Bacteria Flashcards
MRSA
= meticillin resistant staphylococcus aureus
Gram positive, coccus, catalase positive, coagulase positive
- skin/soft tissue infection
- endocarditis
- toxin-mediated disease
- beta-lactam abx resistant
- need vancomycin or linezolid
MSSA
= meticillin susceptible staphylococcus aureus
Gram positive, coccus, catalase positive, coagulase positive
- skin/soft tissue infection
- endocarditis
- toxin-mediated disease
- need flucloxacillin or erythromycin
Coagulase negative staphylococci
= CoNS
Gram positive, coccus, catalase positive, coagulase negative
- skin commensal
- device associated infections (prosthetic valve endocarditis)
- 50% flucloxacillin resistant, regimen depends (often includes rifampicin)
- s. saprophyticus - UTI in young women
Pediococcus spp.
Gram positive, coccus, anaerobe
Streptococcus pneumoniae
Gram positive, coccus, catalase negative, alpha-haemolytic, optochin susceptible
- ‘draughtsman colonies’
- pharyngeal commensal
- vaccines available
- treat with benzyl penicillin (IV) / amoxicillin (PO) (may be resistant to penicillin)
- CAP
- meningitis
Viridans streptococci
Gram positive, coccus, catalase negative, alpha-haemolytic, optochin resistant
- pharyngeal commensals
- inc S. mitis, S. oralis, S. salivarius, S. mutans
- treat with benzyl penicillin and synergistic gentamicin
- native valve endocarditis
Group A: Streptococcus pyogenes
Gram positive, coccus, catalase negative, beta-haemolytic
- pharyngitis
- skin/soft tissue infections, inc necrotising fasciitis
- rheumatic fever/scarlet fever
- puerperal sepsis
- treat with penicillin/benzyl penicllin/amoxicillin
Group B: Streptococcus agalactiae
Gram positive, coccus, catalase negative, beta-haemolytic
- commensal of female GU tract
- UTI
- neonatal sepsis/meningitis
- endocarditis, septic arthritis
- treat with benzyl penicillin (+ gentamicin/amoxicillin)
Group C: Streptoccocus equi / equisimilus / zooepiodemicus
Gram positive, coccus, catalase negative, beta-haemolytic
- pharyngitis
- skin/soft tissue infections
- treat with benzyl penicillin/amoxicillin
Group D: Enterococcus spp and Streptococcus bovis
Gram positive, coccus, catalase negative, beta-haemolytic
- S. bovis - endocarditis, colon cancer association
- treat with benzyl penicillin/amoxicillin
Group F: Streptococcus anginosus/constellatus/intermedius
Gram positive, coccus, catalase negative, beta-haemolytic
- intra-abdominal abscesses (often polymicrobial)
- treat with benzyl penicillin/amoxicillin
Group G: Streptococcus dysgalactiae
Gram positive, coccus, catalase negative, beta-haemolytic
- skin/soft tissue infections
- treat with benzyl penicillin/amoxicillin
Enterococcus spp.
Gram positive, coccus, catalase negative, non-haemolytic
- commensal of GI and GU
- UTI
- endocarditis
- polymicrobial infection from GI perforation
- cephalosporin resistant
- treat with amoxicillin or vancomycin
Bacillus anthracis
Gram positive, bacillus, spore forming, aerobic
- anthrax
- 3 toxins - oedema factor, protective antigen, lethal factor
- cutaneous, inhalational, GI infection
- treat with benzyl pencillin or ciprofloxacin
Bacillus cereus
Gram positive, bacillus, spore forming, aerobic
- emetic food poisoning, rice (1-5 hours)
- diarrhoea + abdo pain for 8-16 hours
- usually self-limiting
Clostridium botulinum
Gram positive, bacillus, spore forming, anaerobic
- botulism (classic food bourne)
- infants from honey, wound in IVDU
- treat with supportive and anti-toxin, debridement if wound, + maybe benzyl penicillin or metronidazole
Clostridium difficile
Gram positive, bacillus, spore forming, anaerobic
- antibiotic-associated diarrhoea
- pseudomembranous colitis
- treat with oral metronidazole or vancomycin