Biosafety Flashcards
These are measures employed when handling
biohazardous materials to avoid infecting
oneself, others or the environment
Biosafety
“PROTECTING PEOPLE FROM BAD BUGS”
BIOSAFETY
These are measures employed to protect
biohazardous materials, or critical relevant
information, against theft or diversion by those
who tend to pursue intentional misuse
BIOSECURITY
“PROTECTING BAD BUGS FROM BAD
PEOPLE”
BIOSECURITY
Laboratory acquired infections caused by human factors
80%
Laboratory acquired infections caused by equipment failure
20%
Top 4 accidents resulting from infection acquired
- Spillages and splashes
- Needle and syringe
- Sharp objects-broken glass
- Bite or scratch from animals or ectoparasites
Sequence of events required for infection to
occur
Chain of Infection
This chain is the basic premise of infection
prevention efforts, as interruption of any one
link in the chain can prevent or eliminate the
possibility of infection
Chain of Infection
Germs - Agent
any pathogen:
Bacteria
Viruses
Parasites
Fungi
Prions
Where Germs live - Reservoir
People, Animals, Food, Soil, Water
describes how the infectious agent exits the infected person in order to make contact with a new hosts.
(avenues)
Portals of exit
this link relates to how the pathogen travels from the reservoir or infected person to the new hosts.
Mode of transmission
Germs get around - Mode of Transmission
Contact (hands, toys, sand)
Droplets (when you speak, sneeze or cough)
How Germs Get In - Portal of Entry
Mouth, Cuts in the skin, Eyes
is used to define where the infectious agent gains access to the new hosts.
Ex. Mucous membrane, RT, GIT, UT,
breaks in the skin
PORTALS of ENTRY
vulnerable persons to
infection. Ex. Young ones, old ones, weak
immune system due to disease or treatment
(immunocompromised or immunosuppress),
poor nutrition.
SUSCEPTIBLE HOST
Next Sick Person - SUSCEPTIBLE HOST
Babies, Children, Elderly, Weak immune system, unimmunized people, anyone
_____ & _____ in _______described a model consisting of 3 levels of prevention programs that target interventions.
Leavell and Clark in 1958,
Potential Indv.
Healthy individuals
Sick Indv.
Newly ill individual
Treated Indv.
Recovering individual
Target healthy individuals before they actually acquire the infections.
Primary Prevention
- Vaccination
- Elimination of environmental reservoir
- Improving Nutritional status
- Health education, such as hand
hygiene, - Respiratory etiquette
Primary Prevention
These strategies target individuals in an early
stage of the disease and focus on early
identification through screening and early treatment.
Secondary Prevention
- Screening of high-risk groups or known exposures for early identification of disease
- Early and effective treatment
Secondary Prevention
Focuses on reducing the impact from the disease. The individual already contracted the disease, but rehabilitation is needed to limit the long-term effects and restore the individual to an optimal level of functioning.
Tertiary prevention
- Reduce or limit impairment-ex. surgical repair
- Minimize suffering
ex. PT,OT, ST - Promote adjustment to long-term effects
of the disease. - ex. changes in nutritional
requirement.
Tertiary prevention
HAI
healthcare acquired infections
Universal Precaustions:
are carriers of transient or resident microorganism.
Healthcare practitioners
Universal Precautions:
must be strictly implemented
Hand hygiene/hand washing
Universal Precautions:
are considered possible carriers of
infectious pathogens
All patients
Type of glove which is not recommended due to high failure rate
Vinyl
it is worn when there is the possibility of direct contact with blood, bf, mucous membrane and infectious material.
Gloves
To protect the arms, torso and clothing from
spills and splashes
Gowns
To protect the eyes and face from splashes,
impacting objects
Goggles
To protect the mouth and nose
Mask
SEQUENCE OF DONNING PPE
● Gown first
● Mask or respirator
● Goggles or face shield
● HAND HYGIENE
● Gloves
SEQUENCE FOR REMOVING PPE
● Gloves
● Hand hygiene
● Face shield or goggles
● Gown
● Mask or respirator
WHERE TO REMOVE PPE
● At doorway, before leaving patient room or in
anteroom.
Remove _______ outside room, after door
has been closed.
respirator
Biologic safety cabinet: Low to moderate risk biologic agents
Class I and II
Biologic safety cabinet: High risk biologic agents
Class III
Biosafety level of class I and II Biologic safety cabinet
1,2,3
Biosafety level of class III Biologic safety cabinet
4
HEPA
High Efficiency Particulate Air
HEPA filters can remove at least ___ of dust, pollen, mold, bacteria, and any airborne
particles with a size of ____ micrometers (μm)
99.97%
0.3
HEPA filter is constructed of ___________________________ in the form of pleated sheet
borosilicate microfibres
The pleats are separated by _____________________________ or stitched fabric ribbons, which direct
airflow through the filter.
serrated aluminum baffles
Biosafety Level - a microorganism that is unlikely to cause human or animal disease
Basic Biosafety
Level 1
Biosafety Level - a microorganism that is unlikely to cause human or animal disease
Basic Biosafety
Level 1
A pathogen that can cause human or animal diseases but unlikely to be serious hazard to lab
workers, community, livestock or the environment
Basic Biosafety
Level 2
A pathogen that usually causes serious human or animal disease but does not ordinarily spread from one infected individual to another. Effective treatment and preventive measures are available
Containment
Biosafety Level 3
A pathogen that usually causes serious human or animal disease and communicable either directly or indirectly. NO available treatment and preventive measures
Maximum containment
Biosafety Level 4
no or low individual and community risk
1
Moderate individual risk, low community risk
2
High individual risk
3
High individual and community risk
4
to prevent discharge of aerosol (source
of infection)
HEPA filters
Disposal of Biologic Waste:
Incineration or Burning
Dry heat
Disposal of Biologic Waste:
- plastic equipments (heat sensitive)
- Glutaraldehyde, Formaldehyde
CHEMICAL DISINFECTION
HEAT DISINFECTION/STERILIZATION
Dry heat for ____ degrees for more than 2-4hours
160 degrees Celcius
HEAT DISINFECTION/STERILIZATION
Autoclaving (steam under pressure)
Moist heat
GAS STERILIZATION
carcinogenic, toxic, flammable and explosive. Items must be aerated before use.
Ethylene Oxide
GAS STERILIZATION
gas molecules are excited to produce charged
particles by subjecting them to radio frequency
or microwave energy in an enclosed chamber.
28 min or more and exposed to > 50° C. no need for aeration
Hydrogen Peroxide Gas plasma
Last in Disposal of Biologic Waste
PICK-UP BY CERTIFIED HAZARDOUS WASTE
COMPANY
- Flush area with large amount of water
- Contaminated clothing should be removed
immediately - Do not neutralize chemicals
Chemical Spills
- Never mixed chemicals unless specified
- Wear goggles when preparing reagents
- Do not pipette by mouth
Chemical Handling
- Poisonous, Corrosive, Carcinogenic
Chemical Labeling
- Continually observe for frayed cords and
overloaded circuits - Avoid unplugging equipment with wet hands or while cleaning.
- Remove source of electricity if electrical shocks are encountered or avoid transfer of the current
Electrical Hazards
RACE
Rescue
Alarm
Contain
Extinguish
3 components of fire
heat, oxygen, fuel
- Avoid running in rooms and hallways
- Watch for wet floors
- Bend knees when lifting heavy objects
- Keep long hair pulled back
- Avoid dangling jewelry
- Maintain clean and organized work area
- Wear closed toe-shoes
Physical Hazards