Micro GNROD: Non-Enteric

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    abs/antimicrobials

    drugs that act on bacteria

    broad spectrum ab

    effective on some GP bacteria and some GN bacteria

    narrow spectrum ab

    effective on either some GP bacteria or some GN bacteria

    bacteriocidal ab

    kills bacteria

    bacteriostatic ab

    1. inhibits replication of bacteria 2. relies on host's immune system to clear up existing bacteria

    5 M of A of abs

    1. inhibit cell wall synthesis 2. alter cell wall permeability 3. inhibit protein synthesis 4. inhibit nucleic acid synthesis 5. interfere with a metabolic pathway

    which ab inhibits cell wall synthesis

    1. bacteriocidal ab 2. (ex) Penicillin

    which ab alters cell wall permeability

    1. bacteriocidal ab 2. (ex) Polymyxins (ab ointments)

    which ab inhibits protein synthesis

    1. bacteriostatic ab 2. (ex) Tetracycline

    which ab inhibits nucleic acid synthesis

    1. bacteriostatic ab 2. (ex) Metronidazole (Flagyl)

    which ab interferes with a metabolic pathway

    1. bacteriocidal ab 2. bacteriostatic ab 3. (ex) sulfonamides

    reasons why would an ab may fail

    1. microbiological 2. drug 3. host

    microbiological ab failure

    1. infection is well established 2. walled off abscesses/abscesses with poor drainage 3. FBs mistaken for infections 4. neoplasias mistaken for infections 5. bacteria is resistant to drug 6. bacteria was ID'd incorrectly 7. mixed infections

    ab drug failure

    1. wrong spectrum for existing infection 2. incorrect dosage 3. incorrect administration 4. tx is not long enough 5. poor bioavailability (food in stomach, pH) 6. drug incompatibilities

    host ab failure

    1. elimination of competing NF with a secondary infection 2. immunosuppression (important if using a b-static ab)

    if a bacteria is susceptible/sensitive to an ab, then the ab

    does work

    if a bacteria is resistant to an ab, then the ab

    does not work

    types of drug resistance

    1. natural resistance 2. acquired resistance

    natrual drug resistance

    dependent on the bacteria and the spectrum of ab

    acquired drug resistance

    repeated exposure of bacteria to an ab over time can cause the bacteria to genetically mutate to survive

    how bacteria become drug resistant

    1. production of an enzyme that inactivates or destroys ab 2. change cell permeability so the drug cannot penetrate 3. modify site of ab attachment 4. develop alternate metabolic pathways

    how to prevent development of drug resistant bacteria

    1. use narrow spectrum abs 2. use b-cidal drugs 3. abs only used for bacterial infections 4. correct dosage and duration 5. C&S testing (culture and sensitivity)

    types of ab susceptibility tests

    1. Kirby Bauer (disc diffusion) 2. Minimum Inhibitory Concentration (MIC)

    Kirby Bauer test

    1. determines what abs will work 2. qualitative 3. Mueller-Hinton agar 4. must have a pure culture 5. measure diameter of zone of inhibition in millimeters

    MIC test

    1. determines minimum dose of ab that will work on the pathogen 2. quantitative 3. Mueller-Hinton broth

    MIC procedure

    1. inoculate MH broth with different amounts of bacteria (serial dilutions) then incubate for 24hrs 2. clear tubes = no growth 3. cloudy tubes = growth 4. MIC is the lowest concentration of ab without growth in tube

    non-enteric GNROD characteristics

    1. not in the family Enterobacteriaceae 2. oxidase + 3. Bruce Boards Francis at Camp in a Pasture during PM

    Genuses of NE GNROD

    1. Brucella 2. Bordetella 3. Franciscella 4. Camplyobacter 5. Pasteurella 6. Pseudomonas 7. Moraxella

    Brucella

    1. small NE GNROD 2. aerobic to microaerophilic 3. 5-7 days to grow 4. can remain viable for up to 4 months in urine, milk, damp soil, placenta, or aborted fetuses 5. can live intracellular 6. survives and multiplies INSIDE of phagocytes 7. affinity for repro tract tissue invasion

