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Ch. 6: Principles of Microbiology

front 1

Why should the CST possess basic understanding of microbiology (2 reasons)?

back 1

(1) Transmission of communicable diseases must be inhibited to protect healthcare providers

(2) Protect patient from contracting healthcare-associated infections (HAI)

front 2

Define microbiology.

back 2

Term used to describe organisms that cannot be seen without the aid of a microscope.

front 3

What is Robert Hooke known for?

back 3

Observed fungal growth

front 4

What is Anton van Leeuwenhoek known for?

back 4

  • Created the microscope
  • "animalcules" (bacteria, fungi, protozoa)

front 5

What is Ferdinand J. Cohn known for?

back 5

  • Specialty area of Bacteriology
  • Contributed to the term "Bacillus"

front 6

What is Louis Pasteur known for?

back 6

  • Created the Germ theory of disease

front 7

What is Robert Koch known for?

back 7

  • Proved the "germ theory" by colonizing the bacteria w/ anthrax & shows that bacilli was the cause
  • Koch's postulates

front 8

What is the difference between an endemic, epidemic, and pandemic?

back 8

  • Endemic: outbreaks of infection that is localized
  • Epidemic: widespread infectious disease outbreak
  • Pandemic: widespread, worldwide outbreak involving a large number of individuals

front 9

What viruses are considered global threats?

back 9

Ebola, Dengue, Marburg, and Lassa viruses.

front 10

What does MDR stand for?

back 10

Multidrug-Resistant strain

front 11

What does XDR stand for?

back 11

Extensively Drug-Resistant strain

front 12

What is indigenous microflora?

These can become _______ pathogens.

back 12

  • Microbes that live on the skin and inside the human body.
  • Opportunistic

front 13

What does "Opportunistic pathogens" mean?

back 13

Under normal circumstances, these microbes are helpful and harmless, but given an "opportunity" to enter the body (through a surgical or traumatic wound", they can become pathogenic.

front 14

What is the relationship between human hosts and indigenous microflora called?

back 14

Symbiosis

front 15

What are the Categories of Symbiosis (definition & example)?

back 15

  • Mutualism: Both organisms benefit from and depend on one another to a certain extent. (ex. E. coli)
  • Commensalism: One organism benefits but second organism neither benefits nor is harmed. (ex. indigenous microflora)
  • Parasitism: One organism benefits and the host is harmed. (ex. helminths)

front 16

What are microorganisms that cause an infection called?

back 16

Pathogens

front 17

What microscope uses natural light and consists of a small convex lens that magnifies a small focal area?

What is an example of this microscope?

back 17

  • Simple Microscope
  • Magnifying glass or Eyepiece

front 18

What microscope provides detailed, 3D images of the specimen by reflecting light off the surface of the specimen rather than transmitting light through a medium?

back 18

Stereo Microscope

front 19

Also known as an optical microscope, and uses a light source and a compounding medium a long with a convex lens to provide high-resolution visualization.

What magnification can this microscope go up to>

back 19

  • Compound Light Microscope
  • 1000x

front 20

Components of a microscope: What does each part do?

  1. Base
  2. Illuminator
  3. Stage
  4. Stage Controls
  5. Objective Lens

back 20

  1. Base: supports the microscope and contains the illuminator
  2. Illuminator: contains the light-source, usually a low-voltage bulb that is controlled by an on and off switch that is usually located in the base.
  3. Stage: platform on the base on which the slide with a specimen is placed.
  4. Stage Controls: knobs that are used to adjust the location/height of the stage to bring the specimen into view and allow for focus.
  5. Objective Lens:

front 21

What is the purpose of a simple stain?

back 21

To determine the basic shape and structures of cells.

front 22

What is the purpose of a differential stain?

What are the different types of differential staining?

back 22

  • Employ more than one stain per slide that allows to categorize multiple specimens per slide.
  • Gram staining & Acid-fast staining

front 23

How is Gram staining performed?

back 23

Cells are stained with crystal violet and washed with ethanol that removes the purple stain from bacteria that do not retain the stain. Next, a red dye called safranin is applied and the specimen is rinsed with water.

front 24

What color does Gram-positive bacteria stain and what does it indicate?

What color does Gram-negative bacteria stain and what does it indicate?

What is a Gram-variable bacteria? What does it stain as?

back 24

  • Purple/ thick layer of peptidoglycan (murein).
  • Red/ consists of an outer membrane containing lipopolysaccharide that covers a thin peptidoglycan cell wall.
  • Does not consistently stain red or purple, will respond to other staining such as acid-fast staining.

front 25

What is the purpose of Acid-fast staining?

