Gram Pos: Staphylococcus Flashcards

1
Q

Describe the bacterial characteristics of staphylococcus.

A

-gram pos cocci in clusters
-facultative anaerobes
-non motile, non spore forming
-catalase +
-normal host associated microbiota ‘commensal’ on skin & mucus membrane
>URT (nose/nares)
>lower urogenital tract
>GIT
-host: human, animal, environment (stable)
-opportunistic, suppurative infections w pus filled lesions (abscess)

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2
Q

Describe virulence factors & pathogenesis.

A

-pyogenic bacteria are opportunistic pathogens
-subclinical to acute & severe or peracute, severe, & life threatening

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3
Q

Describe protein A.

A

-inhibition of opsonization
-goal is to decrease phagocytosis

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4
Q

Describe coagulase.

A

-fibrinogen -> fibrin
-S. Aureus can coat w fibrin (fibrin clot) to protect bacteria from phagocytosis = more virulent

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5
Q

Describe coagulase test.

A

-detects most virulent staphylococci
(+) = fibrinogen converted to fibrin by coagulase & visible clot formation in tubes
(-) = coagulase neg staphylococci (CoNS)
>ex: s. Epidermidis

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6
Q

Describe species of vet imp.

A
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7
Q

Describe classification of mastitis.

A
  1. Environmental mastitis
    -subclinical mastitis
  2. Clinical mastitis
    -peracute gangrenous
    -acute
    -chronic (intermittent acute episodes during lactation)
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8
Q

Describe bovine staphylococcal mastitis.

A

-contagious mastitis in cattle caused by s. Aureus
-majority not cleared by IS -> chronic, low grade or sub clinical -> production loss
-source of infection = from infected mammary gland of another cow in herd
-host predisposition = impaired phagocyte function -> pathogen survive in mammary gland
-transmission:
>milking thru contaminated hands of milker
>teat cup liners & udder cloths

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9
Q

Describe peracute gangrenous, acute, & chronic subclinical mastitis.

A
  1. Peracute gangrenous
    -venous thrombosis & local edema
    -tissue necrosis, udder discolor
    -swollen quarters, sore on palpitation
    -fever, depression, anorexia
  2. Acute
    -severe swelling of gland
    -purulent secretion w clots in milk
    -fibrosis
  3. Chronic subclinical (most common)
    -elevated somatic cell counts
    -episode of bacterial shedding
    -inflam response -> block ducts & atrophy of alveoli
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10
Q

Describe the T & P of BSM.

A

-proper milking technique & good hygiene during milking
>single use paper towel to dry teat
>milker gloves
>teat dip after milking
-dry cow therapy
-detect subclinical infections
>segregation of infected cows
>antimicrobial treatment for severe acute
>cull chronic
-prevent intro of pos cows into herd

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11
Q

Describe botryomycosis.

A

-rare chronic granulomatous suppurative disorder w formation of micro abscessation
-post castration complication in horses (open castration w lack of hygiene)
-cutaneous form w small sub dermal granulomas
-treatment: long term AB treatment & removal of affected tissue
-prevention: hygiene during surgical procedures, proper wound care

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12
Q

Describe bumblefoot.

A

-local chronic pododermatitis (tenosynovitis) of foot in birds
-bacteria entry thru weakened area or scratch in bird foot -> staphylococcal arthritis & septicemia in turkeys
-prevention: good husbandry

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13
Q

Describe pyoderma, otitis externa, & other suppurative conditions.

A

-local skin disease in dogs & cats
>otitis externa, infected wounds, UTI, vaginitis, metritis, balanitis, conjunctivitis, bacteremia, abscesses
-S. PSEUDINTERMEDIUS most common opportunistic pathogen in dogs
-primary cause for otitis externa are parasites, food allergy, foreign body, hair, autoimmune disease, anatomic predisposition, pustules
-secondary cause is bacterial infections

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14
Q

Describe bacterial pyoderma.

A

-triggered by overgrowth of normal resident or transient skin microbiota
-skin disease that changes dry -> humid can predispose host to overcolonization
*S. Pseudintermedius
S. Aureus
colonization doesn’t equal infection

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15
Q

Describe pyoderma T & P.

A

-ID of underlying problems
-cleansing shampoo -> antimicrobial shampoo
-topical VS systemic antibiotics
>narrow spec
-ointment
-groom hair

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16
Q

Describe greasy pig disease.

A

-contagious exudative epidermis in suckling & weaned pigs up to 3mo of age (NO pus & generalized)
-excessive sebaceous secretion & exfoliation, anorexia, depression, fever
-morbidity 20-100%, mortality 90%
-S. Hyicus can be isolated from vag mucosa & skin of healthy sow & preputial diverticulum of boars
-entry of skin thru abrasions

17
Q

Describe greasy pig disease T & P.

A

-early systemic antibiotics therapy + topical treatment w antiseptic or antibiotic
-isolation of infected pigs
-cleaning & disinfect buildings
-clip needle teeth of newborn pig
-soft bedding, good hygiene

18
Q

Describe staphylococcal toxic shock syndrome (TSS) & food poisoning.

A
  1. TSS = caused by effect of superanitgens entering bloodstream
    -fever, headache, vomit, diarrhea
    -conjunctival reddening, hypotension, skin rash, kidney failure
  2. Food poisoning = caused by s. Aureus that has made enterotoxins
    -nausea, vomiting, ab cramp, diarrhea, sweating
19
Q

Describe lab diagnosis.

A
  1. specimen: exudate, pus from abscess, mastitis milk, skin scrape, urine, affected tissue
  2. direct microscopy = gram stain
    >gram + cluster & evidence of inflam w high neutrophil
  3. isolation
    >culture on selective blood agar for hemolysis & MacConkey agar (absence of growth)
    >contaminant (CoNS), resident or pathogen
  4. Molecular typing w PCR
20
Q

Describe treatment of s. Aureus.

A

-antimicrobial & elimination of primary cause
-therapy depends on infection site, severity, staphylococcal strain
>amoxicillin, penicillinase resistant B lactam, aminoglycosides, cephalosporins, clindamycin
>quinolones not rec
-antimicrobial susceptibility testing rec

21
Q

Describe AMR.

A

-B lactamase mediated resistance common in staphylococcal spp
-methicillin resistance in s. Aureus (MRSA) & S. Pseudintermedius (MRSP)
-resistance to B lactam antibiotics often coincides w resistance to other antibacterial drugs -> multi drug resistance (macrolides, aminoglycosides, tetracycline, sulfa)

22
Q

Describe MRSA.

A

-methicillin resistance mediated by mecA gene resulting in altered penicillin binding proteins
-hospital acquired infections (nosocomial) & inc circ of community acquired infections by MRSA

23
Q

Describe MRSA VS MRSP.

A

-rapidly emerging
-reflect lax infection control or predisposition
-household transmission & occupational risk
-colonization of animals by human MRSA is transient & vice versa
-staphylococci at human animal interface = potential route of dissemination of AMR

24
Q

Describe infection control.

A

-nares most common site of colonization
-hands most common source of transmission in humans
-contact precaution
-awareness of inc risk
-isolation of animals
-counsel owner w potential risk
-immunocompetent old client consult w physician
-people in patient care assume potential source of disease
-prevention
-hygiene & herd management
-choose antibiotic wisely
-underlying primary cause