    Brucella canis reservoir

    dogs

    Brucella canis dz name

    Brucellosis

    species affected by Brucella canis

    dogs

    how is Brucella canis acquired

    contact with infected vaginal secretions, urine, nursing, and breeding

    Brucella canis pathology

    1. abortions in the last trimester 2. prostatitis 3. epididymus 4. testicular atrophy

    dx of Brucella canis

    serology

    tx of Brucella canis

    1. no reliable tx 2. euthanasia encouraged 3. tx entails long term abs and a spay/neuter

    px of Brucella canis

    1. dz screening by breeders 2. no immunization for dogs 3. very low risk to humans 4. reportable to the state vet

    Brucella abortus reservoir

    occurs in nature

    dz name for Brucella abortus in cattle

    Bangs dz

    dz name for Brucella abortus in humans

    Undulant fever

    dz name for Brucella abortus

    Brucellosis

    species affected by Brucella abortus

    1. cattle 2. bison 3. swine 4. elk 5. moose 6. antelope 7. humans

    how is Brucella abortus acquired

    1. ingestion (most important) 2. infected uterine/vaginal secretions 3. infected urine/semen from males 4. aborted fetus/placenta 5. via breeding/artificial insemination

    pathology of Brucella abortus

    1. bacteria goes to repro tract tissue 2. abortion storms 3. mastitis (transmitted in infected milk) 4. testicular abnormalities/prostatitis 5. infertility/conception failures

    dx of Brucella abortus

    1. can be cultured 2. serology 3. Brucellosis tests done when at breeding age

    tx of Brucella abortus

    1. no tx 2. animals will be slaughtered

    px of Brucella abortus

    1. most states will have a strict eradication program in place 2. Brucellosis free states are CO, WY, and MT (excluding Yellow Stone NP)

    eradication of Brucellosis by immunization

    1. RB51 immunization for females 4-12 months of age 2. males do not receive immunization as it causes infertility 3. ear tattoo and AD tagged with orange tag

    eradication of Brucellosis by testing

    1. serologies annually 2. silver/white ear tag varifying negative test

    Undulant fever

    1. Brucellosis in humans 2. difficult to fully treat 3. can get if not careful during administration of live bacterin

    Brucella suis

    1. affects swine 2. similar to abortus 3. testing is only control 4. no immunization available

    Brucella ovis

    1. affects sheep 2. similar to abortus 3. affects rams more than ewes 4. severe orchitis, epididymitis, and impaired fertility 5. immunize and test males, not females

    Brucella melitensis

    1. affects sheep, goats, camels, and llamas 2. increasing cases in Texas 3. human cases reported more in lab workers

    Bordetella bronchiseptica characteristic

    pili to attach to MM of resp. tract

    Bordetella bronchiseptica reservoir

    Upper respiratory tract of dogs, cats, swine, and many other animals

    Bordetella bronchiseptica dz name

    Infectious tracheobronchitis

    Bordetella bronchiseptica dz name in dogs

    1. kennel cough 2. Canine Infectious Respiratory Complex (CIRD)

    Bordetella bronchiseptica dz name in swine

    Atrophic rhinitis

    species affected by Bordetella bronchiseptica

    1. dogs 2. cats 3. swine 4. lab animals 5. wildlife

    how is Bordetella bronchiseptica acquired

    inhalation of extremely contagious aerosols

    Bordetella bronchiseptica pathology in dogs

    1. rarely causes dz by itself 2. usually underlying viral component involved 3. destroys ciliated epithelium leading to dry hacking 4. non-productive cough that tends to occur with tracheal manipulation

    Bordetella bronchiseptica pathology in cats

    URI

    Bordetella bronchiseptica pathology in pigs

    1. Atrophic rhinitis in pigs less than 6 months old 2. destroys nasal turbinates (very disfiguring) 3. no tx, will be euthanized

    dx of Bordetella bronchiseptica

    easy to culture but usually diagnosed based on symptoms

    tx of Bordetella bronchiseptica in cats and dogs

    abs

    px of Bordetella bronchiseptica

    1. IN bacterin and SQ Vx available for dogs 2. new bacterin available for cats 3. immunize pregnant sows to increase colostral abs

