1.A. Citrobacter diversus is gram negative and is a member of the Enterobacteriacea family. This is a large group which is found in water, soil, decaying matter, and even the large intestines of humans, animals, and insects. This group of bacteria is known for being responsible for hospital acquired infections which have been named nosocomial infections. Oftentimes, they can be opportunistic infections which means they often do not cause infection in immunocompetent individuals.
B. The infection could be caused by many things but one thing for sure is that it is a nosocomial, hospital acquired infection. For example, the haphazard use of antimicrobial agents, the continual use of genitourinary instrumentation, even transmission from a nurses hand to an infant’s umbilicus. Doctors, nurses, and even paramedical workers are potential carriers due to the hospital instruments which are negative for culture testing. Barrier nursing techniques should be used. Based on the sensitivity, treatment should be started on those infected with drugs like Amikacin, Cefriaxone, Ciprofloxacin, Ertapenem, etc (1). …show more content…
At first, only crew members and very few at that, started visiting the clinic with issues. I'm assuming this is before passengers started to board and the cruises officially started. Crew members went to visit the clinic but as the days passed by and the cruise officially started, more crew members and passengers have made visits to the clinic on the boat over the short time span of the