
Concept explainers
(1)
To define:
The health-care associated infection.
Case summary:
In the given summary, an 85-year-old lady was hospitalized after she broke her hip by falling in the bathroom. She had a series of complications and her treatment is necessitated by a urinary catheter, a feeding tube, and an intensive antibiotic therapy. She acquired a life-threatening urinary tract infection along with the multi-drug resistant Enterococcus faecium. The patient lost her life even though she was treated with antimicrobial drugs including penicillin, metronidazole, ciprofloxacin, erythromycin, and vancomycin.
(2)
To determine:
What is the likely source of the patient’s infection.
Case summary:
In the given summary, an 85-year-old lady was hospitalized after she broke her hip by falling in the bathroom. She had a series of complications and her treatment is necessitated by a urinary catheter, a feeding tube, and an intensive antibiotic therapy. She acquired a life-threatening urinary tract infection along with the multi-drug resistant Enterococcus faecium. The patient lost her life even though she was treated with antimicrobial drugs including penicillin, metronidazole, ciprofloxacin, erythromycin, and vancomycin.
(3)
To determine:
List three ways through which E. faecium acquires drug resistant genes.
Case summary:
In the given summary, an 85-year-old lady was hospitalized after she broke her hip by falling in the bathroom. She had a series of complications and her treatment is necessitated by a urinary catheter, a feeding tube, and an intensive antibiotic therapy. She acquired a life-threatening urinary tract infection along with the multi-drug resistant Enterococcus faecium. The patient lost her life even though she was treated with antimicrobial drugs including penicillin, metronidazole, ciprofloxacin, erythromycin, and vancomycin.
(4)
To determine:
How the hospital personnel could prevent the spreading of resistant E. faecium all over the hospital.
Case summary:
In the given summary, an 85-year-old lady was hospitalized after she broke her hip by falling in the bathroom. She had a series of complications and her treatment is necessitated by a urinary catheter, a feeding tube, and an intensive antibiotic therapy. She acquired a life-threatening urinary tract infection along with the multi-drug resistant Enterococcus faecium. The patient lost her life even though she was treated with antimicrobial drugs including penicillin, metronidazole, ciprofloxacin, erythromycin, and vancomycin.

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Chapter 7 Solutions
Microbiology with Diseases by Body System (4th Edition)
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