    Pasteurella/Mannheimia (new name) characteristics

    1. NE GNROD 2. becoming ab resistant 3. NF in oral cavity and respiratory tract in spp 4. oxidase + 5. NLF

    Mannheimia hemolytica reservoir

    NF of nasopharynx in cattle

    Mannheimia hemolytica dz names

    1. Bovine Respiratory Disease Syndrome (BRDS) 2. "Shipping fever"

    species affected by Mannheimia hemolytica

    cattle; more commonly calves

    how is Mannheimia hemolytica acquired

    inhalation

    Mannheimia hemolytica pathology

    1. rarely causes dz by itself, usually have 3 predisposing factors 2. **presence of respiratory virus** 3. presence of Mannheimia bacteria 4. stress

    dx of Mannheimia hemolytica

    can grow in lab, but usually diagnosed clinically

    tx of Mannheimia hemolytica

    abs

    px of Mannheimia hemolytica

    1. Vx for respiratory viruses 2. decrease stress 3. Mannheimia bacterin available

    Pasteurella mutlocida reservoir

    NF of nasopharynx and oral cavity in spp

    Pasteurella mutlocida dz names

    1. Snuffles in rabbits 2. Avian cholera in birds 3. URI and bite wound abscesses in dogs & cats 4. septicemia in humans

    species affected by Pasteurella mutlocida

    1. rabbits 2. birds 3. dogs 4. cats 5. humans

    how is Pasteurella mutlocida acquired

    1. inhalation 2. wounds

    Pasteurella mutlocida pathology in rabbits

    1. sneezing; nasal discharge 2. conjunctivitis; ocular discharge 3. abscesses; pus is like cream cheese 4. inappetence 5. otitis 6. CNS symptoms

    Pasteurella mutlocida pathology in birds

    1. nasal ocular discharge (secretion from beak) 2. diarrhea 3. highly fatal

    Pasteurella mutlocida pathology in dogs and cats

    1. otitis 2. **bite wound abscesses**(esp. cats)**(most common)** 3. cat bite --> infection develops in 12hrs 4. dog bite --> infection develops in 24hrs

    Pasteurella mutlocida pathology in humans

    1. bite wounds 2. swollen LNs 3. red lines up arm (bacteremia)

    dx of Pasteurella mutlocida

    can culture, usually based on clinical symptoms

    tx of Pasteurella mutlocida

    1. abs, but difficult due to resistance 2. can be fatal if not treated asap

    px of Pasteurella mutlocida

    1. remove rabbits that carry the organism 2. try not to get bit

    Moraxella bovis characteristics

    1. NE GN coccobacillus 2. very small rods 3. NLF

    Moraxella bovis reservoir

    NF on conjunctiva and nasopharynx in cattle

    Moraxella bovis dz names

    1. Infectious Bovine Keratoconjunctivitis (IBK) 2. "Pink eye"

    species affected by Moraxella bovis

    cattle

    how is Moraxella bovis acquired

    damage of ocular MMs

    Moraxella bovis pathology

    1. more common in white-faced cattle 2. solar radiation predisposes and causes cell & tissue damage 3. outbreaks when animals graze in tall grass 4. increased in dry, dusty conditions 5. flies 6. severe inflammation 7. zoonotic

    dx of Moraxella bovis

    diagnosed clinically

    tx of Moraxella bovis

    1. abs 2. eye patch

    px of Moraxella bovis

    1. prevent damage to eyes 2. bacterin available

    Franciscella tularensis reservoir

    rodents, lagomorphs, other wildlife

    Franciscella tularensis dz names

    1. Tularemia 2. "Rabbit fever"

    species affected by Franciscella tularensis

    1. dogs 2. cats 3. humans 4. rabbits

    how is Franciscella tularensis acquired

    1. vector (usually ticks) 2. handling infected animals 3. ingestion of rabbit meat 4. inhalation of aerosolized rabbit blood 5. 70% of human cases are due to contact with cotton tail rabbit in the US

    Franciscella tularensis pathology

    1. bacteria and infection is very similar to bubonic plague 2. large LNs 3. high fever 4. anorexia 5. fatigue

    dx of Franciscella tularensis

    serology

    tx of Franciscella tularensis

    abs

    px of Franciscella tularensis

    1. months without the letter "R" are the months with the highest transmission incidents 2. around 100 humans cases reported annually

