Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
53 Cards in this Set
- Front
- Back
predominant microorganisms in mouth and the most common cause of subacute bacterial endocarditis
|
streptococcus viridans
|
|
what are the two types of tissue which streptococcus is highly adherent
|
dental tissue (plaques) and cardiac valves (causing endocarditis)
|
|
streptocci thrive on sugar and turn sucrose into what (which is an important ingrediant in plaque
|
polysaccharide (a byproduct of sugar metabolism is lactic acid which hastens dental caries
|
|
what is the next most common bacteria next to strep in the mouth?
|
Neisseria (not meningitis)
|
|
Diphtheroids which are normal in the body are gram positive rods are are the most common contaminant in blood cultures because
|
they also colonize the skin
|
|
the two most common contaminants of blood cultures (in the presence of foreign bodies - catheters, intravascular artificial devise - they may be pathogens
|
Staph epidermis and diphtheroids
|
|
Gram positive cocci, round and in grape-like clusters in oral flora - one of the most common contaminants of blood
|
Staph epidermis
|
|
a facultative Gram negative rod, is part of the normal oral flora. It causes skin and soft tissue infections associated with human bites and clenched-fist injuries
|
Eikenella corrodens
|
|
Fusobacterium, Provotella, Anaerobic strep are common anaerobes in what part of the body
|
oral
|
|
a common oral anaerobe which is a cigar-shaped Gram negative rod - penicillan sensitive
|
Fusobacterium
|
|
what bacteria is found in the lower trachea
|
none - it is virtually bacteria free
|
|
Pneumonia caused by aspiration of own oral secretion like during loss of consciousness, offending pathogens usually due to a mixture of normal mouth flora (aerobes and anaerobes
|
aspiration pneumonia
|
|
NTF means
|
normal throat flora
|
|
are NTF bacteria sensitive to penicillan
|
yes
|
|
gastric achlorhydria
|
no stomach acid - leads to proliferation of bacteria
|
|
what kind of bacteria do you find in the upper small intestine in normal individual
|
fasting - its mostly sterile. if there is anything (like after a meal) you would see gram postive aerobes and few anaerobes
|
|
E. coli, enterbacter, and other Gram neg organism found in the terminal ileum are called
|
coliforms
|
|
B. Fragilis is normally found
|
lower intestin and resistant to penicillan
|
|
how much bacteria is in the large intestine and consequently the feces
|
1/4 to 1/3 weight of feces (bacteria growth is do stasis)
|
|
Bacteriodes which are Gram negative anaerobic rods, non-spore forming, lots in feces, generate what in the colon?
|
ammonia, acid, and gas
know this |
|
how is ammonia formed by bacteria
|
splitting urea and forming proteins
|
|
common cause of intraabdominal infections in trauma or bowel rupture - infections due to mixed flora - anaerobic.
|
Bacteroides fragilis
|
|
what three antibiotics should you use for infections below the diaphram
|
clindamycin, cefoxitin (cephalosporin), and metronidazole
|
|
what class of antibiotics are useful in combination for treating aeirobic gram negative rods - intraabdominal infections frequently with mixed flora
|
aminoglycoside
|
|
gram-positive rod which produces lactic acid and helps maintain low intestinal pH
|
lactobacilli
|
|
the two types of aerobic flora in the gut
|
coliforms (enteric gram negative rods) and enterococcus (fecalis and faecium)h
|
|
how would coliforms or enterococcus end up in the urinary tract in females
|
contamination of the vagina and subsequent urinary tract with fecal flora
|
|
what are the two gases produced by anaerobic flora in feces
|
methane and hydrogen
|
|
what are three important factors which may determine bacteria situation
|
redox potential, pH, and flow
|
|
intestinal flora of breast fed infants consist largely of
|
bifidobacterium
Gram + rod - not usually pathogenic |
|
The two most important factors in maintenance of intestinal floraand the ability of any pathogen or non-pathogen to proliferate and persist will depend on
|
1. redox potential (low o2 level and pH
2. synergistic or antagonistic effect of competing microbes. |
|
how do aerobes aid anaerobic growth
|
aerobes provide reducing conditions for anaerobes
|
|
what vitimin is produced by bacteria which might be utilized by other bacteria
|
K
|
|
the low pH which helps maintain the local flora results from
|
intestinal flora which ferments carbohydrates and drops pH
|
|
in a hepatic coma, treatment is aimed at reducing the normal intestinal flora why?
|
liver function is impaired. blood ammonia level carn rise.
|
|
the predominant normal flora of the skin
|
staph epidermis
|
|
found in skin and nares, oportunisitic pathogen
|
s. aureus (35%)
|
|
vaginal flora of an adult women responsible for acidic pH. suppression leads to candida albicans overgrowth
|
lactobacillus (not dominant before puberty and after menopause
|
|
15-20% of women of childbearing age carry what in their vagina. it is the organism is an important of septsis for the newborn acquired during passage through the birth canal
|
Group B streptococci
|
|
following dental trauma - actinomyces might cause what kind of infection
|
oral facial infection
|
|
following aspiration related trauma - you might see what kind of infection with actinomyces
|
thoracic infection
|
|
following intestinal rupture - you might see what kind of infection by actinomyces
|
abdominal infection
|
|
sulfer granules seen in tissues
|
actinomyces
|
|
3 anaerobic pleuropulmonary infection syndromes
|
1. aspiration pneumonia
2. lung abscess 3. empyema |
|
bacterial normal flora serve a nutritional function by producing
|
vit K and B12
|
|
what might lead to vitimin B 12 deficiency
|
bacterial outgrowth in the small bowerl leads to fat malabsorption
|
|
how do neisseria species which are natural flora of the mouth differ from Neisseria meningitidis in terms of where they colonize
|
N. meningitis colonizes the throat or nasopharynx
|
|
upon hospitalization (especially incombination with given antibiotics what two aerobic gram-neg rods may colonize oral cavity
|
E.Coli and Klebsiella
|
|
where might you find clostridium perfringesn as normal flora
|
feces
|
|
the predominant "aerobic"flora
|
Coliforms and Enterococcus
can cause UTIs |
|
what bacteria are in fetal intestine
|
none
|
|
how might abnormal bacterial overgrowth in the upper small intestine cause fat malabsorbtion
|
bacteria cause bile acid deconjugation
|
|
what three species do you find in the throat
|
viridan streptococcus, neisseria, and S. epidermidis
|