This document provides information about the bacterium Haemophilus influenzae. It discusses the history of H. influenzae, identifying it was first isolated in 1890. It is a gram-negative coccobacillus that requires both a heme (X) factor and NAD (V) factors to grow. H. influenzae can cause systemic infections like meningitis in young children and is transmitted through respiratory droplets. Biochemical tests and serology can be used to identify and type H. influenzae. Vaccines are available to protect against H. influenzae type b, an encapsulated strain that commonly caused meningitis.
Haemophilus is the name of a group of bacteria. There are several types of Haemophilus. They can cause different types of illnesses involving breathing, bones and joints, and the nervous system. One common type, Hib (Haemophilus influenzae type b), causes serious disease. It usually strikes children under 5 years old
Microbiology of E coli giving basic of Escherichia coli, its morphology, cultural and biochemical characteristics, Antigenic character, pathogenesis, laboratory diagnosis, prevention and control
Haemophilus is the name of a group of bacteria. There are several types of Haemophilus. They can cause different types of illnesses involving breathing, bones and joints, and the nervous system. One common type, Hib (Haemophilus influenzae type b), causes serious disease. It usually strikes children under 5 years old
Microbiology of E coli giving basic of Escherichia coli, its morphology, cultural and biochemical characteristics, Antigenic character, pathogenesis, laboratory diagnosis, prevention and control
The genus Shigella exclusively infects human intestine.
Shigella dysenteriae is the causative agent of bacillary dysentery or shigellosis in humans.
It is a diarrheal illness which is characterized by frequent passage of blood stained mucopurulent stools.
The four important species of the genus Shigella are:
Shigella dysenteriae
Shigella flexneri
Shigella sonnei
Shigella boydii.
Cholera is a serious bacterial disease that usually
causes severe diarrhea and dehydration. The disease is typically spread through contaminated water.
Modern sewage and water treatment have effectively eliminated cholera in most countries. It’s still a problem in countries like Asia, America and Africa. Mostly in India.
Countries affected by war, poverty, and natural disasters have the greatest risk for a cholera outbreak.
Taxonomy:
class : Gamma Proteobacteria
Order: Vibrionales
Family: Vibrionaceae
Genus: Vibrio
Species: v.cholerae, v.parahaemolyticus,
v. vulnificus, v. alginolyticus
MORPHOLOGY:
Gram negative, actively motile, short, rigid curved bacilli
Resembling letter “V”
about 34 genus
most common in water
1.5µ X 0.2 -0.4 µ in size
polar flagellum , strongly aerobic
Smear – fish in stream appearance
PATHOGENESIS:
Source: Ingestion of contaminated water, food,
fruits and vegetables etc.,
Incubation periods: 1-5 days
Symptoms: Watery diarrhoea, vomiting, thirst, dehydration, muscle cramps
Complications: muscular pain, renal failure, pulmonary edema, cardiac arrhythrnias
DIAGNOSIS:
Specimen: stool sample, water sample(envt)
Microscopy: a) Hanging drop : +ve
b) Gram stain :-ve
Culture: Mac conkey Agar :colourless to light pink
TCBS : yellow colonies
Serology: serological tests are no diagnostic value
TREATMENT:
Adequate replacement of fluids and electrolytes.
Oral tetracycline reduces the period of vibrio excreation.
PREVENTION:
Drink and use bottled water
Frequent washing
Sanitary environment
Defecate in water
Cook food thoroughly
As the channel name suggests, our channel will be a perfect lounge for the malayali medicos..we wil be covering videos which will be like lecture classes related to the subjects biochemistry and microbiology in which we are specialised.. It will be a better learning experience for the students especially for those who are not able to understand and follow the normal classes in college..we assure the students that you will get a basic idea regarding the topic and extra reading can be done from the reference textbooks..
Qalification
AHLAD T O
MSc MLT (Biochemistry)
Assistant Professor
Baby memorial college of allied Health science
Kozhikode
Maneesha M Joseph
MSc MLT (Microbiology)
Assistant Professor
Baby memorial college of allied Health science
Kozhikode
Our Partner Channel
Health & Voyage channel link - https://youtu.be/nzKqRVjlwc0
#Proteus microbiology
#Medical
#Microbiology
#Biochemistry
#Mallu Medicos Lounge
##MalluMedicosLounge
#MLT
#Channel introduction
#HealthAndVoyage
#New Youtube Channel introduction
#Gram-negative
#Enterobactericea
#Weil Felix Test
#PROTEUS - causes, symptoms, diagnosis, treatment, pathology
The genus Shigella exclusively infects human intestine.
