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Country : | Australia |
Case study
Mary, 21 years old, presented to the hospital emergency department with an infected laceration on her left foot. Mary was at a beach resort four days ago, when she trod on a broken glass bottle and sustained a deep 2 cm long jagged laceration over the lateral aspect of her left foot. She used her handkerchief to bandage the wound. This morning the wound was extremely painful, swollen and had a purulent discharge. On inspection of the wound, the following wound observations were made:
Painful and swollen Red and warm when touched.Purulent discharge.
A wound swab was taken for culture and sensitivity. A stat dose of ceftriaxone 1g was administered IVI immediately (she did not require a booster tetanus injection as she had already received one three months ago). She was then commenced on oral cephalexin 500mg to be taken every 6 hours before being sent home.
Using the Assignment 2: Case study template (DOC 129 KB) Preview the document provided, answer the following questions:
This template must be used to answer the case study.
1. Physiological basis of the wound observations
2. Possible sources of contamination and modes of transmission
2.1 Name one endogenous source of contamination and discuss the mode of transmission from the source to the new host.
2.2 Name one exogenous source of contamination and discuss the mode of transmission from the source to the new host.
3. Rationale for choices of antibiotics
3.1 Rationale for the stat dose of ceftriaxone administered IVI immediately.
3.2 Rationale for the oral cephalexin.
3.3 Rationale for the change to oral dicloxacillin.
3.4 State two adverse reactions to dicloxacillin.
4. Process by which Mary’s wound will heal
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