Anaerobes Flashcards
Treatment of anaerobic infections
Penicillin, Penicillin+betalactamase inhibitor, 2nd generation cephalosporins, carbapenems
Which are second generation cephalosporins?
Cefuroxime, cefoxitin, cefotetan.
What organism causes pseudomembranous colitis?
C. Difficile
Characteristics of C. diff.
Gram positive anaerobic spore-forming bacillus.
What is C. diff resistant to?
Many many antibiotics including beta lactams, clindamycin, cephalosporins, perhaps fluoroquinolones.
Diagnosis of C. diff?
EIA toxin assay, PCR.
Toxin A
Enterotoxin, causes neutrophil chemotaxis.
Toxin B
Cytotoxin, causes tight cell junctions to fail. Increases permeability of the intestinal wall to cause diarrhea.
Worst possible complication of C. diff?
Toxic megacolon and septic shock.
How to treat C. diff?
Metronidazole and oral vancomycin, fecal transplant therapy.
Clostridium perfringens gram stain?
Positive rod, but doesn’t hold it well at all.
C. perfringens plate?
Double zones of hemolysis
Where is C. perfringens from?
GI tract flora.
C perfringens alpha toxin
Mediates hemolysis, vascular permiability and tissue destruction
Diseases caused by C. perfringens
Gas Gangrene, cellulitis, emphasematous cholesystitis, food poisoning (spores and heat labile toxin).