Gram Positive Flashcards
7 +ve bacteria
Staphylococcus aureus, Staphylococcus epidermidis, streptococcus progenes, Staphylococcus pneumoniae, Staphylococcus viridans, clostridium difficile, listeria monocytogenes
Staphylococcus aureus shape/ID
Cocci, beta-haemolysis
Staphylococcus epidermis shape/ID
cocci
Streptococcus pyogenes shape/ID
Cocci forming chains, group A streptococcus, beta haemolytic
Strep pneumoniae shape/ID
cocci, alpha-haemolytic
Streptococcus viridans shape/ID
cocci, alpha haemolytic
Clostridium difficile
bacillus
Listeria monocytogenes
bacillus
Staphylococcus aureus virulence factors
catalase, coagulase, capsule, superantigen toxins, pro inflammatory lipotechoic acid in cell wall, forms biofilms, MRSA - beta lactamases
Staphylococcus epidermidis virulence factors
Catalase, biofilms
Streptococcus pyogenes virulence factors
biofilm, superantigens, M proteins, capsule
Streptococcus pneumoniae virulence factors
polysaccharide capsule, invasins and adhesins
Streptococcus viridans virulence factors
Low virulence: no capsule or lance field antigens
Clostridium difficile virulence factors
forms spores, enterotoxin and cyotoxin (kills GI cells)
Listeria monocytogenes virulence factors
Intracellular
Staphylococcus aureus commensal
upper resp tract, skin, GI tract
Staphylococcus epidermidis
skin flora
Streptococcus pyogenes
Nasal cavity
Streptococcus pneumoniae
Nasal cavity and URT
Streptococcus viridans
Oral cavity
Clostridium difficile
Gut flora
Listeria monocytogenes
?
Staphylococcus aureus conditions
Osteomyelitis, septic arthritis, infective acute endocarditis, pneumonia, gastroenteritis
Skin infections: carbuncles, furuncles, necrotising fasciitis, cellulitis, impetigo
Cystic fibrosis patients colonisation
Staphylococcus epidermidis conditions
Surfaces/devices/catheters
Septic arthritis on joint replacements
Device associated endocarditis
Streptococcus pyogenes
Skin: erysipelas, scarlet fever, necrotising fasciitis, cellulitis, impetigo
Upper resp tract —> rheumatic fever
Streptococcus pneumoniae condition
Meningitis, subacute endocarditis, lobar pneumonia
Streptococcus viridans condition
Subacute endocarditis
Clostridium difficile conditions
Diarrhoea (faecal-oral or antibiotic induced), soft tissues and blood
Listeria monocytogenes conditions
Neonate/elderly meningitis,diarrhoea (rare -danger in pregnancy)
Staphylococcus aureus treatment
Flucloxacillin (beta lactam), gentamicin (aminoglycoside)
MRSA: vancomycin (glycopeptide)
MRSA
Methicillin-resistance staphlococcus aureus: vancomycin (glycopeptide)
Staphylococcus epidermis treatment
Vancomycin (glycopeptide) and gentamicin (aminoglycoside)
Streptococcus pyogenes treatment
Penicillin (beta lactam)
Streptococcus pneumoniae treatment
Amoxicillin (beta lactam)
For meningitis: penicillin or vancomycin + ceftriaxone
Streptococcus pneumoniae meningitis treatment
penicillin or vancomycin + ceftriaxone
Streptococcus viridans treatment
Penicillin (beta lactam), and gentamicin (aminoglycoside)
Clostridium difficile treatment
Remove antibiotics or add vancomycin (glycopeptide)
Listeria monocytogenes treatment
Penicillin (beta lactam)
Avoid unpasteurised cheese)
Cocci
Staphylococcus aureus, Staphylococcus epidermidis, streptococcus pyogenes, streptococcus pneumoniae, streptococcus viridans
Staphylococcus aureus, Staphylococcus epidermidis, streptococcus pyogenes, streptococcus pneumoniae, streptococcus viridans have what in common
Cocci
Beta haemolysis
Staphylococcus aureus, streptococcus pyogenes
Staphylococcus aureus, streptococcus pyogenes both have what in common
Beta haemolysis
Cocci forming chains
streptococcus pyogenes
Alpha haemolysis
streptococcus pneumoniae, streptococcus viridans
streptococcus pneumoniae, streptococcus viridans both have what in common
Alpha haemolysis
Bacillus
Clostridium difficile, listeria monocytogenes
Clostridium difficile, listeria monocytogenes both have what in common
Bacillus
Beta lactam
Flucloxacillin, penicillin, amoxicillin
Flucloxacillin, penicillin, amoxicillin
Beta lactam
Gentamicin
Aminoglycoside
Aminoglycoside
Gentamicin
Vancomycin
glycopeptide
glycopeptide
Vancomycin