SlideShare ist ein Scribd-Unternehmen logo
1 von 22
TEMUJIN T. CHAVEZ, M.D. LCDR MC USN INFECTIOUS DISEASEAS FELLOW National Naval Medical Center Case Conference
Case ,[object Object],[object Object],[object Object],[object Object]
Case ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grams stain
Gram stain 100x
Blood agar plate
CT Chest
Differential of bacteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Microbiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical significance of Streptococcus salivarius bacteremia Eur J Clin Microbiol Inf Dis 2004;24:250-5.
Clinical significance of Streptococcus salivarius bacteremia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Eur J Clin Mirobiol Infec Dis 2005;24:250-5
Streptococcus viridans and antimicrobial susceptibility ,[object Object],[object Object],[object Object],[object Object],[object Object]
Streptococcus viridans and antimicrobial susceptibility ,[object Object],[object Object],[object Object],Antimicrob Agent Chemother 2004;48:4463-5
Highly PCN Susceptible Viridans Group Streptococcus and  S. bovis Circulation 2005;111:e396-e434
Highly PCN Susceptible Viridans Group Streptococcus and  S. bovis Circulation 2005;111:e396-e434
PCN Susceptible IE ,[object Object],[object Object],[object Object],[object Object],[object Object],CID 1998;27:1470-4
PCN Susceptible IE ,[object Object],[object Object],[object Object],[object Object],[object Object],CID 1998;27:1470-4
PCN Susceptible IE CID 1998;27:1470-4.
Plan of Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object]
IE prophylaxis

Weitere ähnliche Inhalte

Was ist angesagt?

banff2015 liver session summary- bellamy-2
banff2015 liver session summary- bellamy-2banff2015 liver session summary- bellamy-2
banff2015 liver session summary- bellamy-2Kim Solez ,
 
Banff 2013 liver session summary
Banff 2013 liver session summaryBanff 2013 liver session summary
Banff 2013 liver session summaryKim Solez ,
 
Prions in the Urine of Patients with Variant Creutzfeldt–Jakob Disease
Prions in the Urine of Patients with Variant Creutzfeldt–Jakob DiseasePrions in the Urine of Patients with Variant Creutzfeldt–Jakob Disease
Prions in the Urine of Patients with Variant Creutzfeldt–Jakob Diseasedmarquezobando
 
( Journal Club ) Procalcitonin as a diagnostic biomarker of sepsis: A tertiar...
( Journal Club ) Procalcitonin as a diagnostic biomarker of sepsis: A tertiar...( Journal Club ) Procalcitonin as a diagnostic biomarker of sepsis: A tertiar...
( Journal Club ) Procalcitonin as a diagnostic biomarker of sepsis: A tertiar...Abdullatif Al-Rashed
 
Fungal Endocarditis Morning Report
Fungal Endocarditis Morning ReportFungal Endocarditis Morning Report
Fungal Endocarditis Morning ReportMichael Katz
 
Antifungal Strategies in the Intensive Care Units
Antifungal Strategies in the Intensive Care UnitsAntifungal Strategies in the Intensive Care Units
Antifungal Strategies in the Intensive Care UnitsYazan Kherallah
 
kidney transplantation infection
kidney transplantation infectionkidney transplantation infection
kidney transplantation infectionCHAKEN MANIYAN
 
Leptospirosis Hantavirus Nephropathy
Leptospirosis Hantavirus NephropathyLeptospirosis Hantavirus Nephropathy
Leptospirosis Hantavirus Nephropathyedwinchowyw
 
Disucssion on EOL care and prognosis
Disucssion on EOL care and prognosisDisucssion on EOL care and prognosis
Disucssion on EOL care and prognosisderosaMSKCC
 
Sars cov 2 covid 19
Sars cov 2 covid 19Sars cov 2 covid 19
Sars cov 2 covid 19Sravan Kumar
 
Chest Conference4 2009
Chest Conference4 2009Chest Conference4 2009
Chest Conference4 2009raminkhashayar
 
2004 hepatite colestática associada ao vírus da hepatite c pós transplante he...
2004 hepatite colestática associada ao vírus da hepatite c pós transplante he...2004 hepatite colestática associada ao vírus da hepatite c pós transplante he...
2004 hepatite colestática associada ao vírus da hepatite c pós transplante he...Nádia Elizabeth Barbosa Villas Bôas
 
