Microbiology, Parasitology & Entomology – By the end of this session, students are expected to be able to:

DENTAL NTA LEVEL 4 • STUDY NOTES

Microbiology, Parasitology & Entomology – By the end of this session, students are expected to be able to:

Read the complete lesson in an organized slide-by-slide format. This topic contains 30 learning sections from the source presentation.

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LESSON CONTENTS — 30 SECTIONS
01  Session 4: Gram Negative Bacteria of Medical Importance02  Learning Objectives03  Definition of Gram Negative Bacteria04  Characteristics of Gram Negative Cocci05  Slide 506  NEISSERIA GONORRHOEAE07  Neisseria gonorrhea08  Classification of Gram Negative Bacilli (rods) of MedicalImportance09  According to Animal Source10  Characteristics of Vibrio Cholera and Escherichia Coli11  Slide 1112  E.Coli13  Slide 1314  Slide 1415  Characteristics of Shigella and Salmonella16  Slide 1617  Cont..18  Characteristics of Yersinia and Brucella19  Characteristics of Yersinia Pestis20  Slide 2021  Slide 2122  Characteristics of Breucella Group23  Slide 2324  Haemophilus Species [Haemophilus Influenza and HaemophilusDucreyi] (25  Slide 2526  Key Points27  Evaluation28  References29  Slide 2930  Cont..
LEARNING SECTION 1CONTENTS ↑

Session 4: Gram Negative Bacteria of Medical Importance

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LEARNING SECTION 2CONTENTS ↑

Learning Objectives

Learning Objectives

By the end of this session, students are expected to be able to:

  • Define Gram negative bacteria
  • Describe characteristics of Gram negative cocci bacteria
  • Classify Gram negative bacilli of medical importance
  • List laboratory diagnosis, diseases caused and drug of choice for Gram negative cocci bacteria
  • Describe individual characteristics of Gram negative bacilli of medical importance
  • Describe individual characteristics of Yersinia and Brucella
LEARNING SECTION 3CONTENTS ↑

Definition of Gram Negative Bacteria

Gram negative bacteria: Bacteria which appears red, after losing the colour of primary

stain and adapting the colour of a counter stain (dilute carbofuchsin or safranin, or neutral red) when stained by Gram stain.

Examples of Gram negative bacteria of medical importance are neisseria species, salmonella species, haemophilus species, and vibrio cholerae.

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Characteristics of Gram Negative Cocci

Bean shaped cocci

The pathogenics are intracellular (they live inside the host cell normally

polymorphonuclear cells like macrophages)

Oxidase positive

Have pilli

Non motile

Non sporing

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Slide 5

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NEISSERIA GONORRHOEAE

Neisseria gonorrhoeae, also known as gonococci, or gonococcus, is a species of Gram-negative coffee bean-shaped diplococci bacteria responsible for the sexually transmitted infection gonorrhea

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Neisseria gonorrhea

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Classification of Gram Negative Bacilli (rods) of MedicalImportance

Those related to gastrointestinal tract

Examples, Eschelichia colli, Salmonella species, Shigella species, Vibrio species (Enterobacteriaceae)

Those related to respiratory tract

Example, Haemophilus species

Related to Reticulo endothelial organs like liver and spleen

Example, Brucella species

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According to Animal Source

Those which are transmitted from animals to humans (zoonotic organisms)

Examples Brucella species and Yersinia species

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Characteristics of Vibrio Cholera and Escherichia Coli

Cholerae

Curved, comma shaped Gram negative rod

Oxidase positive

Motile

Tolerant to alkaline environment

Grows rapidly in the pH range of 7.4 to 9.6

Facultative anaerobe

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Slide 11

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E.Coli

Motile with or without capsule

Facultative anaerobe

Capable of growing at 44 Degree Centigrade

Lactose fermentors

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Slide 13

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Slide 14

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Characteristics of Shigella and Salmonella

Gram negative rods

Non spore forming

Capable of aerobic and anaerobic respiration

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Slide 16

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Cont..

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Characteristics of Yersinia and Brucella

Genus Yersinia

The genus Yersinia includes species which are short, pleomorphic Gram-negative rods that can exhibit bipolar staining.

