Assist. Prof. Dr/AbdulBasit Al-Ghoury
M.Sc. , M.D
3rd level / Medicine
Emirates International University
Faculty of Medicine and Health Sciences
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2.
Medical Microbiology –Concerned with:
(i) Etiology (Agent-cause).
(ii) Pathogenesis (Mechanism of production of
disease).
(iii)Laboratory Diagnosis.
(iv) Treatment of infection.
(v) Epidemiology (spread, distribution, prevalence
of infection in the community).
(vi) Control and prevention in community.
Medical Microbiology
3.
What is Microbiology?
Micro - too small to be seen with the naked
eye.
Bio – life.
ology - study of.
INTRODUCTION
4.
Microbiology isgenerally the biology of
microorganisms. It is a bioscience for the study of the
evolution, Classification , morphology, physiology,
genetics, ecology of microbes under certain definite
conditions, The law of their life activities, and their
interaction with human being, animals or plants as
well as with natural environment.
INTRODUCTION
5.
Medical microbiologyis one of the
essential basic sciences for Medicine. It
is the study of Biological characteristics
of microorganisms and their
relationships with human hosts.
INTRODUCTION
6.
What is Microorganisms?
Microorganisms are creatures that are not
directly visible to the unaided eye, with
dramatically biologic diversity.
Viruses , bacteria, fungi, protozoa and some
algae are all in this category.
INTRODUCTION
Microbial World
Age(3,5 billion
years).
Abundance and
diversity: 60% of
biomass;
water, soil and air;
Over 4000 species
have been
described.
INTRODUCTION
9.
Microbiology Studies
Shape( morphology);
Structure, nutrition;
Growth and multiplication;
Follow relationships of mo with host and
environment.
INTRODUCTION
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Branches of Microbiology:
Bacteriology: study of bacteria
Mycology: study of fungi
Virology: study of viruses
Parasitology: study of protozoa and
parasitic worms.
INTRODUCTION
11.
Branches of Microbiology
Immunology: study of immunity.
Edward Jenner, UK: developed vaccination (1798)
Metchnikoff, RU: discovered phagocytes (1884)
Paul Ehrlich, DE: theory of immunity (1890)
Chemotherapy:
Treatment of disease by using chemical means.
Antibiotics produced naturally.
Synthetic drugs.
INTRODUCTION
12.
Branches of Microbiology
Chemotherapy
Alexander Fleming, Scotland (1928) discovered
penicillin
Selman Waksman, Ukraine (1944) discovered
streptomycin
- Problems:
Toxicity of drugs => Selective toxicity.
Resistance of bacteria to drugs.
INTRODUCTION
IMPORTANCE OF MICROORGANISMS
Microorganisms are the oldest forms of life.
Production of foods.
Decomposition (bioremediation).
Without certain microorganism life could not exist;
produce O2 and N2 .
Production of drugs & vaccines.
Genetic engineering.
Causing disease .
Microorganisms have killed more people than have ever
been killed in war.
INTRODUCTION
16.
Microbes Benefit Humans:
. Microbes produce various Food products
• Cheese, pickles, sauerkraut, green olives
• Yogurt, soy sauce, vinegar, bread
• Beer, Wine, Alcohol.
INTRODUCTION
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. Microbes formthe basis of the
food chain
Marine and fresh water microorganisms
INTRODUCTION
Bioremediation
Usingmicrobes to clean up pollutants and
toxic wastes.
Exxon Valdez - 1989
2 Genera:
• Pseudomonas sp.
• Bacillus sp.
INTRODUCTION
20.
. Microbes areused to produce Antibiotics
Penicillin
Mold:
• Penicillium notatum
1928 Alexander Fleming
INTRODUCTION
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. Bacteria synthesizechemicals that our
body needs, but cannot synthesize
Example: E. coli
• B vitamins - for metabolism
• Vitamin K - blood clotting
Escherichia coli
• Dr. Escherich
• Colon (intestine)
INTRODUCTION
22.
-Gene Therapy GeneticEngineering
Bacteria can be manipulated to produce
enzymes and proteins they normally would
not produce.
• Insulin
• Human Growth Hormone
• Interferon
INTRODUCTION
23.
. Microbial Antagonism
Our normal microbial flora ( Microbiota)
prevents potential pathogens from gaining
access to our body (N.S.I.R).
INTRODUCTION
24.
Why Study Medical
Microbiology?
The majority of serious diseases in humans (especially those of
early childhood) are due to microbial infections.
Prior to the discovery of antibiotics and vaccines, a large
proportion of children died before adulthood because of
infectious disease.
Till 1900, the average life expectancy in the United States was
40 years of age.
In 2000 - 80 years, largely due to the near eradication of most
serious early childhood diseases.
This trend is seen in the gap between developed and developing
countries in terms of causes of death (mortality).
Microbes
Pathogen orpathogenic - capable of producing
disease.
