| Area | Main Findings | |------|----------------| | | Pathogen profiles differ from land‑based hospitals – higher prevalence of Vibrio spp., Aeromonas , Salmonella spp. linked to seafood, and opportunistic fungi ( Candida , Aspergillus ) due to humidity and closed ventilation. | | Diagnostics | Point‑of‑care (POC) molecular platforms (e.g., GeneXpert®, BioFire® FilmArray®) are emphasized as the primary tools; traditional culture remains essential for antimicrobial‑susceptibility testing (AST). | | Antimicrobial Stewardship | Limited formularies demand strict stewardship; the PDF proposes a 4‑step algorithm for empirical therapy that balances broad‑spectrum coverage with resistance mitigation. | | Infection Control | Strict cohorting, UV‑C environmental decontamination, and portable HEPA filtration are highlighted as cost‑effective measures for ships with ≤150 crew. | | Regulatory Framework | Aligns recommendations with the International Health Regulations (IHR 2005) and the IMO’s “Medical Guidance for Shipmasters.” |
Instructions for performing antibiograms and assessing antimicrobial resistance. Specialized Microbiology:
The Microbiologia Clinica volume is specifically designed for the second year of the degree. However, it is also widely used by:
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