worms and germs Flashcards
What form of strep is beta hemolytic?
Group A Strep pyogenes
What form of strep is alpha hemolytic?
strep pneumoniae
What is a the description of strep pneumoniae?
gram positive encapsulated diplococcus
What bacteria is responsible for most pneumonia ?
strep pneumoniae
What is the DOC for strep? What if that is not possible or available to use?
DOC: PCN
or Erythromycin
How is neisseria described?
Intracellular gram negative cooci
What 2 disease did we focus on that come from neisseria?
meningitis and gonorrhea
What are a few examples of gram negative bacilli?
E coli Salmonella Shigella Haemopholus Flu Vibrio Psuedomonas Aeruginosa Campylobacter
What bacteria causes the disease Typhoid fever?
Salmonella
What disease s/s presents with typhoid fever?
high fever for 2-3 weeks’
abdominal pain
rose colored rash
How is typhoid fever treated?
Ceftriaxone
what differentiates salmonella gastroenteritis and shigella?
Shigella = bloody stool more common
How is salmonella gastroenteritis treated?
Fluids
TMP/SMX - Kids
Ciprofloxacin - Adults because fluroquinolone
What living organism can serve as a mechanical vector for shigella?
fly
What antibiotics treat shigella?
Ampicillin
Bactrim
Ciprofloxacin
What is the treatment for cholera?
Fluid resuscitation
Tetracycline
Doxycycline
Bactrim
Pseudomonas aeruginosa is what type of infection?
Oppoutunistic
commonly acquired in the hospital
What is the second most common cause of infection in the ICU and a frequent cause of ventilator associated pneumonia?
P. aeruginosa
What bacteria causes food poisoning, gas gangrene, tetanus, botulism?
Clostridium
What is notable about the spores in c-diff?
spores can survive in the presence of oxygen
What is an example of an extraintestinal protozoa?
Malaria
What are the intestinal protozoas?
entamoeba histolytica
giardia lamblia
pinworm
what are examples of nematodes?
ascaris lumbricoides - roundworm
ancylostoma duodenale - hookworm
What is plasmodium falciparum?
malaria
What are the signs and symptoms of malaria?
Cyclical fever every 48hrs with polyuria`1headache and then the fever falls and there is perfuse sweating and will last 2-8 wks
How do you treat malaria?
chloroquine and mefloquine
How do you treat entamoeba histolytic?
metronidazole
What is the first and second most common protozoa infection in the US
1) Pinworm
2) Giardiasis
What is also known as backpackers diarrhea that commonly comes from cold mountain streams
Giardiasis
What infection causes fatty diarrhea?
giardiasis
How do you test for pinworm?
…………..Scotch tape test
How do you treat pinworm(enterobius vermicularis)?
Its really freaking hard to get rid of them Single dose of MEBENDAZOLE Topical crap Incessantly clean the house treat family
How is pinworm transmitted?
Kids……fecal to oral
How is roundworm ascaris lumbriccoides contracted?
poor sanitation…. infects go system then blood stream then goes to the lungs and is coughed up then swallowed…. DISGUSTING
How is ascaris lumbricoides roundworm treated?
MEBENDAZOLE
What are s/s of ancylostoma duodenale?
itchy vavulovascular rash at the sight of larva penetration
How are hookworms transmitted?
Step on them barefoot in the soil and they penetrate and go into the lungs, or are ingested. then they are coughed up and swallowed and go into the GI system and suck your blood to live
Which germs and worms disease can cause iron deficiency?
Hookworm infection from ancylostoma duodenale
How do you treat ancylostoma duodenale?
MEBENDAZOLE