Microbes in the Blood Flashcards

1
Q

What can blood stream infection be caused by?

A

bacteria (bacteremia) (staph aureus)
fungi (fungaemia) (candida albicans)
viruses (viraemia) (herpes simplex)

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2
Q

What are the sources of microbes in the blood?

A

broken skin/mucous membranes
from a focus of infection in the body (abcess)
GIT
direct inoculation into vascular system

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3
Q

What is a transient presence?

A

Several minutes Bacteremia
Usually caused by manipulation of
or surgical procedure involving infected tissues (I.e extractions)

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4
Q

What is an intermittent presence?

A

Transient presence associated with an undrained abscess or infected biofilm in variety of systemic and localsied infections

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5
Q

What is a continous presence?

A

Severe infection that has overwhelmed host defences e.g., infective endocarditis (maybe associated with sepsis)

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6
Q

What are the two most common microbes in BS infections?

A

e. coli (ECB)
s. aureus (SAB)

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7
Q

What were 96% of staph aureus cases?

A

MSSA

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8
Q

What can HPV cause neonatal?

A

sepsis

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9
Q

How is bacteria in the blood detected?

A

Automated blood culture systems e.g, BacTec
Molecular technologies

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10
Q

What is infective endocarditis?

A

Infection of the heart valves or other areas of the endocardium

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11
Q

What are the predisposing causes for infective endocarditis?

A

Rheumatic valvular disease
Congenital heart disease
Mitral valve prolapse with murmur
Degenerative heart disease

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12
Q

What bacteria is native valve endocarditis mostly caused by?

A

strep
severe cases are caused by s.aureus

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13
Q

What type is pyogenic group strep?

hameolytic?

A

beta haemolytic

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14
Q

What is an example of a coagulase negative staph?

A

s.epidermidis

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15
Q

Why are sub type intravenous drug users infected with NVE different from other forms?

A

Younger age group
Staphylococcus aureus predominant microbe
Mostly affects valves on the right side of the heart Can give rise to multiple lung abscesses (& elsewhere)

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16
Q

What is PVE?

what bacteria causes it

A

Prosthetic valve endocarditis (PVE)
* Early: within 60 days of surgery
Common bacteria are
1. Coagulase negative staphylococci
2. S. aureus
3. Gram negative bacilli

17
Q

Is antibiotic prophylaxis for dental treatment in patients at risk of endocarditis recommended?

A

no

Prosthetic joints, dental treatment and antibacterial prophylaxis

unacceptable to expose patients to the adverse effects of antibiotics