Tags: Listeriosis

Gram-Positive Aerobic Bacilli

LISTERIA MONOCYTOGENES Essentials of Diagnosis • Incriminated foods include unpasteurized milk, soft cheeses, undercooked poultry, and unwashed raw vegetables. • Asymptomatic fecal and vaginal carriage can result in sporadic neonatal disease from transplacental and ascending routes of infection. • Incubation period for foodborne transmission is 21 days. • Organism causes disease especially in neonates, pregnant women, immunocompromised hosts, and elderly. • Organism is grown from blood, cerebrospinal fluid (CSF), meconium, gastric washings, placenta, amniotic fluid, and other infected sites. General Considerations A. Epidemiology. L monocytogenes is found in soil, fertilizer, sewage, and stream water; on plants; and in the intestinal tracts of many mammals. It is a foodborne pathogen that causes …

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Specific Anti-Infective Agents

Antibiotics Before prescribing a specific antibiotic, clinicians should be able to answer these questions: •  How does the antibiotic kill or inhibit bacterial growth? •  What are the antibiotic’s toxicities and how should they be monitored? •  How is the drug metabolized, and what are the dosing recommendations? Does the dosing schedule need to be modified in patients with renal dysfunction? •  What are the indications for using each specific antibiotic? •  How broad is the antibiotic’s antimicrobial spectrum? •  How much does the antibiotic cost? Clinicians should be familiar with the general classes of antibiotics, their mechanisms of action, and their major toxicities. The differences between the specific antibiotics in …

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Sepsis

Description of Medical Condition The systemic response to infection; it encompasses a broad array of clinical manifestations and overlaps with inflammatory reactions to other clinical insults (e.g., severe trauma or burn) • Bacteremia: Bacteria in the blood; may have no accompanying symptoms • Systemic inflammatory response syndrome (SIRS) inflammatory reaction to different clinical insults manifest by two of the following: (1) temperature >38°C or90/min; (3) respiratory rate >20/min or PaC02 12,000/mm3, 10% immature forms (bands) • Sepsis: SIRS with documented infection (typically bacterial) • Septic shock: Sepsis induced hypotension (systolic BP 40 mmHg drop from baseline) despite adequate fluid resuscitation plus hypoperfusion abnormalities (oliguria, lactic acidosis, acute change in mental status) …

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Order Erythromycin (Ilosone) Without Prescription 250/500mg

Erythromycin [Ilosone 250mg, 500mg] (British Approved Name, US Adopted Name, rINN) Drug Nomenclature International Nonproprietary Names (INNs) in main languages (French, Latin, Russian, and Spanish): Synonyms: Eritromicin; Eritromicina; Eritromicinas; Erythromycin; Erythromycinum; Erytromycin; Erytromysiini BAN: Erythromycin INN: Erythromycin [rINN (en)] INN: Eritromicina [rINN (es)] INN: Érythromycine [rINN (fr)] INN: Erythromycinum [rINN (la)] INN: Еритромицин [rINN (ru)] Chemical name: Erythromycin A is (2R,3S,4S,5R,6R,8R,10R,11R,12S,13R)-5-(3-amino-3,4,6-trideoxy-N,N-dimethyl-β-d-xylo-hexopyranosyloxy)-3-(2,6-dideoxy-3-C,3-O-dimethyl-αl-ribo-hexopyranosyloxy)-13-ethyl-6,11,12-trihydroxy-2,4,6,8,10,12-hexamethyl-9-oxotridecan-13-olide Molecular formula: C37H67NO13 =733.9 CAS: 114-07-8 ATC code: D10AF02; J01FA01; S01AA17 Read code: y00zu [Skin]; y02P4; y0Cdx [2] Pharmacopoeias. In China, Europe, International, Japan, and US. European Pharmacopoeia, 6th ed., 2008 and Supplements 6.1 and 6.2 (Erythromycin). It is produced by the growth of a strain of Streptomyces erythreus and …

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Buy Sumycin (Tetracycline) Without Prescription 250/500mg

