nosocomial infections Flashcards

1
Q

what is nosocomial infectious?

A

Nosocomial infections, also called health-care-associated or hospital-acquired infections (HAI), are a subset of infectious diseases acquired in a health-care facility. To be considered nosocomial, the infection cannot be present at admission; rather, it must develop at least 48 hours after admission.

6 factors.

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1
Q

what are the risk factors in patients?

A
  • weakened immunity
  • age of the person
  • non-compliance with the rules of infectious safety in the care of patients
  • diagnostic and therapeutic manipulations
  • overload of medical and preventive institutions, accumulation of pathogens
  • adverse environmental conditions
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2
Q

who are the risk groups?

A
  • patients, visitors and relatives caring for the seriously ill patients
  • medical personnel, especially those who use reusable instruments, are contaminated with biological fluids and require all stages of cleaning, including pre-sterilization
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3
Q

what is HAI is charactrized by? explain.

A

Like any infectious disease, HAI is characterized by the development of an epidemic and infectious process.
The epidemic process is the process of spreading infectious diseases.
The infectious process determines the interaction of macro- and microorganisms that contributeشرکت کردن to the emergence of an infectious disease in various forms: acute حاد, chronic مزمن, latent خاموش, as well as carrier حامل .

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4
Q

definition of aseptics.

A

Asepsis is a set of prophylactic methods used to prevent infection during surgery or any other invasive تهاجمی medical procedure.
For this purpose, the following are used:
* organizational measures, allocate special regime zones
* disinfection and sterilization

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5
Q

what are the sources of infectious diseases?

A
  • the hands of the staff
  • intestines, genitourinary system, nasopharynx, skin, hair, oral cavity
  • both patient and staff
  • environment: personnel, dust, water, food
  • tools
  • equipment
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6
Q

what are HAI agents?

A
  • bacteria (staphylococci, streptococci, Pseudomonas aeruginosa, etc.)
  • viruses (hepatitis B, C, D, HIV, influenza viruses, etc.)
  • protozoa (pneumocysts, cryptosporidia)
  • fungi (candida, aspergillus).
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7
Q

transmission path of infectious diseases?

A
  • Contact and household
  • Airborne
  • Air-dust
  • Parenteral
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8
Q

definition of antiseptics?

A

Antisepsis represents all methods used to fight infection by destroying and inhibiting the development of infectious agents.
**The goal is to prevent the introduction of microorganisms into the patient’s body. **

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9
Q

what is the diffrence between aseptic and antiaseptic?

A

aseptic is a set of methods to prevent an infection disease before the person get infected; on the other hand the antiseptic represents all the methods used to prevent aninfection after getting infected by destroying and inhibbiting the HAI agent.

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10
Q

where are the social regime zones?

A

operating unit, intensive care unit, maternity rooms, manipulation and sterilization rooms.

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11
Q

what is the futures of working in special regime zones?

A
  • limited admission
  • dress code
  • strict implementation of aseptic standards (pre-cleaning, current, final, general cleaning)
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12
Q

explain. pre cleaning?

A

The purpose of cleaning is to remove the dust that has settled overnight. Cleaning is carried out before starting work. First, the room is inspected to detect accidental contamination. Then wipe the dust with a cloth moistened with disinfectant solution, twice with an interval of 15 minutes from the surface of desks, appliances, window sills. Last of all, wipe the floor.

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13
Q

explain. current cleaning?

A

The goal is to eliminate any contamination of the room during working hours. The dressing material is disinfected before disposal by soaking in a disinfectant solution. Surfaces are wiped with a disinfectant twice with an interval of 15 minutes.

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14
Q
A
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15
Q

explain. general cleaning?

A

General cleaning of functional rooms, wards and offices is carried out according to the schedule at least once a month; operating units, dressing rooms, maternity rooms, procedural, manipulation, sterilization – once a week. During general cleaning, washing, cleaning and disinfection of surfaces of premises (including hard-to-reach ones), doors, furniture, equipment (including lighting fixtures), equipment is carried out using detergents1- پاک کننده 2- ماده ای که دارای خواص مربوط کنندگی ، تبدیل شکل دادن و قابل جذب کردن بوده پاک کردن چرک و روغن را آسان سازد and disinfectants and subsequent پشت بند disinfection of air.

15
Q

explain. final cleaning?

A

The goal is to ensure that the premises are always ready for work. Cleaning is carried out daily at the end of the working day in a wet way. The equipment is wiped with a desalting solution, then with a dry cloth. Furniture, patient care items are wiped with a disinfectant solution twice with an interval of 15 minutes. Take out the trash, wash the floor, turn on the germicidal lamp.

15
Q

what are the preventive methods of infectious diseases?

A
  • treatment of staff hands
  • equipment sanitizing
  • sanitizing of injection sites, etc
16
Q

hand treatment levels?

A

Hand washing is the most important procedure that allows you to prevent HAI. There are three levels of decontamination of hands: social, hygienic, surgical

17
Q

the purpose of social treatment; indicators?algorithm?equioments?

A

Goal: To remove most transient (non-permanent) microorganisms from the skin of not heavily contaminated hands with soap and water.
برای از بین بردن بیشتر میکروارگانیسم های گذرا از پوست دست هایی که به شدت آلوده نیستند با آب و صابون
Indications:
- before eating;
- after visiting the toilet;
- before and after patient care;
- when hands are dirty;

Equipment:
1. Liquid soap;
2. Napkins (disposable or paper towel).

Algorithm:
1. Remove all jewelries
2. Open the water tap using a paper napkin to avoid contact with microorganisms present on the tap
3. Soap your hand up
4. Wash your hands by rubbing the soapy palms together for 10 seconds
5. Wash off the soap under running water: hold your hands so that the wrists and hands are above the level of the elbows (in this position, water flows from the clean area to the dirty one)
6. Close the water tap using a paper napkin.
7. Dry your hands with a paper or disposable towel

*Note

  • When using a lump of soap, rinse it and put it in a soap dish with a grate
    هنگام استفاده از یک تکه صابون آن را بشویید و با رنده در یک ظرف صابون قرار دهید
18
Q

the purpose of hygenic treatment; indicators?algorithm?equioments?

A

Purpose: A more effective method of removing and destroying microorganisms.
Indications:
- Before performing invasive procedures;
- before and after patient contact
- before dressing and after removing gloves;
- after contact with body fluids or after possible microbial contamination.

19
Q

the purpose of surgical treatment; indicators?algorithm?equioments?

A

Purpose: Destruction of microbial flora from the surface of the hands.
تخریب فلور میکروبی از سطح دست
Indications:
- the need to cover a sterile table;
- participation in surgery, bandages, puncture عمل سوراخ کردن یک عضو بدن بوسیله یک سوزن بلند به منظور خارج کردن مایع یا بافت برای آزمایشات میکرسکپی 2- زخمی که در اثر یک جسم نوک تیر s;
- participation in childbirth, etc.

20
Q

why we must not use a fabric towel instead of a disposable towel?

A
  • A towel made of fabric quickly becomes wet and is an ideal reservoir for the reproduction of microorganisms