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Questions and Answers

What is the typical shape of E. coli bacteria?

  • Bacillus (rod-shaped) (correct)
  • Spirillum (spiral)
  • Vibrio (comma-shaped)
  • Coccus (spherical)

What is the primary function of flagella in E. coli?

  • Movement in liquid environments (correct)
  • Nutrient absorption
  • Adhesion to host cells
  • Protection against host defenses

What characteristic is associated with E. coli O157:H7?

  • It is strictly anaerobic
  • It is a non-motile strain
  • It produces beta-hemolysis on blood agar
  • It produces verocytotoxins (correct)

What is the purpose of using transport media when collecting E. coli samples?

<p>To preserve the viability of the <em>E. coli</em> bacteria (B)</p> Signup and view all the answers

What is the function of pili in E. coli?

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

What type of bacteria is Klebsiella?

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

Where can Klebsiella bacteria typically be found?

<p>Soil, water, and human intestines (D)</p> Signup and view all the answers

What is a characteristic feature that surrounds Klebsiella?

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

What percentage of hospital-acquired infections are attributed to Klebsiella?

<p>10% (A)</p> Signup and view all the answers

Why is Klebsiella infection treatment increasingly challenging?

<p>Strains have developed resistance to multiple antibiotics. (D)</p> Signup and view all the answers

What is the primary purpose of transporting a specimen to the laboratory promptly?

<p>To prevent potential bacterial growth or degradation. (D)</p> Signup and view all the answers

What type of media inhibits the growth of some bacteria while allowing E. coli to flourish?

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

Which test identifies bacteria that produce indole from tryptophan?

<p>Indole Production Test (C)</p> Signup and view all the answers

What does a positive result in an E. coli test indicate?

<p>The presence of <em>E. coli</em> in the sample. (C)</p> Signup and view all the answers

Which staining method is used on direct smears to examine diarrheal stool samples, urine, pus, CSF, and blood?

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

To which family of bacteria does Klebsiella belong?

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

Which Klebsiella species is most clinically significant?

<p>Klebsiella pneumoniae (D)</p> Signup and view all the answers

What is crucial for minimizing contamination during specimen collection?

<p>Sterile collection techniques (A)</p> Signup and view all the answers

What characteristic morphology does Klebsiella exhibit under microscopic examination of Gram-stained smears?

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

What is the purpose of Gram staining in the laboratory diagnosis of Klebsiella?

<p>To determine cell wall composition (B)</p> Signup and view all the answers

EHEC strains produce Shiga toxins.

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

Differential media prevent the differentiation of bacteria based on metabolic characteristics.

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

ETEC strains cause dysentery-like symptoms.

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

E. coli is not a common cause of UTIs.

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

MacConkey agar selects for gram-positive bacteria such as E. coli.

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

Cooking meat and poultry to the recommended internal temperature kills E. coli.

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

The Indole test identifies bacteria that produce indole from tryptophan.

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

A positive result for E. coli in a sample indicates the absence of E. coli.

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

A vaccine is currently available to protect against all types of E. coli infection.

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

The Methyl Red test determines the ability of bacteria to produce acid from mannose fermentation.

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

E. coli infections pose a greater threat to vulnerable groups.

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

Food safety is not typically impacted by E. coli.

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

Klebsiella are Gram-positive bacteria, meaning they stain purple under a microscope.

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

Klebsiella are only found in the gastrointestinal tracts of humans and animals.

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

If you have a strong immune system, Klebsiella will likely cause infection.

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

E. coli bacteria are Gram-positive.

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

E. coli are non-motile bacteria.

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

E. coli is a common cause of fecal pollution of water.

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

All E. coli strains are pathogenic and cause severe illnesses in humans.

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

Pili are structures that extend from the cell surface and facilitate adherence to host cells.

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

Flashcards

E. coli Morphology

Gram-negative, rod-shaped bacteria found in the intestines of animals, including humans.

E. coli Flagella

Hair-like appendages that allow E. coli to move freely in liquid environments.

E. coli Capsule

A structure that surrounds the cell wall, protecting against host defenses and environmental stresses.

E. coli Pili

Thin, hair-like structures that enable E. coli to adhere to host cells, promoting colonization.

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Enterohemorrhagic E. coli

Causes bloody diarrhea and produces verocytotoxigenic toxins, antigenically O157:H7.

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Selective Media

Media that inhibit the growth of certain bacteria, allowing others to flourish.

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Differential Media

Media that differentiate bacteria based on metabolic characteristics, like lactose fermentation.

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Indole Production Test

Identifies bacteria that produce indole from tryptophan; a positive result indicates indole production.

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Methyl Red Test

Determines a bacterium's ability to produce acid from glucose fermentation, indicated by a red color change.

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Citrate Utilization Test

Tests the ability of bacteria to use citrate as a sole carbon source, leading to a color change in the medium.

