...Diagnoses of an Infected Patient By: Reathea Felder Microbiology Excelsior college | | When given a sputum sample it is important to take in consideration the type of bacteria that could be present, causing illness in the patient. There are hundreds of different types of bacteria, but I will only focus on how to detect three of them: Bacillus, Escherichia, and Mycoplasm. I will also discuss how to identify the genera causing the patients infection by describing the different staining procedure protocols. The term bacillus has two different meanings. The lowercase bacillus means bacterial shape while the italicized bacillus refers to a specific genus. Bacillus cells are usually single rods that may look like straws that often form long twisted cells (p. 78). They are typically rods that produce endospores. Bacillus is a gram-positive cell that may at times have gram negative cells. In a gram positive cell, there are many layers of a thick, rigid structure known as peptidoglycan. They also have teichoic acids which are made primarily of alcohol and phosphate. This acid plays a role in cellular growth and prevention of cell wall breakdown. One of the most well known bacteria in microbiology, Escherichia can be characterized as rod shaped having short hair like appendages. Escherichia is a gram negative...
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...Diagnosis of an Infected Patient Infection is the invasion and growth of microorganisms such as bacteria, viruses, and parasites that are not normally present within the body. A prokaryotic cell is a simple cell that does not have a nucleus. One of the most common types of prokaryotic cells is a bacterium. Bacteria are differentiated by many factors including shape, chemical composition, nutritional requirements, biochemical activities, and sources of energy (Tortora 76). A patient with an infection in the upper respiratory system will need to have a sputum sample sent to the lab for further evaluation to determine the cause in order to accurately treat the infection. While many microorganisms can be the cause of infection, this essay will focus on the following genera: Bacillus, Escherichia, and Mycoplasma as the cause of the patient’s infection. Bacillus is a rod-shaped, endospore-forming, facultatively anaerobic and gram-positive bacterium (Tortora G2). The gram stain is fundamental to identify the characteristics of bacteria as this process differentiates organisms according to the cell wall structure. Gram-positive cells have a thick cell wall layer and will stain blue to purple. The Gram stain process requires four steps which include applying a primary stain, usually crystal violet, to a heat-fixed smear, then adding a mordant, usually Iodine, followed by rapid decolorization with alcohol or acetone and finally counterstaining with safranin (Hussey). At...
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...Bacteria are among the first life forms present on Earth, and they can be found in almost every environment. They can be in the shape of rods, spirals, and spheres. The genera Bacillus is a rod shaped bacterium that often form chains and can be found in a wide range of habitats. [Tortora, G.] Bacillus can be endospore-forming aerobic or facultatively anaerobic. Their thick peptidoglycan layer in the cell wall encases their cell membrane, making them a gram-positive bacteria. The fact that Bacillus produce endospores makes them resistant to heat, cold, radiation, desiccation, and disinfectants.[Turnbull, P] This genera of bacterium are generally found in soil and water. The largest of this species can reach two micrometers across and seven micrometers long. Most strains of Bacillus are not pathogenic but many infect humans unintentionally. [Bacillus. (2015)] Escherichia is a gram-negative, non spore forming bacteria. Some species in this genera inhabit the gastrointestinal tracts of animals. They provide a portion of the vitamin K needed to their hosts. [Tortora, G.] Escherichia are facultative anaerobes meaning they make ATP (energy) by aerobic respiration if there is oxygen, but are able to switch to anaerobic respiration if oxygen is absent. They are rod shaped, and a number of them are pathogenic. Some are motile and possess flagellum, while others do not. They can range in size from 1.1-1.5 micrometers x 1.0-6.0 micrometers. [ABIS Encyclopedia.] The genus Mycoplasma are...
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...Marjorie Templeton Using Evidence Based Practice Procedures, protocols and guidelines evolve as new research shows for more efficient practice. Nurses must stay competently with these changes as evidence-based practice offers patients the best quality care, avoidance of adverse effects and variances (White, Dudley-Brown & Terhaar, 2016). Performing care that is poor evidence based can put the patient at risk of their safety and quality of care (Clarke & Donaldson, 2008). Prevention, Assessment, management and communication with the patient are the appropriate interventions when handling a patient with a risk of developing pressure injuries. Marjorie Templeton was admitted to the emergency department with an infected foot ulcer by her general practitioner. According to the patient notes Templeton has insulin-dependent diabetes mellitus, also known as type 1 diabetes or autoimmune diabetes (Katsarou et al., 2017). Pressure injuries, more commonly known as bed sores are a result pressure and friction to...
