Beruflich Dokumente
Kultur Dokumente
Name of Bacteria Disease(s) Caused Type of Pathogenesis Medication Used to Treat Common Characteristics
Vancomycin
Staphylococcus It does not produce mannitol,
Endocarditis and joint infection Pyogenic Rifampin
epidermidis It is harmless.
Aminoglycosides
Pharyngitis,
Rheumatic fever
Streptococcus Penicillin G
Pneumonia Pyogenic Alpha hemolytic, Catalase negative
pneumoniae Penicillin V
Ciprofloxacin
Name of Bacteria Disease(s) Caused Type of Pathogenesis Medication Used to Treat Common Characteristics
Ceftriaxone
Neisseria gonorrhea Gonorrhea Pyogenic Virulence is less
Doxycycline
Ceftriaxone
Salmonella typhi Typhoid fever Pathogenicity Curved-shaped
Ciprofloxacin
Tetracycline
Vibrio cholerae Cholera Enterotoxin Also known as Rice water stool.
Electrolytes and Glucose
Erythromycin
Campylobacter jejuni Enterocolitis Inflammatory May be curved or S-shaped.
Ciprofloxacin
Bismuth Tricyclate
Helicobacter pylori Gastric peptic ulcer Inflammatory Amoxicillin, Curved gram-negative bacteria
Metronidazole
References:
Microbiology: An Introduction by Gerard J. Tortura, Beredell R. Funke, Christine Case. 8th edition, part no. 4 Page no. 620-771.
Microbiology, Michael J.Pelczar.Jr, 5th edition, Chapter no. 14, page no. 288-294.
Concise & conceptual Microbiology by Dr. Tariq Javaid, Irfan Bashir, Talha Javaid, Edition 1st, Section no. 3 page no. 121, Section no. 4 page no. 162.
Review of medical microbiology and immunology by Warren levinson, 12thedition, published year 2012, Chapter no. 15, and page no. 113,116, 120, 137.
Clinical microbiology by Patrick R. Murray, Yvonne R. Shea Section no. 2 page no. 54-60.
Although there are well over 100 antibiotics, the majority come from only a few types of drugs. These are the main classes of antibiotics.
Mechanisms of Action Drug Class Specific Drugs Spectrum of activity Clinical Use
Inhibits bacterial RNA Rifamycin Rifampin Narrow spectrum with activity against gram-positive Combination therapy
polymerase activity and blocks and limited numbers of gram-negative bacteria. Also for treatment of
transcription, killing the cell active against Mycobacterium tuberculosis. tuberculosis
Inhibits the activity of DNA Fluoroquinolones Ciprofloxacin, Broad spectrum against gram-positive and gram- Wide variety of skin
gyrase and blocks DNA ofloxacin, negative bacteria and systemic
replication, killing the cell moxifloxacin infections
Source: Mechanisms of Antibacterial Drugs. Lumen. Microbiology. Accessed September 22, 2018:
https://courses.lumenlearning.com/microbiology/chapter/mechanisms-of-antibacterial-drugs/
V. Major Types of Infections Common Across the Lifespan
Escherichia coli
Listeria monocytogenes
Streptococcus agalactiae
Escherichia coli
Listeria monocytogenes
Streptococcus pneumoniae
Haemophilus influenzae
Streptococcus pneumoniae
Neisseria meningitidis
Haemophilus influenzae
Streptococcus pneumoniae
Listeria monocytogenes
As the population ages, Haemophilus influenzae will become more prevalent in this age group
Nosocomial (Hospital-Acquired) and Immunocompromised Patients
Escherichia coli
Klebsiella spp.
Staphylococcus aureus
Streptococcus pneumoniae
Viral (Aseptic) Meningitis and Encephalitis (90% of cases in patients under 30 years old)
Arboviral meningoencephalitis (summer via tick or mosquito; West Nile virus, Eastern Equine Encephalitis virus, Western Equine Encephalitis virus, St.
Louis Encephalitis virus, California group Encephalitis viruses, Powassan Encephalitis virus)- are the most common cause of episodic encephalitis in the
US.
HIV (sporadic)
Mycobacterium tuberculosis
Cryptococcus neoformans
Spinal Cord
Clostridium tetanus*
Polio virus
Skin (Integument) Infections
There are a huge number of infectious diseases of this the largest organ of the human anatomy. Therefore, only the more common bacterial, viral and fungal
microbes are mentioned here.
Staphylococcus aureus - impetigo, bullous impetigo, scalded skin syndrome, folliculitis, furuncles, carbuncles, cellulitis, myositis and toxic shock
syndrome.
