An article By Moran, Rothman, and Volturo (2013) examined the emergency management of community acquired bacterial pneumonia (CAP) and compared new aspects of treatment to the 2007 Infectious Disease Society of America/American Thoracic Society Guideline (Moran, Rothman, & Volturo, 2013). S. pneumonia was found be the cause of the most community acquired pneumonia, and S. aureus was a close second with its increase of incidence (Moran et al., 2013). Community acquired methicillin-resistant S. aureus is now the most common organism found in soft tissue and skin infections (Moran, Rothman, & Volturo, 2013). An epidemiologic study revealed that 14% of patients with MRSA all had resistance to clindamycin, ciprofloxacin, erythromycin, and levofloxacin; but none were resistant to trimethoprim/sulfamethoxazole (Moran et al., 2013). Antibiograms are tools used to aid antimicrobial selection and monitor resistance tendencies (Moran et al., 2013). Severity-of-illness scoring system models …show more content…
A complete history and physical was performed and disclosed a past medical history of acute otitis media (AOM) diagnosis at 12 and 18 months of age; this patient was treated with antibiotics and her symptoms resolved (Fahey, 2011). It was determined that this patient attends a group daycare, and her older sibling has recently been diagnosed and is being treated for influenza type A (Fahey, 2011). Suggested differential diagnoses were identified and viruses were quickly ruled out because the patient’s symptoms had already passed the time frame (3 days) for viral syndromes (Fahey, 2011). The patient had already received an influenza vaccine for this season, however a rapid influenza and RSV test were completed and resulted negative (Fahey,
| This is important because we need to look at the relevant data and realize that she seems to be in distress and first take care of that. Also realize that she seems to have an infection. With this information we are able to prioritize
When penicillin was released to the public in 1944, it was a miracle drug. Infections that had been killers were suddenly treatable. Doctors recommended it generously, both for illnesses that needed it and illnesses that didn’t. Before long, however, it took much stronger doses to see penicillin’s effects. When the antibiotic arms race began in 1944, most physicians assumed that new antibiotics would be discovered or created to keep up with the evolving resistance in bacteria, but the bacteria are constantly evolving new defenses and doctors are starting to run low on antibiotic ammunition. MRSA, methicillin-resistant Staphylococcus aureus, is one of many types of bacteria
The article from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP) that addresses acute otitis media (AOM) is a filtered resource. This article is appropriate for use in nursing practice as it establishes diagnosis and management guidelines for the treatment of AOM. In addition the article recommends treatment options for the symptoms of AOM and addresses the concept of watchful waiting. The is an evidence based guideline as it provides recommendations for practice and was created a systematic review and best clinical research in clinical literature. The Block article, Causative Pathogens,
American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides
This evidence meets the criteria for a filtered source. It was sourced online from the Official Journal of the American Academy of Pediatrics and Family Physicians. Specialists from multi medical disciplines assembled to create an integrative systematic study and review of the current evidence- based literature available for the treatment and management of Acute Otitis Media (AOM). The conclusions and findings were utilized to devise guidelines and a practice protocol that recommended early diagnosis and makes
Hospital settings have harbored a disease-causing organism called Methicillin-resistant Staphylococcus aureus (MRSA) since the 1960s. However, hospitals aren’t the only settings at risk of a MRSA outbreak. In recent years’ healthy communities have seen a genetically distinct strain of MRSA, called community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). Although this organism has been less resistant to antibiotics, it is more virulent and capable of causing illnesses (Alex & Letizia, 2007). The community should be aware of the risk factors for this infection and understand its signs, symptoms, and management.
Methicillin-resistant Staphylococcus aureus, or more commonly, MRSA, is an emerging infectious disease affecting many people worldwide. MRSA, in particular, is a very interesting disease because although many people can be carriers of it, it generally only affects those with a depressed immune system; this is why it is so prevalent in places like nursing homes and hospitals. It can be spread though surgeries, artificial joints, tubing, and skin-to-skin contact. Although there is not one specific treatment of this disease, there are ways to test what antibiotics work best and sometimes antibiotics aren’t even necessary.
