Borrelia burgdoferi, is the cause of Lymedisease, Borrelia is a spirochete, which cannot be visualized on gram stain and requires darkfield microscopy. Borrelia can also be visualized via giemsa stain, and silver stain, The whitefootedmouse is the most common host for the lifecycle of the Ixodes tick, The Ixodes tick is alsothe vector for babesia, and ehrlichiosis, and these diseases can commonly present together.In Lyme disease, people initially develop flulike symptoms, , and develop a bulls eyerash, The targetoid lesion is also called erythema migrans, In the second stage of thedisease, people can develop neurologic or cardiac compliions including bilateralBell's palsy, and conduction defects of
the heart, In the third stage, people candevelop arthropathy, Patients suspected of Lyme disease after tick bite should be startedon doxycycline, . Ceftriaxone, , can also be used for later manifestations.
Catheterassociated Urinary Tract Infection CAUTI with Case Studies Part I
Silence gt;gt; Good morning everyone andwelcome to our third and final day of the 2014 NHSN Training Course. We want to acknowledge again, all of you here who have given your undividedattention and great participation. Everyonethe room as well aseveryone watching the live webstream, we do appreciate your participation. I have multiple updates that I'll givethroughout the day but I have a couple
of important things that you'llneed to know first thing. We wanted to remind you that theevaluation forms arethe back on the back table outside of this room. I was told that if you are getting CE's,well, when you apply for that you'll be able to do the evaluation on the computer so youdon't necessarily have to complete it today. But if you aren't going to beapplying for CE's then we ask that you do complete the evaluation form today,and leave it on the table before you have to go. We really appreciate your feedback andyour input and it is important to us,
so we do ask that you complete thatif you are able to give your input. With regards to feedback and input we wantedto let you know, we know some of the peoplethe front have a hardtime with the bright lights. We can't unfortunately dim the lights any more than we already have becauseof the live webstreams. So we apologize if they're a littlebright or hot on the tops of your heads. We also know that the round tableshaven't been ideal for youthe room. Again, hoping that you've been ableto see the presentations with all
of the opdown slide viewing but I knowit's difficult if you have to have your back or have to turn around to face the front. Just so you know, the reason we chose todo it this way was because we really wanted to maximize the amount of people we could get ina room and get here to this inperson training so that you'd be able to actuallybethe room if you wanted to. So many people enroll and register to try to geton the random list that we felt that we should, you know, try to do this so that wecould maximize to the 300 or over, but we will evaluate for next year to see
if there's any way we can fixthat or get a bigger room. Let's see, I wanted to remind you that the teamoutside the door isthe back to help you with your transport to the airport. So, they can help you with all of that but theyneed you to sign up on a sheet and let them know when your flight is so thatthey can group people together and make sure everybody getsto the airport on time. And if you are leaving early, which wewant you to stay today as late as possible to hear all the important information beingpresented today, but if you do need to leave
and you know that it's going to be ahead ofschedule, please let them know now or as early as possible so that they can make sureto set you up front aside to get you out early for the transportation. We ask that oh, yes this is very important. So, you have met many of the individualswho answer the NHSN mailbox for you. There is a group of user supportteam that you were not able to meet because they were not presenters and they'veactually been working behind the scenes to continue to answer the mailbox of questionsthat comeover the course of this training
Haemophilus ducreyianimated quick
Haemophilus ducreyi is a gram negative pleomorphiccoccobacillus that causes an acute sexually transmitted infection called a chancroid.This disease is rarethe United States and is most commonly seenAfrica and SoutheastAsia. It is thought that chancroids may be an important cofactorthe transmissionof HIVthese areas. Few days after inoculation, the person will develop a tender papule inthe external genitalia that erodes, producing a painful ulcer. Haemophilus ducreyi is alsoknown to cause the regional lymph nodes, particularlythe inguinal region, to enlarge and becomeinflamed called a bubo. The inflamed lymph node may even erode the overlying skin toproduce a aining ulcer. On gram stain, Hameophilus
ducreyi has a characteristic look of shortparallel chains often described as a school of fish appearance. It can be treated witheither azithromycin or ceftriazone.