CHAPTER
ONE
1.0
Introduction
Source
of skin infections
Infections disease are
leading cause of global mobility and mortality (virtual mentor 2006). In 1990,
infections cause 16 million deaths, and in 2010, the number of deaths had
fallen to 15 million [ W.H.O 2013]. The spread of infectious diseases result as
much from changes in human behavior. Including lifestyle and land use pattern,
increased trade and travel, and inappropriate use of antibiotic drugs as form
mutations in pathogens [ National intelligence council 2010].Staph locus aurous and Escherichia coli are a major cause of
various humans and animals infections. The first causes skin and soft tissues
infections, surgical site infections and bone and joint infections. Staphylococcus aureus is a common cause
of hospital acquired bacteraemia and it
is associated with hospital acquired respiratory tract infections [Res J
microbial 2011]. E.coli is the most
common cause of urinary tract infections (UTI) in humans [ Nat Rev Urol 2010],
and is a leading cause of enteric infections and systemic infection [ nature
Rev microbial 2004].
The
systemic infections include bacteriamia, nosocomial pneumonia, cholecystitic,
cholangitiz, peritonitis, cellolitis, osteomycelitis and infection arthritis.
E.coli is also leading cause of newnatd
meninystis [curr opin infect dis 2012]. A wide range of antimicrobial
agents effectively inhibit the growth of E.coli. The B-lactams,
fluorganinolones, aminoglycosides and trimethoprim-sulfame thoxoizole are often
used to treat community and hospital infections due to E-coli (expert Rev Anti
infect ther, 2012), but antonricrubial resistant isolutes, especially those
that are fluoroguinolone resistant and those producing bitended spectrum
B-lactamonses have increased significantly during the 2,000s and in certain
areains many nococomial and community-acquired E-coli are now resistant the several important antimicrobial
classes (expert Anti infect their, 2012).
Penicillinase-resistant
penicillins/ flucloxacilin, dicloxacillin) remain the antibiotics of choice for
the management of serious mehticillinsusceptible 5.aureus
(M55A) infections, but first generation cephalosporins (cefaxrolin, cephalothin and cephalexin), clindamycin, lincomycin and orythromycin have important thesupentic roles in less serious MSSA infections such as skin and soft tissue infections or in patients with penicillin hypersensitivity. All serious MR5A infections should be treated with parenteral vancomycin or if the patient is vancomycin allergic, teicoplanin (inter med J 2005).
(M55A) infections, but first generation cephalosporins (cefaxrolin, cephalothin and cephalexin), clindamycin, lincomycin and orythromycin have important thesupentic roles in less serious MSSA infections such as skin and soft tissue infections or in patients with penicillin hypersensitivity. All serious MR5A infections should be treated with parenteral vancomycin or if the patient is vancomycin allergic, teicoplanin (inter med J 2005).
Antibioticcs
resistant staphylococci are major public health concern since the bacteria can
be easily circulated in the environment. Infections due to
methicililn-resistant staphylococcus aurenue (MR5A) have increased worldwide during
the past twenty years (J Antimicrob Chemother, 2005; mortal Wkly Rep. 2010)
some report of S. aureus isolate with
intermediate or complete resistance to vancommyian portend a chamotherapentic
era in which effective bactericitleal antibiotics against this organism may no
longer be randily available (J Antimicrob chemothe 1997, mortal wkly Rep. 2002)
multiple dring-resistant 5. Aureus have been frequently recovered from
foodstuffs (Res J microbial. 2011), water and biofilm formulation (Braz J oral
sci. 2007) nasal mucosa of humans (Food microbial, 2003), clinical cases (int.
J. Infect. Dis.2010 and livestock clinic. Microbial. Infect. 2008).
This
paper aims to review the taxonomies, morphology and biochemical
characteristics, habitant and growth characteristics, the caused infections the
treatment and resistance to antibiotics of these two bacteria.
Even
though an individual has a “normal” skin florin it often happen that during his
or her life there are fluctuation in the composition of this florin due to
general health conditions, diet, hormonal activity, age and many other factors.
The
micro organisms most o which are bacteria comprise the normal skin floria also
termed the normal microbiota. They inhibit mainly the inner surfaces of the
body such as the mucous membrane of the oral curity and genitourinary tract
most are highly adopted to survival and growth in this area despite physical
and chemical condition that discourage many other kind of micro-organisms.
Therefore
the termed normal skin flora implies that these microbe are harmless, and for
the most part that they do not cause disease and are oven beneficial. Most are
commensal, they benefit from the association with the host they benefit the
host in some fashion while thriving in the host body. It is of interest to
learn what these beneficial effects are and how they can be lost due to change
in the normal skin flora cause by the use of the antibiotics or other means,.
In
addition some normal skin flora organism can be opportunistic pathogen that is
they may cause infection if tissue occurred or at specific site or if the
resistance of the body to infection is decrease. This is especially importance
because in recent years there has been a rising incidence of infection and from
these micro organism arise.
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