Doctors in a private hospital “in the city of Kisumu, on the shore of Lake Victoria” (Preston, 1994, p. 12) gave Monet injections for antibiotics. The doctors at the hospital did not perform any tests and could not determine what ailed Monet, so they gave him generic antibiotics. This was a bad idea because the antibiotics could have promoted the viruses life cycle rather than kill it. Another terrible idea by those doctors was sending Monet on a plane to Nairobi Hospital; Monet put all the people on the plane in danger. The doctors at Nairobi Hospital did not quarantine Monet; they let Monet sit with other potential patients in the Casualty Department. Monet vomited large amounts of blood, intestinal linings, and black matter, infecting the other patients. Nurses did not help him until he pretty much vomited all his intestines. Doctor Shem Musoke did not wear gloves not a hazmat suit to protect himself before touching Monet; instead, Musoke inserted a laryngoscope into Monet’s mouth and touched Monet’s tongue without “wearing rubber gloves” (Preston, 1994, p. 20). Monet even vomited on Dr. Musoke, vomit landing on Dr. Musoke’s eyes, mouth, lab coat, and chest. The doctors at the private hospital in Kisumu and Dr. Musoke at Nairobi Hospital should have taken more precautions when dealing with a sick patient; they should have practiced simple sterile techniques, such as wearing gloves, face masks, and assigning Monet to his own room so he doesn’t contaminate anyone else. The doctors were asking to get sick.
Citation: Preston, R. (1994). The Hot Zone. New York City, New York: Random House.
Hi Julieta, I believe that the "super bug" infection CRE also just started with a contaminated instrument (maybe a laryngoscope). Please research this recent outbreak, location, what caused it, and what is being done about it.
The “superbug” CRE, or carbapenem-resistant Enterobacteriaceae, outbreak began in “Ronald Reagan UCLA Medical Center in Los Angeles” (Doheny, 2015). The “superbug” is resistant to antibiotics. The “superbug” outbreak began with a duodenoscope, “used in more than 500,000 procedures a year in the U.S.” (Doheny, 2015). A duodenoscope is “inserted into the mouth and through the throat, stomach, and the top of the small intestine [to] … diagnose and treat diseases of the liver, bile ducts, and pancreas” (Doheny, 2015). Duodenoscopes can be dirty even after being cleaned because they can still carry bacteria from the intestine, which can be moved to other areas such as the duodenoscope and the urinary tract. People who have long-term stays in hospitals, live in nursing homes, and are currently sick or taking antibiotics are at most risk for the “superbug” infection. Half of the people infected with this bacteria die. CRE is treated with multiple antibiotics, such as carbapenems. “Superbug” CRE is a “‘hospital-acquired infection’” (Doheny, 2015). People in hospitals should make sure their doctors and nurses wash their hands thoroughly before attending the patient as well as sanitize any medical instruments before and after using them on a patient.
Citations: Doheny, K. (2015, February 20). What You Should Know About 'Superbug' CRE. Retrieved April 19, 2015, from http://www.webmd.com/news/20150220/superbug-cre-infections
Julieta makes a good point about doctors “asking to get sick” by not handling issues professionally. For example, Dr. Musoke made various errors while examining Monet’s body. As Julieta brought up, he “was not wearing rubber gloves [while running] his finger around the patient’s tongue” (Preston, 1994, pg. 20). Musoke made no attempt to follow safety protocol while attending Monet. He just went right to work without considering he may have had a fatal disease (which he in fact did). Monet’s virus-infected blood made contact with Musoke’s “eyes…white coat…chest…and mouth” (Preston, 1994, pg. 20). Even after Monet’s blood went into his mouth, Dr. Musoke did not immediately flush his mouth with water or a disinfecting agent. He allowed the blood and whatever may be in it to contaminate his own body. Based on the methods Musoke used with Monet, Musoke most likely never followed safety procedures when treating or reviewing any other patients that visited the hospital.
Preston, R. (1994). The Hot Zone. New York: Random House.
