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Vi khun t

(Vibrio cholerae)

Mc tiu hc tp

1. Trnh by c cch phn loi vi khun t. 2. Trnh by c mt s tnh cht sinh hc chnh ca vi khun t. 3. Trnh by c kh nng v c ch gy bnh ca vi khun t. 4. V v gii thch c s chn on vi sinh vt bnh t. 5. Trnh by c cc phng php phng v nguyn tc cha bnh t.

1. Phn loi vi khun t

vibrionaceae

(H) (5 chi)

vibrio (> 30 loi) V.choler ae (c in) V. Eltor Ogawa inaba Hikojim a

v. choler ae v. cholerae 01 v. cholerae 0139 Cc VK khng gy t

2. Mt s tnh cht chnh ca vi khun t 2.1. Hnh thi: - Hnh du phy, Gr(-). - Di ng mnh, nh 1 lng mt u. 2.2. NuI cy - Hiu kh - Pht trin nhanh trong mi trng kim. 2.3. sc khng khng - D b cht bi cc ho cht dit khun hoc 100oC. - C th sng lu trong nc khi c ng thc vt thu sinh thch hp.

3. Kh nng gy bnh ca vi khun t 3.1. cc yu t c lc chnh ca vi khun t - CT (cholera toxin): L yu t c lc quan trng nht. - TCP (toxin coregulated pilus): Gip vi khun Gy mt nc, in gii. bm vo t bo biu - Verocell toxin: Ging c t ca S. m rut non dysenteriae 1. - Haemolysin: Ly gii hng cu. - Mt s enzym ngoi bo: Gip vi khun tn ti trong nc ngoi mi tr ng.

3.2. C ch tc ng ca Cholera Toxin


GM1 Tiu phn A Tiu phn
B A2 A1 hot ho

ATP

adenyl cylase

Tiu Chy Khu knh rut Mng t bo

Nc v i n gii

AMP vn g

Trong t bo

4. Chn on vi sinh bnh t 4.1. Chn on nhanh - Hin vi quang hc Soi ti Nhum Gram - Min dch hc: Hunh quang trc tip: Pht hin VK trong bnh phm. Sc k min dch: Xc nh LPS trong bnh phm. - K thut PCR: Xc nh cc gen c lc.

4. Chn on vi sinh bnh t 4.2. phn lp, nh danh

- Nui cy phn lp - Xc nh tnh cht ho sinh - Xc nh type huyt thanh

S xt nghim vi khun t Phn,cht nn


XN nhanh

Nc

Thc phm

CaryBlair Thch kim, tcbs 37C/18h Pepton kim


37C/3-6h

Ngng kt kht

tnh cht hO sinh Ngng kt kht kt lun

5. phng bnh 5.1. Khng c hiu Thc hin cc bin php phng nhim trng ng tiu ho. 5.2. c hiu Ung vacxin.

Vacxin phng t
Biv WC (Bivalent anti 01 and 0139 - killed whole cell) - Vit Nam sn xut c rBs WC (Monovalent anti 01 recombinant B subunit killed whole cell) VX ang c trn thng trng: Duckoral.

6. Cha bnh

- Bi ph nc v in gii - Ung khng sinh

Khoanh trn ch ci ng u 1 ng:

1. Vi khun khng thuc h vi khun ng rut (Enterobacteriaceae) l: A. H. pylori B. Yersinia C. Salmonella D. Shigella

Khoanh trn ch ci ng u 1 ng

1. E. coli gy bnh ngoi rut (ExPEC) l: A. EIEC B. MAEC C. EAEC D. EHEC

Khoanh trn ch ci ng u 1 ng nht:

1. Ngoi c t l yu t c lc chnh ca: A. Vi khun thng hn B. Vi khun l C. E. coli D. Vi khun t

Khoanh trn ch ci ng u 1 ng nht:

1. Trng hp dch st nht l: A. Shigella : Vi khun l. B. Salmonella : Vi khun thng hn C. V. cholerae : Vi khun t D. Enterobacteriaceae : Vi khun ng rut

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