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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
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Prepare an essay on nosocomial infection.
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