Day by day prevalence of ES BL is very high in hospital.Is there any new antibiotic policy to prevent that?
402756
The tendency for hospitals with high prevalences of Extended-spectrum beta-lactamases is to place those patients in similar isolation status as those with vancomycin-resistant enterococci (VRE) or methicillin-resistant Staph aureus (MRSA).  That implies wearing of gloves, gowns, etc., and strict handwashing rules.  \n\nOtherwise, the tendency is to follow the susceptibility results from the cultures and to use narrow-spectrum antibiotics whenever possible.
497495
it depends on how far the infection has gone. If it has been afflicting your child for over a few days, you should go to the doctor and they will give you antibiotics to treat it. Not the best course of action, but if it is rooted in the child then it is better left to the doctors. For future reference, bad bacteria can be routed early with lots of vitamin C and regulation of water intake - 8 glasses of water a day and a few extra servings of fruit would be sufficient, along with a supplement. If you seek herbal remedies, Echeanacea is an excellent choice for any illness, all the way from the common cold to an infection like this one. \n\nLong and short - if its new and the child is over 2 years old, get vitamin C supplements (ester-C is wonderful) and give it more water. if it has been in the child for a few days, seek medical treatment at a hospital or your family doctor.
236785
leukemias, infections are the most common. DVM, eh? SureyaR.
505830
Originally classified in the 1930s as Group D Streptococci, Enterococci were officially given genus status in 1984 after hybridization studies showed a more distant relationship to Streptococci. Enterococci are gram-positive, spherical bacteria that colonize in groups or chains. They are naturally found as part of the digestive tract flora in many organisms, including humans. They are robust microbes able to tolerate relatively high salt and acid concentrations. They also seem to be able to withstand low levels of detergents, explaining why inadequate cleaning procedures can promote Enterococcus infections.\n\nWhat is now recognized as pathogenic Enterococcus was studied as early as the late 1900s. Currently, Enterococcus infections account for 12% of all nosocomial infections, second only to E. coli. An Enterococcus infection can cause complicated abdominal infections, skin and skin structure infections, urinary tract infections and infections of the blood stream. These infections can be difficult to treat, particularly in cases where the strain involved has developed resistance to several antibiotics. Infection can be life threatening in such instances, especially if the patient is already immunodeficient. \n\nThere are two species of Enterococci which cause the symptoms described above, E. faecalis, which accounts for the majority of infections (79%), and E. faecium. In a study conducted between 1995 and 1997, data were collected from over 15,000 Enterococcus isolates. Of those, less than 2% of E. faecalis were found to be resistant to ampicillin and vancomycin, whereas 83% of the E. faecium isolates were resistant to ampicillin and 52% were resistant to vancomycin. \n\nE. faecium is known to have a resistance to several types of antibiotics including quinolones and aminoglycosides. Resistance to penicillin was first observed in E. faecium in 1983, and in 1988 the first cases of resistance to the "antibiotic of last resort", vancomycin, were detected in Europe. Vancomycin-resistant strains of E. faecium were reported in the US in 1989. Resistance to several antibiotics and tolerance for adverse conditions makes E. faecium a major concern for the medical community, which has dubbed this microbe a "supergerm".
13423
A course of antibiotics, rest, and fluids.
