BACS Flashcards

1
Q

<p>Staphylococcus</p>

A

<p>Characteristics: Gram+ cocci, catalase+</p>

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2
Q

<p>Staphylococcus aureus</p>

A

<p>O2 can be used</p>

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3
Q

<p>catalase</p>

A

<p>Reduces the potential of phagocytes to kill</p>

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4
Q

<p>coagulase</p>

A

<p>The tissue-invasive potential of staphylococcal infections is directly
proportional to coagulase production (S.aureus; not in other Staph. species).
• coagulase binds prothrombin: fibrinogen is cleaved 􀀃 anti-phagocytic fibrin coating</p>

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5
Q

<p>clumping factor</p>

A

<p>fibrinogen-binding protein: cell surface proteins that bind to foreign
materials (like sutures) and to extracellular matrix.</p>

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6
Q

<p>protein a</p>

A

<p>Anti-phagocytic, competes with neutrophils for Fc portion of opsonizing IgG􀀂s
(on cell surface of S.aureus but not on other staphylococcal strains)</p>

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7
Q

<p>staphylokinase</p>

A

<p>converts plasminogen to plasmin, increasing invasion by digesting
fibrin clots and cleaves C3b and IgG to inhibit phagocytosis</p>

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8
Q

<p>Hemolysins</p>

A

<p>α-, β-, γ-, and δ-toxins are all hemolysins: lyse erythrocytes (lab phenomenon)</p>

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9
Q

<p>Empyema:</p>

A
<p>Empyema: Collection of pus in a naturallyexisting
anatomical cavity (e.g. lungs)</p>
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10
Q

<p>pyogenic infections</p>

A

<p>pus-forming (massive amounts of neutrophils and other leukocytes are
lysed by bacterial factors (e.g. leukocidin) and release their lysosomal
contents in attempting phagocytic killing of the staphylococci).</p>

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11
Q

<p>pyogenic infections</p>

A
<p>folliculitis
furuncles
carbuncles
(systemic)
bacteremia
fever</p>
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12
Q

Superantigens

A

Overides T cell specificity.

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13
Q

Enterotoxins

A

Heat Stable. Cooking doesn’t work!

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14
Q

Toxic Shock Syndrome

A

Productions of cytokines=inflammation. Mass Activation of t-cells. Heat Stable

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15
Q

Exfoliative toxin

A

Heat stable: Heat Liable Plasmid

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16
Q

TSS: Toxic Shock Syndrome

A

Increased oxygenation of vagina by tampons, and

foreign surface adhesion, caused massive growth

17
Q

SSSS: Staphylococcal Scalded Skin Syndrome
Ø exfoliative toxins A, B cause loss of layers of the skin in SSSS
Nester 􀀁04 Fig. Murray􀀁05 Fig.22-5
Neutralizing Ab

A

exfoliative toxins A, B cause loss of layers of the skin in SSSS
Nester 􀀁04 Fig. Murray􀀁05 Fig.22-5
Neutralizing Ab

18
Q

Nosocomial a Staphylococci

A

surgery, implant & instrument risk

19
Q

Endocarditis:

A

acute: 60% S.aureus
• if artificial heart valves: 80% S.epidermidis
S.epidermidis: dental extraction risk

20
Q

S. Aureus Epidemiology

A
skin + mucosa +
aerosols
surface survival
(hospital instruments,
implants)
􀀃􀀁nosocomial􀀂
(hospitalacquired)
high temperature
(40ºC) and salt
resistant
21
Q

Other Staphylococci like S.epidermidis or S.saprophyticus
• Thick cell wall, slime capsule, (S.saprophyticus: urease secretion → acute cystitis
• Opportunistic hospital pathogens (instruments, catheters, heart valves)

A

Coagulase─ : Other Staphylococci like S.epidermidis or S.saprophyticus
• Thick cell wall, slime capsule, (S.saprophyticus: urease secretion → acute cystitis
• Opportunistic hospital pathogens (instruments, catheters, heart valves)