Gram positive pathogens Flashcards

(30 cards)

1
Q

Staphylococcus aureus is a normal inhabitant of…

A

The skin.

It is present in the nose of 30-40% of the population.

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2
Q

Staphylococcus aureus causes…

A
  • food poisoning
  • skin and soft tissue infections
  • bone infections
  • endocarditis
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3
Q

Scalded skin syndrome affects mostly…

A

Infants and young children.

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4
Q

What is Scalded skin syndrome? And what is the mortality?

A

Where a toxin produced causes skin layers to shed.

Rarely life threatening. Mortality less than 3%.

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5
Q

Toxic shock syndrome causes…

A

Fever, hypotension, rash and desquamation of the skin on soles/palms.

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6
Q

MRSA most common in…

A
  • Elderly
  • Lines/catheters
  • Surgical wounds
  • ICU
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7
Q

MRSA treatment…

A

Vancomycin

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8
Q

Staphylococcus epidermis present where?

A

on the skin

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9
Q

Staphylococcus epidermis infection risk…

A
  • cannulae
  • long lines
  • pacemakers
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10
Q

How often should you change a cannulae?

A

Every 72h

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11
Q

Streptococci can cause…

A
  • skin infections
  • pharyngitis
  • pneumonia
  • meningitis
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12
Q

Streptococci pneumonia causes…

A
  • Sinusitis
  • Otitis media
  • Pneumonia
  • Meningitis
  • Septicaemia
  • Septic arthritis
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13
Q

Symptoms of pneumococcal meningitis in adults…

A
  • Headache
  • Fever
  • Nausea/vomiting
  • Blotchy red rash
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14
Q

Symptoms of pneumococcal meningitis in under 2YO’s…

A
  • Floppy and unresponsive
  • Pale, blotchy skin
  • Vomiting and loss of appetite
  • Staring expression
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15
Q

Symptoms of pneumonia…

A
  • Fever
  • Productive cough
  • Rusty sputum
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16
Q

Treatment of Streptococci pneumonia…

A
  • Penicillin if sensitive
  • Vancomycin
  • Vaccination for PREVENTION.
17
Q

Strep throat can lead to..

A
  • Scarlet fever
  • Quinsy
  • Sinusitis
18
Q

Treatment for strep throat…

A

Oral antibiotics

19
Q

Impetigo treatment..

A

Flucloxacillin

20
Q

Causes of cellulitis

A
  • S. pyogenes
  • S. aureus
  • MRSA
21
Q

Treatment of cellulitis

A
  • Anti staph

- Strep antibiotics

22
Q

Cellulitis symptoms

A

Hot, red skin

23
Q

What is necrotising fasciitis?

A

An acute infection of deep layer of skin

24
Q

Symptoms of necrotising fasciitis

A
  • Red, hot swollen, very painful skin
  • progression to cutaneous gangrene
  • septic shock
25
Factors leading to necrotising fasciitis
- Trauma/surgical wounds - Diabetes - IntraVenousDrugUsers
26
Do clostridium produce spores?
YES
27
C.perfringens can cause...
gas gangrene when spores get into wounds and germinates to produce toxins.
28
C. difficile infections cause...
- Diarrhoea | - Pseudomembranous colitis
29
Pseudomembranous colitis is
- Inflammation of the colon - Causes diarrhoea, abdominal pain and fever - Can lead to toxic mega colon
30
Prevention : SIGHT
``` S-uspect a case is infective I-solation G-loves and aprons H-and washing T-est stool for toxin ```