The First Round Of Antibiotics Didn 't Wipe Out The E. Coli

2. Why do you think Mrs. Garner's students did not become ill, while Ms. Hines' kids did?

AIM – The aim of the experiment is to determine the relative effectiveness of several anti-microbial substances on developing pathogens. (E. coli)

A sample of the patients bacteria causing the urinary tract infection can only be used if a urine sample is bacteriologically viable (1 Radar). Infected urine and sterile urine are common samples used for the diagnosis of patients (1 Radar). It is important to gain further knowledge of multiple organisms’ resistance to antibiotics that cause urinary tract infections (1Radar). Escherichia coli has distinct characteristics and structures that help identify their unique properties (2 Johnson). Escherichia coli is the most common and most prevalent bacteria present in the fecal flora of the human colon (2 Johnson). Because of Escherichia coli unique ability to overcome the obstacles of a new environment, it makes easy for bacteria to spread into the urinary tract and produce a discomforting infection (2 Johnson). All research conducted lead to the belief that Escherichia coli was the Enterobacteriaceae pathogen causing the UTI in the patient. In order to confirm this prediction a set of differential tests and biochemical test must be conducted.

A couple times a year local and national mass media put the spotlight on problems connected to antibiotic overuse. Some people consider those problems to be real and serious, and others think that the discussed topics are nothing more than new “fashionable” subjects to talk about, distracting people from “real” problems, such as climbing gas prices or war expenses. Meanwhile, antibiotic overuse continues as a common practice among US doctors and agribusinesses for the last 20 years. The practice of antibiotic overuse has put patient’s health at risk, contributed to antibiotic resistance and increased bacterial mutation to a new, stronger level; as well as it hitting the economy with new costly expenses in health care. It is time to stop

Thanks for the informative post. Your mention of cluster investigations made me think about the recent E Coli outbreak experienced in several states related to food served at the Chipotle Mexican Grill. According to the CDC (2015), there were two outbreaks, infecting a total of 66 people with a strain of E Coli across 14 states. The CDC, the U.S. Food and Drug Administration, the U.S. Department of Agriculture's Food Safety and Inspection Service, and state and local public health officials in several states began investigations by interviewing ill people to obtain information about foods they might have eaten and other exposures in the week before their illness started. The Oregon and Washington Departments of Health conducted epidemiologic studies in the initial outbreak that compared foods eaten by ill and well people at Chipotle Mexican Grill. After testing of multiple food items collected

While stewardship is extremely important to slow the rate of resistance, we must also make sure that patients in need of antimicrobial therapy receive the treatment they need. Price of medication and overly cautious prescribers are two of many barriers that patients may experience; as clinicians it’s important that we do our part to promote appropriate and affordable treatments. Ideally, prescribers could determine the exact pathogen using a swab or culture of the infected tissue. This would prevent misdiagnoses and reduce unnecessary costs to the

Escherichia coli (E.coli) has been a public health issue since the 1980s and is a major concern in food contamination in products like beef, dairy, and fresh produce. E.coli 0157:H7 itself is not invasive but it produces a Shiga toxin which attacks the host small blood vessels in the kidney. This makes the kidneys work harder which can destroy red blood cells and lead to hemolytic anemia (lowered number of red blood cells produced). The incubation period for E. coli ranges from three to eight days. The infection often causes severe bloody diarrhea and abdominal cramps, but can also cause non-bloody diarrhea or no symptoms. E.coli may greatly affects children and the elderly.

After receiving the report on patient Wall-E, a laundry list for the RN to perform was sent up. Due to the prior spread of infection, please use droplet precaution until further notice.

I had recently experienced the terror that is referred to as E. Coli. I can tell you all about how it is much worse than the flu, although I will also be talking about this one girl I stumbled upon on the internet also. She had a life threatening experience that you can definitely experience if you go untreated when finding out that you have E. Coli. She had it for 19 days straight when I had been extremely lucky that I had only had it for eight days. I know that I definitely did not feel lucky, but doing this project has let me realize that I was very fortunate. Some people just chalk it up as the stomach flu like my mother and aunt did, but my grandmother knew it was something more than that. She ended up taking me to Med Express which is not a very good place to go if you want to get a work release on the same day or week by the way. On top of the issues I had at the doctor it was nonstop viral- like symptoms that only got worse until they got better.

Amelie’s presenting style, along with the printed syllabus has fast-forwarded my knowledge and confidence level with prescribing antibiotics. Amelie begins by reviewing gram positive bugs. Amazingly, I never noticed that the three gram positives were Staph, Strep, and Enterococcus and that all others were gram negative. I have tried to memorize all the gram negatives. By taking this approach, Amelie, as she describes, has allowed more room in my brain for other information (Advanced Practice Education Associates, 2015). Amelie explained the beta-lactam ring and allergies with any penicillin or cephalosporin beautifully. The diagram of the “pink pentagon” and “blue box” clearly explained why most people can take a cephalosporin if they have had a reaction to penicillin and why some cannot (Advanced Practice Education Associates,

Urinary tract infections (UTIs) are considered to be the most common bacterial infection. Nevertheless, it is difficult to accurately assess the incidence of UTIs, because they are not reportable diseases. This situation is further complicated by the fact that accurate diagnosis depends on both the presence of symptoms and a positive urine culture, although in most outpatient settings this diagnosis is made without the benefit of culture.

So, she was started on antibiotics. I was hopeful she would regain her bladder control. After the first round of antibiotics, Miranda was retested. Again, it was positive. Miranda went on a different type of antibiotics. The medicine did not seem to help her bladder control at all. Miranda’s loss of control was getting worse by the day, and her urine had a horrible odor to it. The smell was like a cheap perfume. Nothing seemed to help her.

Some GMO foods have had antibiotic features built into them to make them immune or resistant to diseases or viruses, according to Iowa State University. When you eat them, these antibiotic markers persist in your body and can make actual antibiotic medications less effective. The university warns that such ingestion of GMO foods and regular exposure to antibiotics may be contributing to the decreased effectiveness of antibiotic drugs that is being noticed in hospitals around the world

During the waiting period the patient is given cocktails of drugs in hopes that one will be the proper medication and will kill their infection. This leads to overmedication of patients and the potential risk of antimicrobial resistant bacterial strains, for example: penicillin. Current methods require the culture of bacteria to be incubated and identified at specialized labs. Other faster methods of bacterial identification are in the works; however, all current methods require the identification of the bacterium and the care provider to prescribe and administer the appropriate drug. Nowhere in these tests is a drug administered to a sample of the patient to verify whether or not a resistant strain is present. Thus the patient is given a cocktail of drugs pre-identification and possibly the correct prescription a few days later with no guarantee of the drug’s effectiveness for the individual

As I looked at the antibiotic susceptibility test for a Urinary Tract Infection patient in the Kenyan largest referral hospital, I could not help but wonder at the level of public awareness of the dangers associated with antibiotic misuse. The defiant bacterial growth on the antibiotic impregnated discs deepened my desire for the field of Public Health. Antibiotic resistance poses a grave danger to the human population globally. Despite the concerted efforts of the molecular biologists and microbiologists to avert the looming catastrophe, the role of public health cannot be downplayed.