medium.

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MacConkey Agar Purpose

MacConkey agar differentiates between lactose-fermenting and non-lactose-fermenting gram-negative rods.

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What are Pili in E. coli?

Thin, hair-like structures that extend from the cell surface and facilitate adherence to host cells.

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What are Pathogenic E. coli?

Certain strains of E. coli that have evolved virulence factors and can cause illnesses like food poisoning and urinary tract infections.

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What are IMViC Tests?

A crucial test looking at four different metabolic processes

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What are Oxytoca characteristics?

The ability to test and classify bacteria on biochemical properties

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Selective Media

A selective medium that is able to suppress the growth of gram-positive bacteria.

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Classification of Enterobacteriaceae

Enterobacteriaceae family is divided by fermentation of lactose into lactose fermenters and lactose non-fermenters

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What is Selective Media?

Prevents growth of some bacteria while allowing others, like E. coli, to thrive.

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Uses of MacConkey Agar Medium

MacConkey agar differentiates between lactose-fermenting and non-lactose-fermenting gram-negative bacteria.

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What is Flagella?

Thin, whip-like appendages that enable bacteria to move freely in liquid environments

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What are Pili?

Thin, hair-like structures that extend from the cell surface and facilitate adherence to host cells, promoting colonization

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What is EHEC?

Certain E. coli strains cause bloody diarrhea or hemorrhagic colitis via toxins which can be identified via yellow colonies on sorbitol MacConkey's agar

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E. coli-associated Diseases

E. coli can cause diarrhea, abdominal cramps, frequent urination, and blood infections.

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What is Klebsiella?

A genus of bacteria that are gram negative and cause various infections in humans

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Klebsiella Pneumonia

Pneumonia most commonly caused by Klebsiella is contracted in people with already weakened immune systems

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Escherichia coli (E. coli)

A bacterium commonly found in intestines; most strains are harmless, but some cause severe illness.

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Facultative anaerobic

Bacteria that thrive with or without oxygen.

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MacConkey agar

A medium used for isolating gram-negative enteric bacteria and differentiating lactose fermenters.

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Voges-Proskauer Test

Used to identify bacteria that produce acetoin from glucose fermentation, indicated by a pink color change.

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Shiga toxins

Enterohaemorrhagic E. coli produces a group of toxins that causes bloody diarrhea.

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Specimen Selection (Klebsiella)

Appropriate specimens collected for accurate diagnosis. Common specimens include blood, urine and fluid.

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Klebsiella bacteria

Gram negative, short plump bacteria that are encapsulated, and often arranged in pairs or short chains.

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Citrate Utilization

Klebsiella species utilize this substance as a carbon source, which is useful in conducting biochemical reactions.

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Antibiotic Susceptibility Testing

Tests the effectiveness of antibiotics against Klebsiella.

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Minimum Inhibitory Concentration (MIC)

The lowest concentration of an antibiotic that prevents visible bacterial growth.

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Genera in Enterobacteriaceae

Escherichia coli, Klebsiella, Citrobacter, Salmonella, Shigella, Proteus, Serratia, Enterobacter, Morganella, Providencia, Yersinia

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What is Differential media?

A medium used for isolating bacteria, differentiating based on metabolic reactions.

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Klebsiella colony morphology

Mucoid, pink-red colonies due to lactose fermentation.

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Klebsiella pneumoniae subsp. pneumoniae

Subspecies commonly encountered, responsible for various infections.

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Human Health (E. coli infections)

Infections caused by E. coli can lead to severe complications in vulnerable populations.

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Key Features of Salmonella

Gram-negative bacilli that are motile, non-capsulated (except S. Typhi and S. Paratyphi), and non-spore forming.

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Typhoidal Salmonella

These strains cause enteric fever, including typhoid fever and paratyphoid fever.

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Nontyphoidal Salmonella

These strains primarily cause gastroenteritis, commonly known as food poisoning.

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Salmonella Bacteremia and Septicemia

A more serious infection that spreads through the bloodstream.

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Salmonella Fecal Carriers

Individuals who harbor Salmonella in their feces can unknowingly spread the bacteria through contaminated food or water.

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Salmonella Urinary Carriers

In some cases, Salmonella can persist in the urinary tract, leading to urinary carriers who excrete the bacteria in their urine.

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Blood culture for Enteric Fever

Is the primary diagnostic tool in the first week of enteric fever.

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Widal Test for Salmonella

Use the Widal test to detect antibodies during the second week.

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Stool or Urine Culture for Salmonella

Can be used to isolate Salmonella in the third week.

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Salmonella on MacConkey's medium

A selective medium where Salmonella produces pale yellow colonies due to its inability to ferment lactose.

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Blood Culture Dilution

Diluting blood samples to enhance bacterial growth for Salmonella detection.

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Stool Culture Enrichment

Adding stool to media that promote Salmonella growth, like selenite or tetrathionate broth.

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Selective Media for Shigella/Salmonella

Selective media used to isolate bacteria (XLD) or differentiate Salmonella from Shigella (SSA).

