Microbiology Flashcards

1
Q

What is Staph. aureus?

A

Coagulase positive staphylococci

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2
Q

What is Staph. epidermidis?

A

Coagulase negative staphylococci

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3
Q

What is Staph. saprophyticus?

A

Coagulase negative staphylococci
Commensal

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4
Q

Which antibiotics are used against Staph. aureus?

A

Penicillin (90% hospital strains are resistant)
Flucloxacillin
Erythromycin
Clindamycin
Fusidic acid
Cephalosporins
Vancomycin

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5
Q

What are the beta-haemolytic types for streptococci?

A

Lancefield groups A, B, C and G

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6
Q

What is Strep. pyogenes?

A

Lancefield group A

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7
Q

What is Enterococcus faecalis?

A

Lancefield group B

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8
Q

What is Strep. viridans?

A

Allpha haemolytic

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9
Q

What is Strep. pneumoniae?

A

Gram positive encapsulated diplococci

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10
Q

Which antibiotics are used against Strep. pyogenes?

A

Penicillin
Erythromycin (if pen-allergic, some strains resistant)
Clindamycin

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11
Q

Which antibiotics are used against enterococci?

A

Ampicillin
Resistant to penicillin and cephalosporins

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12
Q

Which antibiotics are used against streptococci??

A

Penicillin

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13
Q

What are some examples of gram positive rods?

A

Clostridium perifringens
C. tetani
C. botulinum
C. difficile

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14
Q

Are gram positive rods aerobes or anaerobes?

A

Anaerobes

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15
Q

What is Neisseria?

A

Gram negative cocci

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16
Q

What is E. Coli?

A

Faculative Anaerobic
Gram negative bacilli

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17
Q

What is Klebisella?

A

Faculative Anaerobic
Gram negative bacilli

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18
Q

What is Proteus?

A

Anaerobic
Gram negative bacilli

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19
Q

What is Salmonella?

A

Faculative Anaerobic
Gram negative bacilli

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20
Q

Which salmonella can be split into types A, B and C?

A

Paratyphi

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21
Q

What is Shigella?

A

Faculative Anaerobic
Gram negative bacilli

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22
Q

What are enterobacters?

A

Faculative Anaerobic
Gram negative bacilli

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23
Q

What is Yersinia?

A

Faculative Anaerobic
Gram negative bacilli

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24
Q

What do Yersinia pseudotuberculosis and Yersinia enterocolitica cause?

A

Food poisoning
Mesenteric adenitis

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25
What is Pseudomonas aeruginosa?
Aerobic Gram negative bacilli
26
What is Bacteroides?
Anaerobic Gram negative bacilli
27
What is Campylobacter?
Gram negative spiral rods
28
What is H. influenzae?
Gram negative bacilli
29
What is H. pylori?
Gram negative spiral
30
What is Benpen used for?
Streptococci Penumococci Clostridia N. gonorrhoeae N. meningitidis
31
What are the main surgical indications for Benpen?
Prophylaxis of gas gangrene Prophylaxis of tetanus Streptococcal wound infections
32
What s PenV (Phenoxymethylpenicillin) used for?
Prophylaxis following splenectomy Prophylaxis in rheumatic heart disease Follows IV benpen to complete course
33
What is co-amox used for?
Coliforms Staphylococci Bacteroides First line in bites
34
What is tazocin used for?
Bacteroides Coliforms Klebsiella P. aeruginosa
35
What are first-generation cephalosporins?
Cefradine Cefalexin
36
What are first-gen cephs used for?
E. Coli Klebsiella Proteus Staph. auerus
37
What are first-gen cephs not active against?
Enterococci P. aeruginosa Anaerobes
38
What is a second-gen ceph?
Cefuroxime
39
What are second-gen cephs used for?
Broad-spec cover against gram-positive and gram-negative organisms Used in colorectal and biliary surgery
40
What are second-gen cephs not active against?
Pseudomonas Anaerobes
41
What are third-gen cephs?
Cefotaxime Ceftazidime
42
What are third-gen cephs used for?
Broad-spec cover Pseudomonas Reserved for severe sepsis Meningitis
43
What are precautions with regards to cephs?
Cross sensitivity in pen-allergic patients Must reduce dose in renal failure Mild rise in LFTs
44
What are examples of sulfonamides and trimethoprim?
Co-trimox Trimethoprim
45
What is co-trimox used for?
Gram positive and Gram neg cover Pneumocystis
46
What is resistant to co-trimox?
Pseudomonas
47
What are precautions with regards to co-trimox?
Leucopaenia Thrombocytopaenia
48
What are examples of macrolides?
Erythromycin Clarithromycin
49
What are macrolides active against?
Streptococci Staphylococci Clostridia Campylobacter
50
What are precautions with regards to macrolides?
Diarrhoea If given IV, phelbitis at site Potentiates warfarin and ciclosporin
51
What are exampoles of aminoglycosides?
Gent Amikacin
52
What are aminoglycosides used for?
Severe gram-negative infections Coliforms Pseudomonas Staphylococci
53
What are resistant to aminoglycosides?
Steptococci Anaerobes
54
What are precautions with aminoglycosides?
Ototoxicity
55
What is an example of a quinolone?
Cipro
56
What is cipro used for?
Gram-neg bacteria including pseudomonas and staphylococci Used for UTI Used for chest infection
57
What is metronidazole used for?
Anaerobic cover e.g. Bacteroides and clostridia Active against protozoa e.g. Entamoeba and Giardia Used for intraperitoneal sepsis and gynae sepsis
58
What is vanc active against?
Staphylococci Streptococci Clostridia Severe sepsis and intraperitoneal administration in CAPD peritonitis
59
What is teicoplanin used for?
Bactericidal glycopeptide active against both aerobic and anaerobic gram positive bacteria Staph. auerus Streptococci Enterococci Listeria monocytogenes Micrococci Gram-positive anaerobes including C. diff
60
What are carbapenems used for?
Very broad spec Gram negs, anaerobes, gram positives
61
What are carbapenems not used for?
MRSA
62
What are clindamycin used for?
Gram positive bacteria Anaerobes Can use in nec fasc
63
What is clindamyciun not used for?
Gram negative bacteria