DISCUSSION
Pyogenic infections are characterized by severe local inflammation, usually with pus development. It’s an incursion by and growth of pathogenic microorganism in a bodily part or tissue, which may produce succeeding tissue injury and development to overt disease through a variety of cellular or toxic mechanisms, generally caused by one of the pigeons bacteria. Infectious microorganisms such as Staphylococcus, Streptococcus, Neisseria, Klebsiella, Proteus, Pseudomonas (Sarala et al., 2010), Escherichia coli, Salmonella typhi, Mycobacterium tuberculosis (Singh et al., 2013) and some other species of pathogenic bacteria usually produce pus. This is usually a source of infection to others and the transmission can be either due to direct contact with through fomities. To cure the problem antibiotic is main options. The choice of an effective antimicrobial agent for a microbial infection requires awareness of the potential microbial pathogen, an understanding of the pathophysiology of the infectious process and an understanding of the pharmacology and pharmacokinetics of the intended therapeutic agents (Kelwin, 1999).
This study was aimed to isolate and identify the bacteria from the clinical pus samples obtained from the suspected patient with pyogenic infection and to detect the drugs of choice against the infection and in addition this study was carried out to determine the socioeconomic characters and pyogenic infection related characters associated with pathogenic infection among patients in a tertiary care center in Salem, TamilNadu, India.
Goswami et al. (2011) reported that predominant organisms isolated from wounds were Staphylococcus aureus 48 (26.23%) Klebsiella pneumoniae 38 (20.77%), Pseudomonas aeruginosa ...
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...d. In the present study, Klebsiella spp. isolates were resistant to ampicillin, rifampicin, erythromycin and streptomycin, cefotaxime and tetracycline, amikacin, cefuroxime and imipenem . P. aeruginosa isolates from the pyogenic abscess were resistant to all tested antibiotic except imipenem. Proteus spp. isolates were resistant to cefotaxime, ampicillin, tetracycline, rifampicin, erythromycin, streptomycin, amikacin and gentamicin. E. coli isolates were resistant to ampicillin, tetracycline, rifampicin, erythromycin and streptomycin, cefotaxime, ceftriaxone and amikacin.
The frequency of single as well as multiple drug resistance is terrifyingly high. This might be a mirror image of wrong use of antimicrobials, lack of diagnostic laboratory services or unavailability of guideline regarding the selection of drugs. Thus, balanced use of drugs should be accomplished.
The results of the gram stain test were cocci and purple. This indicated that the unknown bacteria were gram positive. The gram stain test eliminated Escherichia coli, Klebsiella pneumonia, Salmonella enterica, and Yersinia enterocolitica as choices because these bacteria are gram negative. Next a Blood Agar plate was used because in order to do a MSA or a Catalase test there needs to be a colony of the bacteria. The result of the Blood Agar plate was nonhemolytic.
However, increasing antibiotic resistance patterns among intensive care unit pathogens, cultivated by empiric-broad spectrum antibiotic regimens, characterizes the variable concerns. Recent literature point that antibiotic use before the development of VAP is associated with increased risk for potentially resistant gran-negative infections and Methcillin-resistant Staphylococcus auereus (MRSA)
Streptococcus pyogenes, also known as Group A streptococcus (GAS), is a β-hemolytic, Gram-positive bacterium that most commonly causes respiratory disease, including pharyngitis or tonsillitis, as well as skin infections such as impetigo and cellulitis. The organism is transmitted via respiratory droplets or by contact with fomites, and commonly infects young children. In addition to the common clinical presentations associated with S. pyogenes, some individuals develop the postinfectious sequelae of rheumatic fever and glomerulonephritis. Due to the severity of these medical consequences, prophylactic antibiotic use is often recommended for any patients with otherwise mild S. pyogenes infections (21).
With the earliest recordings coming from the Fifth Century B.C., streptococcus pyogenes, and more frequently, its symptoms have been prevalent among doctors and historians for hundreds of years. The first mentioning of streptococcus pyogenes is to be credited to Hippocrates, in which he describes the relative symptoms of the flesh-eating bacteria in its early stages. Then depicted by Billroth in 1874, patients carrying erysipelas were determined to have this certain bacterial infection. In 1883, the chain-forming bacteria were isolated by Fehleisen; and in the following year, Rosenbach applied the S. pyogenes name. Further advances in hemolytic and non-hemolytic studies were made by Lancefield in the 1930’s, in which the alpha, beta, and gamma subgroups of the hemolytic structures – detailed and defined by Schottmueller and Brown - were divided into serotypes.
Clinical Infectious Diseases, 49(3), 438-443. Doi:10.1086/600391. See full address and map. Medicare.gov/Hospital Compare - The Official U.S. Government Site for Medicare (n.d).
Klebsiella pneumonia comprises a majority of hospital-acuqiried urinary tract infections, soft tissue infections and pneumonia (Podschun & Ullmann, 1998). Occurring primarily in alcoholics and known as a cause of community-acquired bacterial pneumonia, Klebsiella is most likely associated with hospitalization, as treatment is vital for survival. There is still a number of factors that is currently being studied to ensure a vaccine and treatment options that have favorable outcomes, as currently there are not a lot of options as this disease is antibiotic resistant to many of the medications, making it difficult to treat. However, the focus for many healthcare facilities must be aiming towards sterilization, degerming, and ensuring proper hygiene is in place to reduce the risk of contamination and spreading of the bacteria.