359269
quincy is paratonsillar abscess, \ni have had dealt with many cases of it when i was doing my residency in india, \nwell if u are discharged now , u hav to continue with those antibiotics plus anti inflammatory drugs, till ur surgeon has prescribed, well u can resume your activities slowly and by the end of the week u can perform all your routine activities,
198649
Are you thinking of maltophilia? \n\nThis is from http://en.wikipedia.org/wiki/Stenotrophomonas_maltophilia . \n"Stenotrophomonas maltophilia (S. maltophlia) is an aerobic bacteria which is an uncommon but difficult to treat cause of human infection. It is a nonfermentative aerobic gram-negative bacillus which thrives in aqueous environments such as water, urine, or respiratory secretions. It was previously known as Pseudomonas maltophilia.\n\nS. maltophila frequently colonizes breathing tubes such as endotracheal or tracheostomy tubes. It may also colonize chronically indwelling urinary catheters. Therefore, testing these pieces of equipment may show the presence of S. maltophilia without there being an actual infection. In the right condition, however, this colonization may evolve into pneumonia, urinary tract infection, or a blood stream infection.\n\nS. maltophilia has natural resistance to many commonly used antibiotics and is thus often difficult to eradicate. Most S. maltophilia is sensitive to co-trimoxazole."\n\n\n\n\nThis article is related specifically to cystic fibrosis patients:\nhttp://www.highbeam.com/library/docfree.asp?DOCID=1G1:72271673&num=1&ctrlInfo=Round19%3AMode19a%3ASR%3AResult&ao=&FreePremium=BOTH
371503
The bacteria are likely still present on your skin.  All of us have staph species on our skin.  The problem in an abscess is that too many bacteria got through your protective barrier and were multiplying too fast for the body to control it.  Clindamycin does not KILL these bacteria, it is called a BACTERIOSTATIC antibiotic, which means that it slows or halts the multiplication of the microbes.  This allows the immune system to catch up and kill off the bacteria causing all the trouble.\n\nThe other major curative is incision and drainage of the abscess.  Without I+D, most abscesses will not get better.  There is a very long explanation for why this is, but the bottom line is that the drainage brings the bacterial count down and the presence of oxygen slows (and sometimes kills) the bacteria.\n\nIf you are wondering if you are infectious, it is not likely.  All people have staph species on their skin and have a potential to get it if they have cuts, etc.  The most common sufferers of repeat infections from skin bacteria are those who inject often (like diabetics or IV drug users).  Good sterile technique will avoid this problem.
1035379
Good question!  There are two lines of thought- one, that it is possible to erradicate completely with high doses of antibiotics, and the other that it is not curable, but controllable.  Suffering from it myself, as well as two coinfections, I'm interested in the debate-  but meanwhile, I've found a specialist in NC who treats me with increasing levels of antibiotics.  I'm going to reccommend some excellent websites for you to bookmark and look at if you really want to read up on Lyme's-- they really helped me when I was full of questions and didn't know who to ask tht would know.  Good luck, and, from one who has been sick for sixteen years and treated now for six months, it gets so much better.  Don't despair- find a doctor who will listen and who know what they're doing. don't accept jsut a month of antibiotics and think it will be all better... find a infectious disease specialist who specializes in Lyme's, and read Dr. Burrascano's papers on the illads site.  Much luck and prayers to you- H
402902
Probably more than they can count. I was once told in clinicals (nursing school) that as many as 95% of the patients in a nursing home had mrsa and probably half of the staff. Many people harbor the bacteria in there bodies but never know. Usually it only affects the elderly and people whose immune systoms are weakend
163200
No, falling back ward isn't one of them. Than make an appointment to see your doctor and go in to get them refilled.\n\nK
441404
I see these all the time in the ER where I work. They are abscesses and they are usually caused by a Staph infection that is very resistent. We call it MRSA. You are right, they will spread. You need to be VERY careful not to touch the infected area without washing your hands well afterward. Also anything that comes into contact with the infected area will be contaminated, like your towel or sheets. A doctor will deaden the area and perform an incision and drainage and place a small amount of medicated packing so that the wound can heal from the inside out. You will probably also need to take an antibiotic. There is also an ointment that can be prescribed to put in your nose to help prevent future infection.\nDon't be scared....it's not a terrible or uncommon thing. Your healthcare provider will help you understand how to get rid of this problem.
196738
Absolutely yes. Nurses love to call doctors to get an ok for some reason, but if it is in prn orders, there so no need to call.  You should never give the first dose of antibiotics before getting the blood culture, but Tylenol is OK.
71359
Please find a gastroenterologist for an evaluation.  I have heard of many people having to have more than IV antibiotic.  But in some cases that is all that is needed.  Get at least one if not two more opinions.
302040
Antibiotics are the only way. Go see the doc before it gets serious. It can, I had to go to the hospital because of one that I didn't care for in time.
612588
You should go to the hospital if the doctors office is closed don't let it get to bad! The longer you wait the worse it will get but you can try gargleing with salt warm water it helps kill off the bacteria! And you also can try some hot herbal teas! I hope you get this taken care of very soon!
805881
unless he was sure you had an infection there was no need for an antibiotic.  The lymphoma test results are important.  Stay on top of the results and if you find yourself showing signs of an infection, usually fever is the best indicator, or if you see an obvious area where fluid is building up within a limb, then call your doctor ASAP and get an appointment.  \n\nKeep your body well hydrated and eat a healthy diet with exercise to keep things moving.\n\nhttp://www.lymphomainfo.net/lymphoma/symptoms.html