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E. coli Impact

Infections can lead to severe complications, especially in vulnerable populations, and contaminated food/water are major sources of outbreaks.

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Klebsiella

Gram-negative bacteria that stain pink under a microscope and possess a characteristic capsule.

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Facultative Anaerobes

Survive with or without oxygen, making them adaptable to various environments.

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Opportunistic Pathogens

Typically become pathogenic when the host's immune system is compromised or weakened.

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Klebsiella Pneumonia

A common cause of pneumonia, especially in patients with weakened immune systems.

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Klebsiella Species Identification

Methods using culture characteristics, biochemical tests, antimicrobial susceptibility testing, PCR, and DNA sequencing to identify Klebsiella species accurately.

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Microscopic Appearance of Klebsiella

Gram-negative, short, plump, encapsulated bacteria, often in pairs or short chains.

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Specimen Collection

Selection of appropriate specimens like respiratory secretions, blood, or urine, collected using sterile techniques and transported rapidly in appropriate media.

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E. coli Characteristics

E. coli are Gram-negative, rod-shaped bacteria commonly found in the intestines of animals and humans.

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E. coli Haemolysis

E. coli isolated from extraintestinal sources produce beta haemolysis on blood agar.

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Diarrheagenic E. coli

There are 5 main types of diarrheagenic E.coli: Enterotoxigenic, Enteropathogenic, Enteroinvasive, Enteroaggregative, Enterohaemorrhagic.

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Verocytotoxigenic Toxins

Verocytotoxigenic toxins are produced by Enterohaemorrhagic E. coli, leading to bloody diarrhea.

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Timely Specimen Delivery

Transport specimens quickly to prevent bacterial overgrowth or degradation.

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Voges-Proskauer Test

Detects acetoin production from glucose fermentation via a pink color change.

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Positive E.coli Test Result

Indicates E.coli presence; further tests needed for strain and risk assessment.

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E.coli Lab Diagnosis

Gram stain, culture on MacConkey, lactose fermentation test, and serotyping with O antigen.

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Enterotoxigenic E. coli

Produces toxins, causing diarrhea; serotyped for O antigens and toxin presence by latex agglutination or ELISA.

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E. coli Clinical Significance

Infections can lead to severe complications, impacting food security and causing healthcare costs and economic losses.

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E. coli Public Health Strategies

Prevention and control measures, including hygiene practices, are crucial for managing E. coli.

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Klebsiella Epidemiology

A prevalent bacterium found in various environments, including soil, water, and human intestines. It can cause a wide range of infections.

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Klebsiella Drug Resistance

Klebsiella strains have developed resistance to multiple antibiotics, making treatment challenging.

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EHEC

EHEC strains produce Shiga toxins, leading to bloody diarrhea and potentially life-threatening complications like hemolytic uremic syndrome (HUS).

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ETEC

ETEC strains cause traveler's diarrhea, marked by watery diarrhea, abdominal cramps, and vomiting.

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EIEC

EIEC strains invade the intestinal lining, causing bloody diarrhea and dysentery-like symptoms.

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EPEC

EPEC strains attach to the intestinal lining, causing diarrhea, vomiting, and dehydration, especially in infants.

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E. coli Prevention: Hand Hygiene

Proper handwashing with soap and water after using the restroom and before handling food is essential in preventing E. coli infections.

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Study Notes

  • E.coli can cause fecal pollution of water

Lab Diagnosis - Culture Characters

  • E.coli isolated from extraintestinal sources produce beta haemolysis on blood agar.

E. coli Pathogenic Strains

  • Enterohemorrhagic E. coli (EHEC) strains produce Shiga toxins, resulting in bloody diarrhea and life-threatening complications, such as hemolytic uremic syndrome (HUS).
  • Enterotoxigenic E. coli (ETEC) strains cause traveler's diarrhea, characterized by watery diarrhea, abdominal cramps, and vomiting.
  • Enteroinvasive E. coli (EIEC) strains invade the intestinal lining, leading to bloody diarrhea and dysentery-like symptoms.
  • Enteropathogenic E. coli (EPEC) strains attach to the intestinal lining, causing diarrhea, vomiting, and dehydration, particularly in infants.

Klebsiella pneumoniae Subspecies Identification

  • Klebsiella pneumoniae subsp. pneumoniae is the most common subspecies responsible for infections, including pneumonia, UTIs, and bacteremia and produces a capsule to evade the host's immune system.
  • Klebsiella pneumoniae subsp. ozaenae is less commonly encountered, associated with chronic, foul-smelling nasal infections (ozena), and lacks the typical capsule.

Emerging Klebsiella Species and Variants

  • Klebsiella pneumoniae is a leading cause of healthcare-associated infections.
  • Klebsiella oxytoca is commonly found in the environment, particularly in water.
  • Klebsiella aerogenes is an opportunistic pathogen commonly found in hospital setting that causes infections in the respiratory tract, urinary tract, and bloodstream.

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