Question

Your group has been called to a dialysis clinic that has seen an unusually high number of patients with vancomycin-resistant Enterococcus (VRE) or methicillin-resistant S. aureus (MRSA). It is your job to check out this clinic, determine the cause of the high number of infections, and propose measures to decrease it. Use what you learned in this lesson to help you answer the following questions;

How could you determine the potential sources of the outbreak?

What measures can be taken for patients visiting the clinic?

What measures can be taken for workers in the clinic?

Answer 1

Vancomycin-resistant enterococcus and methicillin resistant staphylococcus aureus;

* meThiallin resistant Staphylococcer aureus (MRSA) and vancomycin - resistant Enterococci, causes Nosocomial Infection & antibiotic resistant bacteria That spread by contact and produce severe Irfections en into & some patients simultaneously con colonized with MRSA and VRE lead to risk of colonization or infection

Determine the potential source of outbreak;

• Cohort study,
• Risk factors,
• Laboratory test,
• Search strategy,
• Sources.

search strategy.- & may perform specific Search combining outbreak parameters a interest. & microorganism = VRE (vancomycer resistance Esterococcus and MRSA methicillin resistant - staphreptococcus ومنافسيه + location Phaematology Operation Theater Thea that

Sourusi of * some patient are the mais sources outbreak. data on potential source was compeletely missed out is 25% of the 35. outbreaks Environment condition are being the definite outbreak sourus,

Determine the risk factor, & Enteral froding tube, tube or nasogastric tube gastro stony & urinary catheter pride Exposure to Thirda gerelatio Cephalosporns. a acute myeloid leukemia. & antibiotic us withis month bodore admission * Inmurosupussion

laboratory Testy send a sample of your Infected wound, blood, wrine, or stool to alab, I lab will grow the bacteria and Then test to see which kinds of antibiotics kill The bacteria

Measures taken for patient visiting the clinic;

Hand hygiene: - mainly keeps Their hands clear, wash Thee hands compeletly after using The bathroom wash with soap and water or alternatively use alcohola based hand aubs a clean their hands after contact with persons who have vancompair Resistant Enterococcus.

contact pre eautions - & wear gloves if hands may come is contact with body Plunds that may contain VRE, & MRSA such as Stool or bandage from Infected wounds

« Il someone has URE, Prestly you have to tell health care providery, so That They are aware of this Irfection. use special precautions to help Prevent The spread of UE & MRSA to others,

Do not save any antibiotics, do not use antibiotice that were prescribed for someone else at a different problem & B you are is hospital, semind doctors and nurses to wash Their hands before They touch you