    Pseudomonas aeruginosa characteristics

    1. NE GNROD 2. oxidase + 3. colony morph. is irregular in shape, flat, globulous, melty, with grayish sheen and smells like corn tortillas 4. ubiquitous 5. thrives and survives in unsanitary, warm, moist environments 6. nosocomial infections 7. in human med, it is the worst problem in burns units

    species affected by Pseudomonas aeruginosa

    all

    how is Pseudomonas aeruginosa acquired

    opportunistic pathogen

    Pseudomonas aeruginosa pathology

    1. abortions and repro problems in horses 2. abortions and mastitis in cattle 3. dermatitis, cystitis, otitis in dogs and cats 4. infects wounds, surgical incisions, and burns 5. **characteristic blue/green pus**

    dx of Pseudomonas aeruginosa

    1. easy to grow 2. colony morph. 3. characteristic bright green color on Mueller-Hinton agar

    tx of Pseudomonas aeruginosa

    resistant to a lot of abs

    Campylobacter characteristics

    1. GNRODs slightly curved 2. flying seagulls 3. VERY MOTILE 4. microaerophilic - anaerobic; picky bacteria 5. rapid darting movement

    Campylobacter fetus dz name

    Vibriosis

    species affected by Campylobacter fetus

    1. cattle 2. sheep

    how is Campylobacter fetus acquired

    breeding

    Campylobacter fetus pathology

    abortions and infertility

    dx of Campylobacter fetus

    preputial washing in males, samples sent to lab in Campy Enriched Transport Media (CETM)

    tx of Campylobacter fetus

    cull positives

    px of Campylobacter fetus

    1. new bull screening 2. use virgin bulls 3. bacterin available for cows and heifers 4. can test vaginal mucus with ELISA 5. can do vaginal mucus agglutination test (VMAT)

    Campylobacter jejuni/coli dz names

    1. Wet tail in hamsters 2. Winter dysentery in cattle and sheep 3. enteritis

    species affected by Campylobacter jejuni/coli

    all

    how is Campylobacter jejuni/coli acquired

    ingestion

    Campylobacter jejuni/coli pathology

    1. stinky infection, severe enteritis, fatal dehydration in hamsters 2. severe scours in cattle and sheep 3. becoming the leading cause of enteritis/D+ in people, dogs, cats, cattle, sheep, chickens, turkeys, and ferrets

    dx of Campylobacter jejuni/coli

    fecal wet mount (feces and saline with a cover slip)

    Spirochetes characteristics

    1. spiral shaped bacteria 2. special cytology stains; they do not Gram stain well 3. serology is best to dx 4. very hard to see under light microscope 5. GNROD

    Treponema characteristics

    1. cause of "swine dysentery" 2. dz name is Bovine interdigital dermatitis; one of most common foot diseases in dairy cattle 3. common names are "hairy foot warts" and "heel warts" 4. more than 80 strains 5. cause of syphilis in humans 6. cause of "rabbit venereal dz" 7. spiral GNROD

    Leptospira

    1. spiral GNROD 2. Leptospirosis in animals 3. Wiel's dz in humans; fever jaundice, nephritis 4. bacteria is shed in urine of infected animals 5. 13 species/strains 6. immunization is constantly changing

    Leptospira interrogans characteristics

    1. spiral GNROD 2. most common cause of lepto in dogs, cattle, horses, pigs 3. more common in the South and Hawaii 4. causes liver and kidney damage 5. infections have been found in rats

    Leptospira interrogans pathology

    1. eye infections (moon blindness) and abortions in horses 2. abortions and infertility in cattle 3. abortions in pigs 4. dogs can get from direct contact with infection urine/venereal, placental transfer, bite wounds, ingestion of contaminated meat (rats are common) 5. immunization for dogs, cattle, horses, and swine

    most important strains of Leptospira interrogans in dogs

    1. canicola 2. icterohaemorrhagiae 3. pomona 4. grippotyphosa

    dx of Leptospira interrogans

    1. direct exam of urine 2. serology or PCR

    Borrelia burgdorferi characteristics

    1. Lyme dz in humans**, dogs**, horses, cattle, and cats 2. endemic in Northeastern US, midwest, and Northern California

    Borrelia burgdorferi reservoir host

    1. white-footed mouse 2. ticks are vectors (Ixodes--> deer tick) 3. peak months are June, July, September 4. can be transmitted human to human through lice

    Lyme dz symptoms in animals

    1. lameness, intermittent leg shifting 2. appear painful, ADR 3. usually progresses to arthritis 4. seizures, behavioral changes

    Lyme dz symptoms in humans

    1. bull's eye rash 2. arthritis 3. cardiac problems

    dz of Lyme dz

    serology

    px of Lyme dz

    immunization available in dogs and humans