Outbreak! Flashcards
What are healthcare associated infections?
An infection caught when getting healthcare in hospitals, care homes, GP surgeries, health centres or care at home
Give examples of common healthcare associated infections
UTIs, infections post-op, skin infections, sickness and diarrhoea
What are the common reasons for HAIs?
Catheterisation Surgical site infection Intubation Central venous catheter GI infection Skin and soft tissue infection
What is the definition of an outbreak?
2 or more cases of an infection linked in time and place
What are the stages in the chain of infection?
Infectious Agent Reservoir Portal of Exit Mode of Transmission Portal of Entry Susceptible Host
What are the ways to break the chain of infection at the mode of transmission?
- Hand hygiene
- PPE
- Food Safety
- Cleaning, disinfection and sterilisation
- Isolation
What are the ways to break the chain of infection at the reservoir?
- Cleaning, disinfection and sterilisation
- Infection prevention policies
- Pest control
What are the ways to break the chain of infection at the portal of entry?
- Hand hygiene
- PPE
- Personal hygiene
- First aid
- Removal of catheters and tubes
What are the ways to break the chain of infection at the susceptible host?
- Immunisation
- Treatment of underlying disease
- Patient education
What are the ways to break the chain of infection at the portal of exit?
- Hand hygiene
- PPE
- Control of aerosols and splatter
- Respiratory etiquette
- Waste disposal
What are the ways to break the chain of infection at the infectious agent?
- Diagnosis and treatment
- Antimicrobial stewardship
What is the difference between a droplet and an aerosol?
Droplet
- > 5 micrometre
- Spread roughly 1m
- Drop to ground
Aerosol
- <5 micrometre
- Widespread
- Remain suspended in the air
What is the difference between cleaning, disinfection and sterilisation
Cleaning: physical removal of organic material and decrease in microbial load
Disinfection: large reduction in microbe numbers - spores may remain
Sterilisation: removal/destruction of all microbes and spores
Give examples of low, medium and high risk equipment
Low: stethoscopes, cots and mattresses
Medium: bedpans, specula and endoscopes
High: surgical instruments
Give examples of methods of disinfection
Heat: pasteurisation and boiling
Chemical: alcohol, chlorhexidine, hypochlorites and hydrogen peroxide