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Salmonella-Shigella Agar (SSA)

Medium that separates bacteria, differentiates Salmonella from Shigella based on fermentation.

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Shigella Transmission

Shigella is transmitted through the fecal-oral route.

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Shigella on XLD Agar

Inability to ferment xylose results in red colonies in Shigella.

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Selenite Broth on Salmonella

Selective medium containing selenite, which inhibits the growth of other bacteria, allowing Salmonella to thrive.

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Tetrathionate Broth on Salmonella

This selective medium contains tetrathionate, another inhibitor that allows Salmonella to outgrow competing bacteria.

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Salmonella Features

Gram-negative bacilli, motile (except some serotypes), and do not form spores. Also non-lactose and non-sucrose fermenters, indole-negative, and urease and oxidase negative.

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Salmonella Types

Salmonella is categorized as typhoidal, nontyphoidal based on disease. Typhoidal causes enteric fevers like typhoid fever; nontyphoidal causes gastroenteritis.

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Salmonella Carriers Definition

Individuals harboring Salmonella in feces or urine, unknowingly spreading the bacteria through contaminated food, water, or urine.

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Stool Culture Enrichment Media

Patient stool added to selenite or tetrathionate broth, which promotes Salmonella growth by inhibiting other bacteria.

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Shigella Characteristics

Bacteria do not exhibit many positive biochemical reactions, transmitted through the fecal-oral route, and humans are the only reservoir.

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Shigella Features

Gram-negative, non-motile, non-lactose fermenting members of the Enterobacteriaceae family that are non-capsulated, and non-spore forming bacilli.

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Shiga Toxin Function

Produces Shiga toxin, a potent heat-labile exotoxin contributing to the severity of dysentery by damaging intestinal cells, leading to bloody diarrhea.

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Selective Media XLD Agar

A medium used to isolate Shigella from clinical specimens by which Shigella cannot ferment xylose, resulting in red colonies.

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Selenite Broth

Enriches Salmonella in stool samples, containing selenite to suppress other bacteria.

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Blood Dilution Advantage

Diluting blood increases isolation chances by reducing inhibitory substances.

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Shigella's Role

A Gram-negative bacterium causing bacillary dysentery.

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Typhoid/Paratyphoid Fever

Enteric fever caused by Salmonella Typhi or Paratyphi.

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Salmonella ID

The bacteria that produces pale yellow colonies on MacConkey's medium.

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Detecting Urinary Carriers

Detected via stool or urine samples. Concentrate bacteria via centrifugation

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Pale Yellow Colonies

Salmonella produces pale yellow colonies due to their inability to ferment lactose.

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Causative Agent of Bacillary Dysentery

Enteric pathogen causing bloody diarrhea, fever and cramps.

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Study Notes

  • Salmonella and Shigella are significant bacterial pathogens responsible for various human diseases
  • Characteristics of Salmonella and Shigella: their identification, lab diagnosis, and diseases are key
  • A lecture by Heba Rashed to cover identification, laboratory diagnosis, and the diseases they cause

Learning Objectives: Key Characteristics

  • To understand the key characteristics of Salmonella and Shigella to differentiate them from other bacteria

Learning Objectives: Disease Causation

  • To gain knowledge of diseases caused by Salmonella and Shigella, including typhoid fever, dysentery, and gastroenteritis

Learning Objectives: Laboratory Diagnosis

  • To learn the skills to diagnose these diseases through various laboratory techniques

Salmonella Key Features

  • Salmonella are Gram-negative bacilli, motile, non-capsulated, and non-spore forming

Salmonella Features: Fermentation

  • Salmonella are non-lactose and non-sucrose fermenters

Salmonella Features: Chemical

  • Salmonella are indole-negative, and urease and oxidase negative

Salmonella: Cultural Characteristics

  • On MacConkey's medium, Salmonella produces pale yellow colonies because it cannot ferment lactose
  • These cultural characterisitics aid in identifying Salmonella

Salmonella Characteristics

  • Gram-negative bacteria
  • Facultative anaerobes
  • Motile, rod-shaped bacteria
  • Non-spore former
  • Non-capsulated (except S. Typhi and S. Paratyphi)
  • Growth temperature ranges from 5 to 45°C, with optimal temperature being 35 to 37°C
  • Broad pH range 3.8 to 9.5
  • Resists bile salts
  • Produces H2S

Salmonella: Typhoidal

  • Typhoidal Salmonella strains cause enteric fever, including typhoid fever, caused by Salmonella typhi
  • Paratyphoid fever is caused by Salmonella paratyphi A, B, and C

Salmonella: Nontyphoidal

  • Nontyphoidal Salmonella strains primarily cause gastroenteritis, commonly known as food poisoning
  • Salmonella typhimurium and Salmonella enteritidis are notable examples

Salmonella: Bacteremia and Septicemia

  • Salmonella choleraesuis can cause bacteremia and septicemia, a more serious infection that spreads through the bloodstream

Salmonella: Fecal Carriers

  • Individuals who harbor Salmonella in their feces can unknowingly spread the bacteria through contaminated food or water

