Monday, April 12, 2010
MDRO transmission
There has been an increase in MDROs over the last decade. This can be related to the increaseing use of antibiotics, patient's exposure to the healthcare systems - especially in ICUs -invaisive procedures - things that are not normal to the body - and long term illnesses.
bacteria photo
MRSA
VRE
pseudamonas
stenomonophilia
acinetobacter
esbl e coli & klebsiella pna
C Diff -transmitted through oral-fecal route. C diff spores have been cultured out of rooms up to 40 days after a patient has left the room. Rooms should be cleaned with a 10% hypochlorite (bleach) solution.
gram negative rod picture
Creutzfeldt-Jacob disease
Is a prion disease. Prions do not have DNA and RNA. Prions are a protien, which present a unique IC challenges, because they are resistant to traditional chemical and physical contamination. All equipment used in the OR should be disposable, all equipment used for these patient throughout the hospital should be disposable. Prions are resistant to disinfection.
CDC guidelines are stringent when dealing with this disease. Even funeral directors have very stringent guidelines about burial. Apparently prions can survivie for years even in soil.
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