Medical Case Study

Methicillin-resistant Staphylococcus aureus, or MRSA, is a bacterium that is resistant to many available high- level beta-lactam antibiotics, which include penicillins, “antistaphylococcal” penicillins and cephalosporins. Staphyloccoci are the most important bacteria that cause disease in humans. MRSA is sometimes branded as a nosocomial infection as it usually plagues patients that are receiving treatment in a hospital. The skin is the most common site of infection, where MRSA can cause cellulitis, folliculitis, or boils in the skin, but can also commonly be found in the nose, underarm, groin, upper respiratory tract, intestine, vagina and rectal areas of the body. MRSA infections occur with there is a break in the skin that allows the Methicillin resistant

On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason.

Staphylococcus aureus is a specific type of bacteria which is a member of the Staphylococcaceae family (Medical News, 2016). The bacteria is found in clusters (staphylo-) which look like grapes and as a result is called Staphylococcus. Staph is Gram positive (which is a method for identifying bacteria) and is non-moving (Medical News, 2016). It can infect all mammalian species and because it can infect such a broad range of mammals it is easily transmitted from one species to another species. Of special concern is methicillin-resistant staphylococcus aureus (MRSA) which does not respond to antibiotics.

1. I do believe that large pharmaceutical companies as well as doctors prescribing opioid medication should be held partially responsible in cases when patients are over-prescribed drugs. Although they are in no way actually forcing those patients who are over-prescribed these drugs to misuse them and it is ultimately the fault of the individual misusing the medication, they are, however, allowing for the the misuse.In regards to pharmaceutical companies, I think that they should be held responsible for marketing and allowing such drugs available to virtually the mass public opposed to only those that need it in order to increase their profits. If they would not advertise the medication to medical professionals as something that they could

In early 2013, an employee of UnityPoint Health-Trinity Wellness departmnet developed a program titled HEART- Helping Everyone Access heaRt Treatment in an effort to combat the above average mortality rates from cardiovascular disease in Rock Island County in Illinois. Deaths from cardiovascular disease were 21% higher in this county compared to the national average at that point in time. After the Trinity employee developed the program, Trinity applied for funding from the AstraZeneca Healthcare Foundation (AZHF) to support the implementation of this program. In October of 2013, AZHF announced that they were awarding Trinity a one year grant for $187,270 to support the implementation of HEART. After Trinity received the grant, the

Pt states that he was seen in the clinic yesterday and was treated for sore throat and postnasal drip. Pt states later that he went to the ER becase he started feeling fatigue, increased postal drip, nausea/ vomitting unable to eat and drink.Pt states the he was treated with Zofran and IV fluids. Pt states that he was informed to pick up his quarter slip her at the clinic. At this, time pt states he is feeling somewhat better but he feels fatigue and he has not attempted anything. Pt pt with 48 hours quarters. Brat diet instruction provided. Informed the pt take Zofran as directed. Pt instructed to return to the ER if has fever greater than 101, abdomen pain/cramping, unable to take liquids or bland diet. Pt agrees and verbalized understanding.

PFGE results showed 33 different pulsotype patterns designated 1-33, among which 20 patterns had more than one S. aureus isolate and 13 patterns had only one isolate. The major pulsotypes among MRSA isolates were 15 (6/33; 18.1 %), 6 (6/33; 18.1 %), and 1 (4/33; 12.1 %). Distribution of major pulsotypes according to antibiotic resistance was shown in Table 5. Of 33 pulsotype patterns, 20 patterns had more than one S. aureus isolate and 13 patterns were consisted only of one isolate of this bacterium. Pulsotype patterns 15, 6, 8, and 1 had the highest abundance which detected in 14, 8, 6 and 6 strains of isolated S. aureus, respectively. The pulsotype patterns with the lowest abundance included patterns 3, 7, 9, 10, 11, 14, 17, 13, 20, 21, 25, 23, 22, and 30, each of which was consisted of one strain of S. aureus. Also, 8 pulsotypes in 11 samples

Then plaintiff realized that on January 03 2017, she suffered a minor stroke due to exposure to CO poisoning and as of result lack of oxygen to her brain, stroke is a disease when the brain is robbed of oxygen. It was approximately 700 over-flights from January 01, 2017 through the early morning of January 03, 2017 and at that time plaintiff’s heart and breathing condition were in a very bad shape.

