Bacteria Flashcards

1
Q

What is the difference between gram-positive and -negative bacteria?

A

Positive: thick peptidoglycan layer

Negative: Thin peptidoglycan layer but have outer membrane

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2
Q

Why are gram-negative bacteria more harmful?

A
  • They’re protected by the outer membrane so harder to kill
  • Higher resistance
  • Release endotoxins from the membrane
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3
Q

What is the difference between aerobic and anaerobic bacteria?

A

Aerobic: produce energy with oxygen
Eg. TB, Pseudomonas, E.coli
- More common so this sample is done first

Anaerobic: without oxygen

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4
Q

What is acid-fast testing?

A

Identifies TB and other mycobacteria

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5
Q

How can alpha vs beta haemolytic bacteria be identified?

A

Using blood agar

  • Alpha: incomplete haemolysis (will appear green)
  • Beta: complete haemolysis (will appear white)
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6
Q

What is the difference between group A and B streptococcus?

A

A: Quite harmless. Found on the skin and inside throat

B: live digestive tract and vagina. Cause more serious infections

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7
Q

What are lactose fermenter bacteria?

A

Eg. E.coli, klebsiella, Enterobacter

They react and can be identified this way

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8
Q

Which bacteria can cause miscarriages?

A

Listeria bacteria (from uncooked pork)
Or
Strep agalactase (prophylaxis can be given for future pregnancies)

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9
Q

Which antibiotic is used to treat severe cellulitis?

A

Benzylpenicillin

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10
Q

Which bacteria commonly causes cellulits?

A

Strep pyogenes

Can turn into necrotising fasciitis

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11
Q

Which antibiotics can be used for urinary sepsis?

A

Gentamycin and co-amoxiclav

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12
Q

Which antibiotics can be used for a UTI?

A

Nitrofurantoin or Trimethoprim

Lots of UTI’s are resistant to Trimethoprim

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13
Q

What are the cautions with gentamycin?

A

It’s kidney heavy so dose needs to be appropriate for kidney function

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14
Q

Which antibiotic is used for neiserria meningitidis?

A

Ceftriaxone

Public health needs to be notified and prophylaxis is given to contacts

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15
Q

Which bacteria most commonly causes infective endocarditis?

A

Staphylococcus aureus

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16
Q

How is staphylococcus aureus bacteraemia managed?

A
  • Do echo in case it’s caused infective endocarditis
  • Remove all lines/mechanical valves because the bacteria can easily stick to them
  • Give antibiotics for 2 weeks then repeat culture
17
Q

What is the typical management for a bacteraemia?

A

Antibiotics for 1 week then repeat culture
2 week is staph aureus

18
Q

How is abdominal bacteraemia managed?

A

Often polymicrobial so antibiotics need to cover gram negative, positive, and anaerobic bacteria

19
Q

Which antibiotic is used for entercoccus?

A

Vancomycin

20
Q

Which class of bacteria does meropenem not cover at all?

A

Very good against anything but enterobacteria