Shigella dysenteriae is the causative agent of bacillary dysentery or shigellosis in humans.
It is a diarrheal illness which is characterized by frequent passage of blood stained mucopurulent stools.
The four important species of the genus Shigella are:
Shigella dysenteriae
Shigella flexneri
Shigella sonnei
Shigella boydii.
Cholera is a serious bacterial disease that usually
causes severe diarrhea and dehydration. The disease is typically spread through contaminated water.
Modern sewage and water treatment have effectively eliminated cholera in most countries. It’s still a problem in countries like Asia, America and Africa. Mostly in India.
Countries affected by war, poverty, and natural disasters have the greatest risk for a cholera outbreak.
Taxonomy:
class : Gamma Proteobacteria
Order: Vibrionales
Family: Vibrionaceae
Genus: Vibrio
Species: v.cholerae, v.parahaemolyticus,
v. vulnificus, v. alginolyticus
MORPHOLOGY:
Gram negative, actively motile, short, rigid curved bacilli
Resembling letter “V”
about 34 genus
most common in water
1.5µ X 0.2 -0.4 µ in size
polar flagellum , strongly aerobic
Smear – fish in stream appearance
PATHOGENESIS:
Source: Ingestion of contaminated water, food,
fruits and vegetables etc.,
Incubation periods: 1-5 days
Symptoms: Watery diarrhoea, vomiting, thirst, dehydration, muscle cramps
Complications: muscular pain, renal failure, pulmonary edema, cardiac arrhythrnias
DIAGNOSIS:
Specimen: stool sample, water sample(envt)
Microscopy: a) Hanging drop : +ve
b) Gram stain :-ve
Culture: Mac conkey Agar :colourless to light pink
TCBS : yellow colonies
Serology: serological tests are no diagnostic value
TREATMENT:
Adequate replacement of fluids and electrolytes.
Oral tetracycline reduces the period of vibrio excreation.
PREVENTION:
Drink and use bottled water
Frequent washing
Sanitary environment
Defecate in water
Cook food thoroughly
As the channel name suggests, our channel will be a perfect lounge for the malayali medicos..we wil be covering videos which will be like lecture classes related to the subjects biochemistry and microbiology in which we are specialised.. It will be a better learning experience for the students especially for those who are not able to understand and follow the normal classes in college..we assure the students that you will get a basic idea regarding the topic and extra reading can be done from the reference textbooks..
Qalification
AHLAD T O
MSc MLT (Biochemistry)
Assistant Professor
Baby memorial college of allied Health science
Kozhikode
Maneesha M Joseph
MSc MLT (Microbiology)
Assistant Professor
Baby memorial college of allied Health science
Kozhikode
Our Partner Channel
Health & Voyage channel link - https://youtu.be/nzKqRVjlwc0
#Proteus microbiology
#Medical
#Microbiology
#Biochemistry
#Mallu Medicos Lounge
##MalluMedicosLounge
#MLT
#Channel introduction
#HealthAndVoyage
#New Youtube Channel introduction
#Gram-negative
#Enterobactericea
#Weil Felix Test
#PROTEUS - causes, symptoms, diagnosis, treatment, pathology
Haemophilus and other fastidious gram negative rods /certified fixed orthodon...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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haemophilus -- Bactriology
هذا العرض يتحدث عن احد اخطر انواع البكتريا وهي التي تتغذا على مكونات الدم بالتحديد
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https://t.me/GoldenAlzaidy
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youtube روابط لشرح الموضوع على ال
.................................
https://www.youtube.com/watch?v=QCMj9d5QBpU&t=22s
.................................
https://www.youtube.com/watch?v=fM_vLqzxLZg&t=4s
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https://www.youtube.com/watch?v=ymegUm0UB7c&t=206s
Opportunistic Mycosis are: caused by fungi that cannot infect healthy humans but can
cause serious often fatal mycoses in people whose resistance has been lowered (immunocompromised patients).
Many fungi previously considered non- pathogenic are
now recognized as etiological agents of the
opportunistic fungal infections.
