Immunology Flashcards
(17 cards)
What is bacteraemia?
Presence of bacteria within the usually sterile blood, if not treated can result in septicaemia
What is the fewest blood samples that should be taken?
2 sets of three several hours apart
If the samples return normal but you are confident its infective what should you do?
Send samples of for serology
Which unusual gram -ve can cause disease?
HACEK- haemophilus etc
Name a bug that may require serology?
Coxiella Burnetti
If symptoms arise after operation what bugs are usually responsible?
Staphylococcus Epidermidis
Staphylococcus Aureus
What do cocci appear as?
Clusters
+ve coagulase test
Staphylococcus Aureus
-ve coagulase test if prosthetic material implanted?
Staphylococcus Epidermidis
Gram +ve, alpha haemolytic, with subacute presentation
Streptococci Viridans- group of streptococci
What antibiotic is generally prescribed for Staph.Aureus
Flucloxacillin IV
Native Valve infection
Amoxicillin and Gentamicin IV
Prosthetic Valve infection
Vancomysin and Gentamicin IV
+ Rifampacin 3-5 days after
Drug user endocarditis
Flucloxacillin IV
Pocket Infection- soon after operation
Localised cellulitis, Pain, swelling, discharge, wound breakdown
Infective endocarditis
fever night chills anorexia, myalgia
Sub acute symptoms
Clubbing, splinter haemorrhaging, new murmur, fever, fatigue, Roth spots, osters nodes