Journal Reading Stem Cell dengan HIV (sharon)
Journal Reading Stem Cell dengan HIV (sharon) Journal Reading Stem Cell dengan HIV (sharon)
Journal Reading Stem Cell dengan HIV (sharon) soroylardo1
 
HHV-6 in a liver transplant recipient
HHV-6 in a liver transplant recipientHHV-6 in a liver transplant recipient
HHV-6 in a liver transplant recipienthr77
 
A CASE STUDY OF COENUROSIS IN GOAT VTH CHITWAN
A CASE STUDY OF COENUROSIS IN GOAT VTH CHITWANA CASE STUDY OF COENUROSIS IN GOAT VTH CHITWAN
A CASE STUDY OF COENUROSIS IN GOAT VTH CHITWANchetraj pathak
 

Was ist angesagt? (20)

banff2015 liver session summary- bellamy-2
banff2015 liver session summary- bellamy-2banff2015 liver session summary- bellamy-2
banff2015 liver session summary- bellamy-2
 
Banff 2013 liver session summary
Banff 2013 liver session summaryBanff 2013 liver session summary
Banff 2013 liver session summary
 
Prions in the Urine of Patients with Variant Creutzfeldt–Jakob Disease
Prions in the Urine of Patients with Variant Creutzfeldt–Jakob DiseasePrions in the Urine of Patients with Variant Creutzfeldt–Jakob Disease
Prions in the Urine of Patients with Variant Creutzfeldt–Jakob Disease
 
Neutropenia febril
Neutropenia febrilNeutropenia febril
Neutropenia febril
 
( Journal Club ) Procalcitonin as a diagnostic biomarker of sepsis: A tertiar...
( Journal Club ) Procalcitonin as a diagnostic biomarker of sepsis: A tertiar...( Journal Club ) Procalcitonin as a diagnostic biomarker of sepsis: A tertiar...
( Journal Club ) Procalcitonin as a diagnostic biomarker of sepsis: A tertiar...
 
covid19 & ACE &TMPRSS2
covid19 & ACE &TMPRSS2covid19 & ACE &TMPRSS2
covid19 & ACE &TMPRSS2
 
Fungal Endocarditis Morning Report
Fungal Endocarditis Morning ReportFungal Endocarditis Morning Report
Fungal Endocarditis Morning Report
 
Antifungal Strategies in the Intensive Care Units
Antifungal Strategies in the Intensive Care UnitsAntifungal Strategies in the Intensive Care Units
Antifungal Strategies in the Intensive Care Units
 
kidney transplantation infection
kidney transplantation infectionkidney transplantation infection
kidney transplantation infection
 
Cap,2019
Cap,2019Cap,2019
Cap,2019
 
Leptospirosis Hantavirus Nephropathy
Leptospirosis Hantavirus NephropathyLeptospirosis Hantavirus Nephropathy
Leptospirosis Hantavirus Nephropathy
 
Chronic Allograft Injury
Chronic Allograft InjuryChronic Allograft Injury
Chronic Allograft Injury
 
Disucssion on EOL care and prognosis
Disucssion on EOL care and prognosisDisucssion on EOL care and prognosis
Disucssion on EOL care and prognosis
 
Sars cov 2 covid 19
Sars cov 2 covid 19Sars cov 2 covid 19
Sars cov 2 covid 19
 
Chest Conference4 2009
Chest Conference4 2009Chest Conference4 2009
Chest Conference4 2009
 
2004 hepatite colestática associada ao vírus da hepatite c pós transplante he...
2004 hepatite colestática associada ao vírus da hepatite c pós transplante he...2004 hepatite colestática associada ao vírus da hepatite c pós transplante he...
2004 hepatite colestática associada ao vírus da hepatite c pós transplante he...
 
