• Principalele microorganisme patogene

    Clasificare utila in practica antibioticoterapiei.(dupa M.Angelescu)

    1.Virusuri
    • determina numeroase boli virale
    • sunt reziste la antibiotice si la chimioterapicele antibacteriene

    2.Chlamii
    • determina ornitoza, psitacoza, trahomul, limfogranulomatoza veneriana
    • sunt sensibile la antibiotice cu spectru lar si la sulfamide
    3.Rickettsii
    • determina rickettsiozele exantematice, febra "Q" si alte rickettsioze
    • sunt sensibile la antiobiotice cu spectru larg
    4.Microplasme
    • mycoplasma pneumaniae (agentul Eaton) determina pneumonia atipica primara
    • sunt sensibile la antibiotice cu spectru lar si la macrolide
    5.Bacterii
    • determina aparitia bolilor bacteriene specifice, precum si numeroase infectii nespecifice
    • sunt sensibile, in mod diferentiat, la variante antitbiotice si chimioterapice antibacteriene 
      • a. Bacili gram-pozitivi
        • corinebacterii (bacilul difteric si pseudodifteric)
        • bacteridia carbunoasa
        • clostridii anaerobe (bacilul tetanic, botulinic)
      • Bacili gram-negativi
        • salmonele (bacil tific, paratific)
        • shigele (bacil dizenteric)
        • brucele
        • pasteurele (agentii pestei si ai tularemiei)
        • colibacili
        • proteus
        • hemofili (influenzae, pertussis, ducreyi)
        • anaerobi (specii din genul Bacteroides, Fusobacterium)
      • Coci gram-pozitivi
        • stafilococ alb, coagulazo-negativ
        • stafilococ auriu, coagulazo-pozitiv
        • streptococ β-hemolitic
        • streptococ α-hemolitic
        • streptococ nehemolitic
      • Coci gram-negativi
        • meningococ
        • gonococ
      • Spirochete, leptospire, vibrioni
        • treponema pallidum (sifilis)
        • leptospire (pomona, canicola)
        • spirocheta febrei recurente
        • vibrionul holeric
      • Microbacterii
        • Bacil Koch
        • Bacil Hansen (al leprei)
    6.Fungi patogeni
    • determina candidoza mucoaselor, dermatomicoze, micoze sistemice
    • sunt rezistente la antibioticele si la chimioterapicele antibacteriene,sensibile la antifungice
    7.Protozoare
    •  determina malaria, amibiaza, toxoplasma, tricomoniaza
    • sunt rezinstente la antibioticele si la chimipterapicele antibacteriene, influentate diferentiat de chimioterapice anti-protozoare
    8.Metazoare (viermi)
    • neinfluentate de antibioticele si de chimoterapicele antibacteriene
    • necesita chimioterapie (vermifuge) diferentiata 

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