Gram Positive Bacteria Flashcards

1
Q

What makes a gram positive bacteria differnet from a gram negative?

A

A thick peptidoglycan layer

No outer Lipopolysaccharide layer.

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2
Q

Why is gram staining useful?

A
  • Some antibiotics are effective against gram +ve or gram -ve.
  • gram staining gives us an early indication of the type of bacteria which may be causing infection
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3
Q

What are the 3 types of gram +ve Cocci?

A

Staphylococci (clusters)
Streptococci (Chains)
Enterococci

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4
Q

What are the subtypes of Staphylococci?

A

Coagulase postive & coagulase negative

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5
Q

What is the main coagulase postive staphylococci?

A

Staphylocci Aureus
A commensal microbe in the nose, axilla & perineum.
Major pathogen

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6
Q

Why is Staphylococci Aureus commonly resistant to penicillin?

A

Beta-lactamase causes penicillin resistance.

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7
Q

Where are coagulase negative staphylococci?

A

Theyre commensals in the skin

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8
Q

How do coagulase negative staphylococci become pathogenic?

A

In the prescence of foreign bodies or prostheses.

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9
Q

What are the 2 subtypes of Streptococci?

A

Alpha- (partial haemolysis) & Beta-haemolytic (complete haemolysis).

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10
Q

What culture is used to distinguish between alpha- & beta-haemolytic streptococci?

A

Blood Agar culture
alpha-haemolytic turns it green
beta-haemolytic turns it clear

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11
Q

Name and detail an example of alpha-haemolytic streptococci?

A

Streptococci Pneumoniae

  • normal mouth flora (commensal)
  • Causes infective endocarditis
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12
Q

How are beta-haemolytic streptococci further divided?

A

Into groups A-G.

A,B & D are clinically significant

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13
Q

Name and detail a common Group A beta-haemolytic streptococci?

A

Streptococcus Pyogenes

A major pathogen causing sore throat & cellulitis.

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14
Q

Name & detail a common group B beta-haemolytic streptococci?

A

Streptococcus Agalactiae
Causes neonatal sepsis with meningitis & bacteraemia.
Commonly carried in women’s genital tract.

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15
Q

What is special about group D beta-haemolytic streptococcus?

A

Theyre actually non-haemolytic (SHOCKER).

known as enterococci.

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16
Q

Name & detail a common enterococcus

A

Enterococcus Faecalis

A normal gut commensal that can cause UTI’s.

17
Q

Name the 3 common types of Anaerobic Gram-Positive Bacilli?

A
  • Clostridium Difficile
  • Clostridium Perfringens
  • Clostridium Tetani
18
Q

Can Clostridium Difficile be cultured?

A

TEchnically yes but its very difficult

19
Q

What does clostridium difficile infection cause?

A

It produces toxins that cause diarrhoea & pseudomembranous colitis (inflammation of the wall of the colon)

20
Q

How does clostridium difficile spread?

A

Via spores, often in hospitals.

21
Q

What increases risk of pathogenic clostridium difficle infection?

A

Anything that disrupts normal gut flora, such as antibiotic use.

22
Q

How is a clostridium difficile infection detected?

A

Antigen & toxin can be detected in a stool sample

23
Q

Where is clostridium perfringens found?

A

In the gut as a normal commensal.

Also in food & wounds

24
Q

What does clostridium perfringens cause?

A

“Gas Gangrene” in wounds.

Food poisoning in food.

25
Q

What does clostridium tetani cause?

A

Tetanus by releasing toxins that inhibit nerve synapses from releasin inhibitory neurotransmitters (paralysis).

26
Q

How is clostridium tetani vaccinated against?

A

Using an antigenically modified toxin (toxoid)

27
Q

How are aerobic gram positive bacilli used in biological warfare?

A

Bacillus Anthracis (aerobic) is the cause of anthrax.

28
Q

What is the source of botox?

A

Clostridium Botulinum

29
Q

Classify Clostridium Botulinum:

A

Gram +VE

  • > Anaerobic
  • > Bacilli
  • > Clostridium sp.
  • > Clostridium Botulinum