Streptococcus pneumoniae is a Gram-positive and fast-growing bacteria which inhabit upper respiratory tract in humans. Moreover, it is an aerotolerant anaerobe and usually causes respiratory diseases including pneumonia, otitis media, meningitis, peritonitis, paranasal sinusitis, septic arthritis, and osteomyelitis (Todar, 2003). According to Tettelin et al., more than 3 million of children die from meningitis or pneumonia worldwide (2001). S.pneumoniae has an enzyme known as autolysin that is responsible for disintegration and disruption of epithelial cells. Furthermore, S.pneumoniae has many essential virulence factors like capsule which is made up of polysaccharides that avoids complement C3b opsonization of cells by phagocytes. Many vaccines contain different capsular antigens which were isolated from various strains (Todar, 2003). There are plenty of S.pneumoniae strains that developed resistance to most popular antibiotics like macrolides, fluoroquinolones, and penicillin since 1990 (Tettelin et al., 2001). Antibiotic resistance was developed by the gene mutation and selection processes that, as a consequence, lead to the formation of penicillin-binding proteins, etc. (Todar, 2003).
Resistance arises from mutations that are not under the control of humans, but the evolution of bacteria has been sped along by the overexposure of antibiotics to both people and animals. The number of antibiotic-resistant strains of bacteria in an area is closely related to the frequency that antibiotics that are prescribed (Todar, 2012). Patients often unnecessarily demand antibiotics to treat common colds or simple illnesses that are not caused by bacteria. Instead, these infections are caused by viruses which, unlike bacteria, are unaffected by antibiotics. Incorrect diagnosis can also lead patients to using unnecessary antibiotics, which can sometimes be even more dangerous than otherwise left untreated. Besides the fact that antibiotics kill off beneficial bacteria in the intestines, misuse of antibiotics provides an opportunity ...
Nursing diagnosis Hospital acquired infections are spread by numerous routes including contact, intravenous routes, air, water, oral routes, and through surgery. The most common types of infections in hospitals include urinary tract infections (32%), surgical site infections (22%), pneumonia (15%), and bloodstream infections (14%). a. (book). The most common microorganisms associated with the types of infections are Esherichila coli, Enterococcus species, Staphylococcus auerus, Coagulase-negative staphylococci, or Pseudomonas aeruginosa. Urinary tract infections occur when one or more microorganisms enter the urinary system and affect the bladder and/or the kidneys.
S. pyogenes is a bacterium that permeates our society. Today it is commonly known as the cause of “Strep. throat,” or Streptococcal pharyngitis. Modern medicine has caused the eradication of most of its advanced infections, while this most common form of infection still thrives. It is very contagious, and pyogenes travels quickly through places where bacteria flourish, such as schools and health institutions. The body cannot fight this bacterium very well without help, and S. pyogenes was a common cause of death until the introduction of antibiotics in the twentieth century. It has a number of ways to subdue the immune system, but it is almost completely vulnerable to penicillin, even after decades of exposure. While generally no more than a nuisance, this bacterium continues to be an interesting topic of discussion. (6,3,2)
In the last decade, the number of prescriptions for antibiotics has increases. Even though, antibiotics are helpful, an excess amount of antibiotics can be dangerous. Quite often antibiotics are wrongly prescribed to cure viruses when they are meant to target bacteria. Antibiotics are a type of medicine that is prone to kill microorganisms, or bacteria. By examining the PBS documentary Hunting the Nightmare Bacteria and the article “U.S. government taps GlaxoSmithKline for New Antibiotics” by Ben Hirschler as well as a few other articles can help depict the problem that is of doctors prescribing antibiotics wrongly or excessively, which can led to becoming harmful to the body.
Infection control is a central concept to every practice of health care providers. Its main objective is to prevent the transmission of infectious diseases from both patients and health personnel (Martin et al., 2010). In dental clinic, infection control is a continuous concern for its professionals. They have to contact patients routinely and be exposed to their blood, saliva, dental plaque and pus that may contain infectious pathogens. It is important for the dental professionals to treat these fluids as if they are infectious and special precautions must be taken to handle them. In this essay, I will highlight the scope of infection control practices in dental clinics and the ways through which infectious microorganisms are transmitted in the dental clinic. Also, I will talk about some infection control guidelines implemented in dental clinics and how they meet the needs of the patients. Finally, from a personal perspective, I will mention some factors that affect the implantation of infection control guidelines and procedures.
This turn of events presents us with an alarming problem. Strains of bacteria that are resistant to all prescribed antibiotics are beginning to appear. As a result, diseases such as tuberculosis and penicillin-resistant gonorrhea are reemerging on a worldwide scale (1). Resistance first appears in a population of bacteria through conditions that favor its selection. When an antibiotic attacks a group of bacteria, cells that are highly susceptible to the medicine will die.
There are many medical professionals who believe that the rise of antibiotic resistance is a result of the overuse and misuse of antibiotics. Dr. Jim Wilde, a paediatric emergency medicine physician at the Medical College of Georgia believes that the medical profession is losing the war against resistance...
Our approach in managing wounds was far from being optimal in our own setting. After having read the article of Sibbald et al (1) and assisting to presentations during the first residential week-end, our approach at St. Mary 's Hospital Center 's Family Medicine Clinic must change. We were not classifying wounds as healable, maintenance or non-healable. We were always considering the wounds in our practice as healable despite considering the system 's restraints or the patients ' preferences. In the following lines, I will define and summarize the methods one should use in order to initial management of wounds and how to integrate it better to our site. The first goal we need to set is to determine its ability to heal. In order to ascertain if a wound is healable, maintenance or a non-healable wound.