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Author Topic: Doctor or Nurse?
daria1975
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What does it mean when a patient is *colonized?* Is that infected by bacteria or something else that somehow takes up residence in our body???

[Eek!]

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tootifrooti
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Colonized means that microbiology have isolated a certain strain of bacteria, virus and named it. It also means that the certain colony is breeding and living in the host ie patient.
When they take a swab they will plate it and offer it different antibiotics. Depending on the result after incubation , they will then know whether it is resistant or sensitive to the antibiotic.
If it is sensitive they will give the patient a course of that particular antibiotic.
MRSA is a deadly form of bacteria which is resistant to most antibiotics!! and very hard to treat.
[Smile]

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Corvinous
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How are ya Tooti, and how is everything.

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No papa! No mama! No whisky soda!

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Still-Learning
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tooti you know a lot of things, you must have great knowledge.
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daria1975
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quote:
Originally posted by tootifrooti:
Colonized means that microbiology have isolated a certain strain of bacteria, virus and named it. It also means that the certain colony is breeding and living in the host ie patient.
When they take a swab they will plate it and offer it different antibiotics. Depending on the result after incubation , they will then know whether it is resistant or sensitive to the antibiotic.
If it is sensitive they will give the patient a course of that particular antibiotic.
MRSA is a deadly form of bacteria which is resistant to most antibiotics!! and very hard to treat.
[Smile]

Thanks, Tooti. [Smile]

I'm dealing with MRSA and VRE right now at work. It's a bit outside my scope of knowledge and wasn't sure how to characterize it. But I also found some good information from the CDC. Scary stuff.

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Still-Learning
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but why colonized? has it got to do with the colon??
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Still-Learning
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quote:
Originally posted by Snoozin:
Scary stuff.

Scary, isn't it.
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daria1975
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[Big Grin] That's the first thing I thought...but it has to do with a colony.

colonize

v 1: settle as a colony; of countries in the developing world; "Europeans colonized Africa in the 17th century" [syn: colonise] [ant: decolonize] 2: settle as colonists or establish a colony (in); "The British colonized the East Coast" [syn: colonise]

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Corvinous
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Bla Bla bla .............

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No papa! No mama! No whisky soda!

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How do you catch it?
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tootifrooti
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MRSA is multi resistant to all but vancomycin and another i cannot remember off hand.
We all have Staph Aureus in our noses.
If we go to the doctor for every infection and he prescribes antibiotics and we take them BUT!!!!! do not finish the course, the bacteria will become resistant. That is why we must finish every course!!!
Every tablet to finish off the bug.
Because of people not finishing courses they then have MRSA colonizing thier noses.
Now in the healthy person it is not a problem. BUT if you visit someone in hospital and they have had surgery and ONE!! of those bugs gets into the wound they colonise it. If the patient is young, elderly, immune deficient, they can die from the MRSA because they cannot find and develope antibiotics to keep up with the constant mutation of the bug.

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tootifrooti
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If you know anyone with MRSA keep any open wounds away from them. It is passed through the air, coughing, sneezing, on clothes, bedding many ways!!
It is deadly in the compromised patient.
You may have it and not even know till you have an operation.
[Eek!]

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daria1975
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Well, I'm dealing with it in hospital and other health-care facility settings, where people are more likely to catch it because they have weakened-immune systems.

This is all what I've read on the CDC website. I'm not a health care person, so I'm not totally sure I'm telling this accurately:

MRSA is methicillin-resistant Staphylococcus Aureus....this type of bacteria, S. Aureus, is usually found in a person's nasal passages. But a person with a regular immune system shouldn't have a problem with it. It's an immune weakened person who's in trouble...and since many of these bacteria have developed resistance to the antibiotics we have today...the infections can run rampant.

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tootifrooti
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Corv I am fine and you?
working hard , doing lots of trauma cases and fixing the broken bones. LOL not long till home time. xxx [Wink]

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Corvinous
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ok

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No papa! No mama! No whisky soda!

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daria1975
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Never mind -- Tooti described it better. [Smile]
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tootifrooti
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That is what I said.
No problem in healthy person, but deadly in compromised patient. If it gets into the wound. We say multi resistant here because it has gone way beyond methicillin now!!! [Eek!]

