You are caring for a patient with ventilator associated pneumonia (VAP) where the infection developed 96 hours post-intubation. Which of the following apply: Group of answer choices A. Streptococcus pneumoniae was capable of producing a biofilm for antibiotic resistance within the endotracheal tube (ventilator) B. Haemophilus influenzae was capable of acquiring a plasmid and is highly antibiotic resistant C. E. coli was capable of producing a biofilm that attached the population to the endotracheal tube (ventilator) D. Staphylococcus aureus was capable of producing attachment pili and can be diagnosed by the presence of Clue cells E. Enterococcus faecium was capable of producing a capsule and is protected from the patient’s immune system Next
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You are in charge of a patient with advanced lung cancer. The patient was intubated with a ventilator (endotracheal tube) to assist with breathing. Ninety-six (96) hours post-intubation, the patient develops pneumonia, an infection in the mucosal tissue. The infectious agent is a Gram-negative species that produces an extended-spectrum beta-lactamase (ESBL). Which of the following apply: A. The patient is infected with Enterococcus faecalis, VRE, in the blood that produces an altered transpeptidase, can be treated with Zosyn, a "combo drug," and will require tumor necrosis factor alpha secretion for clearance. B. The patient is infected with Influenza A virus H3N2, that undergoes antigenic shift, can be treated with alpha interferon, and will require mast cell activation with IL-1, IL-6, and IL-8 secretion for clearance. C. The patient is infected with HA-MRSA in the blood that produces protein A, can be treated with methicillin, and will require IgM for clearance. D. The patient is infected with Pseudomonas aeruginosa in the dermis that forms attachment pili, can be treated with vancomycin, and will require IgG for clearance. E. The patient is infected with Klebsiella pneumoniae in the lung that forms a biofilm, can be treated with a carbapenem, and will require IgA for clearance.
Sri K.
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