, Staphylococcus • Maakt deel uit van de normale huidflora → commensale flora
Epidermidis • Infecties van normaal steriele plaatsen en vreemde voorwerpen via:
− Brandwonden infecties
− Na inbreng van catheters
− Na hartklepprothese
− Na heupprothese
• Voorkomen op de huid, veroorzaker van de lichaamsgeur
Staphylococcus • Kan in gevallen van verminderde immuniteit infecties veroorzaken, ook weer via de huid in diepere
STAPHYLOCOCCEN Hominis systemen van de patiënt terechtkomen (via catherisatie, via wonden,…)
Panaritium (= fijt) Impetigo
Hordeolum
Furunkel
, Geeft aanleiding tot: Angina
• Angina (keelontsteking)
• Bovenste luchtweginfecties zoals sinusitis,
otitis media
• Roodvonk (scarlatina)
• Huidinfecties zoals impetigo, wondroos
Streptococcus Verwikkelingen: Roodvonk op 3 verschillende plaatsen
Pyogenes
− Vroegtijdig: abcessen
− Laattijdig: acute gewrichtsreuma +
endocarditis + myocarditis
STREPTOKOKKEN
Behandeling:
• Penicillines
• Macroliden
− Commensaal van vagina, urtehra en darm
− Infecties van pasgeborenen (door passage geboortekanaal)
o Vroege vorm (dag 1 – 7): infectie in de baarmoeder of tijdens de bevalling: pneumonie,
sepsis en meningitis
Streptococcus
o Late vorm: ontstaat na 5-7de dag: meningitis en sepsis
Agalactiae • Infecties van de volwassene
o Kraamkoorts
o Pyelonefritis
• Behandeling:
o Penicilline G, soms in combinatie met aminoglycosiden
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