Chapter 12-13 Strept Entero Pneumo Flashcards
describe the microbe streptococcus agalctiae
group B, beta hemolytic, chain like growth, aerobic, polysaccharide capsule
where is streptococcus agalactiae found
lower GI tract
what diseases does streptococcus agalactiae cause
-pneumonia in neonates
-bacteremia and meningitis
- urinary infections in pregnant women
what protects against streptococcus agalactiae
antibodies against group B polysaccharide Ag
what causes streptococcal toxic shock syndrome
strains of different S pyogenes or S agalactiae
what type of microbe is enterococcus faecalis and where is it found
-gram positive cocci
- alpha and non hemolytic
- facultative anaerobes
- GI flora
describe the virulence of enterococcus faecalis
high mutliple antibiotic resistance - plasmid and chromosomal
what is the epidemiology for enterococcus faecalis
elderly
- long hospitalization
- high nosocomial risk
what is VRSA caused by
vancomycin resistance enterococci
what streptococci strain is seen as diplo-cocci
streptococcus pneumoniae
what does Beta hemolysis on blood agar plates cause
clearing at and around colonies in streptococcus pyogenes
what is alpha hemolysis due to
partial lysis of eythrocytes in S mitis and S pneumoniae
what does green color on agar plates mean
pneumolysin degrading hemoglobin
what are lancefield groups
a way to classify streptococci. A-W
what is group A in lancefield groups
N-Ac glucosamine and rhamnose
what is group B in lancefield groups
rhamnose and N-Ac-glucosamine + galactose
what is rapid strep throat test based on
group A serological responses
what are streptococcal classification methods
-lancefield groups
-biochemical, metabolic classification
- DNA sequencing - phylogenetic analysis
describe DNA sequencing - phylogenetic analysis
- sequencing the emm gene for the required virulence factor protein M
what is M protein
- cell wall component that is an important virulence factor
- membrane- anchored
what do anti- M antibodies do
prevent infection of S.pyogenes but many serotypes
what does M protein do
- binds keratinocytes, the main cell type in outer skin layer
- binds fibrinogen, blocking surface from complement system components
- binds complement control proteins and inhibits formation of opsonins by complement cascade