Outbreak Flashcards

1
Q

Healthcare Associated Infection (HAI)

A

Infection caught when receiving healthcare in hospitals, care homes, doctors’ surgeries, health centres or at home
- Hospital acquired infection: infection acquired after being in hospital >48 hours

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2
Q

Most common HAI infection sites

A
  • UTI
  • Surgical site
  • RTI
  • Bloodstream
  • GI
  • Skin and soft tissue
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3
Q

Outbreak of an infection

A

2 or more cases of an infection linked in time and space

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4
Q

Prevention of outbreak

A

Infection Prevention and Control measures

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5
Q

Surveillance of outbreak

A
  • Detect
  • Identify
    Local (lab, ward)
    National
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6
Q

Infection chain

A
  1. Infectious agent
  2. Reservoir
  3. Point of exit
  4. Mode of transmission
  5. Point of entry
  6. Susceptible host
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7
Q

Infectious agent

A

Bacteria, virus, fungi, prion

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8
Q

Infectious agent: break the chain

A
  • Diagnosis and treatment

- Antimicrobial stewardship

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9
Q

Reservoir

A
  • Humans
  • Environment
  • Water and food
  • Animals, insects and soil
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10
Q

Reservoir: break the chain

A
  • Cleaning, disinfection, sterilisation
  • Infection prevention policies
  • Pest control
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11
Q

Portal of exit

A
  • Blood
  • Body fluids
  • Skin scales/wounds
  • Aerosols: coughing, sneezing
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12
Q

Portal of exit: break the chain

A
  • Hand hygiene
  • PPE
  • Control of aerosols: respiratory etiquette
  • Waste disposal
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13
Q

Mode of transmission

A

Contact: direct/indirect

- Inhalation and ingestion

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14
Q

Mode of transmission: break the chain

A
  • Hand hygiene
  • PPE
  • Food safety
  • Cleaning, disinfection, sterilisation
  • Isolation
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15
Q

Portal of entry

A
  • Broken skin/incisions
  • Respiratory tract
  • Mucous membranes: eye, mouth, intestinal
  • Catheters and tubes
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16
Q

Portal of entry: break the chain

A
  • Hand/personal hygiene
  • PPE
  • First aid
  • Removal of catheters/tubes
17
Q

Susceptible host

A

Any person, especially those receiving healthcare

  • Underdeveloped/decreased immune system
  • Drugs and tubes
18
Q

Susceptible host: break the chain

A
  • Immunisations
  • Treat underlying disease
  • Health insurance
  • Patient education
19
Q

Cleaning

A

Physical removal of organic material and decrease microbial load

  • Low risk
  • Intact skin contact: mattress
  • Detergent and water. Drying important
20
Q

Disinfection

A

Large reduction in microbe numbers, spores may remain

  • Medium risk
  • Mucous membrane contact: bed pan, endoscope
  • Heat (pasteurisation, boiling), Chemical
21
Q

Sterilisation

A

Removal/destruction of all microbes and spores

  • High risk
  • Surgical instruments
  • Steam under pressure (autoclave), hot air oven, gas (ethylene dioxide) and ionising radiation
22
Q

Droplet

A
  • > 5 um
  • 1m spread
  • Fall to ground
23
Q

Aerosol

A
  • <5 um
  • widespread
  • In air
  • More transmissible