MRSA is a strain of Staphylococcus aureus that stands for Methicillin Resistant Staphylococcus (Staph) Aureus. Staphylococcus aureus is a gram-positive coccal bacterium that is commonly found in the nose and on the surface of the epidermis of healthy patients, which act as a part of the normal flora, whereas, MRSA can commonly be found on the surface of the skin near the mouth, genitalia and the rectum. (MRSA symptoms, n.d.). MRSA is a specific strain of staph that over time has mutated to become resistant to most antibiotics. MRSA is referred to as being methicillin resistant because that antibiotic, methicillin is the primary antibiotic that is used to treat most strains of Staph aureus and unfortunately this particular strain of Staph, MRSA, is unaffected by its typical antibiotic treatment. MRSA is most commonly acquired nosocomial infection, or more commonly known as a hospital acquired infection. Though it is not as likely, there is a slight possibility of becoming infected with MRSA

MRSA is a bacterium and a type of Staphylococcus that causes infections and is resistant to certain antibiotics including methicillin, Oxacillin and Amoxicillin. Staphylococcus aureus are common germs, frequently carried on skin or in noses of healthy people.Plenty of healthy people carry staph without being infected by it. In fact, one third of the population has staph bacteria in their noses.MRSA is usually spread by direct contact with an infected wound or from contaminated hands, usually those of healthcare providers. Healthcare providers should adhere to the 5 moments of hand hygiene to limit the spread of infection. Also, people who carry MRSA but do not have signs of infection can spread the bacteria to others.

Michelle brought a sheet from home, and said she got it off a hand out EV Staff provided for fun things to do inside with your children. Michelle fed her children first at the table then they built a fort in the living room. Michelle told EV Staff that her doctor took her off some of her medications. Michelle said she hoped that her doctor would figure out what is best for her to calm down her high strung personality. Michelle was very loud at the visit today, and referred to herself as obnoxious multiple times.

Many people harbor Staph on their body without and negative consequences to their health. According to the Center for Disease Control and Prevention (CDC) (2016), approximately one and three people carry staph in their nose without any ill effect. Staph aureus is considered an opportunity infection; therefore, universal precaution practice is of upmost importance. The mode of transmission is through direct contact, air droplet, aerosol, human or animal bites. The bacteria can enter into the host through broken skin and from the cough or sneeze of an infected person. Usually, MRSA is presented by a bump or an infected area to the skin, accompanied by redness, swelling, pain, fever, warmth to the skin, pus or drainage (CDC, 2016). Staph is an emerging infection it is of upmost important that public health keep a close look outlook on it progression. MRSA has proven to be challenging due to it resistant property to antibiotic therapy. According to the study that was done at the hospitals in India, 35.1% of S. aureus and 22.5% coagulates-negative staphylococcal isolates were resistant to methicillin (Pal, Kar & Tsering, 2011).

The morphology of Staphylococcus aureus is gram-positive cocci which look similar to grape like clusters under the microscope. S. aureus is also non-motile, negative for oxidase, positive for catalase, facultative anaerobic, and doesn’t form spores. When grown on certain types of agar it could grow yellow/golden colonies.

According to Krasner and Shors, staphylococci infections cause pimples, abscesses, and inflamed lesions that can progress into boils. MRSA is a more serious condition which is resistant to anti-staphylococci drug methicillin and drugs including oxacillin, penicillin, and others. Natural selected has allowed some strains to adapt to antibiotics.

Distribution of samples with Staphylococcus aureus isolates - Isolates were obtained from wide variety of clinical specimens. The highest number of isolates were from throat swab samples i.e. 104 (49.5%)