M6 Flashcards

1
Q

S.aureus and S.epidermis

A

S. aureus - Gram +

S.epidermis - Gram +

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2
Q

features of S.aureus

A
  • 20-60% colonisation
  • anterior nares and perineum
  • nasocomial and community
  • coagulase +
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3
Q

features of S.epidermis

A
  • 100% colonisation
  • skin + mucus membrane
  • gram +
  • coagulase -
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4
Q

what is the direct transmission of Staphylococci?

A

hand, skin, mucous

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5
Q

what is the indirect transmission of staphylococci?

A

instruments, bedding and door handles

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6
Q

can enter (opportunistic) by

A

Hair follicles and glands - boils

- broken skin - cuts, bites and injections

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7
Q

list three examples of types of virulence factors

A
  1. Fibrinogen binding protein
  2. leukocidin (PVL)
  3. TSST-1 (toxin)
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8
Q

what is the function of fibrinogen binding protein?

A

adhesin

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9
Q

what is the function of leukocidin (PVL)

A

kills leukocytes

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10
Q

what is the function of TSST-1 (toxin)?

A

Shock, rash, desquamation

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11
Q

what is the effect of TSST-1?

A

rapid progression (48 hours) high fever, vomiting, diarrhea, sore throat, muscle pain

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12
Q

what is a superantigen?

A
  • ability to promote massive activation of immune cells leading to release of inflammatory mediators that can lead to hypotension, shock, organ failure, death
    1 in 5 T cells
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13
Q

what adhesins allow bacteria to bind?

A
  • fibrinogen binding

- collagen binding

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14
Q

how does protein A evade host defences?

A

for coagulase +ve only

binds Fc portion of IgG antibodies

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15
Q

what does PVL stand for?

A

Panton-Valentine Leukocidin

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16
Q

what is responsible for necrotizing pneumonia and contagious severe skin infections?

A

PVL & alphatoxin linked with CA-MRSA

17
Q

what is the function of coagulase?

A

forms staphlyothrombin –> converts fibrinogen to fibrin and then clotting

18
Q

treatments for MRSA?

A

Vancomycin

19
Q

antibiotic treatment: erythromycin

A

penicillin allergic patients