..ooo Sprint F 1:18 PM docs.google.com Clinical Care Study: 1 books to Read chapter 4 of your understand the case and answer aquestenstothe best of your abilty. lene a microbiologist reviews what she knows about gram-negative Kanemonie bacteria Athoughthis bacterium typical environment it can cause serious infections of the respiratory system. pnemoniae accounts for about 8% of al healthcare associated infectons nosocomial infections none concludes that the bacteria had to come from the hospitalsomewhere Jessies, and Maureen\'s physicians to combat deady infection. Irene is particularly conoemed about Jessie because respiratory condition. All three patientsteated with a b-lactam antibiotic impenem. Kebaiola pnemonie bacteria ateresistant to many antbiotca, but imipenemseemsto be working for Joe and Maureen Jassie, however is9eting wome Because of condition, her physician prescrbes polymynin an antibiotic primarily used for impenem-resistant am-negative itections. to which Jessie responds favorably As lene sits with Jessie, she notiors another patient istedioe cubes by a Ona hunch, Irene hunies back to her to find out whether the machines had been swabbed They have not. She immediately orders the machines outuned. Her hunchtums outtobe correct samples are positive for Klebsiria Anemonie Bacteria gowinginthhospitalswater pipes entered the machine with incoming water Q1. What is causing the patient\'s fever and low bioodpressure? (Hint read about Q2. Why are Jessie\'s symptoms worsening the bacteria are being in her body? Anemoniae grow in water pipes? Q4 What is te importantstuotualcomponentofte bacteria alows Rtosauk tothe water pipes? Do youthink the inadequate use of is a factor in the growth the inthe water pipes?
Ans 1 Sepsis is the reason of fever and low blood pressure , it caused by gram negative bacterium K. pneumoniae, E. coli .Sometime these bacteria travelled from lungs to blood stream that called septic shock and cause low blood pressure and degrade multiple parts of body kidney, brain and heart.
Ans 2 Jessica symptom worsening because the bacteria responsible for the respiratory infections are resistant to beta-lectum antibiotic that act on the cell wall of bacteria. In the tratment of sepsis first broad spectrum antibiotic is used afer that a targeted antibiotic used for treatment. antibiotic are fail to penetrate biofilm , due to extracellular matrix that limit transport of antimicrobial agent.
Ans 3 K pneumonae species are natural inhabitants of many water environment. In drinking water distribution system ,they are known to colonize washers in taps. Microbial cells attached to pipe surface and multiply to form a film or slime layer on the pipe.
Ans 4 k pneumonae attached to the surface through pilli CV and extracellular polymeric substance that first attched to the surface and leads to the formation of biofilm.P resence of extracellular matrix leads to the attachment of these microbes to the pipe.
Ans 5. Disinfectant are the the antimicrobial agent that are applied on the surface of non living object. It kill microorganism but not all that are resistant to the treatment.Here there is a possibility of microbe on surface of pipe due to inadequate use of disinfectant.