Infection Control Flashcards
ESBL
Extended spectrum B-lactamase
Normal flora in dry areas
- coag neg staph
- micrococcus spp.
- Corynebacterium spp.
- Propionibacterium spp.
Normal flora in moist areas
- staph aureus
- Acinetobacter spp.
- gram neg bacilli
Describe chlorhexidine
- good gram pos cover, less gram neg
- no mycobacterial or sporocidal activity
- mainly enveloped viruses
- has residual activity
Describe alcohol based hand rub
- gram pos, gram neg and mycobacteria
- no sporocidal activity
- no residual activity
Describe airborne precautions
- private room with negative pressure
- 6-12 air change per hour
- gloves, gown, respirator
Describe droplet precautions
- side room
- masks
- hand hygeine
Describe contact precautions
- private room
- dedicated equipment
- limit movement
Importance of molecular epidemiology
- estimate association of risk factors with disease transmission
- detect and confirm outbreaks
- routine screening
- track global spread
- understand virulence and resistance mechanisms
Define an outbreak
the occurrence of more cases of a particular infection than is normally expected for that place and time
How are strains typed?
- Antibiograms
- PFGE
- PCR based methods
Groups of HBA
1 - no disease
2- disease but no spread/Rx available
3 - severe disease and spread/ Rx available
4 - severe disease and high risk spread/ no Rx
BSL 1
- viable orgs not known to cause disease in healthy people
- std precautions and practive
- not specific barriers
BSL 2
- Agent known to cause disease in humans
- BSC1/2
- remove PPR when leave lab
- eyewash and autoclave
BSL 3
- agents commonly transmitted respiratoraly
Class 1 hood
Exhause protectice cabiney
- HEPA filter
- discharged to outside atmosphere
- negative pressure
Class 2 hood
- air passes under work surface
- HEPA filter into work area, HEPA, outside
Class 3 hood
Glove cabinet
- totally enclosed