{"id":5214,"date":"2011-07-14T20:24:28","date_gmt":"2011-07-14T20:24:28","guid":{"rendered":"http:\/\/crashtext.org\/misc\/the-bugs.htm\/"},"modified":"2012-08-01T18:51:19","modified_gmt":"2012-08-01T22:51:19","slug":"the-bugs","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/medical-surgical\/infectious-disease\/the-bugs.htm\/","title":{"rendered":"The Bugs – Microbes and Such"},"content":{"rendered":"
Enterococci<\/p>\n
E. Faecalis<\/p>\n
E. Faecium<\/p>\n
facultative anaerobes<\/p>\n
<\/p>\n
Enterobacteriaceae<\/p>\n
E. Coli<\/p>\n
Protes<\/p>\n
Klebsiella<\/p>\n
Citrobacter<\/p>\n
Salmonella<\/p>\n
Shigella<\/p>\n
Yersinea<\/p>\n
Urine<\/p>\n
Morganella<\/p>\n
E. Aerogenes<\/p>\n
E. Cloacae<\/p>\n
<\/p>\n
Anaerobes<\/p>\n
Clostridia<\/p>\n
<\/p>\n
Non-Fermentative Gram Neg Rods<\/p>\n
Pseudomonas Aeruginosa<\/p>\n
A. Baumannii<\/p>\n
<\/p>\n
Candida<\/p>\n
Albicans<\/p>\n
Krusei<\/p>\n
Glabrata<\/p>\n
<\/p>\n
candida colonizes the gi tract<\/p>\n
any candida in the blood requires removal of all lines and treatment<\/p>\n
in the urine without other sites, remove catheter and reculture<\/p>\n
<\/p>\n
treat:<\/p>\n
2 sites<\/p>\n
vascular cath tip<\/p>\n
c. tropicalis<\/p>\n
resistant funguria<\/p>\n
deep issue culture<\/p>\n
<\/p>\n
fluconazole 400-800 mg\/day<\/p>\n
<\/p>\n
early yeast infection: consider gastric perf<\/p>\n
<\/p>\n
Group B strep is strep A galactiae<\/p>\n
<\/p>\n
UPER BUGS UNLEASHED IN YOUR EMERGENCY DEPARTMENT\u0097<\/p>\n Peter DeBlieux, MD, Professor of Clinical Medicine, Louisiana<\/p>\n State University School of Medicine, New Orleans<\/p>\n Epidemiology:<\/p>\n gram-positive sepsis has overtaken gram-negative<\/p>\n sepsis; common gram-positive bacteria include<\/p>\n Staphylococcus <\/em><\/p>\n aureus,<\/p>\n coagulase-negative staphylococci, enterococci,<\/p>\n and streptococci; most common gram-negative pathogens are<\/p>\n Escherichia coli<\/p>\n , Klebsiella<\/em>, and Pseudomonas<\/em>; incidence of<\/p>\n fungal sepsis has tripled due to transplant patients and those on<\/p>\n immunosuppressive therapy (accounts for only 5% of all cases<\/p>\n of sepsis); common sites of sepsis are 1) lungs, 2) bloodstream,<\/p>\n 3) abdomen, 4) urinary tract, 5) skin and soft tissue;<\/p>\n pearl\u0097<\/p>\n when source unknown, choose antibiotic that covers<\/p>\n abdominal pathogens<\/p>\n Origins of super bugs:<\/p>\n selection of agents with broader spectrum<\/p>\n than required; broad-spectrum antibiotics placed in animal<\/p>\n feed (<\/p>\n eg, <\/em>cows, sheep, chickens); patients not finishing<\/p>\n their course of medication and giving leftover pills to friends<\/p>\n or relatives; propensity of physicians to overuse antibiotics<\/p>\n (medicate rather than educate); selection pressure number one<\/p>\n etiology of resistance,<\/p>\n ie, <\/em>sensitive organisms killed by antibiotic,<\/p>\n resistant organisms multiply<\/p>\n Case:<\/p>\n 3-yr-old presents with temperature of 39.5<\/p>\n","protected":false},"excerpt":{"rendered":" Array<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[23],"tags":[],"yoast_head":"\n
\n<\/em><\/p>\n<\/span>S<\/span><\/h2>\n