Though only a minority of microorganisms are pathogenic,
practical knowledge of microbes is necessary for their treatment
so is highly relevant to medicine and related health sciences.
Normal flora [normal microbiota] - not typically-
disease-causing.
microorganisms normally found in and on healthy individuals.
• on the skin,
• in the eyes,
• in the nose,
• in the mouth,
• in the upper throat,
• in the lower urethra,
• in the lower intestine.
Microbial Morphology
Microbial Cytology
Microbial Physiology
Microbial Ecology
Microbial Genetics and molecular biology
Microbial Taxonomy
Microbial Pathogenesis.
Microbiologists may be interested in
various characteristics or activities of
microbs and may study:
Classification
But after1800s, scientists realized that these
two kingdoms could not adequately express the
diversity of life.
Since the 1960s, the most widely used scheme
(5) five kingdoms.
Viruses are separate group of biological entities,
although not organisms in the same sense as
Eukaryotes, Archaea and Bacteria.
Classification
3 majorDomains of
Microorganisms:
Bacteria
Archaea
Eukaryota (Eukarya)
The first two are Prokaryotes
(Bacteria and Archaea)-
without true nucleus, while
the Eukaryotes all have a true
nucleus in each cell.
The 3 Domains. Source:
http://www.ucmp.berkeley.edu/alllife/images/domains_small.gif
Kingdom: Monera
Allorganisms in the Kingdom of Monera are Prokaryotes.
lack nuclei and organelles (nucleoid).
most of their cell walls are made of peptidoglycan (the exceptions
are the archaebacteria).
The archaebacteria have cell walls that lack peptidoglycan, cell
membranes that utilize different lipids, and ribosomes similar to
those found in Eukaryotes.
The bacteria (eubacteria-true bacteria) are characterized by how
they metabolize resources, their means of motility, and their
shape.
Most organisms in the Kingdom Monera reproduce through
binary fission (asexual) or conjugation (sexual).
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Bacteria
Most utilizeflagella for movement.
Digestion is extracellular (outside the cell) and
nutrients are absorbed into the cell.
Circulation and digestion in Kingdom Monera is
accomplished through diffusion.
Reproduction: sexual and asexual reproduction.
O2 Dependent: aerobic and an aerobic.
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Bacteria - whatcomes to mind?
Diseases.
Infections.
Epidemics.
Food Spoilage.
Only 1% of all known bacteria cause human
diseases.
About 4% of all known bacteria cause plant
diseases.
95% of known bacteria are non-pathogens.
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Taxonomy
Taxonomy isthe classification of organisms. The
most common system in use today is the Five
Kingdoms:
Monera (Prokaryota),
Protista,
Fungi,
Plantae, and
Animalia.
Organisms in each kingdom are divided into phyla.
In each phylum, organisms are separated into classes.
In each class, organisms are segregated into orders.
In each order, organisms are divided into families.
In each family, organisms are separated by genus.
And finally, in each genus organisms are divided into species.
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Prokaryotes
Kingdom -Monera
Domain - Bacteria
Phylum – Proteobacteria
Class – Gammaproteoba
Order – Enterobacteriae
Family – Enterobacteriace
Genus – Escherichia
Species – Escherichia coli
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Binomial (scientific)nomenclature
Gives each microbe 2 names:
Genus - noun, always capitalized and may be
abbreviated.
species - adjective, lowercase, never abbreviated.
A genus name may be used alone to indicate a genus
group; a species name is never used alone.
• eg: Bacillus subtilis
B. subtilis
Both italicized or underlined
Staphylococcus aureus ( S. aureus )
Bacillus subtilis (B. subtilis)
Escherichia coli (E. coli)
Nomenclature
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Nomenclature
Carolus Linnaeusestablished
the system of scientific
nomenclature in 1739.
Each organism has two names Binomial
nomenclature: Genus + specific epithet
(species)
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Nomenclature
Common ordescriptive names
(trivial names).
Names for organisms that may be in
common usage, but are not taxonomic
names.
• eg: tubercle bacillus
(Mycobacterium tuberculosis)
• meningococcus
(Neiserria meningitis)
• Group A streptococcus
(Streptococcus pyogenes)
1- According theshapes:
cocci (spherical),
bacillus (rod shaped), and
spirillum (spirals).
polymorph
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Classification of bacteria
•Cocci
Micrococcus
Staphylococci
• Irregular clusters of cocci
Diplococci
• Pairs of cocci
Streptococci
• Chains of cocci
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Classification of bacteria
Bacilli
Rod like
Diplobacilli
• Pairs of bacilli
Streptobacilli
• Chains of bacilli
Spirochetes
• Spiral
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Size of bacteria
Unit of microbial
measurement
micrometers (um)
• 1 um being 10-6 m or
0.000001 m(1/25,000
inch)
nanometers
• 1 nm being 10-9 or
0.000000001 m.
