Meningococcemia
I. Introduction
A. Meningococcemia- an acute and potentially life-threatening infection of the bloodstream that can cause many symptoms in a person caused by a bacteria
B. Thesis Statement: Meningococcal Disease is a severe and deadly disease that affects a portion of people resulting in severe complications; however, with immediate medical attention and patient effort one can treat the infection and possibly be avoided
II. Etiology
A. Transmission of meningococcal bacteria
i. Meningococcal is a bacteria that can be transmitted from person to person through droplets. Which starts of in the nasopharnx and makes its way to the bloodstream. This can affect the rest of the organs of the body.
III. Pathopysiology
A. Causes from meningococcemia
i. Problems come from multisystem failure.
ii. Capillary leak
iii. Hypovolemia
iv. Shock
v. DIC
vi. Respiratory problems
vii. Central nervous system problems
IV. Clinical Presentations
A. RT interventions
i. Oxygenation and ventilation
ii. Intubation
- Vent
- Peep
iii. Recommend vaccine and therapys
- Prophylaxis
- Antibiotic therapy
iv. Patient compliance and effort
V. Outcomes
A. Adequate oxygenation and ventilation
B. Improved hemodynamics
From the years 1998 to 2007, about 1,500 Americans were infected with the bacteria associated with Neisseria meningitdis commonly known as meningococcus. Unfortunately about eleven percent of those infected died and about twenty percent of the people suffer from long term consequences such as brain damage, kidney disease, or amputations. Meningococcemia is an acute and potentially life-threatening infection of the bloodstream that can cause many sy...
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Septic shock is a condition and/or state of hypoperfusion that derives from another condition called sepsis; Sepsis the infection of the bloodstream. In order to acquire septic shock one must obtain an infection of the bloodstream. Any type of pathogen can cause that infection. The main factor is bacteria and while fungi and viruses have been known to be able to cause septic shock the occurrence is much more rare than through bacteria.The cause of septic shock lies within
Necrotizing fasciitis, known commonly known as "flesh eating bacteria [infection]", occurs in a wide range of people 1. It occurs in the elderly, middle aged and younger patients. It occurs in athletes and debilitated individuals. It can occur in drug abusers with self inflicted wounds and healthy individuals with incidental injuries. It may occur in those with metabolic disorders such as diabetes and those with suppressed immune systems. It may occur in those with no underlying disorders and no known particular injury. It occurs under ordinary circumstances such as a seemingly harmless cut or scrape and in wounds resulting from major trauma such as an auto accident.
Slack, John M. and I. S. Snyder. Bacteria and Human Disease. Chicago: Year Book Medical Publishers, Inc., 1978.
Pathogens are a type of microorganism that spreads viral and bacterial diseases. These diseases when present in human blood and body fluids are known as blood borne pathogens, and can spread from one person to another. (Worcester polytechnic institute) The most serious types of blood borne diseases are the hepatitis B virus (HBV) and hepatitis C virus (HCV), which can cause liver damage; and HIV (human immunodeficiency virus), which is responsible for causing AIDS (acquired immune deficiency syndrome). The blood borne pathogens can be spread when the blood or body fluids (semen, vaginal fluid, breast milk, and amniotic fluid) of an infected individual comes into contact with mucous membranes or an open sore or cut on the skin of another person. Mucus membranes are located in the eyes, nose, mouth, and other areas as well. ("Bloodborne pathogens: MedlinePlus Medical Encyclopedia") Two of the most common ways that pathogens are transmitted is through the exchange of fluids during sexual intercourse or by sharing infected IV needles. (Worcester polytechnic institute)
“Meningococcal Disease.” Centers for Disease Control and Prevention. 12 Oct. 2005. Department of Health and Human Services. 27 July 2006 .
Meningitis, it’s an infection in the cerebral spinal fluid and inflammation of the meninges; the three outer layers of the brain. To be more specific, those three layers are called the Dura mater, Arachnoid mater, and the Pia mater. There are three main types of meningitis that will be discussed throughout this paper; viral, bacterial, and fungal. Each form is very similar but they all vary in terms of causative organisms, treatment and severity. Although meningitis is not very common, it can become very severe and always needs to be treated immediately.
