Your Name: Sabey Sia

Theme: Hospital infections

OPTION LIST

A	Amphotericin B	I	Hand hygiene
B	Aspergillus Fumigatis	J	Legionella
C	Bacteriophage typing	K	MRSA
D	Cef. & Met. 0-2hrs before incision & no longer than 24 hrs post-surgery	L	Negative pressure therapy
E	Cef. & Met. 6hrs before incision & for 2 days post-surgery	M	Pneumocystis pneumonia
F	Clostridium difficile	N	Serotyping
G	Endocarditis	O	Staphylococcus aureus
H	Eschericia coli	P	Urinary tract infection

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. An 84year old male being treated for chest infection on care-of –the elderly ward develops increasingly severe diarrhoea. Sigmoidoscopy shows white plaques on the mucosal surface. Faecal analysis isolates a toxin that is cytopathic in cell culture.

2. A 32 year old male recently underwent a kidney transplant procedure. During his time in hospital he was continually disturbed by the noise of building work. He started to develop fever, dyspnoea an dslight confusion.

3. A 12 year old boy develops wound infection after a right hemicolectomy for Crohn’s disease. Gram stain of exuded pus shows clusters of Gram-positive cocci. Culture shows coagulase-positive yellow colonies.

4. A 74 year old male is soon to undergo colorectal surgery and hospital procedures of antibiotic prophylaxis is followed.

5. A 35 year old woman receiving chemotherapy for high grade lymphoma develps SOB and dry cough. CXR shows bilateral reticulonodular shadowing. A transbronchial biopsy shows alveoli filled with foamy eosinophilic material and numerous boat-shaped organisms staining positively with silver stain. Sputum culture is negative.

ANSWERS

1. F

2. B

3.O

4. D

5. M