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Lexicon: P
Pseudomonas aeruginosa and frequency therapy
Definition:
Pseudomonas aeruginosa is a Gram-negative, rod-shaped bacterium found in many environments, including soil, water and human habitats. It is known for its ability to cause infections in humans, particularly in immunocompromised individuals, and is a common pathogen of nosocomial (hospital-acquired) infections.Characteristics:
- Versatility:
Pseudomonas aeruginosa can survive in a variety of environments and is resistant to many disinfectants. - Biofilm formation:
It can form biofilms on surfaces that protect it from antibiotics and the immune system. - Antibiotic resistance:
The bacterium shows a high natural resistance to many antibiotics and can quickly develop additional resistances.
Infections:
Pseudomonas aeruginosa can cause a variety of infections, including:
- Respiratory tract infections:
Especially in patients with cystic fibrosis or chronic obstructive pulmonary disease (COPD). - Urinary tract infections:
Common in patients with indwelling catheters. - Wound infections:
Particularly in burns or surgical wounds. - Bacteraemia:
A serious infection that can lead to sepsis. - Skin infections:
Such as "whirlpool dermatitis", a skin infection following contact with contaminated water.
Diagnosis:
Diagnosis is made by microbiological cultures of samples from infected areas, such as sputum, urine or wound swabs. Pseudomonas aeruginosa can be identified by its characteristic green-blue pigmentation and sweet odour.
Treatment:
- Antibiotics:
Treatment often requires a combination of antibiotics, as the bacterium is resistant to many single agents. Commonly used antibiotics are piperacillin-tazobactam, ceftazidime, ciprofloxacin and aminoglycosides. - Adaptation of therapy:
Based on antibiograms to determine the most effective antibiotics.
Prevention:
- Hygiene measures:
Strict adherence to hygiene standards in hospitals to prevent nosocomial infections. - Disinfection:
Regular cleaning and disinfection of medical equipment and surfaces. - Surveillance:
Infection control programmes to monitor and control outbreaks.
Need to know:
- Pseudomonas aeruginosa is an opportunistic pathogen that causes infections, especially in people with weakened immune systems.
- It is known for its ability to survive in moist environments, making it a common problem in hospitals.
Research:
Research is focused on developing new antibiotics and treatment strategies, overcoming antibiotic resistance and understanding the mechanisms that make Pseudomonas aeruginosa so adaptable and resilient.