How is it performed?

back 25

  • Used to identify bacteria classified in the genus Mycobacterium, such as M. tuberculosis and M. leprae.
  • Red dye, Ziehl Neelsen Carbol Fuchsin (ZNCF), is applied to the specimen and counterstained with methylene blue. Red dye is retained by acid-fast bacteria and non-acid-fast bacteria appear blue.

front 26

How is a culture and sensitivity test performed?

back 26

  1. A sample is collected into a culture tube usually in an aerobic or anaerobic environment until it can be transported to the lab, then grown so a pure sample of the organism is obtained and identified using one of the staining methods.
  2. The colonized organism is exposed to various antibiotics to determine sensitivity.

front 27

What is the purpose of culture media?

back 27

Is designed to allow the sample to multiply/colonize by providing an environment that supplies nutrients to the organism/

front 28

What does an Anaerobic Culture media consist of?

back 28

An Anaerobic blood agar that is enriched with other substances such as yeast, amino acids, and Vitamin K.

front 29

What does a Complex Culture media consist of?

back 29

Consists of the exact nutrients and any specific growth factors required for a known organism.

front 30

What does a Selective Culture media consist of?

back 30

Designed to support growth of a specific organism while inhibiting the growth of other organisms.

front 31

What does a Defined Culture media consist of?

back 31

Contains a component known to permit growth of a specific bacteria because only that bacteria can utilize the component.

front 32

What is the purpose of a Transport Culture media?

back 32

To preserve the viability of the specimen from the time of collection to the time of processing without allowing the growth of the organism (often a buffered solution).

front 33

What is subculturing?

back 33

A method of preservation that involves periodically transferring the organism to a fresh culture medium to maintain viability.

front 34

What is Nomenclature?

What what the original classification system called?

back 34

  • System for naming living organisms, plants, animals, and microorganisms (follows a sequence called taxonomy).
  • Linnean System

front 35

What is Kingdom referred to?

What is Class referred to?

What is Order referred to?

What is Genus referred to?

back 35

  • group that is related in some way
  • group that shares basic characteristics
  • group of organisms that have a large degree of common characteristics
  • first grouping of species, represented by a capitalized Latin name

front 36

Who was the 3-Domain classification system introduced by?

back 36

Carl Woese

front 37

What are the 3 Domains?

back 37

Archaea, Bacteria, and Eukarya

front 38

What does the term Binomial Nomenclature refer to?

back 38

A two-term naming system in which the first term represents the genus and the second term represents the species within the genus.

front 39

What 2 groups are all living cells classified into?

Which one is more complex, which one is less?

back 39

Eukaryotes & Prokaryotes

Eukaryotes is more complex, Prokaryotes is less.

front 40

What are characteristics of Eukaryotes versus Prokaryotes?

back 40

Eukaryotes: multicellular

  • Nucleus: control center of the cell, contains genetic material
  • Mitochondria: produces & stores energy (ATP)

Prokaryotes: unicellular

  • Nucleoid: region that contains genetic material (no membrane)
  • Fagella: long, thin, hairlike structure capable of whip-like movements to allow locomotion of a cell

front 41

What are the 2 main types of transport? Define each.

back 41

Active Transport: moves against the gradient (low concentration to high concentration)

  • Uses ATP
  • Phagocytosis: movement of solids
  • Pinocytosis: movement of fluids

Passive Transport: move along to gradient (high concentration to low concentration)

  • Diffusion: random movement until all particles are evenly distributed
  • Filtration: movement of substances through a membrane that allows small substances to pass but prevents passage of larger substances.

front 42

What is the abnormal multiplication of organisms in the tissues of a host is called?

back 42

An Infection

front 43

What is the most transmitted pathogen in the surgical environment?

back 43

Staphylococcus aureus

front 44

Bacteria divide by the process of _____.

back 44

Binary fission

front 45

The term _______ is used to describe the study of the form and structure of organisms along with their specific characteristics.

back 45

Morphology

front 46

What shape are Bacilli?

back 46

rod-shaped

front 47

What shape are Cocci?

What forms do they come in?

back 47

  • round-shaped
  • Diplococci, Streptococci, & Staphylococci

front 48

What are some examples of Bacilli bacteria?

back 48

Anthrax, Bactermia/Septicemia, Otitis media, Peritonitis, Pneumonia, and Urinary Tract Infection.

front 49

What bacteria causes Tuberculosis (TB)?

