Plazomicin

Nature of the antibiotic Class: Next-generation aminoglycoside (neoglycoside), semisynthetic (sisomicin based). It is not inactivated by most aminoglycoside-modifying enzymes (AME).Molecular weight: 592.68. It is synergistic with many antibiotics, including piperacillin-tazobactam. Mechanism of resistance Enterobacteriaceae: modification of the ribosomal binding site due to expression of 16S rRNA methyltransferases. Adverse effect Spectrum Gram-positive Staphylococcus (MSSA, MRSA, and coag neg…

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Summary: Global guideline for the diagnosis and management of candidiasis: an initiative of the ECMM in cooperation with ISHAM and ASM

Introduction Candida species are the predominant cause of fungal infections in patients treated in hospital settings, causing significant morbidity and mortality worldwide. This clinical practice guide summarises evidence-based recommendations from the European Confederation for Medical Mycology (ECMM) global guideline initiative, developed in cooperation with the International Society of Human and Animal Mycology (ISHAM) and the…

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Paracoccus Yeei

Paracoccus yeei is an aerobic Gram-negative coccobacilli typically found in soil and brine. It appears as diplococci and may have a visible vacuole – giving an “O” shaped appearance. It may under-decolourise and appear as Gram-positive cocci. It is oxidase-positive and confused with Moraxella/Neisseria. Identification can be made using automated systems like VITEK-2 GN, MALDI-ToF and DNA…

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Norovirus

Epidemiology Norovirus is the most common cause of epidemic gastroenteritis worldwide. In the UK, norovirus outbreak is usually seen in the winter months. The virus Norovirus is a small non-enveloped RNA virus of the caliciviridae family. It has ten genogroups, but I, II and IV are primarily implicated in human infection. Genogroup II is most…

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SMI: Investigation of Throat-Related Specimens

Specimens Throat swab, posterior pharyngeal swab, nasopharyngeal swab, pharyngeal washings, pus aspirate, oropharyngeal swab, throat gargle. Why To investigate upper respiratory tract infection – Pharyngitis, Tonsillitis, Epiglottitis, and Laryngitis. Condition Target organisms Pharyngitis(sore throat) 1. Viral (commonest),2. Group A Streptococcus/ Streptococcus pyogenes,3. Group C/G Streptococcus – Streptococcus dysgalactiae subspecies equisimilis,4. Streptococcus anginosus group,5. Corynebacterium –…

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