Pathogenic bacterial
species vary from
approximately 0.4 to 2
um in size.
Historical
YEAR NAME ACHIEVEMENT
1stcentury BC Varo Concept of “Animalia
minuta”
1546 Fracostorius Contagion- Cause of
syphilis
1590 Jensen Hand lens
1683 Antony van
Leeuwenhoek
First Microscope
“Animalcules”
1678 Robert Hook Compound microscope
1745 Needham (Priest) Abiogenesis
1836 Schulze & Schwan Air contains microbes
1840 Oliver Homes, Poet
physician
Contageousness &
Puerperal fever
1846 Ignaz Semmelweis Cause, concept &
prophylaxis of child-bed
fever
1853 Augustino Bassi Silk worm disease due to
a fungus
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Pioneers of Microbiology
Robert Hooke, UK (1665)
Proposed the Cell Theory.
Observed cork with crude microscope
All living things are composed of cells.
Spontaneous generation:
Some forms of life could arise spontaneously from
non-living matter.
Francesco Redi, IT (1668)
Redi’s experiments first to disapprove S.G.
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Antonie van Leeuwenhoek
First to observe living
microbes.
his single-lens
magnified up to 300X.
(1632-1723)
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Anton van Leeuwenhoek1674
- 1st person to actually see living microorganisms
“wee animalcules”
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Louis Pasteur
Frenchchemist
Father/Founder of Modern
Microbiology.
Fermentation – a
microbiological process
Beer/Wine not produced
without microbes
Showed microbes caused
fermentation & spoilage
Disproved spontaneous
generation of m.o.
Developed aseptic techniques.
Developed a rabies vaccine.
(1822-1895)
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Joseph Lister 1867
Prof of Surgery,
Glasgow Royal
Informatory
Introduced Antiseptic
Surgery.
Called Father of
Antiseptic Surgery.
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Robert Koch
Germangeneral practitioner
Perfected bacteriological
techniques
Isolated pure cultures of
bacteria for the first time
Discovered Anthrax bacilli,
Cholera vibrio, M. tuberculosis
Father of Medical Microbiology
Hypersensitivity.
Established a sequence of
experimental steps to show
that a specific m.o. causes a
particular disease.
(1843-1910)
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Highlights in theHistory of
Microbiology
1887
Invented Petri Dish
(R.J. Petri)
1892
Discovered viruses (Dmitri
Iosifovich Ivanovski)
1899
Recognized viral
dependence on cells for
reproduction (Martinus
Beijerinck)
1900
Proved mosquitoes carried
the yellow fever agent
(Walter Reed)
1910
Discovered cure for syphilis
(Paul Ehrlich)
1928
Discovered Penicillin
(Alexander Fleming)
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Highlights in theHistory of
Microbiology
1977
Developed a method to
sequence DNA (W.
Gilbert & F. Sanger)
1983
Polymerase Chain
Reaction invented (Kary
Mullis)
1995
First microbial genomic
sequence published (H.
influenzae) (TIGR)
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Robert Koch -1st to prove that
bacteria actually caused diseases
Established “Scientific rules” to show a
cause and effect relationship between a
microbe and a disease.
• Koch’s Postulates
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Koch’s Postulates
1.The same organisms must be found in all
cases of a given disease.
2. The organism must be isolated and grown
in pure culture.
3. The isolated organism must reproduce
the same disease when inoculated into a
healthy susceptible animal.
4. The original organism must again be
isolated from the experimentally infected
animal.
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Exceptions to Koch’sPostulates:
1. Some organisms have never been grown in
pure culture on artificial media.
Treponema pallidum - Syphilis
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Mycobacterium leprae
Leprosy
Never beengrown in pure culture on artificial media
Abdominal cavity of the Seven Banded Armadillo
Exceptions to Koch’s Postulates
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Koch established theMicrobial
Etiology of 3 important diseases
of his day:
1. Cholera (fecal-oral disease)
• Vibrio cholerae
2. Tuberculosis (pulmonary infection)
• Mycobacterium tuberculosis
3. Anthrax (sheep and cattle)
• Bacillus anthracis
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Golden Age ofMicrobiology 1857 - 1914
Pasteur
• Pasteurization
• Fermentation
Joseph Lister
• Phenol to treat surgical wounds – 1st attempt to control infections
caused by microoganisms.
Robert Koch
• Koch’s Postulates
Edward Jenner
• vaccination
Paul Erlich
• 1st synthetic drug used to treat infections.
• Salvarsan - arsenic based chemical to treat Syphilis
• “salvation” from Syphilis
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References
1) Geo. F.Brooks, et al (2012): Jawetz, Melnick, &
Adelberg’s Medical Microbiology, 24th edition, USA.
2) Farrar, J. et al. (2014): Manson’s Tropical Diseases,
23rd Edit. Elsevier Limited, USA.
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