Doctors in a private hospital “in the city of Kisumu, on the shore of Lake Victoria” (Preston, 1994, p. 12) gave Monet injections for antibiotics. The doctors at the hospital did not perform any tests and could not determine what ailed Monet, so they gave him generic antibiotics. This was a bad idea because the antibiotics could have promoted the viruses life cycle rather than kill it. Another terrible idea by those doctors was sending Monet on a plane to Nairobi Hospital; Monet put all the people on the plane in danger. The doctors at Nairobi Hospital did not quarantine Monet; they let Monet sit with other potential patients in the Casualty Department. Monet vomited large amounts of blood, intestinal linings, and black matter, infecting the other patients. Nurses did not help him until he pretty much vomited all his intestines. Doctor Shem Musoke did not wear gloves not a hazmat suit to protect himself before touching Monet; instead, Musoke inserted a laryngoscope into Monet’s mouth and touched Monet’s tongue without “wearing rubber gloves” (Preston, 1994, p. 20). Monet even vomited on Dr. Musoke, vomit landing on Dr. Musoke’s eyes, mouth, lab coat, and chest. The doctors at the private hospital in Kisumu and Dr. Musoke at Nairobi Hospital should have taken more precautions when dealing with a sick patient; they should have practiced simple sterile techniques, such as wearing gloves, face masks, and assigning Monet to his own room so he doesn’t contaminate anyone else. The doctors were asking to get sick.
ReplyDeleteCitation: Preston, R. (1994). The Hot Zone. New York City, New York: Random House.
Hi Julieta, I believe that the "super bug" infection CRE also just started with a contaminated instrument (maybe a laryngoscope). Please research this recent outbreak, location, what caused it, and what is being done about it.
DeleteThe “superbug” CRE, or carbapenem-resistant Enterobacteriaceae, outbreak began in “Ronald Reagan UCLA Medical Center in Los Angeles” (Doheny, 2015). The “superbug” is resistant to antibiotics. The “superbug” outbreak began with a duodenoscope, “used in more than 500,000 procedures a year in the U.S.” (Doheny, 2015). A duodenoscope is “inserted into the mouth and through the throat, stomach, and the top of the small intestine [to] … diagnose and treat diseases of the liver, bile ducts, and pancreas” (Doheny, 2015). Duodenoscopes can be dirty even after being cleaned because they can still carry bacteria from the intestine, which can be moved to other areas such as the duodenoscope and the urinary tract. People who have long-term stays in hospitals, live in nursing homes, and are currently sick or taking antibiotics are at most risk for the “superbug” infection. Half of the people infected with this bacteria die. CRE is treated with multiple antibiotics, such as carbapenems. “Superbug” CRE is a “‘hospital-acquired infection’” (Doheny, 2015). People in hospitals should make sure their doctors and nurses wash their hands thoroughly before attending the patient as well as sanitize any medical instruments before and after using them on a patient.
DeleteCitations: Doheny, K. (2015, February 20). What You Should Know About 'Superbug' CRE. Retrieved April 19, 2015, from http://www.webmd.com/news/20150220/superbug-cre-infections
Julieta makes a good point about doctors “asking to get sick” by not handling issues professionally. For example, Dr. Musoke made various errors while examining Monet’s body. As Julieta brought up, he “was not wearing rubber gloves [while running] his finger around the patient’s tongue” (Preston, 1994, pg. 20). Musoke made no attempt to follow safety protocol while attending Monet. He just went right to work without considering he may have had a fatal disease (which he in fact did). Monet’s virus-infected blood made contact with Musoke’s “eyes…white coat…chest…and mouth” (Preston, 1994, pg. 20). Even after Monet’s blood went into his mouth, Dr. Musoke did not immediately flush his mouth with water or a disinfecting agent. He allowed the blood and whatever may be in it to contaminate his own body. Based on the methods Musoke used with Monet, Musoke most likely never followed safety procedures when treating or reviewing any other patients that visited the hospital.
ReplyDeletePreston, R. (1994). The Hot Zone. New York: Random House.