non socomial infections Flashcards

1
Q
A

an infection that is not present or incubating when a patient is admitted to hospital, they are connected to the patients stay during hospital or after being discharged

48-72 h after admission or up to 30 days after discharged

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2
Q

greatest infection

A

pneumonia ?

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3
Q

WHO FACT SHEET

A

of 100 hospitalised patients at any given time seven in developed and 10 in developing countries will acquire at least one infection

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4
Q

STATS

A
  1. Affects up to 5-10% (rich) and 10-30% (poor) of people admitted to hospitals
  2. Up to 30% can end up in ICU
  3. 1/3 are considered unpreventable
  4. Newborns at higher risk in poor countries X20 higher
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5
Q

why is it a PH probkem

A

Micro-organisms getting increasing more resistant
Overcrowding
Increasing impaired immunity - people living longer, diabetes etc
Patients spend an extra 4-5 days in hospital - financial burden
Generate hight costs for patients + families
Sequele of disease such as permanent disability
Extra costs on ab’s , extra surgery, mb lab tests, running ICU 


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6
Q

endogeneous

A

normal flora
decreased defence mechanism
Translocation, the usually non pathogenetic organisms into body cavities like petroleum , blood etc

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7
Q

exogenous

A

Caused by outside sources like hospital staff, devices, equipment
Cross infection: another person in the hospital
Environmental infection: from an intimate object recently contaminated with human sources 


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8
Q

From an epidemiolicall point of few NSI can be divided into

A

specific - for the health institution , e.g resulting from diagnostic or theatre-tic procedures due to lack of personal hygiene, wrong technique,

non specific: infections common among the normal population like respiratory diseases, rashes in kids etc e.g patient recieveing broadspectrum ab’s now has c. difficile

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9
Q

pathogenic organisms

A

have greater virulence and does not depend on host status like clostridium causing gas gangrene

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10
Q

classification by site

A

UTI
SURGICAL SITE
LRI
Blood stream

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11
Q

rf’s

A

age
Sex : female Otis
Sue of antibiotics and h2 blockers
Comorbidities s
Surgery
Invasive devices, prolonged catheters, intubation ICU

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12
Q

difeernece bwteen droplet and airpborne

A

droplet - >5

airborn <5

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