Pseudomonas Flashcards

(35 cards)

1
Q

Examples of Non fermenters gram negative bacteria?

A

Pseudomonas,
acinetobacter,
Bulkhoderia

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2
Q

Format for answering Pseudomonas essay?

A

Introduction,
Epidemiology
Classification,
Pathogenesis,
Clinical manifestations
Laboratory findings,
Treatment,drug resistance if any.

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3
Q

What is the habit of pseudomonas

A

They’re saprophytes, found in the soil, water, moist environment.

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4
Q

The most common specie is?

A

Pseudomonas aeruginosa

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5
Q

Which specie is seen in blood transfusion cases?

A

Pseudomonas fluorescens

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6
Q

Where are the common surrounding areas colonized by pseudomonas?

A

Hospitals,
Domestic sinks,
Taps,
Traps,
Drains

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7
Q

Mention the human area’s that are predisposed to colonization
PEETA

A

Moist areas;
Perineum,
Toes,
Fingers,
Ear,
Eyes
Axilla

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8
Q

Which gram negative bacteria causes “toe web rot in soldiers stationed in swampy areas?

A

Pseudomonas aeruginosa

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9
Q

What is the common ear disease that affects divers who came in contact with an infected pool?

A

Otitis externa

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10
Q

The broad range of conditions caused by pseudomonas is due to what?

A

The fact that it’s both invasive and toxigenic

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11
Q

Pseudomonas has low intrinsic virulence in man and animal, T or F?

A

True

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12
Q

What condition is pseudomonas likely to cause an infection?

A

When the host defence are compromised.

or when the skin/mucous layer is breached.
E.g burns, ICU patients, Neutropenic PTS, PTS with indwelling devices like catheter

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13
Q

Which culture medium gives a large opaque irregular colonies with metallic sheen?

A

Nutrient agar

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14
Q

Which media facilities pigment production?

A

King’s media

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15
Q

Which media is a selective media

A

Cetrimide agar

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16
Q

What is the feature of pseudomonas in blood agar?

A

Mild Beta hemolysis

17
Q

List the Nosocomial infections associated with pseudomonas

A

Ventilated association pneumonia.

Chronic respiratory infxn in cystic fibrosis.

Ecthyma gangrenosum as a result of bacteriemia.

Joint and bone infxn (osteomyelitis, meningitis).

Urinary tract infections in case of catheter use.

Shanghai fever (mild fever that resembles typhoid)

Eye infections as a result of contact lenses (Endolpthamitis, keratitis,cornea ulcers)

18
Q

Example of community acquired disease;

A

Swimmers ear(otitis externa).
Malignant otitis externa in diabetics.
Folliculitis and varicose from jacuzzis

19
Q

Which virulence factors are associated with attachment and colonization stage;

A

Fimbriae, flagellum, pili
Alginate coat

20
Q

How does type IV pili aid in attachment

A

They associated with the glycosylated region of glycosphingolipid,GM1 and GM2 of epithelial cells

21
Q

What are the virulence factors that aid local invasion?

A

diffusible toxins
Non-diffusable toxins.

LPS, pycocyanin, pyoverdin, capsular polysaccharide that promote evasion of host defence.

Wide temperature range (4-45°c) enables it to survive under various temperature.

Multidrug resistance and multi disinfectant resistance

22
Q

List the diffusible Exotoxins and state their functions

A

They include;
Alkaline proteases
Elastase; digest elastin
Hemolysins: digests fibrin of RBC.
Phospholipase: digests host cell wall.

Exotoxin A: binds to elongation factor 2 and inhibit protein synthesis of host cell.

23
Q

List the non-diffusable toxins.
State their system of secretion.
And outline their function

A

They include;
Exotoxins S,U,T,Y

They are secreted by Type 3 secretion system {T3SS}

They are released from pseudomonas cytoplasm to host’s cytoplasm where they disrupt and corrupt cellular processes, cellular membranes integrity which facilitates Bacteria invasion.

24
Q

Iridescence is a culture feature of?

A

Pseudomonas in nutrient agar.

Gives large opaque irregular colonies with metallic sheen

25
List all the laboratory biochemical positives of pseudomonas
Citrate Oxidase Catalase Glucose utilisation Sucrose utilisation Hydrolysis of starch. Hydrolysis of Gelatin. Nitrogen reduction Pigment production
26
List all the laboratory negatives;
Gram stain. Indole Methyl red Mannitol utilisation Voges Proskauer
27
List the cephalosporins that pseudomonas is sensitive to;
Cefepime, Cefoperazones, ceftazidime
28
List the quinolones that pseudomonas is sensitive to;
Ciprofloxacin Levofloxacin
29
List the penicillins , pseudomonas is sensitive to
Ticarcillin, piperacillin, mezlocillin
30
List the carbapenems, pseudomonas is sensitive to;
Imipenem, meropenem
31
List the monobactam , pseudomonas is sensitive to
Aztreonem
32
List the aminoglycosides, pseudomonas is sensitive to;
Amikacin, gentamicin,tobramycin
33
List the polymyxins, pseudomonas is sensitive to
Polymyxin B and Polymyxin E(colistin)
34
Foot webbed rot is an example of community acquired infxn seen in?
Soldiers in the tropics
35
Green fingers are features seen in pseudomonas is as a result of?
Frequent Immersion of fingers in water