Healthcare-associated infections (HAIs) are infections acquired during healthcare and can be caused by opportunistic pathogens. The document discusses various HAIs like bloodstream infections, pneumonia, surgical site infections, and diarrhoea. It outlines the common causative pathogens for each infection. A group of pathogens called ESKAPE pathogens are frequently antibiotic-resistant and include Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter species. The document provides details on each of the ESKAPE pathogens and risks factors for acquiring HAIs. Prevention of HAIs is key and includes practices like hand hygiene, prudent antibiotic use
Mechanism of pathogenicity-Exotoxin and endotoxinaiswarya thomas
Brief description on mechanisms of pathogenicity, actions of toxins produced by various bacteria and notable endotoxins and exotoxins. Mechanism of action of some of the commonest endotoxins and exotoxins are explained.
Slideshow is from the University of Michigan Medical
School's M1 Infectious Disease / Microbiology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1IDM
In 1900, Jules Bordet along with Octave Gengou observed a small ovoid bacterium in the sputum of a 5 month old child suffering from pertussis, or whooping cough.
The bacterium was similar to Haemophilus influenza but showed distinct morphological characterstic which led Bordet and Gengou to consider it as a separate species.
The organism was unable to be isolated and cultivated on ordinary blood agar plates.
Six years later, Bordet and Gengou suceed in making a selective media called Bordet and Gengou (BG) medium, which helped in isolating this fastidous bacteria.
This presentation contains 45 slides on general virology comprises of topics on viral classification, transmission, pathogenesis, viral cytopathic effect, stages of viral infections, antiviral drugs and viral vaccines. It also have a slide noting an outline of laboratory diagnosis of viral infection. This power point presentation was designed for medical students, nurses and academicians teaching virology and microbiology in medical universities, schools or colleges.
Mechanism of pathogenicity-Exotoxin and endotoxinaiswarya thomas
Brief description on mechanisms of pathogenicity, actions of toxins produced by various bacteria and notable endotoxins and exotoxins. Mechanism of action of some of the commonest endotoxins and exotoxins are explained.
Slideshow is from the University of Michigan Medical
School's M1 Infectious Disease / Microbiology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1IDM
In 1900, Jules Bordet along with Octave Gengou observed a small ovoid bacterium in the sputum of a 5 month old child suffering from pertussis, or whooping cough.
The bacterium was similar to Haemophilus influenza but showed distinct morphological characterstic which led Bordet and Gengou to consider it as a separate species.
The organism was unable to be isolated and cultivated on ordinary blood agar plates.
Six years later, Bordet and Gengou suceed in making a selective media called Bordet and Gengou (BG) medium, which helped in isolating this fastidous bacteria.
This presentation contains 45 slides on general virology comprises of topics on viral classification, transmission, pathogenesis, viral cytopathic effect, stages of viral infections, antiviral drugs and viral vaccines. It also have a slide noting an outline of laboratory diagnosis of viral infection. This power point presentation was designed for medical students, nurses and academicians teaching virology and microbiology in medical universities, schools or colleges.
Dr. Sachin Verma is a young, diligent and dynamic physician. He did his graduation from IGMC Shimla and MD in Internal Medicine from GSVM Medical College Kanpur. Then he did his Fellowship in Intensive Care Medicine (FICM) from Apollo Hospital Delhi. He has done fellowship in infectious diseases by Infectious Disease Society of America (IDSA). He has also done FCCS course and is certified Advance Cardiac Life support (ACLS) and Basic Life Support (BLS) provider by American Heart Association. He has also done a course in Cardiology by American College of Cardiology and a course in Diabetology by International Diabetes Centre. He specializes in the management of Infections, Multiorgan Dysfunctions and Critically ill patients and has many publications and presentations in various national conferences under his belt. He is currently working in NABH Approved Ivy super-specialty Hospital Mohali as Consultant Intensivists and Physician.
Nosocomial Infections by Mohammad MufarrehMMufarreh
Reviews the definition, risk factors, types, sources, causes, and modes of transmission of healthcare-associated infections and the preventive measures that can be applied to minimize the risks.
This presentation give a brief background about infection control, source of infection, what microorganisms need to grow and impact of infection on patients and healthcare system.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
3. Healthcare Associated Infections (nosocomial) are infections that are
acquired as a result of healthcare interventions. There are a number of
factors that can increase the risk of acquiring an infection, but high
standards of infection control practice minimise the risk of occurrence.
