medically imp bact part 2 Flashcards
what disease does sprep pneumoniae cause
pneumonia, bacteremia, meningitis, URT infections (otitis media, mastoiditis, sinusitis)
s pneumoniae characteristics
gram +, diplococci, a hemolytic, lysed by bile and deoxychocolate, growth impaired by optochin
how many serotypes of s pneumoniae are there
91
staph and strep are motile/nonmotile and do/dont form spores
nonmotile, dont
do staph make catalase?
yes
do strep make catalase?
no
2 most imp human pathogens
staph aureus and strep pyogenes
MC and cause the most infectious disease
organisn?
s aureus
does staoh aureus secrete catalase
yes
does staoh epidermidis and saprophyticus secrete catalase
yes
protein A?
prevent opsonization and enhance phagocytosis
teichoid acids?
mediate adherence
lipotechoic acids
induce IL1 and TNF by macrophages
11 serotypes 5 and 8 are the MC
polysaccharide capsules
s aureus ferments mannitol?
yes
hemolyzes RBC?
s aureus
s aureus make catalase?
yes
what does catalase do?
degrades H2O2 into O2+H20
s aureus make coagulase?
yes
what is coagulase?
causes plasma to clot by activating prothrombin to form thrombin. thrombin then catalyzes activation of fibrinogen to form fibrin clot
provides hiding place for bacteria
coagulase
s aureus staphyloxanthin producer?
yes
what is staphyloxanthin ?
carotenoid pigment; characteristic gold color
what does staphyloxanthin do?
enhance pathogenicity, inactivates microbicidal effect of superoxides and other ROS with neutrophils
does s aureus make beta lactamase?
yes
what does beta lactamase do
degrade beta lactam ATB
what are beta lactam ATB?
drugs that inhibit cell wall synthesis
- drug binds to PBP
- inhibit cross linking so cell wall synthesis can occur
- enzymes cause bacterial cell wall to lysis
drugs resistant to beta lactamase
methicillin and nafcillin
drugs that inhibit beta lactamase
clavulanic acid, sulbactam, tazobactam
key determinant for MRSA
PBP2a
MCC skin abscesses in the US
MRSA
what causes pneumonia, NF, and sepsis
MRSA
MCC of infections in IV drug users
MRSA
where does s aureus colonize
nasal cavity, skin, vagina, formites
immune compromise, red humoral immunity, neutrophil deficiency, DM, IV drug use, FB
risk factors for s aureus
2 disease mechanisms for s aureus
toxin production and pyogenic inflammation
typical lesion of s aureus
abscess: central necrosis and pus
heat resistant, resistant to low pH, resistant to GI enzymes, acts as superantigen
enterotoxin
serotonin secretion by enterochromaffin cellsstimulates enteric NS to activate ______
vomiting center
causes of TSST?
tampon, nasal packing, contraceptive devices, post op wound infections
blood cultures neg for s aureus
tsst
tsst acts as a _____
superantigen
exfoliatin toxin
protease that cleaves desmoglein causing desquamation and scalded skin syndrome
exfoliatin A and B
causes bollous impetigo
pore forming toxin and important virulence factor with CA MRSA
P-V leucocidin