Reviewers of multimedial algorithms Markéta Hanslianová, MD

Markéta Hanslianová, MD

Deputy Chief, Department of Clinical Microbiology, Hospital Vyškov, Czech Republic

Review of an interactive algorithm Toxic Shock syndrome

Toxic shock syndrome is a life-threatening febrile illness that results from a systemic immune response to exotoxins (superantigens) produced most commonly by Staphylococcus aureus. The algorithm describes the most common clinical manifestations, possibilities of differential diagnosis and through correct and incorrect answers the principles of antimicrobial therapy of this disease. This correctly includes a bactericidal antibiotics and bacteriostatic antibiotic, that suppresses toxin production by inhibiting proteosynthesis. This algorithm includes microbiological insights e.g. the principles of correct collection of blood cultures and microscopic and culture image of the bacterium Staphylococcus aureus. The algorithm is a actual and well-created teaching aid.

Review of an interactive algorithm Intraabdominal infection and acute abdomen

Acute abdomen refers to a medical emergency, arising from full health, characterized by rapid progress and potentially life threating without adequate swift treatment. The algorithm considers basic examinations, which must be performed as part of differential diagnosis, and further elaborates other procedures for correct diagnosis in this case - bowel perforation. Using the correct and incorrect answers, the microbiological diagnosis of secondary peritonitis agents is reminded. Starting from the principles of correct material collection to microbiological examination, through microscopic and subsequent culture determination of probable infectious agents and correct antimicrobial therapy given the specific pathogen. These are common acute conditions that every doctor encounters in daily practice and in the field of microbiological diagnostics are still accompanied by errors (decent wetting of the swab in the purulent content of the abdominal cavity instead of taking a tube full of pus). Due to this fact, this algorithm is a good teaching aid for future doctors.

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