A pathogen is a micro-organism that has the potential to cause disease.
An infection is the invasion and multiplication of pathogenic microbes
in an individual or population. Disease is when the infection causes
damage to the individual’s vital functions or systems.
Definition
3
5. 5
Nosocomial infections - Infections that are acquired in
hospital (>48 hours after admission). They may occur even
after discharge. Approx 9% of patients affected – risk
increases with length of stay. Significant financial burden on
NHS
Nosocomial infections are often caused by opportunistic
pathogens, i.e. those which do not normally cause
infections in healthy people
Hospital microorganisms tend to be generally more
resistant to antbiotics and are therefore much harder to
treat
Hospital micro-organisms
15. 15
Transmission of microorganisms
Contact – most common
• Direct (physical contact)
• Indirect (via contaminated objects)
Airborne Transmission
• Respiratory droplets
• Inhalation of infectious particles
Blood-borne transmission
Food-borne
16. ESKAPE Pathogens
Bacterial species from the ESKAPE group (i.e. E.faecium , Staphylococcus
aureus , Klebsiella pneumoniae , Acinetobacter baumannii ,
Pseudomonas aeruginosa and Enterobacter species) are frequently
resistant to antibiotics. "In many respects it’s far worse than MRSA,"
Antimicrobial resistance among both Gram-positive and Gram-negative
bacteria has been on the rise in the past few years. The presence of
multidrug-resistant (MDR) pathogens has become a cause for serious
concern with regard to nosocomial infections. The most common and
threatening MDR pathogens have been grouped together under the
acronym ‘ESKAPE,’ which stands for E.faecium, Staphylococcus aureus,
Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa
and Enterobacter spp.
16
18. 18
Patient risk factors
• Very old or very young
• Immunocompromised (HIV+, cancer,
chemotherapy, diabetes, alcoholism)
• Surgery
• Impaired local blood supply (peripheral vascular
disease)
• Medical devices (urinary catheters, intravascular
catheters, prosthetic joints or heart valves, endotracheal
tubes etc)
• Pre- and Pos-toperative issues
• Malnutrition
19. 19
• Contaminated air-conditioning systems (Ventilation )
• Contaminated water systems
• Staffing and physical layout of the facility (eg, nurse-
to-patient ratio, open beds close together)
• Operating room environment
• Surgical attire and drapes
• Asepsis and surgical technique
• Conventional sterilization of surgical instruments
Environmental risk factors
20. Multiple drug resistance (MDR)
Multiresistance is a condition enabling disease-causing
microrganisms (bacteria, viruses, fungi or parasites) to
resist distinct antimicrobials, first and
foremost antibiotics,but also antifungal drugs, antiviral
medications, antiparasitic drugs, chemicals of a wide
variety[1] of structure and function targeted at eradicating
the organism.
20
21. Bacterial resistance
Various microorganisms
have
survived for thousands of
years
by their ability to adapt
to antimicrobial agents. They
do so via spontaneous
mutation or by DNA transfer.
This process enables some
bacteria to oppose the
action of
certain antibiotics, rendering
the antibiotics ineffective.
21
22. No longer relying on a
glycoprotein cell wall
Enzymatic deactivation of
antibiotics
Decreased cell wall permeability
to antibiotics
Altered target sites of antibiotic
Moving of toxic substances
and antibiotics out of the cell[5]
Increased mutation rate as a
stress response[6]
Several mechanisms in attaining
multi-drug resistance:
22
23. Some resistant bacteria are able to
transfer copies of DNA that code
for a mechanism of resistance to
other nearby species of bacteria,
thereby conferring resistance to
their neighbours, which then are
also able to pass on the resistant
gene. This process is
called horizontal gene transfer.
Several mechanisms in attaining multi-drug resistance cont.
23
25. Enterococci are part of the normal
intestinal flora of humans and animals
but are also important pathogens
responsible for serious infections.
E.faecalis and E.faecium are the most
prevalent species cultured from
humans, accounting for more than
90% of clinical isolates. Other
enterococcal species known to cause
human infection include E. avium, E.
gallinarum, E.casseliflavus, E.durans,
E.raffinosus and E.mundtii.[1] E faecium
represents most vancomycin-resistant
enterococci (VRE). Infections include
urinary tract infections, most intra-
abdominal infections, and
uncomplicated wound infections.
