【正文】
exfoliatin(剝脫毒素 ) TSST1(毒性休克綜合征毒素 1) Invasive enzyme: Hyaluronidase(透明質(zhì)酸酶 ) Streptokinase(鏈激酶 ) DNAase(DNA酶 ) Adhesion(粘附素 ) LTA(脂磷壁酸) M protein Toxin Streptolysin (鏈球菌溶血素 ) Pyrogenic exotoxin(致熱外毒素 ) (scarlet fever toxin) (2) pyrogenic exotoxin (scarlet fever toxin) ● produced by most strains of group A streptococci ● cause scarlet fever(致熱) ● heat stable protien(耐熱) ● possess antigenicity, antitoxin specifically neutralize the toxin Diseases caused by Staphylococci and Streptococcus 1. purulent infection(infectious diseases) 2. ToxinMediated diseases 3. poststerptococcal diseases (hypersensitive disease): only caused by Streptococcus. (1) acute glomerulonephritis ( group A) (2) Rheumatic fever 葡萄球菌 鏈球菌 1.合理使用抗生素 1.首選青毒素 G 2.注意衛(wèi)生,防止醫(yī)源性感染 2.徹底治療原發(fā)感染 3.自身菌苗的應(yīng)用 3.空氣消毒 防治原則 Neisseria (奈瑟菌屬 ) Gram negative cocci, usually arranged in pairs. Most of them are normal inhabitants in respiratory tract. Others are human pathogens (eg: gonococcus, meningococcus ) Common biological characteristics 1. Gram negative cocci, kidneyshaped, arranged in pairs, with capsules and pili. 2. culture: Need enriched medium (chocolate blood agar ), 5~10%CO2 . 3. Resistance: very weak , “ fragile”, extremely sensitive to