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...physicians to Zambia to provide medical care and much needed medical supplies for the Zambian people. HIV is very prevalent in Zambia and most of the people there are infected. While in Zambia, Dr. Marshall decides to go sightseeing and while out he collapses due to dehydration and suffers a significant laceration on his arm. A woman comes to his aid and because Dr. Marshall was so worried about his injury, he fails to notice that this woman is HIV positive and has wounds on her arms that are oozing and she helps Dr. Marshall with his open wound. After returning to where his fellow physicians are, he decides to confide in his friend Dr. Singh, he tells him that he is afraid he may have been exposed to HIV because of the woman who help clean up his wound. Dr. Singh runs HIV testing on Dr. Marshall and it comes back positive. Dr. Marshall does not want Dr. Singh to share this information with anyone back at home because he is afraid of his reputation and since they are out of the country, they did not document the testing that was done. Dr. Singh agrees to keep this information confidential between the two of them. Moreover, a year passes by and Dr. Marshall wakes up one day and was not feeling well butt decides he will still go to work in the surgery department at Uptown General Hospital and not reschedule his patients. Most of his day was going fine until he was in the middle of a procedure and...
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...on the man’s abdomen that told him everything he needed to know. He’s got a rupturing aortic aneurysm. Mr. Killian survived the surgery, his life saved by a simple touch. When doctor looked at just those patients whose story didn’t provide the answer, the physical exam led to the right diagnosis. Another patient had a fever, but no source of infection had been found. He was being treated with intravenous antibiotics. The patient’s toes were discolored in a way that suggested the toe...
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...with weakened immune systems, may have severe disease that requires hospitalization. A small number of people can develop complications such as blood stream infections, seizures, kidney failure or arthritis. How does Shigella spread? Shigella is very infectious and spreads easily. An infected person sheds Shigella bacteria in their stool while they are sick and often for more than a week afterwards, and can spread the bacteria if they do not wash their hands well after using the toilet. Shigella spreads from person-to-person by close personal contact (such contacts to infected diapered children) or exposure to faeces of an infected person during sexual contact. It also spreads by eating foods or liquids contaminated by an infected person, or swallowing untreated recreational water (such as lakes or water park play fountains) contaminated with Shigella. Health care providers are required by law to report cases of shigellosis to the local health department. To prevent the spread of Shigella, local health departments are required to restrict activities of people with shigellosis who work in certain settings, such as day care, food-related businesses, and health care workers who have direct patient contact, until they are no longer infectious. How is shigellosis diagnosed and treated? A health care provider diagnoses shigellosis by collecting a sample of stool and sending it to a...
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...of infections from patient to patient, doctor to patient, or patient to doctor. To help reduce the amount of morbidity and mortality, methods have been developed that doctors and people alike can follow to prevent these cases from occurring. The following section will illustrate these solutions and procedures that are used to handle these situations for both prevention, and post-contamination. Prevention is always in everyone's best interest, but it reduces the risk of any cross contamination from the start. However this can be especially tricky when dealing in a hospital setting, where it is common...
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...Reduce Infection Control Long term care facilities have high infection rates due to patients being within close proximity of one another. Long term care residents are usually older in which due to their immune systems are usually more susceptible to highly infectious illnesses. Due to this increase, there are specialized precautions and procedures that are expected to be followed in order to control spreading. Infection Protocols Spreading of infections can cost healthcare facilities more money especially if the proper precautions were not used. The first step is to identify the problem, than a plan must be put together to figure out how to begin implementation. The problem is reducing infection in which administrators could begin by holding weekly meetings that serve as a refresher on infection prevention protocol. During these meetings all staff and administrators can analyze what areas need extra focus which tends to be forgotten to hectic schedules. (Robbins, DeCenzo, & Coulter, 2011). Also long term care facilities must keep their protocols and procedures reviewed and updated on a yearly basis in order to better reduce the number of infections. The director of nursing needs to be notified by the laboratory when any patient cultures come back positive that may represent a form of infection. Additionally, there needs to be specific “tracking of dates and times when infected patients change rooms or even roommates” (Missouri Department of Health and Senior Services...
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...coronavirus named MERS-CoV. It is believed that the virus is found in camels and passed on to humans who are in contact or around infected animal. These camels are mainly located in Egypt, Oman, Qatar, and Saudi Arabia (WHO, 2015a). Those infected with MERS exhibit fever, cough, and shortness of breath, pneumonia, and diarrhea. Severe cases require patient to be put on mechanical ventilation or in an intensive care unit. It is also known to cause kidney failure and septic shock. The elderly, persons who are immunosuppressed, those who have diabetes, cancer, or chronic lung disease are at an increased risk of contracting MERS. It can be transmitted to anyone who is in close contact with the infected person (WHO, 2015a). MERS has been reported in 26 countries throughout the world. In May of 2015, there was an outbreak in Korea that began with a 68 year old male who had recent travel from the Arabian Peninsula. The time line is as follows (WHO, 2015b) 1st Case: Reported May 24, 2015. (WHO, 2015b) • Patient: 68 year old male • Travel history o April 18-29, 2015: Bahrain o April 29-30, 2015: United Arab Emirates o April 30- May 1, 2015: Bahrain o May 1-2, 2015: the Kingdom of Saudi Arabia o May 2, 2015: Bahrain o May 2-3, 2015: Qatar o May 4, 2015: Flew from Qatar to Incheon International airport in South Korea, • May 4, 2015: patient asymptomatic • May 11, 2015: Developed symptoms • May 12-15, 2015: received medical care from local clinic • May 15-17, 2015:...
