Tragedy in the hospital real history "pseudomonas aeroguinosa"

My dear friends of steemit today I would like to tell you one of my many anecdotes and then inform and impart medical knowledge.

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Although the "pseudomonas aeroguinosa" bacterium is known to be an intrahospitary bacterium which in this case the bacterium was isolated in what is the neonatology intensive care unit of the Dr. Pedro Emilio Carillo University Hospital in the city of Valera, Venezuela. Whose bacteria had the ability to mutate one of their own, making it possible to become multi-resistant to multiple antibiotics, isolating itself in said unit as a result "Pseudomona aeroginosa knows BLEE" thus affecting all the newborns that were then in the Unit of Intensive care of neonatology, being an intrahospitable bacterium of per se with high mortality rate for both newborns and adults, now being multiresistant, you can imagine the chaos that originated inside the hospital was enormous managing to start the life of 36 infants in a lapse of 3 months, reaching such a point that it was tube that closure said unit and move it to another department since that central hospital must provide, and is in the duty of having a neonatology intensive care units.

Photo Hospital "Pedro Emilio Carillo"

The pain and emptiness that leaves the loss of so many newborns and the pain of those mothers who did not find the consolation for the loss of their little angels. The tragedy has been great and is that the current situation with our country is not a secret for anyone, the lack of maintenance of an essential unit for a central hospital, the lack of medical supplies, something as simple as air conditioning , so important in this unit, is simply absurd, because things such simple give as result these innumerable losses.

Now explained in detail what happened at the hospital where I currently work, I want to talk a little bit about what this bacteria is about, then I will explain in detail, what is it ?, how is it treated? and its prevention:

Pseudomonas aeruginosa is one of the globally dominant nosocomial pathogens; causes a wide range of infections, some as severe as pneumonia or bacteremia, a situation that is further complicated by its intrinsic resistance to various antibiotics and its remarkable capacity to acquire new resistance mechanisms, associating it with high mortality rates and turning it into a serious public health problem.

Pseudomonas bacteria, including Pseudomonas aeruginosa, are present in soil and water throughout the planet. These bacteria grow in wet areas, such as sinks, sinks, improperly chlorinated pools and jacuzzis, and in antiseptic solutions that are expired or inactivated. Occasionally, these bacteria are present in the armpits and genital area of ​​healthy people.

http://www.infectosos.com/2014/06/infeccion-por-pseudomonas-aeruginosa.html

Pseudomonas aeruginosa infections range from mild external infections to serious life-threatening diseases. Infections are more frequent and are usually more severe in people who:

Are weakened by certain diseases or serious disorders

Suffer from diabetes or cystic fibrosis

Are hospitalized

Have a disease that weakens your immune system, such as infection with the human immunodeficiency virus (HIV)

Take medicines that inhibit the immune system, such as those used to treat cancer or to prevent rejection of transplanted organs

These bacteria infect the blood, skin, bones, ears, eyes, urinary system, heart valves and lungs, as well as wounds (such as burns, injuries, or surgical wounds). The use of medical devices, such as catheters inserted into the bladder or into a vein, breathing tubes and mechanical ventilators, increases the risk of Pseudomonas aeruginosa infections. These infections are usually acquired in hospitals. In hospitals, bacteria are often found in sinks, antiseptic solutions and containers used to collect urine from a bladder catheter.

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Symptom.

https://www.onsalus.com/infeccion-por-pseudomonas-sintomas-causas-y-tratamiento-19376.html

· Itching in the ear canal.

· Sensation of moisture in the affected ear.

· The most characteristic symptom is a severe iodine pain that worsens when the lobe is touched or moved or any other
outside the auditory canopy. The pressure in the ear and the inflammation or existence of particles in the ear canal
can make the pain worse.

· There may also be suppuration of yellow-green pus in the hole. The hearing ability of the affected ear can
decrease if the swelling in the ear canal begins to impede the passage of sound outwards.

· There is an inflammation of the soft tissues and lymph nodes.

· Otitis externa may be accompanied by mild fever.

http://www.comersinmiedo.com/2013/07/una-oportunista-del-verano-la.html

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Diagnosis.

Usually antibiotics administered topically, orally or intravenously, depending on where the infection is

Swimmer's otitis can be effectively treated (and prevented) by irrigating the ears with a solution of acetic acid (vinegar) before and after swimming. The infection can also be treated with a topical antibiotic such as polymyxin applied to the ear.

Folliculitis of the hot tub or bath usually remit without treatment.

Eye infections are treated with drops of a highly concentrated antibiotic, with frequent application at first. Sometimes antibiotics should be injected directly into the eye.

Urinary tract infections that cause symptoms can often be treated with oral levofloxacin or ciprofloxacin. If these infections do not cause symptoms, they are usually not treated.

Serious infections with Pseudomonas aeruginosa are difficult to treat. Malignant otitis externa, internal infections (such as pneumonia or infection of the heart valves) and infections of the blood require intravenous antibiotics for weeks. An antibiotic, such as ceftazidime or ciprofloxacin, is sometimes effective. But a combination of antibiotics is often necessary because many strains, especially those purchased in health centers, are resistant to a large number of antibiotics. The doctor chooses an antibiotic that is usually effective in its geographical area, which can be changed after the test results indicate which antibiotics are most likely to be effective.

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Treatment.

https://www.onsalus.com/infeccion-por-pseudomonas-sintomas-causas-y-tratamiento-19376.html

The treatment should never be with a single drug, since this bacterium generates resistance to the antibiotics very quickly. Active penicillins should be used against P. aeruginosa, such as: ticarcillin, mezlocillin, piperacillin, in combination with aminoglycosides (gentamicin, tobramycin or amikacin.

Other drugs: Aztreonam, imipenem, quinolines (ciprofloxacin), cephalosporins (ceftazidime, cefoperazone).

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Prevention.

Prevention for otitis externa involves keeping the external auditory channels dry, free of wax and without wounds. In situations of risk or people with predisposition we must take preventive measures after each immersion by irrigating the ears with:

Alcohol for friction, vinegar and water or applying boricated alcohol to saturation (boric acid, dissolved to saturation in alcohol of 70 degrees).
Prophylaxis of the external ear with a few drops of Burow water (aluminum acetate solution), a solution of 2% acetic acid in aluminum acetate or propylene glycol. The solution should remain for at least 5 minutes in the ear canal to function properly, time necessary to dry and eliminate bacteria.

A general prevention is to refrigerate the foods, to chlorinate the waters, the milk must be treated in conditions of adequate hygiene.

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Credits:

http://pseudomonaaeruginosa.blogspot.com/
http://www.msdmanuals.com/es/hogar/infecciones/infecciones-bacterianas/infecciones-por-pseudomonas
https://www.onsalus.com/infeccion-por-pseudomonas-sintomas-causas-y-tratamiento-19376.html

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By Johana Albarran

Doctor