Gram Positive Cocci staph Flashcards

1
Q

What is metabolism of Staphylococcus?

A

Facultative anaerobic

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2
Q

What is the result of the catalase test in Staph?

A

Positive

exceptions= anaerobic species; S. sacharolyticus, S. aureus subsp. anaerobius

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3
Q

What type of pathogen is Staph?

A

Classic opportunistic pathogen

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4
Q

What is the natural habitat of Staph?

A

Skin and mucous membranes.

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5
Q

Is staphylococcus apart of the normal flora?

A

It can be.

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6
Q

What is coagulase?

A

Enzyme that converts fibrinogen- Fibrin

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7
Q

What are the coagulase positive Staph species?

A
S. aureus
S. aureus susp anaerobius
S. intermedius group
(S. pseudintermedius, S. intermiedius, S. delphini)
S. hyicus (swine)
S. schleiferi subsp. coagulans
S. schleiferi subsp. schleiferi
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8
Q

What are the Coagulase Negative Staph species?

A
S. Felis
S. Epidermidis
S. hemolyticus
S. saprophyticus
S. similans
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9
Q

What is the clinical significance of Staph?

A

Suppurative conditions
Superficial- Skin & soft tissue ( Pyoderma, folliculitis, furunculosis, wound infections).
Deep infections ( Abcess, cellulitis, mastitis, pyomyositis, Necrotizing faciitis and myositis)
Infections of other body systmes ( Empyema, osteomyelitis, arthritis, endocarditis, pneumonia, otitis, sinusitis, menigitis)
Invasive bacteremia

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10
Q

What are chronic persitent relapsing infections?

A

Pyogranulomatous (Pus- Neutrophils and Macrophages).

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11
Q

For staph is there a “one host one pathogen” concept?

A

NO

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12
Q

Which speciases can be infected with staph?

A

all

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13
Q

Can one host species be predominantly susceptible to a species of staph?

A

yes

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14
Q

What virulence factors are associated with staph?

A

Many including
Adhesins,
enzymes,
Toxins

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15
Q

What is the understanding of the pathogenesis of staph?

A

No deep understanding

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16
Q

The interaction of Multiple virulence factors in a staph infection are critical? T/F?

A

True

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17
Q

What is TSST-1

A

Staphylococcal Toxic Shock Syndrome

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18
Q

What is Staphylococcal enterotoxin?

A

Staphylococcal food poisoning

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19
Q

Exfoliative toxins are associated with?

A

Staphylococcal scaled skin syndrome

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20
Q

The superantigen associated with staph is important why?

A

The superantigen has indiscriminate binding to Many T cells releasing cytokines causing problems

21
Q

Protein A Virulence Factor, what is it?

A

Binds to FC portion of IgG- preventing phagocytosis

22
Q

This virulence factor lyses RBC and other body Cells

A

Hemolysins

23
Q

This virulence factor destroys tissues

A

Proteases

24
Q

What does hyaluronidase as a virulence factor cause?

A

Destruction of connective tissue

25
Q

Lipases

A

break down fat

26
Q

Alpha toxins are responsible for?

A

Membrane damaging toxins

27
Q

This virulence factor plays a role in necrotizing Fasciitis and pneumonia in dongs

A

Leukocidin

28
Q

Exfoliative toxins

A

Staph scalded skin syndrome

29
Q

Biofilm formation

A

Virulence factor allowing for further bacterial infection to persist.

30
Q

what is the most common Dz in dogs regarding Staph?

A

Bacterial Folliculitis and Furnculosis

31
Q

What is the most common Isolate in dogs?

A

S. pseudintermedius

32
Q

Is S. aureus a “go to” in dogs for bacterial Dz?

A

No S. pseudintermedius

33
Q

How is a Staph infection diagnosed?

A

Direct examination of specimen
Gram + cocci in clusters
Evidence of inflammation with abundance of Neutrophils is highly suggestive
Culture

34
Q

Is PCR a good choice for a skin infection?

A

No, Normal flora on skin can cause misdiagnosis.

CONTAMINATION

35
Q

What is important regarding Staph in Cattle?

A

S. aureus- Sub-acute or acute mastitis

Per-acute mastitis (gangrenous mastitis)

36
Q

what causes Ulcerative Pododermatitis? and which species?

A

S. aureus- Humans and Porcine

37
Q

Cervical Lymphadenitis in sheep is caused by?

A

S. auerus subsp. anaerobius

38
Q

Bumble foot? who? What?

A

Birds feet big nasty ulcer, S. aureus

39
Q

Botryomycosis is what?

A

Chronic pyogranulomatous inflammation
Found in rodents, humans and horses
Most common isolate= S. aureus
SQ or deep tissue

40
Q

What is the first line of treatment choice for Staph?

A

1st generation cephalosporins (cephalexin)

41
Q

All staphylococcus isolates which are macrolide (erythromycin) resistant should be considered Clindamycin Resistant unless confirmed by what?

A

D- Test

42
Q

Chloramphenicol can be used but frequently is not used, Why?

A

Human health concern of idiosyncratic causing aplastic anemia

43
Q

Types of treatment include?

A

Local therapy
Intra-articular injections
Regional perfusions
topical application in superficial infections
Mupirocin and Fusidic Acid (decolonization)
Chlorhexidine acetate
alternative therapies

44
Q

What type of resistance is associated with staph species?

A

MRSA, MRSP

45
Q

What mediates resistance resulting in altered penicillin binding protein (PB2a)?

A

mecA gene

46
Q

What type of resistance is common in staph species?

A

Beta-lactamase

47
Q

How can one tell if the client got the dog sick or vic a versa?

A

Pulse field gel electrophoresis.

48
Q

To control the infection it is important to do what?

A

Avoid contact
good hygiene
isolate known infections if possible
client education ( MUST TELL OLDER OR IMMUNOCOMPETENT CLIENTS TO SEE PHYSICIAN!!!)
Treatment of colonized pet is not a normal practice