Journal Reading Stem Cell dengan HIV (sharon)
Journal Reading Stem Cell dengan HIV (sharon) Journal Reading Stem Cell dengan HIV (sharon)
Journal Reading Stem Cell dengan HIV (sharon)
 
HHV-6 in a liver transplant recipient
HHV-6 in a liver transplant recipientHHV-6 in a liver transplant recipient
HHV-6 in a liver transplant recipient
 
A CASE STUDY OF COENUROSIS IN GOAT VTH CHITWAN
A CASE STUDY OF COENUROSIS IN GOAT VTH CHITWANA CASE STUDY OF COENUROSIS IN GOAT VTH CHITWAN
A CASE STUDY OF COENUROSIS IN GOAT VTH CHITWAN
 
Aspiration lung injury
Aspiration lung injuryAspiration lung injury
Aspiration lung injury
 

Andere mochten auch

Streptococcus mutans cell
Streptococcus mutans cellStreptococcus mutans cell
Streptococcus mutans cellLeo Vang
 
Caries dentales
Caries dentalesCaries dentales
Caries dentalesbren b
 
Streptococcus mutans & other streptococci
Streptococcus mutans & other streptococciStreptococcus mutans & other streptococci
Streptococcus mutans & other streptococciDr. Ali Yaldrum
 
Streptococcus mutans
Streptococcus mutansStreptococcus mutans
Streptococcus mutanswao2008
 
Streptococcus mutans
Streptococcus mutansStreptococcus mutans
Streptococcus mutansAlienware
 
Microbiology of Dental caries
Microbiology of Dental cariesMicrobiology of Dental caries
Microbiology of Dental cariesDr. Ali Yaldrum
 
normal microbial flora
normal microbial floranormal microbial flora
normal microbial floracoolboy101pk
 
E coli, klebsiella, enterobacter lecture notes
E coli, klebsiella, enterobacter lecture notesE coli, klebsiella, enterobacter lecture notes
E coli, klebsiella, enterobacter lecture notesBruno Mmassy
 
Microbiologia de la placa y caries dental
Microbiologia de la placa y caries dentalMicrobiologia de la placa y caries dental
Microbiologia de la placa y caries dentalEvita Perez
 

Andere mochten auch (11)

Steptococus mutans
Steptococus mutansSteptococus mutans
Steptococus mutans
 
Streptococcus mutans cell
Streptococcus mutans cellStreptococcus mutans cell
Streptococcus mutans cell
 
Caries dentales
Caries dentalesCaries dentales
Caries dentales
 
Streptococcus mutans & other streptococci
Streptococcus mutans & other streptococciStreptococcus mutans & other streptococci
Streptococcus mutans & other streptococci
 
Streptococcus mutans
Streptococcus mutansStreptococcus mutans
Streptococcus mutans
 
Streptococcus mutans
Streptococcus mutansStreptococcus mutans
Streptococcus mutans
 
Microbiology of Dental caries
Microbiology of Dental cariesMicrobiology of Dental caries
Microbiology of Dental caries
 
Normal flora
Normal floraNormal flora
Normal flora
 
normal microbial flora
normal microbial floranormal microbial flora
normal microbial flora
 
E coli, klebsiella, enterobacter lecture notes
E coli, klebsiella, enterobacter lecture notesE coli, klebsiella, enterobacter lecture notes
E coli, klebsiella, enterobacter lecture notes
 
Microbiologia de la placa y caries dental
Microbiologia de la placa y caries dentalMicrobiologia de la placa y caries dental
Microbiologia de la placa y caries dental
 

Ähnlich wie Strep Salivarius

Clinical Mycology U F Medical Students 12 05 07 Final2
Clinical Mycology  U F Medical Students 12 05 07 Final2Clinical Mycology  U F Medical Students 12 05 07 Final2
Clinical Mycology U F Medical Students 12 05 07 Final2raj kumar
 
Guidelineupdateforthemanagementofintravenouscatheterrelated 12639283169308-ph...
Guidelineupdateforthemanagementofintravenouscatheterrelated 12639283169308-ph...Guidelineupdateforthemanagementofintravenouscatheterrelated 12639283169308-ph...
Guidelineupdateforthemanagementofintravenouscatheterrelated 12639283169308-ph...AYM NAZIM
 
Cacoub hcv ehm & inflam du16
Cacoub hcv ehm & inflam du16  Cacoub hcv ehm & inflam du16
Cacoub hcv ehm & inflam du16 odeckmyn
 
