Gran Positive Bacteria- Strepococci Flashcards
(20 cards)
What are the symptoms of pneumococcal meningitis in adults(over 65) ?
Headache
Fever
Nausea/vomiting
Blotchy red rash
What are the symptoms of pneumococcal meningitis in children (over 2 years) ?
Floppy+ unresponsive
Pale+ blotchy
Vomiting, loss of appetite
Staring expression
Strep pneumonia accounts for what % of causes of pneumonia ? And what are the symptoms ?
25-60%
Fever
Productive cough + rusty sputum
What are the treatments for strep pneumonia ?
Depends on sensitivity !
Antibiotics- penicillin
Or vancomycin
In order to prevent step pneumonia, vaccination is key! Which vaccination is given at 2m, 4m and 12/13m ?
A. Pneumonia conjugate
B. Pneumonia polysaccharide
A.
What % of adults and children have strep pneumonia colonising there nasopharynx?
5-10% of healthy adults
40% of healthy children
What does GAS stand for ?
Group A streptococci
Strep throat is also known as ?
Bacterial pharyngitis
Strep throat can lead to complications such as?
Scarlet Fever, quinsy and sinusitis
How do you treat strep throat ?
Oral antibiotics
Name 3 GAS skin infections ?
Impetigo, cellulitus and necrotising fasciitis
Explain what happens to the skin in impetigo?
Skin blisters then bursts and crusts, it is very contagious !
When and what age is impetigo most commonly seen ?
Summer and in children
How to treat Impetigo ?
Oral antibiotics eg. Flucloxacillis
What is the symptoms of cellulitus ?
Enters skin via trauma, diffuses + spreads rapidly patient will have hot red skin
What is cellulitis caused by ?
Strep pyogenes or staph aureus (MRSA)
Necrotising fasciitis is a infection of a deeper layer of skin and is a medical emergency, true or false ?
True
What are the symptoms of Necrotising Fasciitis ??
Red Hot Swollen V painfull Most patients go into Septic shock
What can Necrotising Fasciitis lead to ?
Gangrene (death tissues) Mortality 20-30%
Predisposing factors of Necrotising Fasciitis ?
Trauma/surgical wounds, diabetes, IVDU
