Background 3 Flashcards
what makes up the upper respiratory tract
nasal cavity, pharynx, larynx
what makes up the lower respiratory tract
trachea, primary bronchi, lungs
list some acute upper respiratory tract infections
rhinitis, pharyngitis/tonsillitis and laryngitis - or the common cold
how long is the onset of symptoms for URTIs
1-3 days
how long do URTIs tend to last
7-10 days
What can pharyngitis/tonsillitis (strep throat) be caused by - where theres a sudden onset, fever, etc
beta haemolytic streptococcus group a
what symptoms dont present with strep throat
a runny nose, voice changes or cough
in unvaccinated patients what are some pathogens for URTIs?
bordetella pertussis or corynebacterium diphtheriae
what does bordetella pertussis cause
whooping cough
what does corynebacterium diphtheriae cause
diphtheria
how is a throat swab collected
sterile swap up and down the back of throat
once in the lab what is done with the throat swab
plated on blood agar, disc with antimicrobial agent (bacitracin) placed on surface of agar, incubate overnight @ 37
if the organisms causing diptheria are suspected where is the throat swab placed and for how long?
media containing tellurite, incubated in air for 48 hours at 37 degrees
if whooping cough is suspected as the URTI, what type of swab is taken
pernasal swab
where is a pernasal swab placed
on media containing charcoal
how long is a pernasal swab placed on charcoal and with what
it is incubated for 3-5 days in humid co2 at 37 degrees
after incubation of a URTI bacteria, the blood plate is observed for
beta haemolytic colonies
which type of bacteria is sensitive to bacitracin and doesnt grow close to the paper disc
streptococcus pyogenes
normal throat flora includes other haemolytic organisms but these are not sensitive to
bacitracin
the possible URTI bacteria can be serogrouped using
Lancefield streptococcal grouping kit
If a beta haemolytic streptocccus group a is isolated the clinicial is informed due to
potentially hazardous seleque and infectiousness of the organism
what can beta haemolytic streptococcus group a result in
rheumatic fever, glomerulonepheritis
what is diphtheria characterised by
sore throat, low fever, adherent membrane (pseudomembrane) on tonsils, pharynx
what can a pseudomembrane do
form across the airway and cause obstruction
what causes diptheria
coynebacterium diphtheriae
is a vaccination available for diphtheria?
yes
what type of bacteria is corynebacterium diphtheria
short gram positive rod
the toxin from corynebacterium diphtheria is detected using what type of test?
elek test