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Antibiotic treatment of Gram-positive bone and joint infections
Antibiotic treatment of Gram-positive bone and joint infections

... The relatively high failure rate following antibiotic treatment of bone infection is well documented. Risk factors for poor outcome include inadequate initial debridement, the presence of prosthetic material, duration of infection and previous treatment failure.39 Chronic osteomyelitis and PJI are p ...
Lymphoedema and cellulitis: a narrative review
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... concern. However, there has been very little published on the possible impact an MRSA infection would have on a lymphoedema patient. Increased rates of MRSA are seen in intensive care settings and in patients with surgical wounds34, which is of concern given that many lymphoedema patients are breast ...
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The role of anaerobic bacteria in cutaneous and soft tissue

... Macrolides or vancomycin can be administered to penicillin allergic individuals, and an aminoglycoside, or quinolone, or a fourth generation cephalosporin (i.e., ceftazidime, cefepime) can be given when Gram-negative aerobic bacilli are suspected. Recently, there has been an increase in the recovery ...
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Pseudomonas Otitis Infection

... ● Pseudomonas otitis occurs in dogs and cats. ◗ Dogs with hairy, narrow canals and pendulous pinnae (eg, cocker spaniel) are predisposed to P aeruginosa infection. ◗ No breed predilection is recognized in cats. Age ● Pseudomonas spp infections occur at any age. ◗ In younger patients, infection is co ...
The evolving threat of antimicrobial resistance
The evolving threat of antimicrobial resistance

... fight against AMR and of the most effective interventions to tackle the problem. Thanks are due to the following WHO Patient Safety Programme staff: Elizabeth Mathai for her lead in harmonizing and editing the contributions of the different experts and Gerald Dziekan who as well as editing, steered ...
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... The absorption of the drug determines the best route of administration. A striking example of this is oral vancomycin, which cannot be used to treat most infections, eg, cellulitis or endocarditis, because it is not absorbed via the gastrointestinal tract. However, the oral preparation can treat pse ...
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... such as amikacin with a carbapenem (e.g., imipenem, meropenem) or broad-spectrum cephalosporin. In vitro susceptibility tests can be used to guide the selection of antibiotics. Because nocardiae can disseminate and produce significant disease, therapy should be extended for 6 weeks or more. Whereas ...
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... Topical antibiotics may speed up clinical and microbiological cure of bacterial conjunctivitis, but the benefit is small. •  In persons with suspected, but not confirmed, bacterial conjunctivitis, empiric treatment with topical antibiotics may be beneficial. However, this benefit is marginal, so it ...
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... 1) ANTIBIOTIC POLICY In many cases, antibiotics1 are life-saving medicines both within human and veterinary medicine. One of the largest threats against public and animal health is, however, the increase in antibiotic resistance. Antibiotic-resistant bacteria can be transferred between animals and ...
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... serious in debilitated individuals. Other micro-organisms are only able to cause disease in individuals with impaired defences and these are known as opportunistic pathogens. Methicillin-resistant Staphylococcus aureus, more commonly known as MRSA, may be described as an opportunistic pathogen as th ...
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... white blood cell count, and chest X-ray changes. If clinical improvement occurs in the setting of positive cultures, initial antibiotic therapy can be de-escalated to target the organism(s) isolated, and total treatment duration should be limited to 7 to 8 days (in responders). Once antibiotics are ...
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1 Micro TA Questions

... A 30 year old man comes into the ER sweating profusely and has a mild fever. He says that in the last few days he has been very short of breath, has developed a cough and palpitations, and has been waking up at night with sweating. The only other significant piece of information you get from his hi ...
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... swollen, painful, or have pus or other drainage (CDC, 2013). They often first look like spider bites or bumps that are red, swollen, and painful. These skin infections commonly occur at sites of visible skin trauma, such as cuts and abrasions, and areas of the body covered by hair (e.g., back of nec ...
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Levofloxacin for the Treatment of Respiratory Tract Infections Based

... multiple comorbidities, or who have received recent antimicrobial therapy are more prone to infection with enteric Gram-negative organisms. Risk factors for P. aeruginosa include structural lung disease (bronchiectasis), corticosteroid use (prednisone > 10 mg/day), recent broad-spectrum antimicrobia ...
Chronic prosthetic joint infection caused by Listeria monocytogenes
Chronic prosthetic joint infection caused by Listeria monocytogenes

... that lower cell-mediated immunity, such as transplantation, lymphomas and AIDS (Rocourt et al., 2000). These persons often develop meningoencephalitis and sepsis. In addition, a few case reports have described focal infections caused by L. monocytogenes including arthritis, endocarditis and osteomye ...
2323 Yonge Street, Suite 800 Toronto, Ontario, M4P 2C9 www
2323 Yonge Street, Suite 800 Toronto, Ontario, M4P 2C9 www

... (CFTR) gene is the gene implicated in cystic fibrosis. This gene makes the CFTR protein, which acts as a channel (or gateway) into and out of cells. CFTR proteins are found in cells that make mucus, sweat, saliva, tears, and digestive enzymes, and they are needed to maintain the health of internal o ...
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Antimicrobial resistance



Antimicrobial resistance (AMR) is when microbes are less treatable with one or more medication used to treat or prevent infection. This makes these medications less effective in both treating and preventing infection. Resistant microbes may require other medications or higher doses – often with more side effects, some of which may be life threatening on their own. Some infections become completely untreatable due to resistance. All classes of microbes develop resistance: fungi – antifungal resistance, viruses – antiviral resistance, protozoans – antiprotozoal resistance, and bacteria – antibiotic resistance. Microbes which are resistant to multiple antimicrobials are termed multidrug resistant (MDR) (or, sometimes in the lay press, superbugs). Antimicrobial resistance is a growing problem in the world, and causes millions of deaths every year.Antibiotics should only be used when needed and only when prescribed. Health care providers should try to minimize spread of resistant infections by using proper sanitations techniques including handwashing or disinfecting between each patient. Prescribing the correct antibiotic is important and doses should not be skipped. The shortest duration needed should be used. Narrow-spectrum antibiotics should be used rather than broad-spectrum antibiotics when possible. Cultures should be taken before treatment when indicated and treatment potentially changed based on the susceptibility report.Some organisms are naturally resistant but the term most often refers to acquired resistance, which can be a result of either new mutations or transfer of resistance genes between organisms. The increasing rates of antibiotic resistant infections are caused by antibiotic use from human and veterinary medicine. Any use of antibiotics can increase selective pressure in a population of bacteria, promoting resistant bacteria and causing vulnerable bacteria to die. As resistance to antibiotics becomes more common there is greater need for alternative treatments. Call for new antibiotic therapies have been issues, but there is continuing decline in the number of approved drugs. Infection by resistant microbes may occur outside of a healthcare institution or within a healthcare institution. Common types of drug-resistant bacteria include: methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant S. aureus (VRSA), extended spectrum beta-lactamase (ESBL), vancomycin-resistant Enterococcus (VRE), multidrug-resistant A. baumannii (MRAB).Antibiotic resistance is a serious and growing global problem: a World Health Organization (WHO) report released April 2014 stated, ""this serious threat is no longer a prediction for the future, it is happening right now in every region of the world and has the potential to affect anyone, of any age, in any country. Antibiotic resistance—when bacteria change so antibiotics no longer work in people who need them to treat infections—is now a major threat to public health."" There have been increasing public calls for global collective action to address the threat, including a proposal for an international treaty on antimicrobial resistance. Antibiotic resistance is not properly mapped across the world, but the countries that are affected the most are poorer countries with already weaker healthcare systems.
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