Hospital-acquired infections (HAIs), specifically those involving multi-drug resistant organisms such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) are associated with increased morbidity and mortality, as well as higher cost of healthcare and longer length of hospital stays for patients. Each year, millions of people acquire infections while receiving care, treatment, and services in hospitals and other health care organizations.
Methicillin-resistant Staphylococcus aureus (MRSA) is a drug resistant pathogen abundant in healthcare settings and the second most common overall cause of healthcare associated infections (HAIs) reported to the National Healthcare Safety Network (NHSN) (Jernigan & Kallan, 2010). The prevalence of MRSA is a significant problem found amongst many Intensive Care Units (ICUs) in the United States (US); critically ill patients are at higher risk for hospital-acquired infections. Acquisition and infection of MRSA may significantly prolong duration of hospital stays, increase healthcare costs, and contribute to higher mortality rates. According to national data, MRSA accounts for nearly 70 percent of Staphylococcus aureus strains isolated from
Pneumonia is an acute infection of the lungs, it can be caused by a variety of organisms entering the body – including bacteria, viruses or fungi. The infection causes an inflammation of the alveoli (air sacs) of the lungs and may result in the alveoli filling with fluid or other purulent material (Mayo Clinic, 2016). An accumulation of fluid within alveoli and portions of the lungs, can reduce the ability of the lungs to allow for oxygen diffusion across the alveoli walls. If oxygen saturation is low, it can cause the body’s cells to not work effectively. Therefore, the risk of the infection spreading through the body is increased – it is due to this reason, that pneumonia can be life-threatening (American Lung Foundation, 2016). Pneumonia
Results from interviews with parents who have brought their children into the clinic for acute otitis media.
is currently the second most common nosocomial infection in the United States and is associated with high mortality and morbidity (Seymann, 2008). This paper is a case study of a 52 year old female who was in the hospital for a scheduled gastric bypass surgery. During a post-op test she aspirated dye thus beginning the process of her developing nosocomial pneumonia. The patient was discharged only to return to the emergency department the following day presenting with signs and symptoms of pneumonia. This paper will discuss her diagnosis, treatment, risk factors, nursing care, socioeconomic influences, and diagnostic
This is a case of a 74 year old woman who was diagnosed with Community Acquired Pneumonia.
Methicillin resistant Staphylococcus aureus (MRSA) has been a type of multidrug resistant organism and staph bacteria known to cause serious infection that can lead to long hospitalizations and death. It can begin as a simple infection on skin or in the lungs, and if left untreated, can lead to traveling to the bloodstream and causing sepsis (“Methicillin-resistant Staphylococcus aureus (MRSA), 2015”). The Centers for Disease Control and Prevention reports that 33 percent of individuals carry the staph bacteria intranasally and two percent of individuals carry MRSA (“Methicillin-resistant Staphylococcus aureus (MRSA), 2015”). Even though this is a serious issue among healthcare settings all over the country, the number of people affected
Pneumonia is an inflammation of the lung which results into an excess of fluid or pus accumulating into the alveoli of the lung. Pneumonia impairs gas exchange which leads to hypoxemia and is acquire by inhaling a contagious organism or an irritating agent. (Ignatavicius & Workman, 2013). Fungal, bacteria and viruses are the most common organisms that can be inhale. Pneumonia could be community-acquired or health care associated. Community –acquired pneumonia (CAP) occurs out of a healthcare facility while health care associated pneumonia (HAP) is acquired in a healthcare facility. HAP are more resistant to antibiotic and patients on ventilators and those receiving kidney dialysis have a higher risk factor. Infants, children and the elderly also have a higher risk of acquiring pneumonia due to their immune system inability to fight the virus. Pneumonia can also be classified as aspiration pneumonia if it arises by inhaling saliva, vomit, food or drink into the lungs. Patients with abnormal gag reflex, dysphagia, brain injury, and are abusing drug or alcohol have a higher risk of aspiration pneumonia (Mayo Clinic, 2013). In the case of patient E.O., this patient had rhonchi in the lower lobe and the upper lobe sound was coarse and diminished. Signs and symptoms of pneumonia include difficulty breathing, chest pain, wheezing, fever, headache, chills, cough, confusion, pain in muscle or