Suspected acute increase in nosocomial infection

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Question

A small hospital in a rural area, St. Send Em' Home Breathing, is dealing with a suspected acute increase in nosocomial infection. In the last month four patients that had visited the same day surgery department had returned to either the ED or their primary physicians with surgical wound infections. Samples sent to the clinical lab showed a gram positive cocci growing in clusters. Biochemical tests were completed with the following results:

 Beta hemolysis on Blood agar

 Golden yellow pigment production

 Coagulase production

 Mannitol Fermentation

 Gelatin liquefaction

 Phosphatase production

 Deoxyribonuclease (DNase) production

 Tellurite reduction

The organism was identified, and a Kirby-Bauer test was performed with the following results:

Oxacillin- Resistant

Nafcillin- Resistant

Methicillin- Resistant

Penicillin- Intermediate

Ampicillin- Intermediate

Clindamycin- Susceptible

Reference no: EM133421458

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