ESKAPE group
Enterococcus species
25
26. MRSA is a type of staph bacteria that is
resistant to certain antibiotics called
beta-lactams. These antibiotics include
methicillin and other more common
antibiotics such as oxacillin, penicillin,
and amoxicillin. MRSA infections are
skin infections. More severe or
potentially life-threatening MRSA
infections occur most frequently among
patients in Healthcare Settings.
S. aureus is a bacterium commonly
found on the skin and in the nose of
about 30% of individuals. Most of the
time, staph does not cause any harm.
These infections can look like pimples,
boils, or other skin conditions and most
are able to be treated.
Methicillin-resistant Staphylococcus
aureus (MRSA)
26
27. Klebsiella is a type of Gram (-)
bacteria that can cause healthcare-
associated infections including
pneumonia, bloodstream infections,
wound or surgical site infections, and
meningitis. Increasingly, Klebsiella bacteria
have developed antimicrobial resistance,
most recently to the class of antibiotics
known as carbapenems. Klebsiella bacteria
are normally found in the human
intestines (where they do not cause
disease). They are also found in human
stool (feces). In healthcare
settings, Klebsiella infections commonly
occur among sick patients who are
receiving treatment for other conditions.
Patients who have devices like ventilators
(breathing machines) or intravenous (vein)
catheters, and patients who are taking
long courses of certain antibiotics are
most at risk for infections.
Klebsiella pneumoniae
27
28. Acinetobacter baumannii A. baumannii infection is responsible for
a wide range of infections, including:
pneumonia, bacteraemia, meningitis,
wound infections, urinary tract
infections.
Acinetobacter is a group of bacteria
commonly found in soil and water.
Outbreaks of Acinetobacter infections
typically occur in intensive care units
and healthcare settings housing very ill
patients. While there are many types or
“species” of Acinetobacter and all can
cause human
disease, A.baumannii accounts for
about 80% of reported infections.
28
29. Pseudomonas aeruginosa
Pseudomonas infection is caused by strains
of bacteria found widely in the
environment; the most common type
causing infections in humans is called P.
aeruginosa. Serious Pseudomonas
infections usually occur in people in the
hospital and/or with weakened immune
systems. Pseudomonal infections can
involve the following parts of the body,
with corresponding symptoms and signs:
Pneumonia, Bacteremia, Endocarditis,
Meningitis, brain abscess, Otitis, Keratitis,
endophthalmitis,Osteomyelitis,Diarrhea,
enteritis, enterocolitis,Urinary tract, Skin
(eg, ecthyma gangrenosum)
29
30. Enterobacter species
Enterobacter infections can include
bacteremia, lower respiratory tract
infections, skin and soft-tissue
infections, urinary tract
infections (UTIs), endocarditis, intra-
abdominal infections, septic arthritis,
osteomyelitis, CNS infections, and
ophthalmic infections.
Enterobacter species are rod-shaped
bacteria that are found in the
environment and also in the human
intestinal tract. Some species are
pathogenic, the most common being E.
cloacae and E. aerogenes, which can
cause opportunistic infections in
immunocompromised patients.
30
31. To limit the development of antimicrobial resistance, it has been
suggested to:
Use the appropriate antimicrobial for an infection; e.g. no
antibiotics for viral infections
Identify the causative organism whenever possible
Select an antimicrobial which targets the specific organism, rather
than relying on a broad-spectrum antimicrobial
Complete an appropriate duration of antimicrobial treatment (not
too short and not too long)
Use the correct dose for eradication; subtherapeutic dosing is
associated with resistance, as demonstrated in food animals
Preventing the emergence of antimicrobial
resistance
31
33. 33
Prudent use of antibiotics
Isolation & barrier precautions
Decontamination of equipment
Decontamination of environment
Prevention of nosocomial infections
Transparent dressings allow easy monitoring
of wound infection
34. Infection prevention is the most efficient strategy of
prevention of an infection with a MDR organism within a
hospital, because there are few alternatives to antibiotics in the
case of an extensively resistant or panresistant infection; if an
infection is localized, removal or excision can be attempted
(with MDR-TB the lung for example), but in the case of a
systemic infection only generic measures like boosting the
immune system with immunoglobulins may be possible. The
use of bacteriophages (viruses which kill bacteria) has no
clinical application at the present time.
34
Prevention of nosocomial infections