Tetracycline [Sumycin 250mg, 500mg] (British Approved Name, rINN) Drug Nomenclature International Nonproprietary Names (INNs) in main languages (French, Latin, Russian, and Spanish): Synonyms: Tetraciclina; Tetraciklin; Tetraciklinas; Tetracyclinum; Tetracyklin; Tetrasykliini BAN: Tetracycline INN: Tetracycline [rINN (en)] INN: Tetraciclina [rINN (es)] INN: Tétracycline [rINN (fr)] INN: Tetracyclinum [rINN (la)] INN: Тетрациклин [rINN (ru)] Chemical name: A variably hydrated form of (4S,4aS,5aS,6S,12aS)-4-Dimethylamino-1,4,4a,5,5a,6,11,12a-octahydro-3,6,10,12,12a-pentahydroxy-6-methyl-1,11-dioxonaphthacene-2-carboxamide Molecular formula: C22H24N2O8 =444.4 CAS: 60-54-8 (anhydrous tetracycline); 6416-04-2 (tetracycline trihydrate) ATC code: A01AB13; D06AA04; J01AA07; S01AA09; S02AA08; S03AA02 Read code: y00qJ [Mouth]; y02NR; y08DH [Systemic] Pharmacopoeias. In Europe and US. European Pharmacopoeia, 6th ed., 2008 and Supplements 6.1 and 6.2 (Tetracycline). A yellow crystalline powder. Very slightly soluble in water; soluble …

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Gentamicin Sulfate

(US Adopted Name, rINN) Drug Nomenclature International Nonproprietary Names (INNs) in main languages (French, Latin, Russian, and Spanish): Synonyms: Gentamicin Sulphate; Gentamicin sulfát; Gentamicin-szulfát; Gentamicina, sulfato de; Gentamicini Sulfas; Gentamicino sulfatas; Gentamicinsulfat; Gentamisiinisulfaatti; NSC-82261; Sch-9724 BAN: Gentamicin Sulphate [BANM] USAN: Gentamicin Sulfate INN: Gentamicin Sulfate [pINNM (en)] INN: Sulfato de gentamicina [pINNM (es)] INN: Gentamicine, Sulfate de [pINNM (fr)] INN: Gentamicini Sulfas [pINNM (la)] INN: Гентамицина Сульфат [pINNM (ru)] CAS: 1403-66-3 (gentamicin); 1405-41-0 (gentamicin sulfate) ATC code: D06AX07; J01GB03; S01AA11; S02AA14; S03AA06 Note. GNT is a code approved by the British Pharmacopoeia 2008 for use on single unit doses of eye drops containing gentamicin sulfate where the individual container may be …

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Buy Generic Principen (Ampicillin) No Prescription 250/500mg

Ampicillin [Principen 250mg, 500mg] (British Approved Name, US Adopted Name, rINN) Drug Nomenclature International Nonproprietary Names (INNs) in main languages (French, Latin, Russian, and Spanish): Synonyms: Anhydrous Ampicillin; AY-6108; Aminobenzylpenicillin; Ampicilin; Ampicilina; Ampicilinas, bevandenis; Ampicillin; Ampicillin, vattenfritt; Ampicillinum; Ampicillinum Anhydricum; Ampisilliini; Ampisilliini, vedetön; BRL-1341; NSC-528986; P-50; Vízmentes ampicillin BAN: Ampicillin USAN: Ampicillin INN: Ampicillin [rINN (en)] INN: Ampicilina [rINN (es)] INN: Ampicilline [rINN (fr)] INN: Ampicillinum [rINN (la)] INN: Ампициллин [rINN (ru)] Chemical name: (6R)-6-(α-d-Phenylglycylamino)penicillanic acid Molecular formula: C16H19N3O4S =349.4 CAS: 69-53-4 ATC code: J01CA01; S01AA19 Read code: y02Im Note. Compounded preparations of ampicillin may be represented by the following names: • Co-fiuampicil (BAN)—flucloxacillin 1 part and ampicillin 1 part (w/w). …

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