Health care facilities - whether hospitals, nursing homes or outpatient facilities - can be dangerous places for the acquisition of infections (EHA). The most common type of nosocomial infections are surgical wound infections, respiratory infections, genitourinary infections and gastrointestinal infection (EHA). Nosocomial infections are those that originate or occur in health care setting (Abedon). They can also be defined as those that occur within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation (Inweregbu). These infections are often caused by breaches of infection control practices and procedures, unclean and non-sterile environmental surfaces, and ill employees (EHA). Immunocompromised patients, the elderly and young children are usually more susceptible to these types of infections. Nosocomial infections are transmitted through direct contact from the hospital staff, inadequately sterilized instruments, aerosol droplets from other ill patients or even the food and water provided at the hospital (EHA). The symptoms of nosocomial infections vary by type but may include inflammation, discharge, fever, abscesses, and pain and irritation at the infection site (Stubblefield).
Bacterial meningitis is severe in most cases. Many people fully recover but for those who are less fortunate it may cause brain damage leading to learning disabilities and hearing loss. There are many different pathogens that cause bacterial meningitis. The most common here in the United States are Haemophilus influenzae, Streptococcus pneumoniae, group B Streptococcus, Listeria monocytogenes, and Neisseria meningitidis. These bacteria can be transmitted through direct contact with the nose and throat secretions of an infected person. The main reservoirs for these bacteria are humans but can also be the environment, mainly from the soil.
The known cause of this disease is bacterial though there are 5 main forms of Meningococcal some of which are both viral and bacterial. Bacteria and Viruses are very different. Bacteria can survive without a host while a virus needs a cell to survive. Most viruses cause diseases and target specific cells or bacteria. Unlike a virus only 1% of Bacteria actually cause diseases.
Meningitis is an infection of the protective membranes that surround the brain and spinal cord. It is common in babies, children, teenagers and young adults. It can cause blood poisoning and affect the brain and nerves. Viral meningitis can make you very sick, but it often doesn’t leave lingering effects. Bacterial meningitis is more serious. It progresses rapidly and can cause permanent damage or even become life-threatening. Stiff neck and back are common in meningitis. It may become difficult to turn your neck at all. In severe cases, the head, neck, and spine become painfully rigid and arched (opisthotonos). Babies and young children are more likely to experience opisthotonos than older people. A baby with meningitis may produce a high-pitched
Hospital acquired infections are one of the most common complications of care in the hospital setting. Hospital acquired infections are infections that patients acquired during the stay in the hospital. These infections can cause an increase in the number of days the patients stay in the hospital. Hospital acquired infections make the patients worse or even cause death. “In the USA alone, hospital acquired infections cause about 1.7 million infections and 99,000 deaths per year”(secondary).
In the documentary, Hunting the Nightmare Bacteria, reporter David Hoffman investigates this new untreatable infection along two individuals and a bacterial virus within a hospital. The first individual Hoffman investigates is Addie Rerecich of Arizona, she was treated for a staph infection with antibiotics, but other complications arise. Addie had a lung transplant, she was given several different antibiotics, but her body became pan-bacteria, non-resistance to the bacteria. Addie’s life was on the edge, she had to be on life support, and finally she received new lungs. The transplant helped Addie but it would take years before could go back to normal before the infection. The second individual is David Ricci; he had his leg amputated in India after a train accident. The antibiotic treatment he received became toxic to his body increasing problems. While in India, he underwent surgery almost every day because of infections he was developing. Back in Seattle, doctors found the NDM-1 resistance gene in his body; NDM-1 gene is resistance to almost all antib...
Infection control is very important in the health care profession. Health care professionals, who do not practice proper infection control, allow themselves to become susceptible to a number of infections. Among the most dreaded of these infections are: hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Another infection which has more recently increased in prevalence is methicillin-resistant Staphylococcus aureus (MRSA). These infections are all treated differently. Each infection has its own symptoms, classifications, and incubation periods. These infections are transmitted in very similar fashions, but they do not all target the same population.
Engelkirk & Burton (1979) state that bacteria can reproduce asexually by simple division of cells and some bacteria reproduce sexually by conjunction. A bacterium is a waste producer of products and secretions. This allows pathogens to invade their hosts to cause disease some of these harmful diseases are Scarlet fever, an acute illness, characterized by a reddish skin rash, which is caused by systematic infection with the bacterium streptococcus. St. Anthony’s Fire is another bacterial disease. “St. Anthony’s Fire which is an acute superficial form of celluitus involving the dermal lymphatic, usually caused by infection with streptococci and chiefly characterized by a peripherally spreading hot, bright red, oedematous.
Phillips, Elizabeth J. and Andrew E. Simor. “Bacterial Meningitis in Children and Adults.” Postgraduate Medicine Online. 1998. 23 July 2006 .