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Macronutrients
Required in relatively large quantities and play principle roles in cell structure and metabolism
Carbon, hydrogen, nitrogen, phosphorus, oxygen
Micronutrients
Present in much smaller amounts, involved in enzyme function and maintenance of protein structure
manganese, zinc, nickel, potassium, calcium, sodium
Heterotroph
Organism that must obtain its carbon in an organic form
Autotroph
Organism that uses inorganic CO2 as its carbon source
Phototroph
Photosynthesis
Chemotroph
Energy obtained from chemical compounds
Chemoheterotrophs
Derive both carbon and energy from organic compounds
Processes molecules through cellular respiration or fermentation
Saprobes
Decomposers, free-living organisms
Characteristics of a psychrophile
0 - 10° C (optimal)
Grow well in refrigerators
Rarely pathogenic
Characteristics of a psychrotroph
15 - 30° C (optimal)
Refrigerator temperatures
Grow slowly in the cold
Staphylococcus aureus and Listeria monoctyogenes
Characteristics of a mesophile
30 - 40° C (optimal)
Majority of medically significant microorganisms
Characteristics of a thermophile
45 - 60° C (optimal)
Live in soil or water associated with volcanic activity, compost piles, and sunny habitats
Characteristics of an extreme thermophile
65 - 85° C
Often bacteria and archaea
Hot springs
Give us insight to our microorganism ancestors
Three categories of oxygen usage
Microbes that use and detoxify oxygen
Microbes that can detoxify but not use
Microbes that can do neither
Toxic oxygen products
Singlet oxygen - O
oxidizes membrane lipids
Superoxide ion - O2-
highly reactive
Hydrogen peroxide - H2O2
toxic to cells
Hydroxyl radical - OH-
highly reactive
Reactions that remove toxic oxygen products
Superoxide dismutase:
2O2- + 2H+ —→ H2O2 + O2
Catalase:
2H2O2 —→ 2H2O + O2
Aerobes
Can use gaseous oxygen in their metabolism and possess enzymes needed to process toxic oxygen products
many bacteria, bacillus and TB
Microaerophiles
Harmed by normal atmospheric concentrations of oxygen but require a small amount of it in metabolism
live in water and soil
H. pylori
Facultative anaerobes
Do not require oxygen but use it when present
Gram (-) interstitial bacteria
Staphylococci
Anaerobes
Lack the metabolic enzyme systems for using oxygen in respiration
oral + intestinal bacteria
Aerotolerant anaerobes
Do not utilize oxygen but can grow in a limited amount in its presence
lactobacilli & streptococci, clostridial bacteria
Osmophiles
Live in habitats with high solute concentration
Halophiles
Prefer high concentration of salt
Obligate halophiles: grow optimally in 25% NaCl solutions
Facultative halophiles: resistant to salt
Mutualism
Obligatory but mutually beneficial relationship
Gut bacteria
Commensalism
One organism benefits, other is unaffected
Staph on the skin
Parasitism
One organism benefits, other is harmed
Symbiosis vs synergism
Symbiosis - two organisms living together in close partnership
Synergism - An association between 2+ organisms that benefits them but is not necessary for survival
Antagonism
An association between a free-living species that arises when members of a community compete
Biofilm definition
Mixed communities of bacteria and other microbes that are attached to a conditioned surface and each other
Formation of a biofilm (steps)
a pioneer colonizer attaches to a surface (becomes sessile)
colonizers secrete extracellular polycheric substance (EPS)
other microbes attach to those bacteria, polymeric sugar, or protein substances.
attached cells are stimulated to release chemicals as the cell population grows
activate genes and share them, help with antibiotic resistance, make channels for the bottom bacteria, grow on implants especially.
What is binary fission
Where one cell becomes two!
parent cell enlarges and duplicates its chromosomes
Pulls cell envelope to center of cell
Cell wall forms complete central septum
division
Four phases of bacterial growth
Lag - cells need to adjust to the new environment, begin multiplying
Log - lots of available nutrients, rapid growth
Stationary - nutrients start to dwindle, equal amount of cells are dying and multiplying
Death - buildup of waste and lack of nutrients cause the death of many cells, except for some dormant cells.
Disinfection
Destruction of vegetative cells from surfaces
alcohol sprayed on counter
Antisepsis
Chemicals applied to living tissues to kill microbes without harming human cells.
iodine for surgery
Decontamination/sanitation
Removal of most microbes to a safe level
in a cafeteria or large space
Sterilization
Complete destruction of all microbial life
used in labs and on surgical tools
Relative resistance of microbes
Gram (+) —> nonenvveloped viruses —> fungi —> endospores—> prions
Bactericide vs bacteristatic
Bactericide: agent that destroys all bacteria (except for those in endospore stage)
Bacteristatic: often antiseptic drugs - inhibits the growth of bacteria
Microbial control on critical medical devices
MUST be sterilized, comes in contact to sterile tissues
Microbial control on semicritical medical devices
Come into contact with mucosal membranes, so must receive high level disinfection, preferably sterilized
Microbial control on noncritical medical devices
Only touch intact skin, low level disinfection
Factors that influence the action of antimicrobial agents
Conditions of the population
Conditions of the environment
Properties of the control mechanism/agent
Microbicidal effect of moist heat
Coagulation and denaturation of proteins
Microbicidal effect of dry heat
Dehydrates cell and denatures proteins
Uses of filtration in medical context
Used to prepare liquids that cannot withstand heat such as serum, blood, vaccines, drugs, IV fluids, enzymes, media
High-efficiency particulate air (HEPA) used in hospital rooms
Aqueous vs tinctures
Aqueous - chemicals dissolved in pure water as the solvent
Tinctures - chemicals dissolved in pure alcohol or water-alcohol mixtures
Therapeutic Index
amount of drug that is toxic ➗minimum therapeutic dose
Inhibition of cell wall synthesis
Penicillins and cephalosporins have beta-lactam ring
Inhibits cross-linking of peptidoglycan
Bacitracin + vancomycin
Inhibition of nucleic acid structure
Fluoroquinolones
inhibit DNA unwinding
ciprofloxacin
Inhibition of protein synthesis
Interference with cytoplasmic membrane
Inhibition of folic acid synthesis