Gram Negative Flashcards
9 -be bacteria
Campylobacter jejuni, escherichia coli, haemophilus influenzae, neisseria meningitidis, salmonella, shigella, yersinia enterocolitica, helicobacter pylori, pseudomonas aeruginosa
Campylobacter jejuni shape/ID
Helical
escherichia coli shape/ID
Bacillus
haemophilus influenzae shape/ID
Coccobacillus
neisseria meningitidis shape/ID
Diplococcus (intracellular in neutrophils and macrophages)
salmonella shape/ID
Bacillus (intracellular)
shigella shape/ID
Bacillus
yersinia enterocolitica shape/ID
Bacillus
helicobacter pylori shape/ID
Helical
pseudomonas aeruginosa shape/ID
Bacillus
Bacillus
Pseudomonas aeruginosa,helicobacter pylori, yersinia enterocolitica, shigella, salmonella (intracellular), escherichia coli
Pseudomonas aeruginosa,helicobacter pylori, yersinia enterocolitica, shigella, salmonella (intracellular), escherichia coli
Bacillus
Helical
Helicobacter pylori, campylobacter jejuni
Helicobacter pylori, campylobacter jejuni
Helical
Campylobacter Baxter virulence factors
Cytothelial distending toxin, S layer (prevents binding of complement)
Campylobacter Baxter condition
Diarrhoea + severe abdo pain (IBS and reactive arthritis can follow. Rare: antibody cross reacting to cause guillain-barre)
Campylobacter Baxter treatment
Don’t treat, norfloxacin if severe (fluoroquinolone)
Escherichia coli virulence factors
variable virulence. Expression of toxin, adhesins and invasin factors, biofilm, flagella.
EPEC - (enteropathic) has short adhesins and shortens villi.
STEC - shiga toxin binds to GB3 halting protein synthesis and causing apoptosis (CNS, kidney effects)
Escherichia coli commensal
Gut flora
Escherichia coli condition
Neonate meningitis. Urinary tract infections. Diarrhoea/colitis (2* haemorrhagic colitis, thrombocytopenia purpura, haemolytic uremia syndrome)
Escherichia coli treatment
treatment don’t treat because will influence more shiga toxin release
Haemophilus influenzae virulence factors
capsular (not all), catalase, produces beta lactamases
Haemophilus influenzae commensal
upper resp tract
Haemophilus influenzae condition
Children meningitis, bronchopneumonia
Haemophilus influenzae treatment
ceftriazone (cephalosporin)
Neisseria meningitidis virulence factors
capsule, pilli, lipo-oligosaccharides, IgA protease
Neisseria meningitidis commensal
10% people nasopharynx
Neisseria meningitidis conditions
Meningitis and septicaemia
Neisseria meningitidis treatment
penicillin (beta lactam), and ceftriaxona (cephalosporin)
Salmonella virulence factors
flagella
Salmonella conditions
Typhi and paratyphi fever with rose spots and septicaemia. Diarrhoea
Salmonella treatments
ciprofloxacin (fluoroquinolone)
Shigella virulence factors
shiga toxin, small infectious dose
Shigella conditions
mild dysentery
Shigella treatment
self-limiting (norfloxacin - fluoroquinolone)
Yersinia enterocolitica conditions
enteritis
Yersinia enterocolitica treatment
self-limiting (norfloxacin - fluoroquinolone)
Helicobacter pylori virulence factors
lagella, adhesins, urease
Helicobacter pylori commensal
GI
Helicobacter pylori conditions
Peptic ulcers
Helicobacter pylori treatment
omeprazole (proton pump inhibitor), clarithromycin and amoxicillin
Pseudomonas aeruginosa virulence factors
Biofilm, catalase oxidase, endotoxin A
Pseudomonas aeruginosa commensal
Skin
Pseudomonas aeruginosa conditions
cystic fibrosis colonisation (10+ years). Hospital acquired and ventilator associated pneumonia
Pseudomonas aeruginosa initial treatment
oral cirpofloxacin and nebuliser antibiotic
Pseudomonas aeruginosa more aggressive treatment
tobramycin and ticarcillin and clavaunulic acid