2009年9月12日 星期六

Infection department

In Sep.,
I stay in infection department.
It was very special working in infection ward,
because patients almost got fever before admission,
then,
they were discharged if fever has subsided for two days.

It sounds easy and actually it is if you complete the following items:
1. confirm the source causing fever( or infection source)
2. select a proper antimicrobial agent
3. follow patient's vital sign
4. fever subside and patients regain energy

However,
it takes a long time to find out the infection sources or pathogens.
So, we cannot give antibiotics until we know the exact pathogen.
Instead,
after quickly looking the symptoms of a patient,
empiric antibiotics are ought to be given,
thus,
how to match good antibiotics to corresponding manifestations
is the most important and brain-cost thing in infection department.

There are too many kinds of antibiotics needing to be known,
there are too many pathogens needing to be studied,
there are too many diseases needing to be identified,
and I have 24 hours a days.

So far,
I feel very good and satisfied in this department,
and I hope I can keep going.