The laboratory must identify and report completely
the presence of all fungi recovered from
immunocompromised patient, since every organism is
a potential pathogen
The highly susceptible groups for opportunistic fungal
infection are
- AIDs patients,
-Leukemic patients,
-individuals on chemotherapy for treatment of cancer,
-alcoholics. The commonest causes of opportunistic mycosis are:
-Candidiasis
- Aspergillosis
- Zygomycosis
-Cryptococosis
-Pneumocystis carn
Candidiasis is a relatively common human infection that can
take form of;
superficial,
mucocutanous or
systemic disease.
Principally it is caused by the three species of the genus candida,
namely,
C.albicans,
C.tropicalis and
C.krusei
Superficial and mucocutaneous candidiasis
It is superficial infections of skin and mucous membranes
Through, oral and vaginal candidiasis
- Oesophageal candidiasis
-Skin lesions of folds, groin, axilla, and interdigital areas
- Napkin eruptions in infants
- Paranychial candidiaiasis
Invasive:
Candidemia: initial stage can be transient if phagocytic
system is intact.
Disseminated or hematogenous candidiasis if phagocytic
system is compromised.
Multi organs can be involved with infection: kidney,
prosthetic heart valves, brain, eye, meninges.
Mortality: 30-40%
Predisposing factors
Diabetes
Immunosupperession
T-cell immunodeficiency disorders
Acquired- immunodeficiency syndrome, (AIDS)
Leukaemias, Lymphomas
Steroid treatments
Broad spectrum antibiotics
Laboratory diagnosis
Superficial or mucocutaneous candidiasis is diagnosed by
finding the fungus in tissue scraping and culture
Systemic candidiasis is difficult to diagnose.
Definitive diagnosis is made by the histopathologic
demonstration of the invasion of tissue by the yeast.
Specimens from surface lesions, mouth, vaginal, sputum,
exudates etc are examined using different methods.
Direct examination
a) KOH
Exposed lesions can usually be easily diagnosed by
clinical appearance together with finding typical budding
yeast cells and pseudohyphae and /or true hyphea in lesion
scrapings treated with KOH.
b) Gram-stain
Gram stain smears show large gram-positive budding yeast cells
with pseudohyphea.
Germ tube test
Candida albicans can be presumptively identified based
on the production of a germ tube
Principle
When incubated with serum at 370C for 1 to 3 hours,
C.albicans will form a germ tube.
Procedure
1. Pipette 0.5 ml of serum into a test tube
2. Inoculate the tube with a small amount of the
organism to be
tested.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
Haemophilus mahadi ppt
1. Sharq Elneil College
School of Medical Laboratory Sciences
Department of Microbiology
Medical Bacteriology course
Haemophillus
Mr.Mahadi Hassan Mahmoud
Bsc, Msc, MIBMS Microbiology
2. History
Hib was found in a
group of patients
during an
influenza
outbreak in 1892
Haemophilus
influenzae was
first isolated in
1890 by Richard
Pfeiffer
3. Medically important spp
q H. Influenzae q H.aegyptius (Koch.
q H.ducreyi q Weeks)
q H. haemolyticus. q H.Para Influenze
q H. phrophilus q H.para haemalyticus
q H.segnis q H.araphrophitus
q
q
4. Morphology
Haemophilus influenzae is :
v a pleomorphic gram-negative coccobacillus.
v H.influenzae may be either encapsulated
(typeable) or unencapsulated
(nontypeable).
v There are six encapsulated serotypes
(designated a–f) that have distinct capsular
polysaccharides.
5. General properties
v Extracellular pathogen, does not
invade into cells
v Fastidious
vThismeans it is difficult to grow
vWe must give it lots of growth factors
vHaemophilus = blood loving
vHowever, this organism can not grow
on blood agar alone!
vRequires X factor (hematin)
vRequires V factors (NAD)
v
8. X and V factor:
X factor is used by H. influenzae to produce essential
respiratory enzyme such as cyto chrome – catalase
and peroxidase.
V Factor is used as electorn carriers in the organism
oxidation reduction system live culture on
chocolate (heated blood agar at 75Co - for few
minute).
For extra V factor released from RBES on chocolate
agar after. Over night. Incubation, H. influenzae
strain produce mucoid colonies.
9.
10. Species Growth Factor
Required
-------------------------------------
---
H. influenzae X+V
H. parainfluenzae V
H. ophrophilus X
H. ducreyi X
-------------------------------------
---
11. Satellitism
satellitism test when we streak
staphaureus (produce V factor)
across the surface of on inoculated
blood agar plate.
The colonies are largest nearest to
the staphylo cocous aureus column
of growth than those furthest from
it.
