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Questions and Answers
What is the primary role of extracellular polysaccharides in the context of S. epidermidis adhesion?
What is the primary role of extracellular polysaccharides in the context of S. epidermidis adhesion?
- Facilitating adherence to plastics and metals (correct)
- Promoting resistance to antibiotics
- Facilitating adherence to human tissues
- Strengthening the biofilm structure
How does the polysaccharide capsule of S. epidermidis contribute to its pathogenicity?
How does the polysaccharide capsule of S. epidermidis contribute to its pathogenicity?
- By producing anti-inflammatory factors
- By facilitating the evasion of the immune system
- By enhancing the bacteria's ability to colonize heart valves
- By hindering phagocytosis by neutrophils (correct)
What is the implication of S. epidermidis producing anti-inflammatory factors?
What is the implication of S. epidermidis producing anti-inflammatory factors?
- Increased susceptibility to antimicrobial peptides
- Direct damage to host tissues through inflammation
- Reduction of the host's immune response, aiding persistent colonization (correct)
- Enhancement of the immune response, leading to rapid bacterial clearance
Why are infections associated with S. epidermidis biofilms difficult to treat?
Why are infections associated with S. epidermidis biofilms difficult to treat?
How does S. epidermidis benefit from producing proteases and lipases?
How does S. epidermidis benefit from producing proteases and lipases?
What is the role of PIA (polysaccharide intercellular adhesin) in S. epidermidis?
What is the role of PIA (polysaccharide intercellular adhesin) in S. epidermidis?
What is the implication of S. epidermidis being coagulase-negative in laboratory tests?
What is the implication of S. epidermidis being coagulase-negative in laboratory tests?
How does S. epidermidis colonize prosthetic heart valves?
How does S. epidermidis colonize prosthetic heart valves?
What is a key characteristic of S. epidermidis infections associated with orthopedic prostheses?
What is a key characteristic of S. epidermidis infections associated with orthopedic prostheses?
What is the significance of S. epidermidis resistance to antimicrobial peptides?
What is the significance of S. epidermidis resistance to antimicrobial peptides?
Flashcards
S. epidermidis
S. epidermidis
An opportunistic pathogen that is normally part of the microbiota of the skin and mucous membranes.
Adherence to Surfaces
Adherence to Surfaces
The ability to adhere to surfaces, especially medical devices and host tissues, using adhesion proteins.
Extracellular Polysaccharides
Extracellular Polysaccharides
Extracellular polysaccharides that facilitate adherence to plastics and metals.
Biofilm Formation
Biofilm Formation
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S. epidermidis Toxins
S. epidermidis Toxins
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Bacteremia and Sepsis
Bacteremia and Sepsis
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Prosthetic Valve Endocarditis
Prosthetic Valve Endocarditis
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S. epidermidis Lab Tests
S. epidermidis Lab Tests
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Antimicrobial Peptide Resistance
Antimicrobial Peptide Resistance
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System Modulation
System Modulation
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Study Notes
- S. epidermidis is an opportunistic pathogen and normally part of the microbiota of the skin and mucous membranes.
- It is a main cause of infections linked to medical devices, due to its ability to form biofilms.
Pathogenic Mechanisms
- Adherence to surfaces involves adhesion proteins that bind to medical devices and host tissues.
- Extracellular polysaccharides facilitate adherence to plastics and metals.
- Fibrinogen binding proteins mediate adhesion to human tissues.
Biofilm Formation
- Biofilms are composed of:
- Polysaccharide intercellular adhesin (PIA), which protects bacteria and allows them to grow together.
- Extracellular proteins and DNA, which strengthen the biofilm.
Biofilm Advantages
- Provide resistance to antibiotics.
- Allow evasion of the immune system.
- Results in persistent colonization.
- Polysaccharide capsules hinder phagocytosis by neutrophils.
- System modulation involves anti-inflammatory factors that reduce the immune response.
- Resistance to antimicrobial peptides allows survival on the skin despite natural defenses.
Toxins
- Can release proteases and lipases, which degrade proteins and lipids, promoting dissemination.
- Delta-toxin is similar to that of S. aureus and causes mild cellular damage.
Associated Diseases
- Bacteremia and sepsis occur when the pathogen enters the bloodstream from an infected venous catheter, leading to fever, edema, and septic shock.
- Endocarditis in prosthetic valves occurs when the pathogen colonizes artificial heart valves, causing inflammation of the endocardium, fever, fatigue, and heart failure.
- Causes chronic orthopedic prosthesis infections, which are difficult to treat and often require implant removal.
Lab Tests
- Gram stain (+).
- Blood agar (non-hemolytic).
- Salt mannitol agar (no mannitol fermentation).
- Catalase +.
- Coagulase -.
- PCR.
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