Bacteria Flashcards
What is the most common bacterial cause of strep throat?
Strep. Pyogenes
How is acute rheumatic fever prevented?
Treat GAS within 10 days
What is the species name for GAS?
S. Pyogenes
What is the species name for GBS?
S. Agalactiae
GAS & GBS are part of the ………. classification
Lancefield
What type of hypersensitivity is ARF?
Type 2
What type of hypersensitivity is Glomerulonephritis ?
Type 3
What does S. Pyogenes adhere to?
CD46 on keratinocytes of nasopharyngeal epithelium
What are the symptoms of ARF?
1) Carditis (pan)
2) Arthritis (poly + large)
3) Nodules (subcutaneous & no pus)
4) Erythema marginatum
5) Sydenham’s chorea
What is the GBS capsule made of?
Sialic acid
What is the pneumococcus capsule made of?
Polysaccharides
What is the causing toxin of scarlet fever?
Erythrogenic exotoxin
What is the causing toxin of STSS ?
Streptococcal pyrogenic exotoxin
What is the GAS capsule made of?
Hyaluronic acid
Which streptolysin is used in aerobic conditions?
Streptolysin S
What are the diseases causes by pneumococcus?
Meningitis (Acute + Pus)
Otitis media (In children)
Pneumonia
Sinusitis
What’s the most common cause of viral pneumonia?
Influenza & parainfluenza
What’s the most common cause of fungal acute pneumonia?
Candida albicans
What’s the type of vaccine used for Pneumococcus prevention
Conjugated
What streptococcus pyogenes antigen is the major spreading factor ?
Hyaluronidase
What is bacillus anthracis capsule made of?
Poly-D-Glutamic acid
What is the name of the disease caused by pulmonary bacillus anthracis?
Wool-sorter’s disease
What are the functions of bacillus anthracis exptoxin complex?
Protective agent: translocation
Edema factor: adenylate cyclase (increase cAMP)
Lethal factor: Cytolytic
What type of vaccine is used for anthrax?
Both live and inactivated
Why do bacillus anthraces colonies look like medussa head?
It forms very long chains
What factors are hematin & NAD?
Hematin is factor X
NAD is factor V
Why does H. Influenza require a chocolate agar?
It requires plenty of factors V & X
What is H. Influenza capsule made from?
Polyribitol phosphate
What percentage of people have H. Influenza as normal flora?
20-80%
What prophylaxis is given for H. Influenza?
Rifampin
What is the empirical DOC for H. Influenza?
Ceftriaxone / Cefotaxime
What H. Influenza vaccine is used for children >2 years old?
Purified PRP capsule (subunit)
What H. Influenza vaccine is used for children 2-24 months old?
CRM197 (Diptheria toxin)
Where does bordetella pertussis attach to ?
Respiratory cilia
Why is bordet-gengou medium used for bordetella pertussis?
It has NAD & Charcoal
What vaccine do we use for Bordetella pertussis ?
DTP & DTaP
DTP vs DTaP?
DTaP is less toxic but shorter duration
What swab is used for bordetella pertussis?
Nasopharyngeal
What swab is used for Corynebacterium diphtheria ?
Throat
Elek vs moloney test?
Elek : toxogenecity
Moloney: sensitivity to toxin
DOC for MSSA
Flucloxacillin
DOC for MSSA
Vancomycin / Teicoplanin & Linezolid
DOC for MDR P.aeruginosa
Ceftolozone + tazobactam
Or Polymyxin (Colistin)
What are the risk factors for stenotrophomonas maltophilia infection?
Hospitals, Immunocompromised, Lung disease
What is the DOC for Stentrophomonas maltophilia?
Co-trimoxazole
What enterobacterales cause pneumonia?
Klebsiella pneumoniae & E.coli
DOC for normal Enterobacterales
Augmentin or Pipercillin-tazobactam
DOC for ESBL Enterobacterales
Temocillin or Meropenem
DOC for CRE
Ceftazidime-avibactam or high dose meropenem
DOC for resistant enterobacterales
Fluroquinolones, Aminoglycosides or Colistin
What’s the incubation period of legionnaire’s disease?
2-10 days
DOC for stenotrophomonas maltiophilia
Co-trimoxazole
DOC for S. Pneumonia
Vancomycin and fluroquinolones
DOC for H. Influenza
3rd gen cephalosporins
DOC for bordetella pertussis
Calirothromycin & erythromycin
DOC for bacillus anthracis
Cirprofloxacin & (doxycycline)