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A microbiology laboratory plays a pivotal role in both endemic and epidemic epidemiology. Which of the following should be investigated FIRST?
Correct Answer: C
Multi-drug resistant (MDR) Klebsiella pneumoniae in a high-risk area like the ICU requires urgent investigationbecause: * It spreads rapidly via contaminated hands or equipment. * It poses a serious risk to immunocompromised patients. * An outbreak could lead to severe hospital-acquired infections (HAIs). Why the Other Options Are Incorrect? * A. One blood isolate of Streptococcus agalactiae in the nursery-Single cases are not indicative of an outbreak. * B. Two isolates of Staphylococcus aureus in postoperative surgical sites-Common post-surgical pathogen; requires monitoring but not immediate outbreak investigation. * D. Two blood isolates of coagulase-negative staphylococci in the oncology unit-Common contaminants in blood culturesandnot immediately alarming. CBIC Infection Control Reference APIC guidelines prioritizeinvestigating MDR pathogens in high-risk units, such as ICU, to prevent transmission.