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53 Cards in this Set

  • Front
  • Back
human bite wounds
oral flora
animal bite wounds
oral flora
infected burn wounds
nosocomial species and skin flora
soil contaminated wounds
anaerobic spore formers (fungi)
surgical site infections
norma flora
human bites
streptococci, eikenella corrodesns, STAPH AUREUS, bacteroides, peptostreptococcus, fusobacterium, porphyromas
animal bites
pasteurella multocida; anaerobes: bacteroides, fusobacteria, porphyromaonas, prevotella, propionibacteria
most common isolate from human bites
Viridans streptococci
Pasteurella- Oxygen, gram stain
aerobic, gram negative
pasteurella- meds
penicillin sensitive
rapidly progressive soft-tisue inflammation due to animal bite
pasteurella
pasteurella - virulence
LPS, capsule, cytotoxin, iron acquisition proteins
pasteurella - growth
grow on blood and chocolate agar, not on MacConkey
pasteurella - catalase/oxidase
catalase and oxydase positive
zone of coagulation
nearsest heat source, dead tissue - eschar
zone of stasis
area adjacent to necrosis, viable, at risk of ischemia
zone of hyperemia
normal skin, increased blood flow, vasodilation
most common burn wound isolates: gram positive
staph aureus (most common now); strep pyogenes (was most common)
most common burn wound isolates: gram negative
pseudomonas aeruginosa, klebsiella pneumoniae, acinetobacter baumannii
-nosocomial
two most common phyla of bacteria on skin
actinobacteria and firmicutes
firmicutes
gram positive, cocci/rod, low G+C ratio
firmicutes on skin
staphylococcus, streptococcus, clostridium
actinobacteria on skin
corynebacteria, propionibacteria
surgical site infections
staph aureus, coagulase neg staph, enterococcus
staphylococcus epidermidis: gram stain, catalase?
gram positive, catalase +, coagulase neg
staph epidermidis: hemolysis? salt/temp? oxygen?
facultative anaerobe, gamma hemolytic, salt and temp tolerant
staph aureus: gram, catalase?, oxygen?
gram +
catalase +
facultative anaerobe
staph aureus: hemolysis? salt/temp? coagulase?
beta hemolytic
salt/temp tolerant
coagulase producer
scaled skin syndrome, impetigo
staph aureus
protein A
binds to Fc part of abodies
-anti opsonization effect
-makes a stealth bacteria
adhesion proteins: S aureus
collagen binding protein
fibronectin binding proteins
sialoprotein adhesin
staph cytolytic toxins
α, β, δ, γ , P-V leukocidin
lysce cells/disrupt membranes
staph exfoliative toxins
A and B
break down desmosomes
staph enterotoxins
A through E and G,H,I
food poisoning
superantigens (SAg)
exfoliative toxin A
enterotoxins
TSST-1
SAg
bind TCR and MHCII
cytokine storm
hypotension, shock, fever
hyaluronidase
hydrolyzes extracellular matrix
staphylokinase
dissolve clots
lipase
survival in sebaceous areas
Dnase
hydrolyzes material, reduce viscosity
coagulase
cell bound: clumps staph cells
secreted: convert fibrinogen to fibrin
soil contaminated wounds
clostridium perfringens
clostridium tetani
clostridium botulinum
clostridium: where? Oxygen?
soil, water, sewage, normal flora (GI)
obligate anaerobe
spore formers
C. perfringens: shape? gram?
large rectangular (box cars)
gram + rods
C. perfringens virulence factors
alpha toxin
beta toxin
epsilon toxin
iota toxin
soft tissue disease assoc with C. perfringens
cellulitis
fascitis/suppurative myositis
myonecrosis/gas gangrene
C. perfringens:
-revers cAMP test
-catalase?
hemolysis?
nagler rxn?
+ reverse cAMP
- catalase
double zone beta hemolysis
+ nagler rxn
clostridium tetani: gram?
oxygen?
where?
gram + rods/spores
anaerobic
soil, GI tract
Clostridium tetani: virulence factors
rapid sporulation
tetanolysin
tetanospasmin (risus sardonicus)
clostridium tetani: diseases?
generalized tetanus
localized tetanus
cephalic tetanus (cranial nerve palsy)
neonatal tetanus
Tetanospasmin toxin: mechanism?
inhibits inhibitory neurotransmitters - spasms
clostridium botulinum: oxygen?
shape? toxins?
spore forming rods
anaerobic
7 toxins A-G
Botulism toxin: mechanism?
inhibits active neuron - flaccid paralysis