4.26 micro Flashcards

(24 cards)

0
Q

Toxin produced in strep TSS

A

Pyrogenic exotoxins (PE)

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1
Q

Staph TSS involves what toxins

A

Staph enterotoxin (SE) in nonmenstrual

TSST1 in menstrual and nonmenstrual

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2
Q

Acute IE caused by what bac

A

Staph aureus

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3
Q

Subacute IE caused by what bac

A

Strep viridans
Enterococcus
Strep agalactiae

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4
Q

What has super antigen activity

A

Pyrogenic exotoxins

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5
Q

Treat acute IE

A

Nafcillin/oxacillin or Vanc if MRSA

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6
Q

What bac is in tongue

A

Strep salivarius

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7
Q

What bac is in teeth

A

Strep mutans

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8
Q

Strep viridans virulence factor

A

Dextran binds to fibronectin on damaged heart valves

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9
Q

Treat subacute IE caused by strep viridans

A

Beta lactam and Aminoglycoside or Vanc

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10
Q

Most common enterococcus

A

E faecalis

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11
Q

Past ATB use big risk factor for

A

Enterococcus

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12
Q

What bac affects mostly elderly pts with valve disease or prosthetic valves

A

Enterococcus

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13
Q

Treat subacute IE from enterococcus

A

Combo cell wall med and Aminoglycoside

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14
Q

How to ID strep agalactiae

A

Latex agglutination

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15
Q

Strep agalactiae is a

A

Group B strep

16
Q

Where is strep agalactiae found in body

A

Genital tract of women

17
Q

Causes neonatal sepsis

A

Strep agalactiae

18
Q

Treat strep agalactiae

A

PCN G

Amp and Aminoglycoside if neonatal bacteremia

19
Q

SIRS defined as

A
2 or more:
Fever
Incr WBC
Tachypnea
Tachycardia
20
Q

2 of sirs + infection

21
Q

2 of sirs and hypotension

A

Severe sepsis

22
Q

2 of sirs plus persistent hypotension

23
Q

What also if diagnose MODS

A

Lifting disorder

Accumulate something from metabolism (lactic acidosis)