Podcast
Questions and Answers
What is the primary difference between nosocomial and community-acquired infections?
What is the primary difference between nosocomial and community-acquired infections?
According to the provided information, approximately how many patients annually acquire infections following NHS care in England?
According to the provided information, approximately how many patients annually acquire infections following NHS care in England?
Which of the following is NOT mentioned as a typical source of healthcare-associated infections (HAIs)?
Which of the following is NOT mentioned as a typical source of healthcare-associated infections (HAIs)?
What distinguishes Staphylococcus aureus from other pathogenic staphylococci?
What distinguishes Staphylococcus aureus from other pathogenic staphylococci?
Signup and view all the answers
Where is Staphylococcus aureus commonly found in healthy individuals?
Where is Staphylococcus aureus commonly found in healthy individuals?
Signup and view all the answers
What condition often facilitates a Staphylococcus aureus infection?
What condition often facilitates a Staphylococcus aureus infection?
Signup and view all the answers
Which of these is NOT mentioned as a factor produced by S.aureus that contributes to its ability to colonize and invade tissues?
Which of these is NOT mentioned as a factor produced by S.aureus that contributes to its ability to colonize and invade tissues?
Signup and view all the answers
What is the meaning of the 'aurum' to which Staphylococcus aureus is named after?
What is the meaning of the 'aurum' to which Staphylococcus aureus is named after?
Signup and view all the answers
Which of the following components assist S. aureus in adhering to host cells?
Which of the following components assist S. aureus in adhering to host cells?
Signup and view all the answers
What happens to S. aureus when the epithelial layer is compromised?
What happens to S. aureus when the epithelial layer is compromised?
Signup and view all the answers
How do neutrophils typically combat S. aureus infections?
How do neutrophils typically combat S. aureus infections?
Signup and view all the answers
What characterizes a S. aureus biofilm?
What characterizes a S. aureus biofilm?
Signup and view all the answers
What is S. aureus's intracellular survival strategy?
What is S. aureus's intracellular survival strategy?
Signup and view all the answers
Why are S. aureus biofilm infections challenging to treat?
Why are S. aureus biofilm infections challenging to treat?
Signup and view all the answers
What is a major concern regarding S. aureus infections?
What is a major concern regarding S. aureus infections?
Signup and view all the answers
Besides skin infections, which of the following is another type of infection caused by S. aureus?
Besides skin infections, which of the following is another type of infection caused by S. aureus?
Signup and view all the answers
What is the function of the mecA gene in MRSA?
What is the function of the mecA gene in MRSA?
Signup and view all the answers
Which antibiotic is notably ineffective against MRSA due to resistance mechanisms?
Which antibiotic is notably ineffective against MRSA due to resistance mechanisms?
Signup and view all the answers
How do Vancomycin resistant S.aureus (VRSA) strains evade the action of vancomycin?
How do Vancomycin resistant S.aureus (VRSA) strains evade the action of vancomycin?
Signup and view all the answers
What is the primary consequence of S.aureus developing vancomycin resistance?
What is the primary consequence of S.aureus developing vancomycin resistance?
Signup and view all the answers
What is the main role of beta-lactam antibiotics in treating bacterial infections?
What is the main role of beta-lactam antibiotics in treating bacterial infections?
Signup and view all the answers
What is a major challenge in treating infections caused by S.aureus strains?
What is a major challenge in treating infections caused by S.aureus strains?
Signup and view all the answers
What differentiates HA-MRSA from CA-MRSA?
What differentiates HA-MRSA from CA-MRSA?
Signup and view all the answers
Which of the following mechanisms does S.aureus use to resist fluoroquinolones?
Which of the following mechanisms does S.aureus use to resist fluoroquinolones?
Signup and view all the answers
Flashcards
Beta-lactamases
Beta-lactamases
Enzymes produced by bacteria that inactivate beta-lactam antibiotics like penicillin.
MRSA
MRSA
Methicillin-resistant Staphylococcus aureus, a strain of S.aureus resistant to methicillin and similar antibiotics.
VISA
VISA
Vancomycin intermediate resistant Staphylococcus aureus, showing partial resistance to vancomycin.
