E1 Infection

Question 1

Factors allowing/influening/leading to emerging infections

Answer 1

• microbial change and adaptation (ex/ antibiotic resistance)
• Population growth: over overcrowding inc. transmission risk, moving into currently uninhabited, deforestation
• inadequate public health measure: poverty, risky human behaviors, war/refugee camps, inc. antimicrobial agents.

Question 2

Examples of emerging infection

Answer 2

• SARS
• west nile
• lyme
• c.diff, new strain
• guine work

Question 3

microbial disease deffine

Answer 3

• reemergence of bacterial disease
• bacterial disease they were previously well treated now have a drug resistant form, or there is a lac of adhearance to known eradication measure, like vaccines.

Question 4

Risks for hospital aquired MRSA

Answer 4

• current or recent hospitilization
• Residing in a LTC facility
• Invasive devices
• Recent antibiotic use
• People not scrubbing in/out

Question 5

Risks for community aquired MRSA

Answer 5

• young age
• participating in contact sports
• Sharing towels and athletic equipment
• Weakened immune system
• living in crowded , unsanitary conditions
• association with healthcare workers

Question 6

What dose MRSA look like?

Answer 6

Compared to a spider bite

• circle with red ring, pus center
• ask if they remember being bit or not

Question 7

Strategies to prevent antimicrobial resistance (in health care)

Answer 7

• Wash your goddamn hands
• prevent infection
• diagnosis and treat infection effectively
• use antimicrobials wisely
• prevent transmission

Question 8

Strategies to prevent antimicrobial resistance (in health care): prevent infection

Answer 8

• vaccinate
• get catherters and drains out asap
• use PICC, IV, foley, central lines only when necessary

Question 9

Strategies to prevent antimicrobial resistance (in health care): Diagnose and treat infection ffectivly

Answer 9

• target the pathogen (minimalize use of broad spectrum)

- consult infectious disease

Question 10

Strategies to prevent antimicrobial resistance (in health care): Use microbials wisely

Answer 10

• know your antibiogram
• treat infection, not colonization
• stop antimicrobials when infection is cured, cultures are neg, when infection is not dx

Question 11

Strategies to prevent antimicrobial resistance (in health care): prevent transmission

Answer 11

• use standard infection precautions
• contain body fluids
• stay home when you are sick
• wash your hands

Question 12

antibiogram

Answer 12

shows what type of antibiotics have been useful in treating specific microbials in your local area

Question 13

Most common sites for nosocomial infections

Answer 13

-urinary tract
-surgical wounds
~medistinal wound infection afer CABG
-VAP
-central line associated blood stream infections