Exam 1 - Chapter 24 Flashcards
What is an infection?
A disease state that results from the presence of pathogens
Six components of a infection cycle?
Infectious Agent Reservoir Portal Of Exit Means of Transmission Portals of Entry susceptible Host
Examples of infections caused by viruses?
Common cold, hep B and C, and AIDS
What is the REservoir?
The growth and multiplication of microorganisms is the natural habitat of the organism
What is the Portal of Exit?
The point of escape for the organism from the reservoir.
Means of Transmission: Direct Contact
REquires close proximity between the susceptible host and an infected person or a carrier
Means of Transmission: Indirect Contact
Contact with either a Vector or Fomite
What is a vector?
A living creatre that transmits an infectious agent ot a human
what is a fomite?
Inanimate objects that spread diseases, such as equipment or countertops
What type of droplets are there to spread disease?
Droplet Transmission and Airborne Transmission
Difference between Droplet TRansmission and Airborne Transmission?
Airborne particles are less than 5 mcm, while droplet particles are greater than 5 mcm
Borrelia Burgdorferi - Reservoir
Ticks (Sheep, Cattle, Deer, Mice)
Borrelia Burgdorferi - Meanss of Transmission
Contact (Indirect-Vectors)
Borrelia Burgdorferi - Disease Transmitted
Lyme Disease
What are the four stages of infection?
Incubation Period
Prodromal Stage
Full (Acute) Stage of Illness
Convalescent Period
What is the Incubation Period?
Interval between the pathogens invasion of the body adn the appearance of symptoms of infection
What is the Prodromal Stage?
A person is most infectious during the prodromal stage. EArly signs and symptoms are present
What is Full Stage of Illness
Presence of specific signs and symptoms of disease
What is the Convalescent period
recovery from the infection
What two phases do the bodys response occur in?
Vascular and cellular phases
What happens in the Vascular phase?
Small blood vessels constrict in the area, followed by vasodilation of arterioles and venules that supply the area
What happens in the cellular phase?
WBCs move quickly into the area. Neutrophils engulf the organism and consume cell debris and forein material.
What is released from a wound?
Exudate, which is composed of fluid, cells, adn inflammatory byproducts.
The exudate may appear to be..
Clear (Serous), contain red blood cells (sanguineous) or contain pus (purlent)
What is an antigen?
The foreign material
What is an antibody ?
The body commonly responds to the anitgen by producing this
The Antigen-Antibody response is also known as?
Humoral Immunity
What occurs in cell-mediated immunity?
This involves an increase in the number of lymphocytes (WBCs) that deestroy or react with cells the body recognizes as harmful
Normal value WBC (leukocyte) count?
5.000 to 10,000
Neutrophil normal percentage?
60-70%
Lymphocytes normal percentage?
20-40%
First step you take in nursing process for infection prevention and control?
Assessing
Second step you take in nursing process for infection prevention and control?
Diagnosing
What is asepsis?
The practice of all activites to prevent infection or break the chain of infection
What are the two aspesis categories?
Medical asepsis and surgical aspesis
What is medical aspesis?
clean technique that involves procedures and practices that reduce the number and trasnfer of pathogens. This includes hand hygiene and wearing gloves
What is surgical asepsis?
sterile technique , the practice used to render and keep objects and areas free from microorganisms
Five Moments for Hand Hygiene (1)
Before touching a patient
Five Moments for Hand Hygiene (2)
BEfore a clean or aseptic procedure
Five Moments for Hand Hygiene (3)
After a body fluid exposure risk
Five Moments for Hand Hygiene (4)
After touching a patient
Five Moments for Hand Hygiene (5)
After touching patient surrounds
What are the two types of bacterial flora that are normally found?
Transient bacteria and resident bacteria
How is transient bacteria removed?
By handwashing, and has the potential to adjust to the ski.
What happens if you have resident bacteria on the skin?
The hands then become carriers of that particular organism.
What is a Health Care-Associated Infection (HAIs)
This is used to specify an infecition that originates or takes place in a hospital
Infection is referred to as exogenous when
the causative organism is acquired from other peopple
An endogenous infection occurs when
the causative organism comes from microbial life harbored in the person
infection is referred to as iatrogenic when
it results from a treatment or a diagnostic procedure
what are the four nosocomial Infections?
Urinary Tract Infections
Surgical Site Infections
Blooddstream Infections
Pneumonia
Staphylococcus Aureus is also named what?
S. Aureus is named MRSA
S. Aureus is resistant to?
Methicillin-Resistant
Staphylococcus Aureus is also named what?
VRSA
VRSA is resistant to?
Vancomycin
Enterobacteriaceae (CRE) is resistant to?
Carbapenem
S Aureus is normally found where?
On the skin, nasal mucous membranes, and in the respiratory and gastrointestinal tracts
What does MRSA stand for?
Methicillin-Resistant Staph Aureus
Difference between VISA and VRSE
Vancomycin Intermediate-Resistant S. Aureus
Vancomycin Resistant S. Aureus
Where is VRE found and how is it dangerous?
VRE is found in normal intestinal and genitourinary tracts and dcause HAIs wit h high mortality rate
What are CRE?
Carbapenum Resistant; associated with a 40-50% mortality rate
what does disinfection do
destroys all pathogenic oganisms eexcept spores
what does sterilization do?
Destroys all microorganisms; including spores
Transmission-Based Precaustions
Used in addition to standard precautions for patients in hospitals with suspected infection with pathogens that can be transmitted by airborne, droplet, or contact routes
What are the two tiers of precautions?
Standard Precautions and Transmission-Based Precautions
What are standard precautions?
Precautions used in the care of all hospitalized patients regardless of their diagnosis or possible infection status
What are the three types of transmission based precautions
airborne, droplet, contact
Immunocompromised patients are usually infected by
pathogens within their own body, rather than those transmitted by other individuals