Different infections Flashcards

0
Q

How is Ebola identified or diagnosed?

A

By taking blood samples from the patient displaying symptoms that has came in contact with the blood or body fluids of a person sick with Ebola; contact with objects that have been contaminated with the blood or body fluids of a person sick with Ebola. The virus is detected in blood only after onset of symptoms, most notably fever.
Diagnostic test available include: *antigen-capture enzyme-linked immunosorbent assay (ELISA) testing
*IgM ELISA
*Polymerase chain reaction
*IgM and IgG antibodies

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1
Q

How is Ebola transmitted?

A
  • Through direct contact with blood or body fluids including but not limited to urine, saliva, sweat, feces, vomit, breastmilk, and semen of a person who is sick with Ebola
  • Objects like needles and syringes that have been contaminated with the virus
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2
Q

Who are susceptible groups at risk of exposure for Ebola?

A

Healthcare providers caring for Ebola patients and family and friends in close contact with Ebola patients are the highest risk because they may come in contact with the blood or body fluids of sick patients.

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3
Q

What are the symptoms of Ebola?

A

Fever, severe headache, muscle pain, weakness, fatigue, diarrhea, vomiting, abdominal pain, unexplained hemorrhage

Symptoms may appear anywhere from 2 to 21 days after exposure to Ebola but the average is 8 to 10 days

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4
Q

What is the treatment for a patient with Ebola?

A

There is no FDA approved vaccine or medicine available for Ebola. Symptoms of Ebola and complications are treated as they appear. The following basic interventions, when used early, can significantly improve the chances of survival:

  • Providing IV fluids and balancing electrolytes
  • Maintaining oxygen status and blood pressure
  • Treating other infections if they occur
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5
Q

How is MRSA transmitted?

A

Primarily spread through direct and indirect contact with infected or colonized patients. Poor adherence to standard infection control precautions can lead to transmission between patients and to clusters of infections. Adherence to infection control measures is critical to preventing MRSA outbreaks.

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5
Q

Who is at risk for C diff?

A

Anyone with antibiotic exposure (most common)
Patients in long care stay
Patients coming from surgery

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6
Q

What are some prevention precautions for MRSA?

A

Standard precautions as well as putting patient on contact isolation

Hand hygiene

Recognize previously colonized patients

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7
Q

How is TB spread?

A

Airborne. TB is spread through the air from one person to another the TB bacteria are put into the air when a person with TB disease of the lungs or throat coughs, sneezes, speaks, or sings. People nearby may breathe in these bacteria and become infected.

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8
Q

What are the symptoms of TB?

A

A bad cough that last 3 weeks or longer, pain in the chest, coughing up blood or sputum, weakness or fatigue, weight loss, no appetite, chills, fever, sweating at night

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9
Q

What are the risk factors for TB?

A

Once a person is infected with TB bacteria, the chance of developing TB disease is higher if the person has HIV infection, has been recently infected with TB bacteria, has other health problems like diabetes that make it hard for the body to fight bacteria, abuses alcohol or uses illegal drugs, was not treated correctly for TB infection in the past

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11
Q

What is the best way to disinfect a room where the patient had C diff?

A

Soap and water. Alcohol does not work

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12
Q

What is C diff and how is it spread?

A

An anaerobic gram positive bacterium, and is shed in feces. Any surface, device, or material that becomes contaminated with feces may serve as a reservoir for the C diff spores. They are transferred to patients mainly via the hands of healthcare personnel who have touched a contaminated surface or item

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13
Q

What are the prevention precautions for Ebola?

A

There is no FDA approved vaccine available for Ebola. If you travel to or are in an area affected by in a bowl of outbreak, make sure you do the following:
- Practice careful hygiene
- Do not handle items that may have come in contact with an infected person’s blood or body fluids such as clothing, bedding, needles, or medical equipment
Healthcare providers:
- Where appropriate PPE
- Practice proper infection control and sterilization measures
- Isolate patients with Ebola from other patients

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14
Q

What type of prevention/isolation precautions do you have with a TB patient?

A

Airborne precautions, wearing an N95 mask, hand washing

Should always get yearly TB test

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15
Q

How is TB treated?

A

Isoniazide, rifampin, ethambutol, and pyrazinamid

Treatment last 6 to 9 months

16
Q

How is C diff diagnosed?

A

With a stool culture

17
Q

What are prevention precautions for C diff?

A

To use antibiotics judiciously

Use contact precautions

19
Q

How is C diff infection usually treated?

A

In about 20% of patients, infection will resolve within 2 to 3 days of discontinuing the anabiotic to which the patient was previously exposed. The infection can usually be treated with an appropriate course of about 10 days of antibiotic’s, including metronidazole, vancomycin, didacticism.

20
Q

How is MRSA treated?

A

Vancomycin/ Clindamycin

20
Q

What is the treatment for VRE?

A

People with colonized VRE where the bacteria is present but have no symptoms of an infection do not need treatment. Most of VRE infections can be treated with antibiotics other than vancomycin. Laboratory testing can determine which anabiotics will work

21
Q

How was VRE transmitted?

A

VRE is often passed from person-to-person by the contaminated hands of caregivers. It can get onto a caregivers hands after they have contact with other people with VRE or after contact with contaminated surfaces. It can also be spread directly to people after they touch surfaces that are contaminated with VRE

22
Q

How is TB disease diagnosed?

A

A chest x-ray and a sample of sputum that is coughed up from deep in the lungs