Catalase-positive, oxidase-negative, and microaerophilic or facultatively anaerobic.

Most have animals as their natural hosts, but they can produce serious disease in humans.

Yersinia species of medical importance includes

Yersinia pestis, cause of plague in human

Yersinia pseudotuberculosis cause of disease which resembles tuberculosis

Yersinia enterocolitica, important causes of human diarrhea diseases

LEARNING SECTION 19CONTENTS ↑

Characteristics of Yersinia Pestis

pestis is a Gram-negative rod that exhibits striking bipolar staining with special stains giving its characteristic safety pin appearance.

oNot motile

Grows as a facultative anaerobe on many bacteriologic media

Growth is more rapid in media containing blood or tissue fluids and fastest at 30 °C

Aerobic

Oxidase positive

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Slide 20

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Slide 21

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Characteristics of Breucella Group

Gram negative rods

Intracellular

Aerobic

Oxidase positive

Non capsulated

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Slide 23

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Haemophilus Species [Haemophilus Influenza and HaemophilusDucreyi] (

General Characteristics

Small non motile Gram negative coccobacillae (rods with round ends)

Aerobic

Capsulated

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Slide 25

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Key Points

Gram negative bacteria lose the colour of primary stain and adapt the colour of secondary (Counter stain) stain.

There is a large group of Gram negative bacteria but only some causes diseases to man, including Neisseria spp, Haemophilus spp, Vibrio. Gonorhoea, N.meningitids, Vibrio cholera.

Most of these organisms are diagnosed by doing Gram staining, culture, serological tests.

LEARNING SECTION 27CONTENTS ↑

Evaluation

What is the Gram negative bacteria related to gastrointestinal tract?

Which specimen is collected in order to diagnose cholera?

What are the diseases caused by Neisseria gonorrhoea

LEARNING SECTION 28CONTENTS ↑

References

References

  • Becker, F.J. & Silverton, R.E. (1985). Introduction to Medical Laboratory Technology
  • 6th ed.) London: Butterworth.
  • Brooks, G.F., Butel, J.S., Morse, S.A. et al, (2007). Medical Microbiology (24th ed.). New York: McGraw- Hill.
  • Cook, G. (2000). Manson’s Tropical Diseases (22nd ed.). London: WB Saunders Company Ltd.,
  • Greenwood, D., Richard, C.B.S, & John, F.P. (1992). Medical Microbiology (4th ed). Hong Kong: UK: ELBS with Churchill Livingstone, Medical Division of Longman Group, UK Ltd.
  • Jawetz, Melnick, & Adelberg’s. (2007). Medical Microbiology (4th ed.). United States of
  • America: The McGraw-Hill Companies, Inc.
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Slide 29

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Cont..

Levinson, W. (2004). Medical Micribiology and Immunology. (8th ed.). Examination & Board Review. (8th ed.). New York: International Edition Lange Medical Books /McGraw Hill Medical Publishing & Davson.

Monica, C. (1987). Medical Laboratory Manual for Tropical Countries. (2nd ed.). Volume 1. (2nd ed.). Oxford: ELBS Butterworth, Heinemann Ltd.

Monica, C. (1998). District Laboratory Practice in Tropical Countries. Part 1. Tropical Health Technology. Noida, India: Gapson Papers Ltd.

Monica, C. (2000). District Laboratory Practice in Tropical Countries. Part 2. Tropical Health Technology, UK: Cambridge University Press.

Satish, G. (1982). The Short Handbook of Medical Microbiology. New Delhi, India: Jaypee Brothers Medical Publishers PVT Ltd.

Wadsworth Centre. (2010). Bacteria: Escherichia coli. New York: State Department of Health. Retrieved May 5th, 2010 from www.wadsworth.org/databank/ecoli.htm.

SUPPLEMENTARY LEARNING

Additional Study Notes

This section is separated from the source slides to make the lesson easier to revise.

Supplementary learning: For every microorganism or parasite, revise classification, morphology or structure, reservoir or habitat, transmission, life cycle or replication where applicable, diseases caused, appropriate specimens, laboratory diagnosis, prevention and general treatment principles taught in the course.

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