HCM - Egreso - Diarrea en Paciente con VIH
HCM - Egreso - Diarrea en Paciente con VIHHCM - Egreso - Diarrea en Paciente con VIH
HCM - Egreso - Diarrea en Paciente con VIHguest40ed2d
 
Vancomycin- Resistant Enterococci Infective Endocarditis: Review of Linezolid...
Vancomycin- Resistant Enterococci Infective Endocarditis: Review of Linezolid...Vancomycin- Resistant Enterococci Infective Endocarditis: Review of Linezolid...
Vancomycin- Resistant Enterococci Infective Endocarditis: Review of Linezolid...Hanna Yudchyts
 
Emergencias oncológicas (Diplomado UniRemington) Parte 4/6
Emergencias oncológicas (Diplomado UniRemington) Parte 4/6Emergencias oncológicas (Diplomado UniRemington) Parte 4/6
Emergencias oncológicas (Diplomado UniRemington) Parte 4/6Mauricio Lema
 
Immunopatologi Sepsis
Immunopatologi SepsisImmunopatologi Sepsis
Immunopatologi SepsisDoroteaNina1
 
Emergencias oncológicas
Emergencias oncológicasEmergencias oncológicas
Emergencias oncológicasMauricio Lema
 
Guideline Update For The Management Of Intravenous Catheter Related Infections
Guideline Update For The Management Of Intravenous Catheter Related InfectionsGuideline Update For The Management Of Intravenous Catheter Related Infections
Guideline Update For The Management Of Intravenous Catheter Related Infectionsnels1937
 
Febrile neutropenia by DR saqib ahmad shah PG radiation oncology SKIMS KASHMIR
Febrile neutropenia by DR saqib ahmad shah PG radiation oncology SKIMS KASHMIRFebrile neutropenia by DR saqib ahmad shah PG radiation oncology SKIMS KASHMIR
Febrile neutropenia by DR saqib ahmad shah PG radiation oncology SKIMS KASHMIRDR Saqib Shah
 
Treating Infectious Illness in the ICU
Treating Infectious Illness in the ICUTreating Infectious Illness in the ICU
Treating Infectious Illness in the ICUAndrew Ferguson
 
ICAAC 2014: Selection of sessions and abstracts
ICAAC 2014: Selection of sessions and abstractsICAAC 2014: Selection of sessions and abstracts
ICAAC 2014: Selection of sessions and abstractsPROANTIBIOTICOS
 
Gram Negative Sepsis
Gram Negative SepsisGram Negative Sepsis
Gram Negative Sepsisshabeel pn
 

Ähnlich wie Strep Salivarius (20)

Clinical Mycology U F Medical Students 12 05 07 Final2
Clinical Mycology  U F Medical Students 12 05 07 Final2Clinical Mycology  U F Medical Students 12 05 07 Final2
Clinical Mycology U F Medical Students 12 05 07 Final2
 
"Biomarkers in sepsis and septic shock" by Prof. Jérôme Pugin
"Biomarkers in sepsis and septic shock" by Prof. Jérôme Pugin"Biomarkers in sepsis and septic shock" by Prof. Jérôme Pugin
"Biomarkers in sepsis and septic shock" by Prof. Jérôme Pugin
 
Guidelineupdateforthemanagementofintravenouscatheterrelated 12639283169308-ph...
Guidelineupdateforthemanagementofintravenouscatheterrelated 12639283169308-ph...Guidelineupdateforthemanagementofintravenouscatheterrelated 12639283169308-ph...
Guidelineupdateforthemanagementofintravenouscatheterrelated 12639283169308-ph...
 
Cacoub hcv ehm & inflam du16
Cacoub hcv ehm & inflam du16  Cacoub hcv ehm & inflam du16
Cacoub hcv ehm & inflam du16
 
HCM - Egreso - Diarrea en Paciente con VIH
HCM - Egreso - Diarrea en Paciente con VIHHCM - Egreso - Diarrea en Paciente con VIH
HCM - Egreso - Diarrea en Paciente con VIH
 
Vancomycin- Resistant Enterococci Infective Endocarditis: Review of Linezolid...
Vancomycin- Resistant Enterococci Infective Endocarditis: Review of Linezolid...Vancomycin- Resistant Enterococci Infective Endocarditis: Review of Linezolid...
Vancomycin- Resistant Enterococci Infective Endocarditis: Review of Linezolid...
 
