Opportunistic Infections Flashcards

1
Q

Apart from HIV, what is another infection that is severely immunocompromising?

A

Measles

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1
Q

What technique does Ps. aeruginosa use to form biofilms?

A

Quorum sensing

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2
Q

What PAMPs does Ps. aeruginosa have?

A

LPS

Flagellium

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3
Q

What infection is common in diabetes?

A

Candida

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3
Q

How does Pseudomonas aeruginosa appear on a gram stain?

A

-ive rods

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4
Q

Why are CF patients more susceptible to Ps. aeruginosa infection?

A

Abnormal ion transport

Thicker mucus

Impaired mucociliary elevator

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5
Q

Why do you sometimes need bacteriocidals vs. opportunistic infections?

A

The patients are commonly immunocompromised therefore are unable to kill the pathogen as required (when using a bacteriostatic antibiotic)

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7
Q

What treatment strategy is used to combat Ps. aeruginosa colonisation of CF patients?

A

Prophylactic treatment from near birth

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9
Q

What are the key aspects of control of Ps. aeruginosa infection?

A

Reduce risk in susceptible patients

Monitor at risk patients - CF patients

Be alert for infection and treat early

Hand hygiene

Use contact lens and fluid appropriately

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10
Q

Is Ps. aeruginosa catalase positive or negative?

A

Positive

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11
Q

What type of respiration does Ps. aeruginosa use?

A

Aerobe or facultative anaerobe

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12
Q

What is a saprophyte?

A

Any organism that is able to live freely in the environment

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13
Q

What is the pattern of Ps. aeruginosa colonisation?

A

Transient colonisation of skin, mucous membranes and GIT

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14
Q

What related species of Pseudomonas is one of the most common causes of pneumonia in the NT?

A

Burkholderia pseudomallei

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15
Q

What is folliculitis?

A

Infection of hair follicles

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16
Q

Opportunistic infections are often indicative of what?

A

Another underlying pathology

17
Q

How does Ps. aeruginosa colonies appear grossly?

A

Green

Mucoid

18
Q

Why is Ps. aeruginosa more resistant to antibiotics when in a biofilm?

A

More capsule

Grows slower
Others

19
Q

How do the properties of Ps. aeruginosa differ when in a biofilm?

A

All reduced virulence - less immune stimulation

Less motile

Increased capsule production

Shorter LPS (no O-antigen produced)

Produce DNA to reinforce the biofilm

20
Q

What conditions does Ps. aeruginosa commonly cause?

A

Pneumonia

UTI

Sepsis

21
Q

What is leucopenia?

A

Deceased number of WBCs

22
Q

How is keratitis caused by Pseudomonas?

A

Colonisation of lens fluid

23
Q

Who was the first to encourage hand hygiene?

A

Semmelweis