niti
Forum Guru
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Posts: 499
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A 45 year old woman is admitted to the hospital with acute chest pain. On the second hospital day it is clear that she has had a myocardial infarction. Unfortunately, on the same day she develops acute diarrhea. A stool culture grows Salmonella. This infection is:
A. Hospital acquired
B. Nosocomial
C. Iatrogenic
D. Community acquired
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| milu
Forum Junior
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is it C???
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Mili
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| MLF
Forum Elite
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Probably C, A and B is the same thing....
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| Dr. Hussam
Forum Junior
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its D
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| Dr. Hussam
Forum Junior
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Posts: 56
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i would go for D
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| Dr. Hussam
Forum Junior
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Posts: 56
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i just checked the incubation period for salmonella enteritidis and it turned to be 6-72 hours.then i think the answer should be c, cuz its induced from the staff.
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| niti
Forum Guru
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Yes MLF .u r right.So,the ans. is..
D. Community acquired
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| Dr. Hussam
Forum Junior
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r u sure of this one, why isn't it iatrogenic?
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| mani
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u cant label any inf as nosocomial if it develops in less than 48-72 hrs of admission
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| Dr. Hussam
Forum Junior
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so what about the iatrogenic thing mani?
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| mani
Forum Guru
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same about it
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| bactitech
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http://www.medreviews.com/pdfs/articles/RIGD_14_2...
http://www.findarticles.com/p/articles/mi_m0689/i...
http://www.health-alliance.com/hagc/THA_news.nsf/...$File/LabUpdateMar03.pdf
The last reference indicates a laboratory that will only accept stools for culture or O&P on patients hospitalized three days or less. Many hospital laboratories are adopting this rule, and will reject stools for anything other than C. difficile toxin after this time. Most of our stool cultures on in-house patients are collected almost immediately after admission.
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Clinical Microbiology since 1974
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