Intro to Infectious Disease Unit Flashcards
HAI
Healthcare Associated Infections
% of pts impacted by HAI
10%
What types of things are HAI associated with?
4 things
- catheters
- procedures
- wounds
- intubation
Effects of HAI
3 things
- increased cost of care
- prolonged hospitalization
- increased morbidity and mortality
Steps to reduce HAI
3 pt focused things
- remove/change catheters ASAP
- narrow abx spectrum ASAP
- use only the necessary drug & duration
5 w’s of surgical infections
Wind
Wound
Water
Walking
Wonder Drugs
What can a post-op fever mean?
immediately, 1 wk out, > 1 wk out
Immediate: related to meds given during operation
Within 1 wk: suspect HAI
More than 1 wk out: suspect surgical site infection
FUO
Fever of Unk Origin
Define FUO
3 things
- Illness > 3 wks in duration
- Fever > 38.3C (101F)
- No dx after 3 outpatient visits or 3 days of hospitalization
3 Categories of FUO
- Hospital Associated FUO
- Neutropenic FUO
- HIV Associated FUO
FUO Classifications
5 things
- infection
- neoplasm
- autoimmune disorder
- misc
- undiagnosed
Components of Infection Prevention
5 things
- Universal Precautions (assume infectious, handle fluids w/ care)
- Wash/sanitize hands frequently
- Wear gloves
- Good bedside care
- Vaccinations
Types of Vaccines
- Live attenuated vaccines
- Inactivated/killed vaccines
Live attenuated vaccines
live virus injected into someone, but it’s a weaker version of the virus
Which vaccines ok for pregnancy?
- tdap (diphtheria, pertussis, and tetanus)
- influenza