Endocarditis infecciosa
Endocarditis infecciosaEndocarditis infecciosa
Endocarditis infecciosa
 
Catheter Associated Urinary Tract Infection (CAUTI)
Catheter Associated Urinary Tract Infection (CAUTI)Catheter Associated Urinary Tract Infection (CAUTI)
Catheter Associated Urinary Tract Infection (CAUTI)
 
Emergencias oncológicas (Diplomado UniRemington) Parte 4/6
Emergencias oncológicas (Diplomado UniRemington) Parte 4/6Emergencias oncológicas (Diplomado UniRemington) Parte 4/6
Emergencias oncológicas (Diplomado UniRemington) Parte 4/6
 
Immunopatologi Sepsis
Immunopatologi SepsisImmunopatologi Sepsis
Immunopatologi Sepsis
 
Emergencias oncológicas
Emergencias oncológicasEmergencias oncológicas
Emergencias oncológicas
 
Guideline Update For The Management Of Intravenous Catheter Related Infections
Guideline Update For The Management Of Intravenous Catheter Related InfectionsGuideline Update For The Management Of Intravenous Catheter Related Infections
Guideline Update For The Management Of Intravenous Catheter Related Infections
 
Febrile neutropenia by DR saqib ahmad shah PG radiation oncology SKIMS KASHMIR
Febrile neutropenia by DR saqib ahmad shah PG radiation oncology SKIMS KASHMIRFebrile neutropenia by DR saqib ahmad shah PG radiation oncology SKIMS KASHMIR
Febrile neutropenia by DR saqib ahmad shah PG radiation oncology SKIMS KASHMIR
 
Sepsis JC.pptx
Sepsis JC.pptxSepsis JC.pptx
Sepsis JC.pptx
 
Treating Infectious Illness in the ICU
Treating Infectious Illness in the ICUTreating Infectious Illness in the ICU
Treating Infectious Illness in the ICU
 
CASE PRESENTATION.ppt
CASE PRESENTATION.pptCASE PRESENTATION.ppt
CASE PRESENTATION.ppt
 
ICAAC 2014: Selection of sessions and abstracts
ICAAC 2014: Selection of sessions and abstractsICAAC 2014: Selection of sessions and abstracts
ICAAC 2014: Selection of sessions and abstracts
 
Nosocomial infection
Nosocomial infectionNosocomial infection
Nosocomial infection
 
Treatment of diffuse systemic sclerosis with AIMSPRO
Treatment of diffuse systemic sclerosis with AIMSPROTreatment of diffuse systemic sclerosis with AIMSPRO
Treatment of diffuse systemic sclerosis with AIMSPRO
 
Gram Negative Sepsis
Gram Negative SepsisGram Negative Sepsis
Gram Negative Sepsis
 

Strep Salivarius

Hinweis der Redaktion

  1. Infectious Diseases Research Lab at Mayo Clinical Endocarditis Registry
  2. Strength: first study to evaluate susceptibility patterns temporally for endocardial infections Weakness:
  3. Pcn mic <0.03, ctx 0.25
  4. Pcn mic <0.03, ctx 0.25
  5. Phase III studies are designed to compare one or more treatments. A new drug or drug combination may be tested against one of proven efficacy. Phase III studies often have multiple endpoints. Overall and disease-free survival are nearly always endpoints; differences in response rates, toxicity, patterns of recurrence, and quality of life might also be endpoints. At the conclusion of a properly designed and conducted phase III study, the new drug or drug combination will be found to be inferior, equivalent, or superior to the standard treatment with respect to the major endpoints. The degree of difference will be known and statistical significance will be estimated
  6. No relapses occurred. Clinical cure was observed in 25(96.2%) of 26 monotherapy and 24 (96%) 25 combination therapy recipients. Total of 5 monotherapy pts received cardiac surgery a mean of 37.1 days after antimicrobial therapy. Total of 9 combination therapy recipients required cardiac surgery at mean 22 2 combination therapy pts had a rise in their serum creatinine Mean duration of hospitalization was 8 days for montherapy and 14.5 days for combination therapy.