VRSA
VRSA
Signup and view all the flashcards
SCCmec
SCCmec
Signup and view all the flashcards
PBP2a
PBP2a
Signup and view all the flashcards
Peptidoglycan synthesis
Peptidoglycan synthesis
Signup and view all the flashcards
D-Ala-D-Lac
D-Ala-D-Lac
Signup and view all the flashcards
Adhesins
Adhesins
Signup and view all the flashcards
Fibrinogen binding proteins (Fnbp)
Fibrinogen binding proteins (Fnbp)
Signup and view all the flashcards
Neutrophils
Neutrophils
Signup and view all the flashcards
Abscess
Abscess
Signup and view all the flashcards
Biofilm formation
Biofilm formation
Signup and view all the flashcards
Facultatively intracellular pathogen
Facultatively intracellular pathogen
Signup and view all the flashcards
Staphylococcus aureus infections
Staphylococcus aureus infections
Signup and view all the flashcards
Antibiotic resistance
Antibiotic resistance
Signup and view all the flashcards
Nosocomial Infections
Nosocomial Infections
Signup and view all the flashcards
HAIs
HAIs
Signup and view all the flashcards
Community Acquired Infections
Community Acquired Infections
Signup and view all the flashcards
Impact of HAIs
Impact of HAIs
Signup and view all the flashcards
Staphylococcus aureus
Staphylococcus aureus
Signup and view all the flashcards
Facultative Anaerobe
Facultative Anaerobe
Signup and view all the flashcards
Colonization
Colonization
Signup and view all the flashcards
Infection Mechanisms
Infection Mechanisms
Signup and view all the flashcards
Study Notes
Nosocomial Infections (HAIs)
- Nosocomial infections, also known as Hospital Acquired Infections (HAIs) or Healthcare Associated Infections (HCAIs), are infections that develop during a hospital stay but were not present at admission.
- Approximately 300,000 patients in England acquire infections after care within the NHS annually, costing roughly £1 billion.
- In developing countries, 1 in 10 hospitalized patients acquire at least one HAI.
- HAIs are often associated with medical devices or surgical wounds, ranging from infections associated with catheters to serious blood infections associated with ventilators or surgical site infections.
- These infections are caused by various bacterial, viral, and bacterial pathogens, including antibiotic-resistant bacteria like Acinetobacter baumannii, ESBL-producing Enterobacteriaceae, Staphylococcus aureus, and Clostridium difficile.
Staphylococcus aureus (S. aureus)
- S. aureus is a Gram-positive coccus appearing in grape-like clusters. It produces a golden pigment.
- S. aureus produces coagulase, an enzyme causing blood clotting, distinguishing it from other coagulase-negative staphylococci.
- It's a facultative anaerobe, surviving with or without oxygen.
- S. aureus is found in the nostrils and skin of approximately 30% of the population, acting as carriers without causing infection.
S. aureus Infections
- S. aureus can cause various infections, including skin and soft tissue infections (SSTIs), bone and joint infections, heart valve infections, pneumonia, and infections related to medical devices or implanted materials.
- S. aureus has developed resistance to various antibiotics.
- Historically, beta-lactamases inactivated penicillin but methicillin-resistant strains (MRSA) and other resistant strains have risen.
- MRSA is a significant cause of bacteremia, with approximately 12,878 cases in the UK between 2018-2019. Mortality rates for these cases, were ~26%.
- Vancomycin-intermediate resistant S. aureus (VISA) and vancomycin-resistant S. aureus (VRSA) strains exhibiting resistance to vancomycin are also on the rise. This complicates treatment.
- Treating S. aureus infections has become significantly more complicated and challenging due to increasing resistance.
Hospital Transmission
- S. aureus transmission in hospitals can occur endogenously (from existing colonization within the body) or exogenously (through person-to-person contact with skin, equipment, or airborne particles).
- Hospitals implement measures to prevent and control MRSA spread including hand hygiene, general cleanliness, covering wounds, and using appropriate protective equipment.
Treatment and Recurrence
- Treatment drug choices for S. aureus infections vary based on the type of infection, e.g. Daptomycin for MSSA/MRSA and Linezolid for MRSA infections.
- Recurrence (relapse) of S. aureus infections, particularly in prosthetic joint infections and SSTIs, is common, often due to lingering bacteria in biofilm or cells.
- Recurrence rates can range between 10-50% for S aureus infections.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz explores the critical topic of nosocomial infections (HAIs) that patients may acquire during their hospital stays. It covers the impact of these infections, common pathogens involved such as Staphylococcus aureus, and their association with medical devices. Test your knowledge on this vital aspect of healthcare and infection control.