5 - Haemophilus spp. S. sanguis S. epidermidis...

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5. Diagnosis of bacteremia by aerobic and anaerobic blood cultures (a “set”) 5.1. Indications: Before empiric antibiotics given to a febrile patient To evaluate the extent of a systemic or localized infection 5.2. Site: peripheral vein preferred; one set from central line and one from peripheral vein acceptable 5.3. Technique: alcohol wipe then clean skin with providone iodine, wait 1-2 minutes Palpate vein with sterile glove Draw 10 mL blood per bottle 2 sets (4 bottles) drawn > 30 minutes apart preferred 6. Microbiology of Infective Endocarditis: What is the bug? This is not a complete list, but rather a table of the more common organisms associated with types of endocarditis Native Valve Prosthetic Valve Intravenous Drug User Rare Organisms Young Patients Early (within 1 year) Fastidious gram negative rods Viridans streptococci Staphylococci Streptococci
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Unformatted text preview: Haemophilus spp. S. sanguis S. epidermidis Staphylococci Actinobaciilus spp. S. mutans S. aureus Enterococci Cardiobacterium spp. S. mitis Gram negative rods Eikenella S. milleri Late (after 1 year) Kingella Enterococci Viridans streptococci Other gram negative rods Staphylococci Staphylococci Fungi Coxiella burnetii (Q fever) Enterococci Fastidious gram negative rods Elderly Patients Enterococci E. faecalis E. faecium Streptococcus bovis Viridans streptococci Staphylococci Culture negative Culture negative Coxiella burnetii (Q fever) Formerly, the most common cause of IE was Viridans Streptococci, but in the past decade Staphylococcus aureus is of increasing prevalence and is associated with a fulminant course and high mortality rate. It is the most common cause of right sided IE (tricuspid valve) due to IVDU....
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This note was uploaded on 03/02/2012 for the course BSC BSC1086 taught by Professor Joystewart during the Fall '10 term at Broward College.

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5 - Haemophilus spp. S. sanguis S. epidermidis...

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