Gram Positive Organisms Flashcards

1
Q

What are the common gram positive organ types?

A

Staphylococci
Streptococci
Enterococci

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2
Q

What are the common gram positive bacilli?

A

Listeria monocytogenes
Clostridia
Corynebacterium
Bacillus cereus

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3
Q

What is another name for corynebacterium?

A

Aka diphtheroids.

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4
Q

What type of drugs do the beta-lactams include?

A
Penicillin
Flucloxacillin
Amoxicillin
Cephalosporins
Piperacillin/tazobactam
Carbepenems
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5
Q

What is absorbed more orally, penicillin or amoxicillin?

A

Amoxicillin.

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6
Q

What is the mean inhibitory concentration (MIC)?

A

Concentration of drug required to kill 99.9% of organisms in 18 to 24 hours.

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7
Q

What drug class is it important to be above the MIC for as long as possible (maintain a high blood concentration)?

A

Beta-lactams.

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8
Q

What drugs have concentration dependent killing?

A

Aminoglycosides

Quinolones

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9
Q

May antibiotic penetration be site dependent?

A

Yes.

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10
Q

When may biofilms occur and do they require special thought?

A

CF, bronchiectasis, prosthetic material.

Yes.

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11
Q

What enzyme do all streptococci have?

A

Catalase.

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12
Q

Give an example of group B strep and where it causes infection?

A

Streptococcus agalactaiae

Pregnancy and neonates

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13
Q

What is the new name for strep bovis?

A

Streptococcus gallyllyticus subsp. gallolyticus.

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14
Q

What are the 2 types of enterococcus and what one is more likely to be resistant?

A
Enterococcus faecalis
Enterococcus faecium (more resistant)
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15
Q

What 3 conditions does strep pneumoniae cause?

A

Otitis, pneumonia, meningitis

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16
Q

What conditions can enterococci cause?

A

UTI
Endocarditis
Bacteraemia

17
Q

What is the treatment for enterococcus infection?

A

Amoxicillin IV

Co-trimoxazole step down therapy.

18
Q

What would you use on an enterococcus that is amoxicillin resistant?

A

Vancomycin.

19
Q

Do you get vancomycin resistant enterococci?

A

Yes.

20
Q

What extra investigation do people with strep bovis (strep gallolyticus subs gollolyticus) infective endocarditis need?

A

Colonoscopy as linked with tumour