Corynebacterium spp
Morphology
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Gram-positive, slightly club shaped, small, pleomorphic, aerobic, non-spore forming bacilli. Nonmotile and catalase positive. |
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Disease
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Diphtheria, upper respiratory tract illness.
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Zoonosis
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None.
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Host Range
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Humans. C. ulcerans and C. pseudotuberculosis are derived from animals but also cause disease in humans. |
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Modes of Transmission
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Exposure to wounds, exposure to contaminated fomites, inhalation, accidental parenteral inoculation, ingestion. |
Signs and Symptoms
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Lesions on the skin or formation of pseudomembrane, pharyngitis or tonsillitis with sore throat, dysphagia, lymphadenitis, low grade fever, malaise, and headache; Cutaneous diphtheria is characterized by formation of lesions on the skin. |
Infectious Dose
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Unknown.
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Incubation Period
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2-4 days
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Prophylaxis
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None available.
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Vaccines
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DTaP vaccine of Diphtheria, pertussis, and tetanus toxoid. |
Treatment
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antibiotic therapy with penicillin, cephalosporins, erythromycin, and tetracycline
may be used in conjunction with antitoxin to eliminate the bacteria from the site
of infection. Penicillin can be given intramuscularly or orally
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Surveillance
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Monitor for symptoms.
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MSU Requirements
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Report any exposures
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Laboratory Acquired Infections (LAIs)
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Cases have been reported.
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Sources
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Exudates or secretions from nose, throat, nasopharynx, larynx, wounds, blood, skin.
Cultures, frozen stocks, other samples described in IBC protocol.
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Canadian MSDS:
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BMBL
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CDC
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NIH Guidelines
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Risk Group 2
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Agents that are associated with human disease which is rarely serious and for which preventive or therapeutic interventions are often available. |
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BSL2
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For all procedures involving suspected or known infectious specimen or cultures.
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ABSL2
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For all procedures utilizing infected animals.
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Small
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Notify others working in the lab. Remove PPE and don new PPE. Cover area of the spill
with absorbent material and add fresh 1:10 bleach:water. Allow 20 munutes (or as directed)
of contact time. After 20 minutes, cleanup and dispose of materials.
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Large
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Mucous membrane
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Flush eyes, mouth, or nose for 5 minutes at eyewash station.
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Other Exposures
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Wash area with soap and water for 5 minutes.
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Reporting |
Immediately report incident to supervisor, complete a First Report of Injury form, and submit to Safety and Risk Management.
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Medical Follow-up
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During business hours: Bridger Occupational Health 3406 Laramie Drive. Weekdays 8am -6pm. Weekends 9am-5pm
After business hours: Bozeman Deaconess Hospital Emergency Room 915 Highland Blvd Bozeman, MT |
Disinfection
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Susceptible to 1:10 bleach:water, 70 % ethanol, accelerated hydrogen peroxide
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Inactivation
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Inactivated by moist heat (121°C for 15 min- 30 min)
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Survival Outside Host
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C. diphtheriae can survive on dry inanimate surfaces from 7 days to 6 months. Survival of C. ulcerans and C. pseudotuberculosis is unknown. |
Minimum PPE Requirements
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Lab coat, disposable gloves, safety glasses, closed toed shoes, long pants
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Additional Precautions
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Additioanl PPE may be required depending on lab specific SOPs and IBC Protocol. |