Staphylococci and Neisseria Flashcards

(41 cards)

1
Q

The Neisseria species is what type of bacteria?

A

Gram ( - ) diplococci (kidney-bean shaped)

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2
Q

What type of enzyme does this bacteria produce?

A

Oxidase

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3
Q

Where is this species found and is it pathogenic?

A

Many species found in normal flora of the oral cavity and is non-pathogenic.

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4
Q

What are 2 important pathogenic organisms in this species?

A

Neiserria meningitides and gonorrhoeae

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5
Q

How is Neiserria meningitides transmitted?

A

Through respiratory droplets (oral route).

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6
Q

What does Neiserria meningitides ferment?

A

Ferments glucose and maltose.

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7
Q

Where is Neiserria meningitides normally found?

A

In the human nasopharynx.

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8
Q

What are Neiserria meningitides’s virulence factors?

A

Pili, polysaccharide capsule (13 serogroups) which inhibits phagocytosis, endotoxin, IgA protease, which helps with adherence.

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9
Q

What are the clinical manifestations of this organism?

A

Meningitis (epidemic and sporadic) and Meningococcemia.

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10
Q

What is the treatment for Neiserria meningitides?

A

Penicillin (tifomycin in epidemic setting).

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11
Q

How can infection of Neiserria meningitides bacterium be prevented?

A

Capsular polysaccharide vaccine (A,B,C, W135) or Rifampin chemoprophylaxis in close contacts

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12
Q

Which strains of Neiserria meningitides are important for epidemics? Which strain causes sporadic but not epidemic outbreaks?

A

Strains A & C cause epidemics; Strain B causes sporadic settings.

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13
Q

For Facultative Gram (+) cocci, how do you determine if the bacterium is Streptococci or Staphylococci?

A

Catalase test:
(+) =bubbles, Staphylococci
(–) =no bubbles, Streptococci

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14
Q

What does Streptococci look like? Staphylococci?

A

Chains of cocci; Clusters of cocci

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15
Q

Which agar plate is more selective: Blood agar or Mannitol Salt agar?

A

Mannitol Salt agar, even though Staphylococci grows on most anything

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16
Q

Which test is used to determine if the organism is S. aureus or S. epidermidis?

A

Coagulase test:
aureus = (+)
epidermidis = (-)

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17
Q

How does the coagulase test work?

A

Coagulase is an enzyme that clots plasma, so if the final result is a jelly like clot it is (+) and if it is liquid it is (-).

18
Q

Staphylococcus epidermidis is Gram ___ cocci grouped in ____, It is catalase ____ , coagulase ____

A

(+); clusters; (+), (-)

19
Q

Where is normally located?

A

In the normal flora of the skin and mucous membranes.

20
Q

What are Staphylococcus epidermidis’ clinical manifestations?

A

Becomes virulent when infections of IV catheters and prosthetic devices occur.

21
Q

Staphylococcus aureus is Gram ___ cocci grouped in ____, It is catalase ____ , coagulase ____

A

(+); clusters; (+); (+)

22
Q

What % of normal adults are nasal carriers? What % never colonize, intermittently colonize and persistently colonize?

A

10-40%; 20%; 50%; 30%

23
Q

Which group of people has a higher carrier rate of S. aureus?

A

Nurses, physicians, and IV drug abusers (This is a Nosocomial pathogen).

24
Q

What is the most common form of transmission and best way for prevention for S. aureus?

A

Person to person by hands; wash your hands!

25
Can S. aureus break through intact skin?
No
26
What is Chronic Granulomatous Disease?
An immunodeficiency disease where PMNs can engulf the organism, but can’t kill it and so repeated infections occur.
27
What are the virulence factors of S. aureus?
Capsule + cell wall components
28
What components of the cell wall cause S. aureus to be virulent?
Peptidoglycan, Protein A and Teichoic acid
29
How does Protein A bind to its host and what are its effects?
Binds to Fc region of Ab molecule, inhibiting phagocytosis
30
What enzymes does S. aureus produce?
Coagulase, catalase and cytotoxic enzymes
31
What 2 important cytotoxic enzymes are produced by S. aureus and what do they do?
Alpha toxin – Hemolysom | Luekicidin – Kills PMNs
32
What exotoxins does S. aureus produce?
Enterotoxin, Toxic Shock Syndrome Toxin, and Exfoliatin
33
List the clinical manifestations of Staphylococcal infections.
Abscess: a collection of pus (PMNs) Skin Infections: Folliculitis, Furu/Carbuncle, Impetigo, Cellulitis Systemic Infections: Bacteremia, Endocarditis, Septic Arthritis, Pneumonia Toxic Mediated Infections: Scalded Skin syndrome, Toxic Shock syndrome, Food poisoning
34
What is folliculitis?
Superficial lesion in a hair follicle
35
What is a faruncle/carbuncle?
Deeper infection involving single hair follicle (furuncle-boil) or multiple hair follicles (carbuncle)
36
What toxin causes scalded skin syndrome? Toxic Shock syndrome? Food Poisoning?
Scalded Skin Syndrome - Exfoliatin Toxic Shock Syndrome - TSST-1 Food poisoning - Enterotoxins
37
In Scalded Skin syndrome, what does Exfoliatin cause? What is the most serious consequence of this toxin?
A sunburn like rash followed by separation of epidermal cells; can lead to secondary infection due to the gaps in epidermal cells
38
Define superantigen? How does TSST-1 act like a superantigen?
A superantigen causes the release of large amounts cytokines by activating a lot of T cells; TSST-1 causes IL-1, IL-2 and TNF to be released by activating T cells outside of their binding sites.
39
What causes illness in food poisoning?
Intoxication by 6 types of exotoxins (A-F), not infection and therefore short incubation period (2-6 hours).
40
Is Staphylococcus very resistant to antibiotics?
Yes, extremely resistant with 85% of strains resistant to penicillin.
41
How are Staphylococcal infections treated?
Beta-lactamase resistant penicillin – Nafcillin or in last line of defense Vancomycin.