Clinical Microbiology 2 Flashcards

1
Q

gastroenteritis

A

a syndrome characterised by GI symptoms including nausea, vomiting, diarrhoea and a bio discomfort

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2
Q

diarrhoea

A

frequent and/or fluid stool, at least three episodes a day

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3
Q

dysentery

A

blood and pus in the stools, usually abdominal pain and fever

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4
Q

enterocolitis

A

inflammation involving mucosa of both the large and small intestine

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5
Q

enrichment broth

A

contains nutrients that promote preferential growth of the pathogen

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6
Q

selective media

A

suppress growth of background flora while allowing growth of the pathogen

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7
Q

differential media

A

distinguishes mixed organisms on the same plate

salmonella and shigella species which are non-lactose fermenters using macConkeys agar

lactose fermenting appear pink - e.coli
non lactose fermenting appear yellow

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8
Q

why are antibiotics bad sometimes in the case of treatment of GI infections

A

may prolong symptom duration
may exacerbate symptoms
promotes emergence of antibiotic resistance

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9
Q

what are some steps that can be taken to break the chain of infection in GI infections

A

adequate public health measures
- safe clean drinking water
- power sewage disposal
Education in hygienic food preparation
- half hygiene
- avoid cross contamination
- cook foods properly
pasteurisation of milk and dairy products
Sensible travel food practises
- wash it, peel it, cook it or forget it

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10
Q

what are the three main GI infection causative agents

A

salmonella, campybacter, e.coli

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11
Q

vaginitis

A

change is discharge
dysuria
or menstrual bleeding

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12
Q

urethritis

A

penile discharge
dysuria
mental discomfort

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13
Q

epidiymo-orchitis

A

swollen painful testicle

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14
Q

PID

A

pelvic pain
fever
change in discharge
dyspareunia (painful sex)

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15
Q

proctitis

A

rectal discharge/pain/bleeding

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16
Q

what is the standard STI testing

A

NAAT testing for chlamydia and gonorrhoea

syphilis and HIV are tested via blood sample in a big edta bottle

this is based off of symptoms and risk and gender etc.

17
Q

what kind of swabs are taken from each sex for STI testing

A

XX = self taken vulvovaginal swab
XY = Urine
men who have sex with men = Urine sample plus a throat swab and self taken rectal swab

18
Q

How do you treat chlamydia

A

doxycycline 100mg BD 7/7