2 members of the family enterobacteriaceae

Upload: manea-mihaela

Post on 11-Feb-2018

218 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    1/27

    MEMBERS OF THE FAMILY

    ENTEROBACTERIACEAE

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    2/27

    Citrobacter

    Resembles Salmonella but are ONPG (+)& LDC (-)

    Citrobacter speciesfreundii(!"# pneumonia# intraabdominal

    abscess)

    di$ersus(neonatal menin%itis)

    amalonaticus(etraintestinal infections)

    C' freundiiS' di$ersusS+-

    "ndole-+

    *CN+-

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    3/27

    Klebsiella

    Klebsiella -Enterobacter-Serratia-HafniaK. pneumoniae

    ,riedlanders bacilli (encapsulated andmucoid)

    (+) Strin% test

    Klebsiella aerogenes is associated with hospitalacquired infections of woundsand of t.e urinarytract

    K. rhinoschleromatis/ r.inoscleromatis(%ranulomatous disease of t.e nose and p.ar0n

    1it. intense s1ellin% and malformation of t.e entireface and nec2)

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    4/27

    The patient'sK. pneumoniaeisolate

    was string test positive (>5 mm

    string length).

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    5/27

    LABORAOR! "#A$%OSES

    Specimens: Depending on the site of infection, specimens

    include urine# pus# sputum and infected tissue'

    &orpholo'y *lebsiellae are Gram ne%ati$e# non-motile# usuall0

    capsulated rods'

    (ulture

    *lebsiellae are aerobes and facultati$e anaerobes'

    Blood agar: Klebsiellae produce large grey white usuall0 mucoidcolonies'

    MacConkey agar and CLED medium: Most 2lebsiellae are lactose-

    fermentin%# producin% mucoid pin2 colonies on 3acCon2e0 a%ar and

    0ello1 mucoid colonies on CL4D medium

    K. rhinoscleromatis is non-lactose fermentin%' Biochemical tests

    *lebsiellae are indole ne%ati$e# ornit.ine decarbo0lase ne%ati$e and do

    not produce S'

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    6/27

    Klebsiella on Macconkeymedium show largemucoid pink lactosefermenting colony

    Klebsiella on CLED medium show

    ellow la!tose "ermenting !olon

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    7/27

    Enterobacter

    LDC5DODCrease6ello1pi%ment

    4' cloacae-++ 7-

    4' aero%enes+-+ --4' %er%o$iae+-+ +-4' sa2a8a2ii-++ -+

    4' ta0lorae-++ --

    #spe!ies$ habitat$ soil% water% dair produ!ts

    #normal "lora o" the gut o" animals &

    humans

    #motile% DC & * (+)

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    8/27

    Enterobacter

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    9/27

    Edwardsiella

    4d1ardsiellatarda (.uman pat.o%en /

    bacteremia and 1ound infection).os.inae (sna2es# birds and

    1ater)

    ictaluri (enteric septicemia infis.)

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    10/27

    Serratia

    opportunistic pat.o%ens

    DN5se# lipase# %elatinase

    9S' marcescens9S' li:uefaciens

    9S' rubidaea

    9S' oderifera

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    11/27

    Serratia

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    12/27

    Proteus

    Tow important species , P. mirabilis and P.

    vulgaris

    &orpholo'y Proteus is actively motile with peritricous

    flagella , non capsulate, Gram ne%ati$e

    pleomorp.ic rods'

    Rapid urease producers S1armin%# burned c.ocolate odor

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    13/27

    Proteus with peritricousfagella

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    14/27

    )atho'enicity

    P. mirabilis causes:;- *rinary infections' in the elderl0 and

    0oun% males and often follo1in%

    cat.eteri8ation or c0stoscop0''

    - Abdominal and wound infections

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    15/27

    (ultureaerobically most Proteus cultures have a characteristic fishy Odour

    and S1armin% on t.e medium

    MacConkey CLED !LD media: non-lactose fermentin%colonies after o$erni%.t incubation at /

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    16/27

    Proteus

    P' mirabilis P' $ul%aris

    "ndole-+

    ODC+-

    ,ermentation 3altose - +

    A0lose + + Salicin - +

    C.loramp.enicolSR

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    17/27

    Proteus

    P' mirabilis P' $ul%aris

    "ndoleBBB BB'

    3altoseBBBBB'

    A0loseBB''BB'

    SalicinBB''BB'

    C.loramp.enicolBB''BB

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    18/27

    Proteus

    )roteus3cCon2e0 rease test

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    19/27

    Swarming on Blood

    agar,warming pehomenon

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    20/27

    Morganella

    ,ormerl 2no1n as Proteus

    3' mor%anii / onl0 specie

    !"s and 1ound infections

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    21/27

    Providencia

    Pro$idencia ( = species / P' alcalifaciens#

    P' Rusti%ianii# P' rett%eri# P' stuartii)

    P' rett%eri P' stuartii rease + -

    Citrate + +

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    22/27

    Yersinia

    ;; species6' pestis (pla%ue) / bipolar stainin% (1a0son)5%ent of bubonic pla%ue# pneumonic and septicemic pla%ues

    9 ubonic / bite of infected flea9 Pneumonic

    9 Prefered %ro1t. at > de% C6' enterocolitica (acute enteritis / appendictis li2e)

    9 Pi%# cats and do%s9 Cold enric.ment9 3otile at R!

    6' pseudotuberculosis

    9 Pat.o%en in animals (tur2e0# %eese# do$es# farm anddomestic animals)

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    23/27

    YERSINIA

    et0 pin appearance

    Yersinia pestis

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    24/27

    evision !uestion ,- (haracteristic of enterobacterceae all of the

    followin' ecept a- $ram ne'ati+e rod

    b- /acultati+e anaerobic

    c- /erment 'lucose

    d- Oidase positi+e

    0-Swormin' is special characteristic of

    a. )seudomonades

    b- )roteus

    c- E. coli

    d- Klebsiella 1- &ucoid colony is special characteristic of

    a. )seudomonades

    b- )roteus

    c- E. coli

    d- Klebsiella

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    25/27

    2- Bacteria which 'i+e 'reen metallic sheen on E&B medium

    is

    a. )seudomonades

    b- )roteus

    c- E. coli d- Klebsiella

    3- )olysaccharide capsule present on which of the followin'

    bacteria

    a. )seudomonades

    b- )roteus c- Shi'ella

    d- Klebsiella

    4- 5hich of the followin' bacteria is urease positi+e

    a. )seudomonades

    b- )roteus c- E. coli

    d- Klebsiella

    6- 5hich of the followin' bacteria is lactose fermenter

    a. )seudomonades

    b- )roteus c- E. coli

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    26/27

    5hen we inoculate members of

    enterobacterceae on &ac(on7ey a'ar8

    mention which or'anism 'row producin'

    lactose fermentor colony and which 'row

    producin' lactose fermentor colony

  • 7/23/2019 2 Members of the Family Enterobacteriaceae

    27/27

    klebsiellaand e.!oli