Staphylococci

Staphylococcus: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity … Staphylococcus: Test and Diagnosis

Staphylococcus: Drug Therapy

Therapeutic target Rehabilitation or cure of the patient Therapy recommendations Infections with oxacillin-susceptible S. aureus: penicillinase-resistant penicillins (e.g., flucloxacillin) as well as 1st-generation cephalosporins and inhibitor-protected penicillins (agents of choice)In generalizing infections, combined with an aminoglycoside; for duration of therapy, see “Additional Information” MRE (multidrug-resistant pathogens): isolation of the patient (single room; surgical mouthguard; work … Staphylococcus: Drug Therapy

Staphylococcus: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Abdominal sonography (ultrasound examination of abdominal organs) – for basic diagnostics. X-ray of the thorax (X-ray thorax/chest), in two planes.

Staphylococcus: Prevention

Prevention measures Nurses should wear gloves and be instructed in their proper use. Furthermore, it is necessary to protect the mouth and nose (surgical mouthguard). Especially when working where body fluids containing pathogens can be spread. Eye protection is another important measure in the event of splash hazards. The protective gown to be used must … Staphylococcus: Prevention

Staphylococcus: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate staphylococcal disease: Localized or generalized pyogenic infections: Abscess formation (encapsulated collection of pus) as well as empyema (collection of pus in a preformed body cavity or hollow organ) in body cavities (pleura, joints) Purulent parotitis (inflammation of the parotid gland). Endocarditis (inflammation of the inner lining of the … Staphylococcus: Symptoms, Complaints, Signs

Staphylococcus: Medical History

Medical history (history of illness) represents an important component in the diagnosis of staphylococcal disease. Family history What is the general health of your family members? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Do you suffer from treatment-resistant wound infections or abscesses? Do you have treatment-resistant respiratory infections? … Staphylococcus: Medical History

Staphylococcus: Or something else? Differential Diagnosis

Respiratory System (J00-J99) Bronchitis (synonyms: bronchitides; rhinobronchitis; tracheobronchitis) – inflammation of the mucous membrane of the bronchi. Pneumonia (pneumonia) Rhinitis – inflammation of the mucous membrane of the nasal cavity. Eyes and eye appendages (H00-H59). Blepharitis (inflammation of the eyelid margin) Hordeolum (sty) Endocrine, nutritional and metabolic diseases (E00-E90). Thyroiditis (inflammation of the thyroid gland). … Staphylococcus: Or something else? Differential Diagnosis

Staphylococcus

Staphylococci (Staphylococcus; ICD-10 A49.0: Staphylococcal infection of unspecified location) are Gram-positive, catalase-positive cocci that occur microscopically as pairs, as short chains, or as irregular clusters. Classification of the genus Staphylococcus according to the coagulase reaction has been established: Coagulase-positive staphylococci Staphylococcus aureus (in full: Staphylococcus aureus subsp. aureus; S. aureus). Staphylococcus agnetis* (coagulase variable). Staphylococcus … Staphylococcus

Staphylococcus: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of eye) [wound infection?, abscess (encapsulated pus cavity)?, furuncle (folliculitis (inflammation of a hair follicle) that melts centrally like … Staphylococcus: Examination

Staphylococcus: Therapy

General measures Observance of the general rules of hygiene! One of the easiest ways to keep yourself and others healthy is to wash your hands regularly. Hands should be washed under clean running water for at least 20 seconds. Nicotine restriction (refrain from tobacco use)Note: Cigarette smoke can make some methicillin-resistant Staphylococcus aureus (MRSA) strains … Staphylococcus: Therapy