RESUMO
Cutaneous infections due to Listeria monocytogenes are rare. Typically, infections manifest as nonpainful, nonpruritic, self-limited, localized, papulopustular or vesiculopustular eruptions in healthy persons. Most cases follow direct inoculation of the skin in veterinarians or farmers who have exposure to animal products of conception. Less commonly, skin lesions may arise from hematogenous dissemination in compromised hosts with invasive disease. Here, we report the first case in a gardener that occurred following exposure to soil and vegetation.
Assuntos
Listeria monocytogenes/isolamento & purificação , Listeriose/diagnóstico , Listeriose/patologia , Dermatopatias Bacterianas/diagnóstico , Dermatopatias Bacterianas/patologia , Adulto , Idoso , Feminino , Humanos , Listeriose/microbiologia , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional , Dermatopatias Bacterianas/microbiologiaRESUMO
Pandemic preparedness is a key function of any health care facility. Activities pertaining to pandemic preparedness should be developed and maintained within a broader emergency management plan. The use of a Hospital Incident Command System can centralize coordination of the response and facilitate internal and external communication. This review addresses several components of pandemic preparedness, including incident management, health care personnel safety, strategies to support ongoing clinical activities, and organizational communication during a pandemic. Preparations addressing potential ethical challenges and the psychological impact associated with pandemic response are also reviewed.