CF pseudomonas Flashcards

1
Q

CF is a genetic disease. True or false?

A

True

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2
Q

CF is a result of a faulty ______ gene that can undergo multiple mutations.

A

CFTR

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3
Q

What are the symptoms of CF?

A

Chesty cough
Chest infection
Fatty diarrhoea
Poor weight gain

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4
Q

There is a high risk of which bacterial infection in the first two years of life?

A

Staph.aureus

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5
Q

It is important to isolate a child with a pseudomonal infection. True or false?

A

False - isolation has no impact

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6
Q

A pseudomonal colonisation can delay growth in children. True or false?

A

True

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7
Q

Is psuedomonas gram positive or negative?

A

Gram negative rod

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8
Q

Where is pseudomonas found?

A

Plants, water, soil and human and animal surfaces

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9
Q

What virulence factor aids psuedomonas in adhesion and host invasion?

A

Produces extracellular protease

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10
Q

Pseudomonas produces alginates. What is the benefit of this?

A

Aids biofilm formation

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11
Q

How can psuedomonal biofilms be transmitted?

A

Environmental sources e.g. sinks/drains

Invasive medical devices

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12
Q

What diagnosis tests can be run for pseudomonas?

A
Sputum
Blood
Discharge
Stool
Urine 
FBC
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13
Q

What medical conditions can be caused by pseudomonas?

A

Respiratory tract infections and sepsis

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14
Q

What is the pathophsiology of pseudomonas?

A

Colonises the mucus in the lower respiratory tract and grows to cover epithelium. This leads to biofilm proliferation and formation of scars and abscess

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15
Q

Which drugs are given as eradication therapy for psuedomonas?

A

Tobramycin/amikacin
Colistin/tobramycin
Ciprofloxacin
Azithromycin

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16
Q

What is an infective exacerbation defined as?

A

Reduction in FEV to <50% of expected

17
Q

What are the actions in clinic for someone with an infective exacerbation?

A

Sputum sample
IV access
Admission
Empirical antibiotics

18
Q

What are the empirical antibiotics given for the first psuedomonal infection?

A

Ceftazidime

Tobramycin