This document discusses various types of bloodstream infections including bacteraemia, septicaemia, and infective endocarditis. It provides details on the causative agents, pathogenesis, clinical features, complications, diagnosis and prevention. The key points are:
- Bacteraemia refers to the presence of bacteria in the blood without multiplication, while septicaemia involves bacterial multiplication in the bloodstream.
- Common causative agents of septicaemia are gram-negative bacilli and gram-positive cocci such as Staphylococcus aureus.
- Infective endocarditis involves bacterial or fungal infection of the heart valves, with predisposing factors like rheumatic heart disease or intravenous drug
Neisseria gonorrhoeae is the obligate human pathogen that causes the sexually transmitted disease (STD) gonorrhea. This Gram-negative diplococci/gonococci does not infect other animals or experimental animals and does not survive freely in the environment. The gonococcal infection occurs in the upper or lower tract, pharynx, ophthalmic area, rectum, and bloodstream. During the 1980’s gonorrhea was also referred to as “the clap” when public awareness was quite minimal. This was one of the venereal diseases prostitutes hoped to contract since it resulted in infertility by pelvic inflammatory disease (PID). As documentation, diagnostic testing, and public awareness improved, there has been a decline in incidence reports, however, it is still considered a very common infectious disease.
It discusses laboratory tests involved in diagnosing meningitis with more emphasis on details of each test and findings, esp useful for microbiologists and medical students.
Neisseria gonorrhoeae is the obligate human pathogen that causes the sexually transmitted disease (STD) gonorrhea. This Gram-negative diplococci/gonococci does not infect other animals or experimental animals and does not survive freely in the environment. The gonococcal infection occurs in the upper or lower tract, pharynx, ophthalmic area, rectum, and bloodstream. During the 1980’s gonorrhea was also referred to as “the clap” when public awareness was quite minimal. This was one of the venereal diseases prostitutes hoped to contract since it resulted in infertility by pelvic inflammatory disease (PID). As documentation, diagnostic testing, and public awareness improved, there has been a decline in incidence reports, however, it is still considered a very common infectious disease.
It discusses laboratory tests involved in diagnosing meningitis with more emphasis on details of each test and findings, esp useful for microbiologists and medical students.
Central-Line-Associated Bloodstream Infections (CLABSI) pause a major health problem in hospitalized patients. This disease is associated with people with a central line/tube inserted through the skin into the large vein, which can be used to give medicines, fluids, nutrients, or blood products to patients in critical conditions. The disease occurs when microbes enter through the central line invading the bloodstream.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. • Refers to presence of microorganisms in blood threat to
every organ in the body
• M.Os. Invasion of blood serious consequences shock,
multiple organ failure and DIC
• All four categories of microbes (Bacteria, Viruses, fungi and
parasites) can cause BSI.
Introduction
3. • Bacteraemia +ce of bacteria in blood without any multiplication.
• Septicaemia bacteria circulate & actively multiply in the bloodstream.
• Pyaemia septicaemia caused by pyogenic bacteria with multiple
abscesses in internal organs such as spleen, lungs, liver, kidneys, brain,
heart etc.
• Toxaemia formation of toxic products in the blood
• When bacterial endotoxin circulates in the blood, the condition is called
endotoxaemia.
5. • Bacteria may entre bloodstream:
– From an infective focus with the help of phagocytic cells carrying
microbes in to capillaries or the lymphatic system
– From breakages of blood vessels adjacent to the skin or mucosal
surfaces.
– By introduction of contaminated material directly into the vascular
system.
Pathogenesis
8. Complications
• Septic
• Endotoxic
• Bacteraemic shock
• DIC
• Acute renal failure
• Shock may lead to multiple organ failure (e.g. heart, lungs,
liver, kidneys)
Most common complication
Complications
9. • Septic Shock inadequate blood supply to the tissue
(hypotension) reduces tissue perfusion pressure tissue
hypoxia ischemia and organ dysfunction.
10. • Endocarditis is the infection of the endocardium of heart
valves.
• Inf. inflammation of membrane lining of the heart.
• Bacterial endocarditis bacterial inf. Of heart valves
• Mortality rate was very high before pre-antibiotic era
• Even now, mortality rate is around 20-50% despite Antibiotics.
Infective Endocarditis
11. Predisposing factors of Endocarditis
Endocarditis
Congenital defects, e.g.
bicuspid aortic valve,
septal defects, patent
ductus, arteriousus,
coarctation of tha aorta
Rheumatic valvular ds,
e.g. stenosis or
incompetence of the
mitral and aortic valves
following rheumatic fever
Intra-cardiac prostheses,
e.g. replacement of
disease heart valves
Intravenous
drug abuse
Degenerative cardiac
diseases, e.g. calcific
aortic stenosis,
syphilitic aortic valve
disease
12. 1. Subacute endocarditis
2. Acute endocarditis
3. Postoperative endocarditis
4. Endocarditis associated with intravenous drug abuse
Clinical Types
13. • 70% of cases
• Chronic course
• Organisms of low virulence
• On damaged or defective valve cusps
• Form large firm vegetation comprising
of dense fibrin, platelets aggregates
with bacterial colonies are formed.
Subacute endocarditis
15. • Rapidly progressive ds highly virulent pyogenic bacteria
• Tricuspid valve more commonly affected.
• If not treated fatal (less than 6 weeks)
Causative agents
• Staphylococcus aureus
• Streptococcus pneumoniae
• Other pyogenic cocci
– Str. Pyogens
– Str. Agalactiae (group B)
Acute endocarditis
16. • Following cardiac surgery in prosthetic valve replacement.
• Causative agents
– Staphylococcus epidermidis (most commonest)
– Stphylococcus aureus
– Candida albicans
– Acinetobacter calcoaceticus
Post-operative endocarditis
17. • Higher risk
• Tricuspid valve (common)
• Skin is the commonest source of infection
• Causative agents
– Staphylococcus aureus (most commonest)
– Others include
• Viridans group of streptococci
• Candida spp.
• Pseudomonas spp.
Endocarditis associated with IV drug abusers
18. • 3-6 samples of blood, 10ml should be collected over 24 hrs.
• Before starting antimicrobial therapy
• From antecubital vein under all aseptic conditions using sterile
disposable syringe.
• Inoculated into 50-100ml of glucose broth
• Large amount of media is required because:
– Number of organisms in the blood may be very few and
– The blood may contains bactericidal substances which are diluted by large
volume of medium.
Lab Diagnosis
19. • Cultures are incubated at 370C for at least 3 weeks and are to be
observed daily for early signs of growth.
• S/c on B.A. & M.A. (24hrs, 48hrs & 1ce in a week) incubation
isolated colony morphology, Gram staining, biochemical rxn
and serological tests. AST by MIC & MBC for ensuring the
serum levels penetrate valves and kills organisms.
Culture
20. • 10-20% cases
• Following resons
– Recent antibiotic therapy
– Inadequate no. of samples
– Infection with Coxiella burnetti or Chlamydia spp.
• OTHER TESTS
– TLC
– ESR
– Echocardiogram
Culture Negative Endocarditis
21. • Good dental hygiene
• Prophylactic antibiotic before dental extraction or other
surgical procedure.
Prevention