AMC > Enterokokken > Flashcards

Enterokokken Flashcards

(9 cards)

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1
Q

groep

A

gram+

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2
Q

vorm

A

kokken in ketens

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3
Q

epidemiologie

A
  • Commensale flora van darmslijmvlies en urogenitale slijmvlies
  • Meeste infecties zijn endogeen
  • Ook nocosomiale overdracht
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4
Q

Pathogenese

A
  • Weinig virulent
  • Kunnen overleven in de dunne darm door resistentie aan galzouten
  • Zijn resistent aan veelgebruikte antibiotica
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5
Q

ziektebeelden

A
  • Cystis
  • Abdominale abcessen
  • Postoperatieve wondinfecties
  • Endocarditis
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6
Q

welke testen voor diagnosticeren

A
  • Cultuur urine/wondvocht/punctievocht abces
  • Endocarditis: hemoculturen, cultuur per-op weefsel
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7
Q

Behandeling endocarditis

A
  • heelkunde
  • combinatie therapie bèta-lactam antibioticum + aminoglycdie
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8
Q

behandeling E. faecium

A

vancomycine

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9
Q

preventie

A
  • Handhygiëne
  • Isolatie van patiënten die positief zijn voor VRE (vancomycine resistente enterokokken)
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