Shopping Cart
Your Cart is Empty
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Maria Augustyn


Maria Augustyn - BLOG


Superbug makes first Aussie appearance

Posted on April 7, 2011 at 8:23 PM
Superbug makes first Aussie appearance
A new, hypervirulent strain of Clostridium difficile is taking hold in Australia, specialists warn, after a man acquired the infection in Melbourne.
In a report published in the MJA this week, infectious disease specialists describe what is believed to be the first locally acquired case of C. difficile ribotype 027.

The bug has caused substantial morbidity and mortality in the northern hemisphere, but had left Australia unscathed until now, the specialists wrote.

The patient, an 83-year-old man, underwent an aortic valve replacement in late January, two days after which he developed severe sepsis from a urinary tract infection.

He was treated with antibiotics and a noradrenaline infusion but developed watery diarrhoea five days after the surgery, with stool samples revealing C. difficile infection.

The patient’s condition continued to deteriorate, prompting doctors to increase his antibiotic dosage and add intravenous metronidazole and vancomycin enemas.

After five days of treatment the man’s symptoms began to improve and he eventually recovered, with no recurrence of his diarrhoea at three-month follow-up.

Despite his recovery, however, the report authors warned about the implications of the case.

C. difficile ribotype 027 has been reported once before in Australia but that case was acquired in North America, whereas the authors believed the latest patient acquired the bug locally.

And there have since been further clusters of the infection in residential aged care facilities, according to an accompanying editorial by Melbourne infectious disease physicians Drs Rhonda Stuart and Caroline Marshall.

They noted that in the US, C. difficile now rivalled MRSA as the most common healthcare-associated infection.

“It is essential that we act pre-emptively to prevent C. difficile infection from occurring, especially to the most vulnerable of our patients,” Drs Stuart and Marshall wrote.

They urged the importance of adopting new guidelines,  also published in the MJA, which aim to tackle the spread of C difficile infection and improve diagnosis and treatment.

The guidelines, from the Australasian Society for Infectious Diseases, recommend metronidazole as the antibiotic of choice for mild to moderate disease. Vancomycin should be reserved for severe disease because of concerns about generating antibiotic resistance.

Meanwhile, routine use of probiotics cannot be recommended to treat C. difficile infection, the guidelines say, based on lack of evidence for efficacy and the potential for adverse events.
MJA 2011; 194:
331-32; 353-58; 369-71.
Nyssa Skilton
Australian Doctor
What is Clostridium Difficile (C. diff)?
C. diff is one of the many types of bacteria that can be found in faeces (bowel movement).
What is C. diff Disease?
C. diff occurs when antibiotics kill your good bowel bacteria and allow the C. diff to grow.
When C. diff grows, it produces toxins. These toxins can damage the bowel and may cause
diarrhoea. C. diff disease is usually mild but sometimes can be severe. In severe cases, surgery
may be needed, and in extreme cases C. diff may cause death. C. diff is the most common cause
of infectious diarrhoea in hospitals or long-term care homes.
The main symptoms of C. diff disease are:
• Watery diarrhoea
• Fever
• Abdominal pain or tenderness
Who Gets C. diff?
C. diff disease usually occurs during or after the use of antibiotics. Old age, presence of other
serious illnesses and poor overall health may increase the risk of severe disease.
How Will Your Doctor Know That You Have C. diff?
If you have symptoms of C. diff, your doctor will ask for a sample of your watery stool. The
laboratory will test the stool to see if C. diff toxins are present.
How is C. diff Treated?
Treatment depends on how sick you are. People with mild symptoms may not need treatment.
For more severe disease, antibiotics are required.
How Does C. diff Spread?
When a person has C. diff disease, the bacteria in the stool can contaminate surfaces such as
toilets, handles, bedpans, or commode chairs. When touching these items our hands can become
contaminated. If we then touch our mouth without washing our hands, we can become infected.
Our soiled hands can also spread the bacteria to other surfaces.
How to Prevent Spread?
If you are in the hospital and have C. diff. diarrhoea, you will be put on precautions until you are
free from diarrhoea for at least two days. Your activities outside the room may be restricted. All
health care staff who enter your room wear a gown and gloves. Everyone MUST clean their
hands when leaving your room.