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Still-Learning
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And if we smoke cigarettes i bet it doesn't help.
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sonomod
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quote:
Originally posted by Snoozin:
[Big Grin] That's the first thing I thought...but it has to do with a colony.

colonize

v 1: settle as a colony; of countries in the developing world; "Europeans colonized Africa in the 17th century" [syn: colonise] [ant: decolonize] 2: settle as colonists or establish a colony (in); "The British colonized the East Coast" [syn: colonise]

Kinda strange that medical professionals use this term for this condition, yet colonialization is still considered a positive political, warfare and economic tool to some. [Roll Eyes]
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tootifrooti
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Actually I dont think it makes a difference but I will ask a doc.
We all have it in our noses, some have the resistant strain, some not. Depends on how many antibiotics you have taken and if you finished the courses.
A simple swab will show if you have it or not.
[Smile]

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Still-Learning
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quote:
Originally posted by tootifrooti:
Actually I dont think it makes a difference but I will ask a doc.
We all have it in our noses, some have the resistant strain, some not. Depends on how many antibiotics you have taken and if you finished the courses.
A simple swab will show if you have it or not.
[Smile]

Of course it will
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tootifrooti
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That is because when you look at the agar plate, you will see where it has been swabbed the area is covered by billions of bugs, the rest is clear, but after a few days incubation the whole plate will be colonised.
A bit like a snails trail exactly where the swab has been brushed over it.

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tootifrooti
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Moral of the story.
Dont get antibiotics for every sore throat etc and if you do, you must take every single tablet!!
Or the bug comes back stonger than ever and mutated. Requiring a different antibiotic next time.
[Wink]

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Still-Learning
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this is a hard illness. I'm freaked out. Really.
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tootifrooti
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It is deadly if in the wrong patient. We have many patients here with it. I had one today.
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daria1975
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OK, so if I've barely used antibiotics in my life, is this a *good* thing or a bad thing?
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tootifrooti
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very good thing. Your body will be sensitive to antibiotics. Especially if the ones you did have, you took all tablets [Wink]
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Still-Learning
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this is a hard illness. I'm freaked out. Really.
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tootifrooti
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BUT!!! if you have surgery, and an MRSA bug gets in the wound, this particular bug will not be sensitive. So you wont find only but a few will kill it.
We are all walking around with Staph Aureus,in our noses , some of us are carriers of MRSA, and dont realise it.

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tootifrooti
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Dont be freaked out. It's life. Just avoid antibiotics if you can. If you take them finish the course. If you have surgery keep your wound covered, and avoid like hell known MRSA patients if you have a wound.
If you have it try to avoid any open wounds in people, especially if they are elderly or compromised like HIV, leukaemia, new born etc [Wink]

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daria1975
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quote:
Originally posted by tootifrooti:
very good thing. Your body will be sensitive to antibiotics. Especially if the ones you did have, you took all tablets [Wink]

Tablets...vs. a shot? [Confused]
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Still-Learning
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OK, so, in fact it's all good, just go hard on the tablets?
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tootifrooti
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A shot is no good at all because it is a one off. If you have a course of shots then fine but who would want that.
Course of shots, course of tablets assuming you take all of them and are not sick, and take at the time of day stated the effect is the same.
Always take as directed every 6 hours etc dont delay the time period between if you can.

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tootifrooti
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In surgery we always give a huge shot intra op then follow up with a course of tablets for 7-10 days.
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tootifrooti
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Take every one, at the time stated and you will be fine. Keep all wounds covered till a scab forms and the wound is dry.
[Wink]

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tootifrooti
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I have to go now to do another operation but will check in later and answer any other queries if you have any. [Wink]
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tootifrooti
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If anyone wants any advice I am happy to help or if I dont know I will ask the my colleagues.
Can answer most things on all types of surgery.
[Wink]

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Corvinous
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How to kill someone by long term poison ?!

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No papa! No mama! No whisky soda!

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her maj
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Killed 6 husbands like that, all are buried under the patio now. LOL !!!!
What's your favourite poison?
and why long term, why not quick!!!!! [Big Grin]

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Corvinous
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Please, I don't know any name of poison except for Arsenic, but I wanna something that does not cause immediate panic and illness ...

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No papa! No mama! No whisky soda!

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her maj
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The best one for our family and has proved effective every time is the chopping block.
Uncle Henry had a grand old time with that method!!
Causes maximum panic but no illness!!!
Bit messy though........... [Big Grin]

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Corvinous
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YOU ARE JOKING, OK.

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No papa! No mama! No whisky soda!

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Still-Learning
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quote:
Originally posted by Corvinous:
Please, I don't know any name of poison except for Arsenic, but I wanna something that does not cause immediate panic and illness ...

What kind of joke is that?
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Corvinous
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It is no joke I need it really.

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No papa! No mama! No whisky soda!

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