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Dental Bacteriology Exam 1
Enterococcus
18
Biology
Graduate
08/31/2009

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Term
Enterococcus are formerly classified as what?
Definition
Group D Streptococci
Term
80-90% of clinical isolates have been identified as what bacterium?
Definition
E. faecalis
Term

1. Which antimicrobial agents has Enterococcus demonstrated resistance to?

2. and How do they become resistant?

Definition

1. Beta-lactams, clindamycin, aminoglycosides

2. plasmid mediated

Term
Enterococcus is Gram ____
Definition
Gram (+)
Term
What is the morphology of Enterococcus?
Definition

**Ovoid (oval)

***May appear in short chains, pairs, or as single cells

Term
Enterococcus is catalse______ (+ or -)
Definition
Catalase negative
Term
What is the antigenic structure of Enterococcus?
Definition
most species react with group D streptococcal antigen
Term
What are the clinical manifestations of enterococcus?
Definition

1. nosocomial infections

2. UTI

3. endocarditis

4. bacteremia

5. neonatal infections

Term
How has the administration of antimicrobial agents to which enterococcus are immune affected nosocomial infections?
Definition
increased administration of antimicrobial agents to which the bacteria are resistant have increased the incidence of nosocomial infections
Term
an increase in the use of invasive devices like ________ has ________ the incidence of _________ from enterococcus?
Definition

devices like catheters and multiple vascular access lines

have caused an increase

in incidence of nosocomial infections

Term
enterococcus causes a lot of ______ in hospitalized patients
Definition
UTIs
Term
Endocarditis is caused by eneterococcus what percentage of the time?
Definition
5-15%
Term
Endocarditis is most commonly caused by enterococcus in what group of people?
Definition
elderly men who had genitourinary instrumentation or UTI
Term
What is the common source of bacteremia when it is caused by enterococcus?
Definition
source is often the urinary tract
Term
neonatal infections due to enterococcus usually cause symptoms associated with
Definition
enterococcal bacteremia
Term
Enterococcus epidemiology:
Definition

1. may originate from normal flora

2. person-to-person transmission is known to occur (i.e. outbreaks among hospitalized neonates)

Term
How do you diagnose enterococcus?
Definition

1. isolate it and come up with a biochemical ID

2. It is bile-esculin positive (this distinguishes it from streptococci

3. grows in 6.5% NaCl

Term
What test can you do to distinguish enterococcus from streptococcus?
Definition
bile-esculin test
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