Salmonella: Urinary Carriers

  • Salmonella can persist in some cases in the urinary tract
  • Urinary carriers excrete the bacteria in their urine

Laboratory Diagnosis: Enteric Fever (First Week)

  • Blood culture is the primary diagnostic tool in the first week

Laboratory Diagnosis: Enteric Fever (Second Week)

  • Detection of antibodies using the Widal test is relevant in the second week

Laboratory Diagnosis: Enteric Fever (Third Week)

  • Stool or urine culture can be used to isolate Salmonella in the third week

Blood Culture

  • Used to diagnose Bacteremia and Typhoid Fever

Blood Culture Technique

  • Blood samples are diluted to enhance bacterial growth and to dilute inhibitory substances such as antibodies and complement

Blood Culture advantage

  • Dilution increases the chances of isolating Salmonella, making it a crucial step

Blood Culture Dilution Ratio

  • Dilution of blood 1:10

Stool Culture

  • Used to isolate Salmonella

Stool Culture: Enrichment Medium

  • Patient stool is added to enrichment medium like selenite broth or tetrathionate broth promoting Salmonella growth

Stool Culture: Incubation

  • The enrichment medium is incubated at 37°C, providing optimal conditions for Salmonella to multiply

Stool Culture: Subculture

  • After incubation, a portion of the enriched culture is transferred to selective media, such as MacConkey's medium, for isolation

Stool Culture: Identification

  • Pale yellow colonies on MacConkey's medium are further confirmed using biochemical tests and slide agglutination

Urine Culture

  • Used to detect urinary carriers

Urine Culture: Centrifugation

  • Urine samples are centrifuged to concentrate bacteria in the sediment

Urine Culture: Culture

  • The sediment is cultured on selective media, such as MacConkey's medium, to isolate Salmonella

Enrichment Media: Selenite Broth

  • This selective medium contains selenite which inhibits the growth of other bacteria, allowing Salmonella to thrive

Enrichment Media: Tetrathionate Broth

  • This medium contains tetrathionate, another inhibitor that allows Salmonella to outgrow competing bacteria

Selective Media: SSA

  • Salmonella-Shigella Agar differentiates Salmonella from Shigella based on their ability to ferment lactose and produce hydrogen sulfide

Selective Media: XLD

  • Xylose Lysine Desoxycholate Agar inhibits the growth of Gram-positive bacteria
  • Xylose Lysine Desoxycholate Agar differentiates Salmonella and Shigella based on their ability to ferment xylose and lysine

Salmonella biochemical reactions:

  • Indole: Negative
  • Methyl Red: Positive
  • Voges-Proskauer: Negative
  • Citrate: Negative
  • Urease: Negative
  • H2S Production: Positive

Widal Test

  • Aim: Measurement of H and O agglutinins for typhoid and paratyphoid
  • Principle: Tube Agglutination
  • Requirements: Serum, Tubes, Antigen, Incubator, Waterbath

Shigella Key Features

  • Shigella are non-motile, non-lactose fermenting members of the Enterobacteriaceae family
  • Shigella is are Gram-negative, non-capsulated, and non-spore forming bacilli

Shigella Classification

  • Shigella is divided into four biochemical/antigenic species or groups
  • Shigella dysenteriae
  • Shigella flexneri
  • Shigella boydii
  • Shigella sonnei

Shigella: Dysentery

  • It is the causative agent of bacillary dysentery, characterized by bloody diarrhea, fever, and abdominal cramps
  • Infection typically begins with waterey diarrhea but progresses to dysentery
  • Dysentery yields scant stool containing blood, mucus, and pus

Shigella Media

  • XLD agar is a selective medium used to isolate Shigella from clinical specimens
  • Shigella cannot ferment xylose, resulting in red colonies, while other bacteria produce different colored colonies

Shigella Toxin

  • Shigella dysenteriae type 1 produces Shiga toxin, a potent heat-labile exotoxin that contributes to the severity of dysentery
  • This toxin damages intestinal cells, leading to bloody diarrhea and other symptoms

Shigella: Biochemical Inertness

  • Shigella is considered biochemically inert, meaning it doesn't exhibit many positive biochemical reactions

Human Reservoir

  • Humans are the only known reservoir of Shigella, making proper hygiene crucial in preventing its spread

Fecal-Oral Transmission

  • Shigella is transmitted through the fecal-oral route, primarily through contaminated food, water, or contact with infected individuals

Shigella biochemical reactions:

  • Indole: Negative
  • Methyl Red: Negative
  • Voges-Proskauer: Negative
  • Citrate: Negative
  • Urease: Negative
  • H2S Production: Negative
  • TSI: K/A, no H2S
  • Lysine Iron Agar: Negative

Shigella: Mannitol Fermentation

  • Shigella species can be further categorized based on their ability to ferment mannitol
  • Shigella dysenteriae is a non-mannitol fermenter
  • Shigella flexneri, Shigella boydii, and Shigella sonnei are mannitol fermenters

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