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...clinician should consider what the object came into contact with during the appointment. If an object was exposed to any bodily fluids during the appointment, sterilization is necessary. Disposing of Infectious Waste Material When exposure to infectious material occurs, the appropriate disposal of the substance is critical to the safety of those working in the immediate and surrounding environment. It is necessary to follow the proper guidelines when disposing of waste. Please follow the steps below on how to appropriately address infections material: 4 1. Limit the exposure of the infectious substance by removing it from the immediate area occupied by a patient. If the substance cannot be moved, remove the patient, and any accompanying individuals, from the immediate area. 2. If the infectious material has been placed in a common trash bin, remove...
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...while skinning a rabbit three days ago. On the basis of these observations the physician prescribes streptomycin and asks the man to call if his symptoms don’t improve in three days. The physician asks you to draw blood and tells the patient he should return in four weeks for another blood sample. She says there is no need to culture the wound. 1. On the basis of the limited information above, the physician has obviously made a diagnosis. What is it? What does the causative organism look like when gram stained? 2. What is the most likely reservoir for the causative organism in this case? 3. Why draw blood twice? 4. Why not culture the wound to look for the bacterium? 5. What are four other common infections that humans acquire from animals? 1. Based on the limited information the physician’s diagnosis is Tularemia. Humans can acquire this illness through getting a bite from an infected (blood-sucking)tick, horsefly, or mosquito, inhaling infected dirt or plant material, eating infected meat which is very rare, but in this case with the information given about the patients etiology the most likely way that the man acquired this illness is through direct physical contact through the cut in his skin with the infected rabbit (other animals that this illness can be acquired from in this way most often include muskrat, beaver, or squirrel).The incubation period is usually 3-5 days after coming in contact with the...
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...camel meat before consumption. It is also recommended that anyone in contact with farm animals or camels in the effected countries use preventive hygiene measures, including good handwashing before and after exposure to animals. ("MERS-CoV," June 2015) Over 1600 cases of MERS-CoV have been reported to the WHO, with almost 600 deaths since September 2012. All cases that have occurred outside the Arabian Peninsula can be directly traced either to recent travel in the Arabian Peninsula, or close contact with someone who did. Since the virus’s discovery in humans, there has been no sign of community-acquired infection in large groups, including anyone traveling by air with infected persons. ("MERS-CoV," June 2015) Human-to-human transmission occurs under conditions of close contact, such as patient to caregiver or family member. Since its...
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...infection such as a virus is spreads in a ward in the hospital can infect the other patients on no time therefore controlling an infection is must and a major duty to be done by the health care workers therefore these worker should be advocated by professionals for the elimination of a simple infection because it’s the health care workers who involves spreading an infection most of the time not that they do it by purpose but with too much of work load and stress full days there are high chances and risks where they can help a infection to spread since they deal with patients more often therefore it’s a must that they should be more educated on this and its recommended that workshops and audits every month which can help to change the situations where they learn how to prevent a infections such as a viruses to be stop, well this is not only affect the hospital and the patient but it can also affect the country too where immigrations will be restricted because disease can be spread to other countries too, where it will harm them in economical ways where the country will have to face more difficulties in the financial ways and a long stays in a hospital affects the hospital badly and the patient . And such infections that’s are being spread through a hospital is known as a hospital acquired infections (HAIs).further down in this assignments it will be explaining about how HAIs can affect a patient and the country. Health care-associated...
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...Addie Rerecich after reporting a pain in hips was administered in the hospital where she was diagnosed with a bacteria. The pain has spread and the fever also increased as the cause of the bacteria. She was immediately placed on antibiotics, the next morning she needed[ES1] oxygen mask and was later diagnosed with pneumonia when they examine a part of her lungs. She had infected boils over her body which were a result of the Staphylococcus bacteria causing septic shock; which is a widespread infection causing organ failure and low blood pressure. Which was pattern recognized in association with community-associated MRSA, which a person can get infected by coming in contact with a contaminated object in the environment, an example would be a kid picking the bacteria in a playground with a scraped knee. In Addie’s case, she was a skin picker, she as many kids picked at their scabs which were most likely what introduced the staph infection. MRSA is a staph bacteria that causes infection resistant to infections....
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