Streptococcus pyogenes - impetigo, scarlet fever, erysipelas, necrotizing fasciitis, and streptococcal toxic shock syndrome.
Papilloma viruses – warts, genital warts, cervical dysplasia and cervical carcinoma
The dermatophytes (Microsporum, Trichophyton and Epidermophyton) - Tinea pedis, Tinea corporis, Tinea capitis, Tinea manus and Tinea cruris.
Otitis Media
Streptococcus pneumoniae
Moraxella catarrhalis
Otitis externa
Pseudomonas aeruginosa*
Staphylococcus aureus
Anterior Blepharitis
Hordeola (stye)
Staphylococcus aureus
Staphylococcus aureus, Streptococcus pyogenes, Streptococcus pneumoniae, Haemophilus influenzae and Enterobacteriaceae
Dacryocystitis
Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae, Streptococcus pyogenes, and Pseudomonas aeruginosa
Conjunctivitis
Viral- Adenoviruses*, Herpes Simplex viruses’ types 1 and 2 (less common but more serious infection)
Bacterial (pinkeye)- Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Pseudomonas aeruginosa,
Neisseria gonorrhoeae and Neisseria meningitidis
Keratitis
Bacteria*
o Gram positive bacteria (Streptococcus pneumoniae, Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus viridans, enterococci
and Peptostreptococcus) are most frequently obtained with the most common of them being Staphylococcus aureus.
o Gram positive bacilli that cause keratitis include Corynebacterium diphtheriae, Bacillus and Clostridium
o Gram negative bacilli that cause keratitis include Pseudomonas aeruginosa, Proteus mirabilis, Klebsiella pneumoniae, Serratia marcescens,
Escherichia coli and Aeromonas hydrophila. Pseudomonas aeruginosa is one of the most destructive of the bacterial causes of keratitis.
o Gram negative cocci or coccobacilli that cause keratitis include Neisseria gonorrhoeae, Neisseria meningitidis, Moraxella, Pasteurella
multocida andAcinetobacter.
o Ocular lymphogranuloma venereum is more serious than simple chlamydial conjunctivitis because corneal scars, conjunctival scars, and
micropannus formation can occur (serotypes L1-L3 of Chlamydia trachomatis).
Viruses
Acute Rhinosinusitis
Streptococcus pneumoniae
Rhinoviruses*
Coronaviruses
Pharyngitis
Adenovirus
Coxsackie viruses
Remember Streptococcus pyogenes (group A streptococcus is important because of the complications that can result (rheumatic fever).
Viral Croup
Parainfluenza virus
Influenza virus
Respiratory syncytial virus (most common cause of bronchiolitis in children under 1 year of age).
Bacterial tracheitis
Staphylococcus aureus
Epiglottitis
Haemophilus influenzae type b (very rare now due to the Hib vaccine)
Bronchitis
Respiratory viruses that infect the upper respiratory tract: influenza viruses A and B, parainfluenza viruses, adenovirus, respiratory syncytial virus, herpes
simplex virus, rhinovirus, coxsackievirus A and B, and echovirus.
Mycoplasma pneumoniae
Streptococcus pyogenes
Bronchiolitis
Pneumonia:
Escherichia coli
RSV
RSV
Parainfluenza virus
Mycoplasma pneumoniae
Mycoplasma pneumoniae
Older Adults
Streptococcus pneumoniae*
Haemophilus influenzae
Gastrointestinal Tract Infections
Dental caries- Streptococcus mutans, Streptococcus sobrinus, low-pH tolerant Streptococcus spp., Lactobacillus casei, Actinomyces spp.,
and Bifidobacterium spp.
Gingivitis- The more dental plaque that accumulates on the teeth the more likely a patient will develop gingivitis. The plaque leading to gingivitis
contains higher numbers of Gram negative anaerobic bacilli and spirochetes.
Necrotizing ulcerative gingivitis (NUG: trench mouth)- the dental biofilm/plague usually contains a lot of Fusobacterium spp., Prevotella intermedia, and
especially spirochetes (Treponema denticola).
Chronic periodontitis- is a polymicrobial process; biofilms (plaque) containing higher numbers of Gram negative anaerobic bacilli and spirochetes.
Certain organisms, when present in plaque will increase the risk of chronic periodontitis developing.
Red complex organisms (high risk): Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola.
Orange complex organisms (moderate risk): Fusobacterium nucleatum, Prevotella intermedia, Prevotella nigrescens, Parviomonas micra,
Eubacterium nodatum, and various Camplylobacter species (e.g., C. rectus).
Yellow complex organisms (low risk): Streptococcus intermedius, Streptococcus sanquinis, Streptococcus oralis, Streptococcus
mitis, and Streptococcus gordonii.
