Grades of Vaginal Flora
According to Hay/Ison:
The criteria for diagnosing bacterial vaginosis on the basis of Gram's stain, as described by Spiegel et al, were used with the addition of an intermediate category.
Beta-lactamases
- Clavulanic acid, ceftazidime, cefoxitin, cefotetan and imipenem are all strong inducers or selectors of Class C β-lactamases in many nosocomial gram negative organisms and have the potential to increase the development of resistant organisms in individual patients and in the hospital flora. Therefore, these agents should be used only when necessary.
Colistin
Colistin:
Background:
Two forms of colistin are commercially available: colistin sulfate (available PO for bowel decontamination) and colistimethate sodium (IV or nebulised). When we refer to "colistin" for the Rx of MDRGNs we mean colistimethate sodium.
Pan Resistant (MDR) Acinetobacter
Well, we have got another one:
Acinetobacter baumanii (from BAL & CSU):
Unusual throat isolates...(Reverse CAMP Test)
All β-haemolytic colonies isolated from throat swabs which do not Lancefield group should be Gram stained to rule out the possibility of Arcanobacterium haemolyticum.
Lab Identification:










