Practice Template - Eva Illuzzi

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Introduction

Bacteroides fragilis is a gram-negative rod-like anaerobic microbe. It resides in the gut flora of the human microbiota. Bacteroides fragilis remain commensal with the host when in the gut where they play an essential role in processing complex molecules into simpler ones in the host intestines. However, if the microbe enters the bloodstream or surrounding tissue it can lead to severe anaerobic infections, most commonly the formation of abscesses.

Anaerobes are the most common bacteria in the human colon. Within the group of anaerobes, Bacteroides make up approximately 25% of the anaerobic bacteria within the gut. The Bacteroides genus consists of: B. fragilis, B. distasonis, B. ovatus, B. thetaiotaomicron, B. v ulgatus, B. uniformis, B. eggerthii, B. merdae, B. stercoris,and B. caccae. Of these Bacteroides, B. fragilis is the most frequent isolate and responsible for the majority of the anaerobic infections. B. fragilis is most commonly associated with intra-abdominal infections. A number of these species are widely resistant to a variety of the current antibiotics.

Pathogenesis and Epidemiology

B. fragilis is often considered the single most important pathogen among the anaerobes that exist in the normal flora. Infections from B. fragilis commonly arise from a break in the mucosal membrane of the intestine.3 The travel of B. fragilis outside of the gut can lead to a variety of infections such as local abscesses at the site of the break, metastatic abscesses by spread through the bloodstream to distant organs, or lung abscesses by inhalation of the bacteria.

Predisposition to B. fragilis can arise from surgery, disease, or trauma.

E. coli, a facultative anaerobe, uses the oxygen at the site which brings the oxygen to a level where anaerobes, such as B. fragilis, can thrive and grow. Due to this phenomenon, many severe anaerobic infections contain a mix of anaerobic and aerobic flora.

Treatment

Prevention

Research

Include some current research, with a second image.

Conclusion

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References



Edited by [Author Name], student of Joan Slonczewski for BIOL 116 Information in Living Systems, 2020, Kenyon College.