NURS 3110 Lecture Notes - Lecture 11: Gram-Negative Bacteria, Pulmonary Consolidation, Serotype
Document Summary
Many produce green or yellow fluorescent pigments. Frequent contaminant of humidifiers, ventilators, iv solutions, anesthesia, and resuscitation equip, sponges, mops, hot tubs, swimming pools, contact lens solution. Often in patients with burns, neoplastic dx, cystic fibrosis (biofilm from p. cepacia) Found even on disinfected instruments, in respiratory equipment, mops. Multi drug resistant nature of the organism. Resistant to some of the drugs being tested above. Tablets in the middle and different antibiotics. Large circles are the antibiotics that are working the most (breaking down and not allowing proliferation) Use 3rd gen cephalosporins, quinolones, monobactams, aminoglycosides. Avoid improperly chlorinated hot tubs, pools, water parks. Avoid use of body sponges (ex: loofahs), soggy washcloths, contamination contact lens solutions, cake soup sitting in water. Organism multiplies in tracheae/bronchi, interferes with ciliary action. New acellular vaccine (toxoid, other antigens) in dtap - 5 dose series from 6 weeks - 2 yrs. Booster (boostrix) for all older children, teens, adults.
