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Gram-positive cocci can be?
opportunistic pathogens & true pathogens
Name the two types of gram-positive cocci that we will be discussing in class...
staphylococcus aureus (S. aureus) & enterococcus faecalis (E. faecalis)
What is S. aureus?
pyogenic (pus forming), catalase positive, clusters of bacteria that are found in the normal flora of the nares & skin
What is E. faecalis?
chains of bacteria that are found in the gastrointestinal tract
What is one thing that both S. aureus & E. faecalis have in common?
they can cause nosocomial infections (hospital-acquired)
When found in hospitals, what are two things that can be gained by both S. aureus & E. faecalis?
antibiotic resistance genes & virulence factors
When does an epidemic occur?
when the number of new cases of a disease are higher than expected
What types of microorganisms can cause epidemics?
bacteria, virus, etc.
What is the common method used to identify the microbe causing an outbreak?
fingerprint analysis: identification of the microbes nucleic acid using DNA (or RNA)
Give an example of something that can manifest as a result of S. aureus & things it causes.
it can manifest as an abscess & has the ability to invade & cause systemic diseases such as:
- acute endocarditis
- necrolytic pneumonia
- toxic shock syndrome
Enterococcus is a common cause of what type of infections?
blood stream infections
Out of the two previously mentioned bacteria, which one is resistant to Vancomycin?
E. faecalis; vancomycin resistant Enterococcus (VRE)
What is catalase?
an enzyme that breaks down hydrogen peroxide into water & oxygen
What two types of bacteria do not have the catalase enzyme?
anaerobic & microaerophilic bacteria—they are destroyed by the build up of toxic peroxides
Name two types of oxygen metabolites produced by microbes that live in oxygen.
peroxides & superoxide radicals
Describe Staphylococcus saprophyticus
normal flora in the vaginal tract & is associated with urinary tract infections (UTIs); NOT hemolytic on blood agar, is halotolerant, ferments mannitol, & is coagulase-NEGATIVE
Describe Stapylococcus epidermidis
common flora of the skin & is associated with nosocomial infections of the blood; NON-hemolytic on blood, is halotolerant, does not ferment mannitol, is coagulase-NEGATIVE
True or False: Enterococcus produces catalase
False—Staphylococcus produces catalase
When placed on hemolytic blood agar, what does S. aureus tend to produce?
hemolysins
True or False: S. aureus is halotolerant
True—this allows it to grow on salt plates & ferments mannitol
What is coagulase?
an enzyme that causes blood plasma to clot by converting fibrin to fibrinogen, increasing pathogenicity.
Mannitol Salt agar contains...
the mannitol sugar & 7.5% salt (selective)
What color is produced by S. aureus & S. saprophyticus when they ferments mannitol (sugar)?
yellow
True or False: S. epidermidis ferments mannitol
False—S. epidermidis does NOT ferment mannitol & remains red
When living in oxygen rich environments, Staphylococcus must be able to break down what?
reactive oxygen species (ROS) & superoxide radicals—toxic metabolic products of cellular respiration
Hydrogen Peroxide is an example of....
reactive oxygen species (ROS)
Epidemiology
the study of diseases in a population
Outbreak
the occurrence of a disease in a population
(point source or propagated)
What is a point source outbreak?
a common source; all persons exposed become ill at the same time (food poisoning from a restaurant)
Describe a propagated outbreak
disease spread between people (or animals) & the cases increase over time (influenza, common cold)
In a propagated outbreak, the individual that originally had the disease & spreaded it, is referred to as...
index case or patient 0
Pandemic
an epidemic that occurs on a global scale (more than 1 continent)
Communicable
a disease spread between people
A communicable disease can cause...
a propagated outbreak
Non-communicable
a disease spread by a vector (Lyme disease); not spread from person to person, not contagious
Zoonosis
a disease spread from an animal to a human (rabies)
Innate Immunity
non-specific, naturally present at birth
Acquired Immunity
developed as a result of exposure (humoral, cellular immunity)
Herd
the resistance of a group to the invasion or spread of an infectious organism (obtained by vaccination)
When & why do restriction enzymes occur?
naturally in some bacteria to protect them from viral infections (phages)
What is agarose gel?
a porous material that provides a semi-solid medium for DNA to move through
What is the chemical compound found in agarose gel that binds DNA & how does it work?
gel green—it will fluoresce under UV radiation
What is the result of the lack of hemolysin in S. epidermidis & S. saprophyticus?
gamma hemolysis
Epidemiologists
determine how, when, where, who, what are involved in the source/spread of a disease, as well as determining a way to stop the epidemic
Which of the bacteria is the only one that contains Coagulase?
S. aureus
What is the meaning of Runs to Red as it relates to running an agarose gel?
The negatively-charged DNA fragments move from the negative (black) pole towards the positive (red) pole of the apparatus
In electrophoresis, to determine the number & size of DNA fragments, what must they be?
separated
How is this separation accomplished?
using agarose gel electrophoresis
What does this separation allow you to obtain?
a DNA fingerprint
How is DNA distinguished in bacteria?
in a circular, double-stranded form in the cytoplasm (nucleoid)
How is DNA distinguished in protozoa & fungi?
contained within a nucleus and is usually linear, double-stranded (organized within chromosomes) like our DNA
How is DNA distinguished in viruses?
it can be either DNA or RNA, single or double-stranded, circular or linear
How is the catalase test performed?
by placing a loopful of bacteria into a drop of hydrogen peroxide and watching for the formation of oxygen bubbles.
If we see oxygen bubbles form after mixing bacteria with the hydrogen peroxide, we can presume that the unknown bacterium is a species of...
Staphylococcus