Pseudomonas aeruginosa Flashcards

1
Q

what is the biology of pseudomonas aeruginosa?

A

Gram negative rod, Oxidase + *, NLF on MA

Aerobic *(non-fermentative)

Alginate capsule *

Produces pigments * (Pyocyanin – blue-green *)

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2
Q

what odor does P. aeruginosa have?

A

Grape-like / fruity aroma*

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3
Q

where can we find pseudomonas aeruginosa growing?

A
  • In hot tubs, sinks, vases *
  • In hospitals – contaminates intravenous tubing, respiratory therapy equipment *
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4
Q

where is P.aeruginosa a Significant Opportunistic pathogen * *?

A
  • Compromised lung function
  • Cystic fibrosis patients
  • Immunocompromised Diabetic patients
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5
Q

what is P. aeruginosa a major cause of?

A

Major cause of Nosocomial infections * *

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6
Q

What strains cause significant respiratory tract infections in Cystic fibrosis patients *

A

Mucoid strains cause significant respiratory tract infections in Cystic fibrosis patients *

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7
Q

what 3 toxins can we find in P. aeruginosa?

A

Exotoxin A

Pyocyanin

Phospholipase C

Endotoxin (LPS)

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8
Q

what does Exotoxin A do?

A

blocks protein synthesis at EF-2

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9
Q

what will Pyocyanin do?

A

tissue damage (catalyzes production of H2O2 and superoxide)

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10
Q

what will phospholipase C toxin do?

A

tissue damage (Breaks down lipids and lecithin)

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11
Q

P. aeruginosa infection will lead to what diseases?

A
  • Swimmer’s ear * (Otitis externa)
  • Hot tub folliculitis*
  • Infect burn wounds/surgical wounds *
  • Eye infections
  • “Malignant” /necrotizing otitis externa *
  • Osteochondritis (infection of bone and cartilage) *
  • Pulmonary infections *
  • UTI *
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12
Q

Septicemia with pseudomonas aeruginosa will be caused by what infections?

what can it lead to?

A

asscociated with pulmonary infections, UTI, skin/soft tissue infections

Ecthyma gangrenosum * (hemorrhagic pustule with surrounding erythema -> necrotic ulcer (black center))

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13
Q

in what pts will p. aeruginosa lead to pneumonia?

A
  • Cystic fibrosis patients* (recurrent pneumonias → highly mucoid strains)
  • Neutropenic patients * (Pneumonia & Septicemia)
  • Chronic granulomatous disease (CDG) patients * (Pneumonia + septicemia)
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14
Q

wounds infected with p. aeruginosa will have what color?

A

Green discoloration of a postoperative wound

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15
Q

what tests can be used on p. aeruginosa in order to identify it?

A
  • positive oxidase test *
  • blue-green pigmentation *
  • Fruity smell *
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16
Q

what drug resistance mechanisms does p. aeruginosa use in order to become resistant?

A
  • Altered Porin proteins *– major mechanism – allows bacterial cell to develop resistance to multiple antibiotics simultaneously
  • Beta-lactamases *
  • Multi-drug Efflux pumps *
17
Q

what treatment is used to treat drug resistant p.aeruginosa?

A
  • Antipseudomonal beta-lactam + aminoglycoside

Piperacillin + Tobramycin

  • Antipseudomonal penicillin + beta-lactamase inhibitor

Piperacillin + Tazobactam

18
Q

what are the anti-pseudomonal penicillins?

A

Carbenicillin

Piperacillin

Ticarcillin

19
Q

what are the Anti-pseudomonal cephalosporins?

A

Ceftazidime