Chapter 7, Problem 1CCS

(1)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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.