Categories: OUTBREAKES

Post a Comment


Oops, you forgot something.


The words you entered did not match the given text. Please try again.


Reply Incagma
12:07 AM on July 27, 2022 
Cialis Forum Cialis En Pharmacie
Reply cesAcerie
8:48 AM on August 15, 2022 
ivermectin 3mg for humans Balanitis is inammation of a testicle.
Reply maitaTigh
6:12 AM on September 1, 2022 
cheapest place to buy cialis What can I say, I m a girl that tends to learn the hard way
Reply Thilielay
10:35 AM on September 3, 2022 
walmart priligy cialis is easy on the system
Reply plevare
8:49 AM on September 5, 2022 
36 hour cialis online Viagra, recreational use
Reply Flootorof
11:18 AM on September 7, 2022 
Drinking wine, suddenly a sword energy fell which otc male sexual enhancement pills contain viagra cialis from the sky, not murderous, but full of power cheap cialis generic online
Reply Thuttsogs
9:15 AM on September 10, 2022 
As some of you know, 2019 has not been the easiest year for me physically. otc provera clomid That means your most fertile day will be the day of the trigger shot injection.
Reply Higodoore
11:23 AM on September 13, 2022 
reviews on tamoxifen
Reply Saifebame
2:11 AM on September 17, 2022 
He just finished antibiotics on Wednesday, the day before I started the VRM2. buy doxycycline eu ORS is prepared by adding one packet to boiled or treated water.
Reply tormica
7:55 PM on October 7, 2022 
A and B Wls immunofluorescence red and DAPI staining blue of incisors from 2 month old Gli1 LacZ control and Axin2 CreER T2; Wls fl fl; Gli1 LacZ mice lasix pronunciation Idbaih A, Marie Y, Pierron G, Brennetot C, Hoang Xuan K, Kujas M, Mokhtari K, Sanson M, Lejeune J, Aurias A, Delattre O, Delattre JY
Reply TiefWeimb
12:04 PM on October 13, 2022 
Patients receiving adjuvant hormonal therapy within I year were excluded buy cialis canadian But perhaps you re buying a bottle of testosterone from a large pharmaceutical supply house, but the bottle was intended for animals
Reply Encophy
2:15 PM on October 30, 2022 
The incidence of CIA in the extant literature may be influenced by inconsistent definitions buy ivermectin for humans Launched by New York City trained pastry chef Rae Stang, Lucky offers a menagerie of animal shaped chocolates, handmade marshmallows try the salted caramel ??
Reply Tendspodo
3:25 AM on November 9, 2022 
Sometimes they are nightmares but most of the time I can t remember them priligy over the counter usa
Reply lockpycle
12:03 AM on November 12, 2022 
Effort should be undertaken to evaluate whether HER2 status offers any promise for clinical decision making tamoxifen side effect
Reply Weangefem
1:33 PM on November 14, 2022 
B, Quantification of pericyte coverage as shown in A using ImageJ, with CD13 pericyte coverage as proportion of podocalyxin endothelial cell coverage of the cerebral cavernous malformation CCM lesions things to do or avoid while taking clomid Your doctor will usually begin by obtaining your medical history, as this may provide information about factors that caused the clot
Reply Poototand
4:33 PM on November 19, 2022 
buy stromectol for dogs 24 Despite the low pCR rates obtained overall with neoadjuvant hormonal therapy, the benefit obtained from neoadjuvant chemotherapy may be no better for women with highly hormone responsive disease
Reply SmooraJaf
6:06 PM on November 19, 2022 
1994; Han et al doxycycline heart side effects This might just be due to raloxifene having lower efficacy as a SERM than tamoxifen or toremifene at the relevant clinical doses however Tsourdi et al
Reply DRierne
11:42 PM on November 21, 2022 
Landgren et al 18 showed similar increases between the acute and convalescent periods in patients with MI, where H e levels of 53 patients with MI increased significantly from a mean SEM of 13 taking lasix but still swelling The situation there is a mess
Reply Nicyicelm
8:57 PM on December 10, 2022 
To confirm that steroidal AIs and their 17 OH derivatives also inhibit the growth of breast cancer cells in vivo, we produced breast cancers in female rats by oral application of DMBA buy cialis generic Most people enjoy training too much to only go 4x a week