Curricular Infection: A Case Study

Anne is currently taking paracetamol for the pain in her wrist, within healthcare analgesia should always be monitored to assess whether it is achieving elimination of pain and should be adapted to the individual patient (Vargas-Schaffer, 2010). If paracetamol were not effective in eliminating Anne’s pain then practitioners should consider a non-steroidal anti-inflammatory medication [NSAIDS] or a mild opioid medication such as codeine as the next step (Vargas-Schaffer, 2010). However as Anne is asthmatic NSAID medication should be used with caution due to the risk of increased frequency of asthma attacks and breathlessness (Joint Formulary Committee, 2015); if Anne has taken NSAIDS before with no issue then this would be the next choice of analgesia followed by codeine if combined paracetamol and NSAID did not prove effective (Vargas-Schaffer,

Patient is a 9 year old adolescent male, presents with a 2 day history of itching encrusted sores especially around the mouth area. Parent is using OTC antibiotic ointment with no improvement, no recent history of fever. Parent states that pat recently visited a petting zoo

According to surveys, up to 80% of patients reported moderate to severe post-surgical pain, which can sometimes be left undertreated (Sinatra et al., 2005). Postoperative pain is generally managed with opioids, which carry numerous side effects. Side effects can be bothersome and possibly cause a delay in the postoperative healing process (Beard, Leslie, & Nemeth, 2011). IV acetaminophen can possibly decrease opioid consumption, minimize side effects, increase patient satisfaction, and decrease costs (Wininger et al., 2010). The purpose of this paper is to dive further into the research to present data on the effectiveness of IV acetaminophen in decreasing opioid usage and whether it produces an additive effect causing more effective pain management in the postop patient.

After the analgesics or the non-steroidal anti inflammatory drug commonly referred to as (NSAIDs) have proven non-responsive, disease modifying

Opioids are effective for the treatment of acute pain, such as pain following surgery. They have also been found to be important in palliative care (hospice) to help with the severe, chronic, disabling pain that may occur in some terminal conditions such as cancer. In many cases opioids are successful long-term care strategies for those with chronic cancer pain (CCP). There are not many alternatives for those with CCP like there are for those suffering acute or chronic non cancer pain (CNCP). In one study, conducted by Furlan et al. (2006), opioids were effective in the treatment of CNCP overall; they reduced pain and improved functional outcomes better than placebo. Strong opioids (oxycodone and morphine) were significantly superior, to naproxen and nortriptyline (respectively) for pain relief but not for functional outcomes. Unfortunately, Weak opioids (propoxyphene, tramadol and codeine) did not significantly outperform NSAIDs or TCAs for either pain relief or functional outcomes. Overall, if opioids are

Every year a familiar scene plays out in clinic waiting rooms, chairs filled with miserable patients waiting to see their physician with complaints of a never ending cough and a constant nasal drip. More than likely, these patients will receive a prescription for antibiotics, but should they? Most acute respiratory tract infections (ARTIs), do not require an antibiotic, the symptoms will resolve themselves over time without antibiotic treatment. Healthcare experts and scientists have warned the public about the dangers of overusing antibiotics, and there are thousands of studies to support that fact, but no one is listening. Patients are convinced they need to have antibiotic treatment, and somehow their time is wasted if they leave empty

The principles include using strident diagnostic criteria to determine likely cause of infection, weigh Benefits Versus Harms of Antibiotics and implement Judicious Prescribing Strategies (American Academy, 2013). Assessment findings that would warrant prescribing antibiotics include, symptoms that is present for greater than 10 to fourteen days without improvement. Any duration with symtoms such as periorbital swelling, sinus tenderness or severe headache (Hay, Levin, Deterding, & Abzug,

Adult patients (>18 years) having a primary diagnosis for bacteremia [International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes 790.7] or septicemia [Clinical Classification Code (CCS) 003.1, 020.2, 022.3, 036.2, 038.0, 038.1, 038.10-038.12, 038.19, 038.2, 038.3, 038.40-038.44, 038.49, 038.8, 038.9, 054.5, 449, 771.81, 995.91, 995.92, 790.7] caused by any organism between 2010 and 2012 will be included for the analysis.47 Antibiotic therapy for each

Last but not least, he may also drill a hole in the tooth to provide an opportunity to empty and try to eliminate any dead pulp to the disease. The most typical treatment of an abscess would be to make use of antibiotics to kill the disease, then get the tooth. You should never allow it to get that bad - as an abscess is something, which may ruin your

Pre-operative administration of antibiotics for surgical patients continues to be an area of concern within the operative setting. The “Surgical Infection Prevention (SIP) measures were added as a core measure set in the fall of 2003” (Joint Commission, 2014, p. 1). The Surgical Care Improvement Project (SCIP) consists of multiple organizations working collaboratively helping to improve surgical care by significantly reducing surgical complications (Joint Commission, 2014). The SCIP policy

Use of antibiotics in the third molar surgery is highly disputed and by many considered to be controversial because of the development of resistant bacterial strains and possible systemic side effects, such as hypersensitivity and unnecessary destruction of host flora. The main debate was regarding the use of different antibiotics, the administration regimen (preoperatively and/or post operatively), administration routes (oral/ intravenous). A lot of studies have been conducted on the same and despite of the entire subject still remains controversial. Three different approaches have been compared with either placebo or with control groups. The first approach includes the pre operative administration of antibiotic as a single dose or multiple

Apical periodontitis occurring after Root Canal Treatment presents a more complex etiologic & therapeutic situation than Primary Apical Periodontitis. There is a universal consensus that intra-radicular infection is an essential cause of primary as well as a major contributor of post treatment apical periodontitis. Enterococcus faecalis is the most commonly implicated microorganism in asymptomatic persistent infections1,2.

vThe term surgical site infections (SSIs) include all post-operative infections occurring at surgical sites. Inspite of advances in infection control, SSI remains major limitation of surgical horizons1. SSI is the most common post-operative complication and represents significant burden in terms of patient morbidity and mortality, and cost to health services around the world. SSIs are the second commonest nosocomial infection accounting for approximately one quarter of 2 million hospital acquired infections in USA annually2. To combat SSI, antimicrobials are being prescribed. The concept of prophylactic use of antimicrobials in surgery was introduced first in 1957 by Miles and in 1961 by Burke. It is currently an essential component of the

Choice “C” is the best answer. This patient has no abscesses or fluctulant nodules. He would fit with into Hurley stage 1. Therefore, medical management is recommended at this stage of HD. Surgery should be performed as early as possible after the formation of abscesses, fistulas, scars, and sinus tracts. Initial treatment may include the following: local hygiene and ordinary hygiene, weight reduction in patients who are obese, use of ordinary soaps and antiseptic and antiperspirant agents (e.g., 6.25% aluminum chloride hexahydrate in absolute ethanol), application of warm compresses with sodium chloride solution, wearing of loose-fitting clothing, laser hair removal and cessation of cigarette smoking[1].

The surgical indication is given on the basis of medical history and in particular on the basis of frequency of infectious episodes for the following years. Or on the basis of particularly important infections such as tonsillar abscess. The surgery is performed under general