13. Levinthal agar (heated)
The use of transparent media such as
levinthal agar (heated) or fildes agar
(Peptic digestion) after 24h at 37C
colonies are fishy, seminal smell the
colonies of capsulate strain are larger
high convex in shape and mucoid and
we show ividencence consisting of
Red-orange – green blue shade which
alter with angle of observation.
14. H. influenzae typing
H. influenzae can be divided into eight biotypes
on the basis of three biochemical test (indole
production – urease activity and ornithine de
carboxylase)
this bio typing system is of limited use for
epidemiological studies
the majority clinical isolate are distributed
between three bio type (I, II, III) invasive
type b strains are of biotype, I.
16. Virulence Factors
v Fimbriae for attachment to respiratory tract
cells
v Capsule is produced to prevent phagocytosis
v Endotoxin which is part of ALL Gram-
negative cells
vHelps respiratory tract colonization by blocking
cilia clearance
vInduces inflammation at site of infection
v Causes disease by simply being in the
environment and sparking inflammation
through endotoxin
v
17. Transmission:
Transmission occurs through direct
contact with respiratory droplets
from nasopharyngeal carrier or
case patient.
Neonates can acquire infection by
aspiration of amniotic fluid or
contact with genital tract
secretions containing the bacteria.
18. Pathogencity of Haemophilus
Is divided to capsulate and Non capsulate
Capsulated strains could be differentiated
serological into 6.type labeled (a – F).
The most serious strain is type b which
cause:
Pyogenic (purulent) meningitis in young
children (2 month to 3 years) olds
19. Acute epiglotitis (group) (2 – 7 years ols)
Cellulitis – pyogemic ar thritis, osteitis)
conjunctivitis, middle ear infections, and
pneumonia.
On Capsulated H. Influenzae strains are
associated with less severe but often persistent
infections such as
I. purulent exacerbations of chronic bron chitis
(Mainly in adult),
II. conductivities middle ear infection
III. paranasal sinusitis Non capsulated of H.
Influnzae and some other species form.
20. Haemophilus influenzae
v Systemic infections (meningitis)
v Caused by encapsulated strains
v Prior to the development of the new
conjugate vaccines, 1 in 200 children got the
disease
v 65% of cases were in kids <1 year
v 90% fatal untreated; 10% mortality treated
v 33% long-term neurological defects possible
even if properly treated
v
21. v Pathogenesis
vSpread via respiratory droplets
vEnters upper respiratory tract and throat
and attaches to cells using fimbriae
vEndotoxin stops respiratory tract cilia
from beating and clearing the bacterial
cells
vLocal spread (ears, sinuses, lungs)
vSystemic spread (blood and brain)
vEndotoxin and inflammation do the
damage
22. Biochemicals
tests to differentiate between species by
the production of:
β haemolysis on blood agar (H.
haemolyticus
Fermentation reactions to glucose with
acid production (sucrose, Xylose lactose
and mannose)
23. Serology
H. influenzae can be identification
in culture and specimen by
agglutination technique
coagglutination – Latex
agglutination
counter current immuno electro
phoresis (C/E
24. Antibiogram
H. Influenzae is sensitive for
Chloramphenicol
Ampicillin
Tetracycline
Erythromycin
Contrimoxazole
Resistant to: Penicillin.
25. Haemophilus aegypticus (koch –
weeks bacillus)
It grow more slowly than H.
influenzae
Not ferment D-xylose
It required X and V factor.
It is sensitive to Troleandomycin.
It is stronger haemo agglutinating
activity with human red blood cell
in tile test at 4Co.
26. Haemophilus Haemolyticus:
It is forming zones of B-haemolysis around colonies
on blood agar.
It required X2 V factor
Haemophilus Paro-Influenza:
It required only V factor
It ferment sucrose.
Haemophilus Parahaemolyticus:
It required only V factor
It do B-haemolysis
27. H. Aphrophilus:
It required X factor only.
It required extra CO2 for growth.
H.Segnis:
It required V factor only.
Grow very slowly.
H.ducreyi
It required only X factor
Not Ferment Xylose, sucrose.
28. Vaccine
three monovalent conjugate Hib vaccines
and three combination vaccines that
contain Hib conjugate are available. An
infant primary series (2, 4, and 6 months
of age or 2 and 4 months of age,
depending on the vaccine type used) and
a booster dose at 12 through 15 months
of age is recommended