Aggressive periodontitis- The plaque microflora in aggressive periodontitis is similar to chronic periodontitis. However, the presence of certain bacteria
in the plaque increases the risk for this disease to develop (Aggregatibacter actinomycetemcomitans or Eikenella corrodens in concert
with Fusobacterium nucleatum). Sparse amounts of biofilm/plaque are generally found relative to degree of periodontal destruction.
Ludwig’s Angina
Angular Cheilitis
Candida albicans
Parotitis
Candida albicans*
Cytomegalovirus (CMV) Herpes Simplex Virus (HSV), Human Immunodeficiency virus (HIV), Varicella Zoster Virus (VZV)
Helicobacter pylori
Intestinal Infections- Bacterial (can be inflammatory [blood and mucus small volume; fecal wbc's present] or noninflammatory [large volume watery stools; fecal
wbc's NOT present]
Inflammatory ones
Campylobacter jejuni
Salmonella typhimurium
Shigella sonnei/flexneri
Yersinia enterocolitica
Non-inflammatory ones
Vibrio cholerae
Giardia lamblia*
Entamoeba histolytica
Cryptosporidium parvum
Cyclospora cayetanensis
Enterobius vermicularis
Taenia saginata
Taenia solium
Hymenolepis nana
Ascaris lumbricoides
Necator americanus
Strongyloides stercoralis
Viral Gastroenteritis
Noroviruses* (winter vomiting disease- most common in industrialized countries for all age groups)
Rotavirus (winter infant diarrhea- next most common in infants and children; after Norovirus)
Adenoviruses
Astroviruses
Staphylococcus aureus*
Bacillus cereus
Clostridium perfringens
Clostridium botulinum
Hepatitis A virus
Hepatitis C virus
Hepatitis B virus
Hepatitis D virus
Hepatitis E virus
Osteomyelitis
Staphylococcus aureus*
Streptococcus sp.
Septic arthritis
Staphylococcus aureus*
Pericarditis
Purulent pericarditis- rare- Staphylococcus aureus, Streptococcus pneumoniae and other streptococci
Chronic pericarditis- rare- Mycobacterium tuberculosis and various fungi (Candida sp.)
Myocarditis
Native valve- Streptococcus sp. (60-80%, viridans streptococci (30-40%), Streptococcus bovis (10%), Enterococci (S. faecalis and S. faecium; 5-18%)
and Staphylococci (20-35%, usually Staphylococcus aureus)
Intravenous drug users- Staphylococcus aureus (50%) and gram-negative bacilli (15%; Pseudomonas aeruginosa is most the common gram-negative).
Prosthetic valve infections
o Early (within 2 months of surgery) - Staphylococcus (50%; coagulase positive and coagulase negative), gram-negative aerobic bacilli (20%) and
fungi (5%).
o Late (more than 2 months post surgery) - viridans Streptococcus sp. (35%), coagulase negative staphylococci (20%), and Staphylococcus
aureus (10%).
Streptococcus pyogenes
Hematopoietic/Lymphoreticular Infections
Endemic relapsing fever- Borrelia sp. (15 different species; B. hermsii, B. parkeri)
Epidemic Hemorrhagic fever- Sin Nombre virus (Hantavirus- hantavirus pulmonary syndrome)
Bacterial Sepsis
Neonates
E.coli*
Most are due to bacterial infections. 50% due to Gram negative bacteria; 50% due to Gram positive bacteria. It depends on the location of the site of the
initial infection. Most common sites of infection leading to sepsis are lungs, abdomen, and urinary tract (ex. urinary tract think Escherichia coli;
community acquired pneumonia think Streptococcus pneumoniae).
Escherichia coli*
Escherichia coli*
Vaginitis
Bacterial Vaginosis* (BV) due to Gardnerella vaginalis, Atopobium vaginae, Mycoplasma hominis and various anaerobic bacteria
including Mobiluncus sp., and Prevotella sp.
Candida albicans
Trichomonas vaginalis
Sexually Transmitted Infections (STI’s) of the Genitourinary Tract
Urethritis
Chlamydia trachomatis*
Neisseria gonorrhoeae
Cervicitis
Chlamydia trachomatis*
Neisseria gonorrhoeae
Other STI’s
Chlamydia trachomatis*
Neisseria gonorrhoeae
Genital Warts
Human Papilloma virus (HPV types 6 and 11 most common for wart-like lesions; HPV types 16 and 18 most common for with cervical dysplasia and
carcinoma.)
Epididymitis
Sexually active men aged <35 years- Chlamydia trachomatis or Neisseria gonorrhoeae
Scabies
Pediculosis
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