1. Staph! | The Battle With Resistant Bacterial Chain Gangs
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    Staph! | The Battle With Resistant Bacterial Chain Gangs

    May 20, 2017
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    HIGH ALERT ON RESISTANT MICROBES

    Staphylococcus aureus, Staph, a bad boy in itself, is evolving into drug-resistant avatars that are becoming difficult to fight. Hand hygiene checks its spread, in part.

    HIGH ALERT ON RESISTANT MICROBES

    Staphylococcus aureus, Staph, a bad boy in itself, is evolving into drug-resistant avatars that are becoming difficult to fight. Hand hygiene checks its spread, in part.

    HIGH ALERT ON RESISTANT MICROBES

    Staphylococcus aureus, Staph, a bad boy in itself, is evolving into drug-resistant avatars that are becoming difficult to fight. Hand hygiene checks its spread, in part.

    • HIGH ALERT ON RESISTANT MICROBES

      HIGH ALERT ON RESISTANT MICROBES

      -WANTED-

      STAPHYLOCOCCUS AUREUS aka STAPH DON

      PATHOGENICITY aka ABILITY TO CAUSE INFECTION: HIGH

      ENVIRONMENTAL SURVIVAL IN DAYS: 318

      RESISTANCE TO ANTIMICROBIALS: 29 (39 FOR MRSA)

      GANG: GPC (Gram Positive cocci)

      Wanted for a whole range of crimes: Causing skin and soft tissues infections, surgical site infections, bloodstream infections.

      Beware!!! Now you see him, now you don't.

      • Is usually small (1 micron in size) and prefers his golden coat.
      • Looks like a bunch of grapes under a microscope, but these 'berries' can turn sour pretty fast
      • Is a confidence trickster, gains trust before striking!! Can target you repeatedly by gaining your confidence.

      ATTENTION!! He is looking for YOU!

      It has come to our knowledge that Staph has a special penchant for:

      • Newborns
      • Breastfeeding women
      • Sufferers of diabetes, vascular or lung disease, cancer, and skin injuries or disorders
      • Surgical incisions
      • Those who inject drugs and medications
      • Intravenous catheters

      All those with weakened immune systems: Be Vigilant!

      Gym goers, football team members, people sharing towels, living in camps - STAPH is especially looking for YOU!

      Has Staph Struck?

      • Do you see painful, swollen pus-filled abscesses on the skin?
      • Plagued by an irritating contagious rash?
      • Is there fever, chills and low blood pressure?

      Staph may be around!

      The many virulent faces of Staph

      Staph Don has evaded all efforts to contain him and has sometimes succeeded- unfortunately. We know he has struck when his victims have fought:

      • Impetigo, or crusting of the skin
      • Cellulitis- the deeper layered skin and connective tissue infections
      • Mastitis- inflammation of the breast
      • Bacteremia or sepsis as Staph Don swims deeper into the bloodstream
      • Pneumonia leading to water in the lungs
      • Heart failure
      • Osteomylitis or inflammation of the bones and septic arthritis

      Take Further Notice….

      Staph does not do all the jobs himself. He works with associates like toxins that he helps produce.

      Food poisoning resulting in nausea, vomiting, diarrhoea and dehydration is the work of his toxin associates. So is toxic shock syndrome.

      Breaking News!

      Staph Don has recruited a NEW SUPER BUG aka SUPERDON MRSA in his gang.

      MRSA has scrapped past numerous laws and is impervious to numerous Antibiotic squads including Penicillins, Carbapenems etc. He has learnt well from his master!

      MRSA specifically targets hospitalized patients, and critically ill patients.

      Oh No! SUPERDON MRSA is now lurking in the community too.

      Who let MRSA in!? Who is guilty?

      • Ignorance of the lurking danger
      • Callous antibiotic overuse
      • Careless sharing of contaminated items
      • Poor hygiene, especially hand hygiene
      • Crowded settings

      Worse has followed…

      A new DON called VRSA has also been reported by some countries. Thankfully, its activities are limited till now.

      The USP, Universal Surveillance Protocol:

      24/7 Surveillance and universal precautions are needed to capture and control these Superdons.

      Health Care Workers: Keep those hands clean!

      Arm yourselves with soap and water, alcohol-based hand sanitizers before touching a patient to keep Staph don, Superdons MRSA and VRSA at bay

      • after touching a patient
      • after touching patient surroundings
      • before and after clean and aseptic procedures such as inserting devices such as catheters, food tubes and IV fluids
      • after contact with body fluids.

      Can we win this war? Yes, we can!

      Author: Dr. Ruchika Bagga, Senior Microbiologist, Head Infection

      Control, SRL - Fortis Memorial Research Institute, Sec-44, Gurgaon (Haryana)

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