Microbiology for MRCS · - Chlamydia trachomatis Streptococcus pyogenes - Neisseria gonorrhoeae -...
Transcript of Microbiology for MRCS · - Chlamydia trachomatis Streptococcus pyogenes - Neisseria gonorrhoeae -...
MICROBIOLOGY FOR
MRCS Claire Edwards
Norfolk and Norwich University Hospital
Overview
• Know your enemy:
• Organisms
• Pathology of sepsis
• Prevent the attack:
• Immunisation
• Disinfection/sterilisation
• Surgical prophylaxis
• Fight back
• Antibiotics
• Special infections
• C.Diff, gas gangrene, tetanus, necrotizing fasciitis
Classification of microorganisms
Classification of microorganisms
Classification of microorganisms
Classification of microorganisms
Classification of microorganisms
Classification of microorganisms
Classification of microorganisms
Classification of microorganisms
SEPSIS
• 1:GIVE 02 TO KEEPS SATS ABOVE 94%
• 2:TAKE BLOOD CULTURES
• 3:GIVE IV ANTIBIOTICS
• 4:GIVE A FLUID CHALLENGE
• 5:MEASURE LACTATE
• 6:MEASURE URINE OUTPUT
Optimisation to prevent infection
Immunisation
Disinfection
Disinfection
Sterilisation
Sterilisation
Mode of action of antibiotics
Mode of action of antibiotics
Mode of action of antibiotics
Mode of action of antibiotics
(Erythomycin)
Eg:Gentamycin
Eg:Ciprofloxacin
Eg:colistin
Cephalosporins
Prophylaxis
Clostridium Difficile
Tetanus
Necrotizing fasciitis