Infections On Surfaces, Biofilms Flashcards

1
Q

What is a surface?

A

An interface between a solid and either a liquid or gas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In terms of the infection model, what are 2 kinds of surfaces?

Give 3 examples of each

A

Skin;

  • Epithelium
  • Hair
  • Nails

Mucosal surfaces;

  • Genitourinary
  • Respiratory
  • Gastrointestinal
  • Conjuctival
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name 4 types of micro-organisms found on skin

A

Viruses
Bacteria
Fungi
Parasites (Mites)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List 5 ways people can get surface infections

A
  • Microbiota
  • Invasion
  • Migration
  • Innoculation
  • Haematogenous
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are 2 kinds of surface infections

A

Natural and prosthetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 2 kinds of Natural surface infections

Give 4 examples of each

A

External;

  • Cellulitis
  • Pharyngitis
  • Conjunctivitis
  • UTI

Internal;

  • Endocarditis
  • Vasculitis
  • Osteomyelitis
  • Empyema (Collection of pus in pleural cavity)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List 4 examples of prosthetic surfaces where infections can occur

A
  • Cardiac valves
  • Pacing wires
  • Prosthetic joints
  • Peritoneal dialysis catheters
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name causative organisms for;

  • Prosthetic valve endocarditis> 1 year post-op
  • Prosthetic valve endocarditis< 1 year post-op
A

> 1 year post op: viridans Streptococci, Staph aureus

<1 year post op: Coagulase negative staphylococci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Name 2 causative organisms for Prosthetic joint infections

A
  • Staphylococcus aureus

- Coagulase negative staphylococci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name 2 causative organisms for Pacing wire endocarditis

A
  • Staphylococcus aureus

- Coagulase negative staphylococci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What 4 processes are involved in the pathogenesis of surface infections?

A
  • Adherence to host cells/ prosthetic surface
  • Biofilm formation
  • Invasion and multiplication
  • Host response (Pyogenic OR Granulomatous)

(Pyogenic means neutrophils-> Pus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How can bacteria bind to surfaces/ surface receptors

A

Via Pili (Thin strands of protein)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is a biofilm?

What is biofilm formation?

A

A microbial community attached to a surface and encase in an ECM of microbial origin

A process where microorganisms irreversibly attach to and grow on a surface, producing extracellular substances that facilitate attachment and matrix formation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is Quorum sensing?

What is a Quorum?

(In regards to surface infections)

A

Ability to detect and respond to cell population density by gene regulation

Quorum: Minimum amount of bacteria needed to make a biofilm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Name 3 principles of Quorum sensing

Name 3 things controlled by Quorum sensing

A

Principles;

  • Signalling molecules
  • Cell surface/ Cytoplasmic receptors
  • Gene expression

Controls;

  • Sporulation
  • Biofilm formation
  • Virulence factor secretion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In managing a surface infection;

  • What are 2 aims of diagnosis?
  • What are 2 methods of diagnosis?
A

Aims;

  • Identify infecting organism
  • and it’s antimicrobial susceptibilities

Methods;

  • Blood cultures
  • Tissue/ prosthetic material sonication and culture
17
Q

In managing a surface infection;

  • What are 2 aims of treatment?
  • What are 3 methods of treatment?
A

Aims;

  • Sterilise tissue
  • Reduce bioburden

Methods;

  • Antibacterials
  • Remove prosthetic material
  • Surgery (Resect infected material)
18
Q

What are 3 methods of prevention of surface infections on;

  • Natural surfaces
  • Prosthetic surfaces
A

Natural surface infection prevention;

  • Maintain surface integrity
  • Prevent bacterial surface colonisation
  • Remove colonising bacteria

Prosthetic surface infection prevention;

  • Prevent contamination
  • Prevent bacterial surface colonisation
  • Remove colonising bacteria
19
Q

What are most UTIs caused by?
What are most pneumonia cases caused by?
What are most blood infections caused by?

A

UTIs: Urinary catheters
Pneumonia: Mechanical ventilation
Blood infections: Intravascular devices

20
Q

What 2 types of bacteria are most commonly associated with hospital acquired

A

Staphylococci

Enterococci