Staph Flashcards
What is implicated in nasal and skin colonization
Adhesins and wall techoic acids
Leading cause of nasocomial infx
Staph aureus
Latrogenic infx
Due to activity of doctors or therapy
Colonization (4Ds)
Diabetics
Dialysis patients
Damaged skin
AIDS
Transmission is via
Direct contact skin to skin
Contact with fomites (contaminated objects)
General characteristics
Pyogenic non motile
Non sporing
Gram positive
Aerobes or facultative anaerobes
Aureus n lugdunesis are most virulent
Coagulase
Bacterial surface enzyme
Converts fibrinogen to fibrin
2 types free and bound
Free is secreted extracellular
Bound is clumping factor. Associated with cell wall
Device related and urinary tract infx commonly caused by
Staph epidermidis haemolyticus and saprophyticus
Focal infections
Anterior eye infx
Cutaneous infx
Catheter infx
Toxin producing strains
Food posing
Toxic shock syndrome
Scalded skin syndrome
Disseminated infx due to bacteremia
Post eye infx
Pneumonia
Endocarditis
Septic arthritis
Factors facilitating colonization
Binds nasal epithelial ligands
Clumping factor b, iron regulated surface determinant a
Resist antimicrobial peptides
Aureolysin / staphlokinase / protein f
Atopic dermatitis
Chronic and intermittent skin inflammation associated with allergic rx
Accompanied with elevate serum igE levels
S aureus colonizes 40-90% of patients
MRSA
Methicillin resistant
Most important in hospitals
Coagulase test
Only S aureus is positive bc it has free coagulase