[14] Healthcare-Associated Infections

Question 1

When can you say an infection is a HAI?

Answer 1

48 hours or more after hospitalization

Question 2

HAIs can occur when patients received hospital care for at least 2 days in the past how many days?

Answer 2

90 days

Question 3

HAIs are most common in which department of the hospital?

Answer 3

Burn/Trauma

Question 4

HAIs are least common in which department of the hospital?

Answer 4

Well baby nursery

Question 5

Most common type of nosocomial infection

Answer 5

UTI

Question 6

How far apart should beds be so they do not infect each other?

Answer 6

At least 1 meter

Question 7

Define: Hospital-Acquired Pneumonia

Answer 7

Pneumonia occurring 48 hours after admission

Question 8

Define: Ventilator-Associated Pneumonia

Answer 8

Pneumonia which occurs 48-72 hours after endotracheal intubation

Question 9

Define: Healthcare-Associated Pneumonia

Answer 9

Pneumonia in patients in acute care setting within 90 days

Recent antibiotic use 30 days

Question 10

To prevent VAP head elevation should be?

Answer 10

30-45 degrees

Question 11

Most common etiologic agent causing Nosocomial UTI

Answer 11

E. coli

Question 12

Greatest risk factor in development of catheter-related UTI

Answer 12

Prolonged duration

Question 13

Most common etiologic agent of nosocomial bacteremia

Answer 13

Coagulase negative Staph

Question 14

Is infection more common in a subclavian or femoral vein?

Answer 14

Femoral

Question 15

1. How many people die of hospital infections? a. None; that is unheard of
   b. Rarely maybe less than 10 per year
   c. Lots maybe 100 per year
   d. Too many – we should act on it

Answer 15

D

Question 16

2. What is the contribution of patient and hospital workers to the development of Healthcare associated infections?
   a. 100% patient – 0% hospital workers
   b. 75% patient – 25% hospital workers
   . 50% patient – 50% hospital workers
   d. 25% patient – 75% hospital workers
   e. 0% patient – 100% hospital workers

Answer 16

C

Question 17

Grandfather of Handwashing

Answer 17

Ignaz Philipp Semmelweis

Question 18

What are the Five Moments of Hand Hygiene

Answer 18

1. Before Patient Contact
2. Before Aseptic Procedure
3. After Patient Contact
4. After Contact with Patient Surroundings
5. After Contact with Patient Body Fluid