Okay, let's wrap up superbugs, okay?
They are bacteria
that we used to be able
to treat with certain
antibiotics and now they're
resistant to them.
So, it's becoming a huge problem
in our healthcare system.
Because of resistance,
fewer medications are effective
in getting rid of these
bugs and these infections.
So, C. diff is the most common
cause of nosocomial diarrhea.
I know that sounds like a weird word,
but nosocomial means they develop
that in the hospital.
We brought them in to make them better and --
wooh, look what we gave them? Diarrhea.
So, you treat it by stopping
the antibiotic that
probably caused the C. diff,
if they're still on it,
and start these other options
for the patient.
So we'll look at vancomycin or metronidazole.
MRSA, the most severe cases
are the complicated skin
and soft tissue infections that will tend to
be the people that are in the hospital.
Community acquired is less complicated,
but can still lead
to necrotizing fasciitis and death.
You look at the meds that we
have there, vancomycin,
linezolid, daptomycin, you've
got the others listed there.
It's worth your time
to become very familiar with the
medications that can treat
these superbugs, and MRSA is no exception.
VRE, it's normally in our GI tract
and female genital tract, but
it can cause infections
throughout the body and wreak a lot
of havoc. And once it does that,
it's very difficult to keep
that under control.
We've listed the medications for you
there and you even got some notes
on which ones you're going to follow up on
after you're done watching the videos.
Finally, microbial stewardship
is all about how we,
as an entire healthcare team:
physicians, nursing assistants, nurses,
RNs, LPNs, physical assistants,
all the people that work together
to care for our patients,
have to be smart and wise about the way
that we prescribe medications,
the way we administer them,
the way we monitor our patients, and
the way we handle isolation
and contact precautions in our care.
Thank you for watching our video today.