CASE A ICEBREAKER

Case 1: Patient is male with chromosomal abnormality and was admitted to the NICU because of respiratory difficulties.

Case 2: Patient is male and admitted to NICU because of respiratory distress and received ventilator

• A: Both Statements are True

• B: Both Statements are False

• C: Statement 1 is true, Statement 2 is False

• D: Statement 1 is False, Statement 2 is True

1.)MLST is ordered to confirm links between the 2 cases.

2.) Based from MLST results, Case 1 was ST-1498 and Case 2 was ST-19

• A: Both Statements are True

• B: Both Statements are False

• C: Statement 1 is true, Statement 2 is False

• D: Statement 1 is False, Statement 2 is True

1.)the organism identified on patient 1 is Salmonella

2.)The organism identified on patient 2 is Shigella

• A: Both Statements are True

• B: Both Statements are False

• C: Statement 1 is true, Statement 2 is False

• D: Statement 1 is False, Statement 2 is True

Based on serotyping, Case 1 is Salmonella typhimurium (Sequence 19) and Case 2 is Salmonella wandsworth (Sequence 1498)

• A: True

• B: False

PFGE/Pulsed-Field Gel Electrophoresis revealed ?2 different bands on the DNA fingerprint of the 2 patient tested.

• A: True

• B: False

Based from the lab results of Patient 1, his WBC count are elevated with a shift to the right

• A: True

• B: False

Patient 2 was readmitted with suspected sepsis and water diarrhea. He was also given vancomycin, gentamicin and metronidazole

• A: True

• B: False

Radiography test of patient 2 reveals kidney lesion and the possibility of fungus ball.

• A: True

• B: False

1.)The state suspected related cases of nosocomial outbreak and confirmed this by MLST, PFGE and Serotyping.

2.)Based from the history of patient 2, underwent surgical repair and installation of broviac cathether for total parenteral nourishment

• A: Both Statements are True

• B: Both Statements are False

• C: Statement 1 is true, Statement 2 is False

• D: Statement 1 is False, Statement 2 is True

1.)Both patients were admitted at the hospital at the same time.

2.)Both patients are infants and were admitted to NICU

• A: Both Statements are True

• B: Both Statements are Fals

• C: Statement 1 is true, Statement 2 is False

• D: Statement 1 is False, Statement 2 is True