Gram Positive Bacteria Flashcards

1
Q

How do you initially distinguish between Gram positive bacteria (i.e. what feature)

A

Bacilli (rod-shaped)

Cocci (round/spherical)

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2
Q

how are bacilli distinguished?

A

Aerobic/anaerobic

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3
Q

what category can aerobic bacilli be broken up into

A

spore forming and non-spore forming

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4
Q

give an example of a Gram positive, aerobic, non-spore forming bacteria

A

Listeria monocytogenes

Corynebacterium diptheriae

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5
Q

Give an example of a Gram positive, aerobic spore forming bacterium

A

Bacillus species

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6
Q

anaerobic bacilli form spores, give an example of a bacterium of this type

A

Clostridium species:

  • Clostridium Difficile (C.Diff)
  • Clostridium Tetani
  • Clostridium Perfringens
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7
Q

what groups can Gram positive cocci be split into?

A

Staphylococci (clusters)

Streptococci (chains)

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8
Q

What test is used to distinguish between staphylococci

A

coagulase test (positive or negative)

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9
Q

What Gram positive staphylococci test positive in the coagulase test

A

Staph. aureus

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10
Q

what Gram positive staphylococci test negative in the coagulase test

A
  • Staph. epidermidis

- Staph. saprophyticus

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11
Q

What test is used to distinguish between Gram positive Streptococci and what are the results of the test?

A

haemolysis test:

  • partial (alpha) turns blood agar green
  • complete (beta) turns blood agar clear
  • non-haemolytic has no effect on blood agar colour
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12
Q

what Streptococci organisms produce partial haemolysis?

A
  • Strep. pneumoniae

- viridans streptococci

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13
Q

what streptococci organisms produce complete haemolysis?

A
  • Group A - Strep. pyogenes
  • Group B
  • Group C
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14
Q

what streptococci organisms are non-haemolytic?

A

-enterococci, eg:

enterococcus faecalis

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15
Q

What condition(s) are caused by Staph. aureus

A

Methicillin resistant staph. aureus (MRSA)

Methicillin sensitive staph. aureus (MSSA)

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16
Q

what treatment is used against MRSA

A

Linezolid and in serious conditions Daptomycin

17
Q

what condition(s) does Strep. pneumoniae cause?

A

pneumonia, meningitis, septicaemia

18
Q

what condition does viridian’s streptococci cause

A

infective endocarditis (infection of heart valves)

19
Q

what conditions does (group A) strep. pyogenes cause?

A
  • sore throats
  • cellulitis
  • necrotising fascitis
20
Q

what conditions can (group B) strep. agalactiae cause?

A
  • meningitis

- bacteraemia

21
Q

what do (group D) enterococci cause?

22
Q

what does C. difficile cause?

A

diarrhoea

can cause pseudomembranous colitis

23
Q

what does C. perfringens cause?

A

food poisoning in contaminated food

can cause “gas gangrene” in serious wounds

24
Q

what does C. tetani cause

A

tetanus (uncontrolled muscle spasm)

25
What is clostridium botulinum
the source of botox
26
what is bacillus anthracis the cause of?
anthrax
27
what is Benzylpenicillin (penicillin G) used to treat?
conditions caused by Strep. pneumoniae: - meningitis - pneumonia - septicaemia
28
What can amoxicillin and ampicillin (penicillins) be used to treat?
streptococcal infections (including enterococci) and also some coliforms
29
What can flucloxacillin (penicillin) be used to treat?
staphylococcal infections
30
what can co-amoxicillin (penicillin) be used to treat?
the same bacteria as amoxicillin but due to its anti Beta-lactamase enzyme inhibitor, clavulanic acid, it extends the spectrum to cover β-lactamase producing coliforms.
31
what can erythromycin and clarthromycin (macrolides) be used to treat?
many gram positive organisms organisms that cause atypical pneumonia e.g. - Chlamydia psittacci - Coxiella burnetti - Mycoplasma pneumoniae
32
what can erythromycin and clarithromycin be used as an alternative for in many cases?
penicillins in patients that have a penicillin hypersensitivity
33
what can vancomycin and teicomycin (glycopeptides) be used to treat?
Gram positive organisms, both aerobic and anaerobic Vancomycin can also be used for MRSA treatment
34
Why must vancomycin be monitored when administered?
it can be toxic