How is it transmitted?

back 49

Mycobacterium tuberculosis

Transmitted through airborne droplet nuclei.

front 50

______ is the study of fungi.

Is fungi prokaryotic or eukaryotic organisms?

back 50

  • Mycology
  • Eukaryotic

front 51

______ is the study of invertebrates that cause disease.

back 51

Parasitology

front 52

What protozoa causes of amebic dysentery, an infection often found in patients who are scheduled to undergo a sigmoidoscopy or colonoscopy?

back 52

Entamoeba histolytica

front 53

What is the term Prion short for?

back 53

proteinaceous infectious particle

front 54

Which disease causes a rapidly progressive fatal central nervous disease characterized by dementia and myoclonus?

back 54

Creutzfeldt-Jakob Disease (CJD)

front 55

What particle does the human body produce that is normally harmless until the Prion makes contact with it?

back 55

PrP

front 56

What tissues have been identified as high risk for transmission of CJD?

back 56

eye tissue, dura mater, brain tissue, and the spinal cord

front 57

How are viruses different from bacteria?

back 57

Viruses are non-living particles that are reliant on the host cell for survival.

Viruses do not multiply; they are replicated within the host cell.

front 58

What does the term virulence refer to?

back 58

The severity of a disease and is often measured by the intensity of the patient's symptoms and signs.

front 59

What does the Incidence Rate refer to?

What does the Prevalence Rate refer to?

What does the Mortality Rate refer to?

back 59

  • Incidence Rate: # of new cases of a specific disease that occur within a specific time divided by the population size.
  • Prevalence Rate: Frequency by which a specific disease affects a particular population (ie. elderly/ethnic group) during a specific time.
  • Mortality Rate: Percentage of the population that dies from a specific disease during a specific time.

front 60

What are the 5 stages of the infectious process? What do each mean?

back 60

  1. Incubation: occurs after pathogen enters host & replicates, no symptoms at this time.
  2. Prodromal: Pathogens multiply & body begins immune response, will experience symptoms.
  3. Illness: Signs & symptoms are the most severe.
  4. Decline: # of pathogens is reducing & signs/symptoms are improving.
  5. Convalescence: Host's functions return to normal.

front 61

The term ______ indicates that an individual or surface is soiled w/ gross (visible) debris or microbes (invisible germs).

back 61

Contamination

front 62

Disease is transmitted by what 3 primary modes?

back 62

  • Contact (direct & indirect): kissing, shaking hands (direct) or touching an item (fomite) that is infected (indirect)
  • Air: spread through the air by droplets (coughing, sneezing, talking)
  • Vectors: infection spread by animals, insects, rodents

front 63

What is the point at which a microbe enters & exit the body called? What are examples?

back 63

Portal of Entry & Portal of Exit

Nonintact skin and the mucous membranes of the respiratory, digestive, and genitourinary tracts.

front 64

The major sources of microbes that cause SSIs are divided into 2 groups called ________ and ________.

back 64

  • Exogenous: perioperative personnel, the environment, and contaminated instrumentation.
  • Endogenous: the patient's endogenous microflora.

front 65

What are examples of patient-related factors that increase the risk of developing an SSI?

back 65

Age, Obesity, General Health, MRSA, Remote infections, Preoperative Hospitalization, Pre-existing illness.

Preoperative hair removal, Type of procedure (Class I, II, III, IV), Duration of procedure.

front 66

What are the 3 natural lines of defense against pathogens? Give examples.

back 66

  • 1st Line of Defense: natural barriers (skin).
  • 2nd Line of Defense: nonspecific responses innate to the immune system.
  • 3rd Line of Defense: acquired when lymphocytes are produced by antibodies in the response to exposure to the specific pathogens.

front 67

When does artificially acquired active immunity occur?

back 67

When one is immunized (vaccinated) against a specific pathogen.

front 68

What is an Attenuated Vaccine?

back 68

Live, weakened organisms are injected. Examples of attenuated vaccines include MMR, varicella, and smallpox.

front 69

What is an Inactivated Vaccine?

back 69

Killed organisms are injected. Examples of inactivated vaccines include hepatitis A, flu, polio, and rabies.

front 70

What is an Recombinant Gene Technology Vaccine?

back 70

Pieces of the organism, such as a protein, are extracted and injected

front 71

What is an Toxoid Vaccine?

back 71

Uses the toxin produced by the organism.