Session 7-Infection Prevention Flashcards

1
Q

What are some microbes that are spread by direct person-to-person transmission?

A

Influenza
Norovirus
Neisseria gonorrhoea

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2
Q

Which infection is spread by indirect person-to-person transmission?

A

Malaria (by mosquitos)

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3
Q

What are the consequences of infection transmission?

A
  • endemic disease
  • outbreak
  • epidemic
  • pandemic
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4
Q

What is endemic disease?

A

Usual background rate - disease that is always present in certain population

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5
Q

What is an outbreak?

A

Two or more cases linked in time and place

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6
Q

What is an epidemic?

A

Rate of infection greater than usual background rate

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7
Q

What is a pandemic?

A

Very high rate of infection spreading across many regions, countries, continents

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8
Q

What is antigenic drift?

A

Variation in viruses that involves accumulation of mutations within genes that code for antibody-binding sites

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9
Q

What is antigenic shift?

A

Process by which two or more different strains of virus combine to form new subtype having mixture of surface antigens of two or more original strains

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10
Q

What is the basic reproduction number?

A

Average number of cases one case generates over the course of its infectious period, in an otherwise uninfected, non-immune population

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11
Q

What are the reasons for outbreaks, epidemics, pandemics?

A
  • new pathogen (antigens, virulence factors, antibacterial resistance)
  • new hosts (non-immune, healthcare effects)
  • new practice
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12
Q

Describe interventions associated with pathogens and vectors

A

1) reduce/eradicate pathogen:
- antibacterials
- decontamination
- sterilisation
2) reduce/eradicate vector:
- eliminate vector breeding sites

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13
Q

Describe interventions associated with patients

A

1) improved health:
- nutrition
- medical treatment
2) immunity:
- passive eg maternal antibody, IV immunoglobulin
- active eg vaccination

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14
Q

Why do infections such as streptococcal pneumoniae develop after 3 months of birth?

A

Maternal antibodies only last for approximately 3 months

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15
Q

What is the advantage of vaccinating children against flu?

A

Protect elderly family members indirectly (more susceptible)

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16
Q

Describe the interventions associated with practice

A

1) avoidance of pathogen or its vector
- geographic (dont go there)
- protective clothing and equipment
- behavioural: safe sex, safe disposal of sharps

17
Q

Describe interventions associated with place

A

1) environmental engineering:
- safe water
- safe air
- good quality housing
- well designed healthcare facilities

18
Q

What are the positive consequences of control?

A

Decreased incidence or elimination of disease/organism eg smallpox, polio

19
Q

What are the negative consequences of control?

A

1) decreased exposure to pathogen -> decreased immune stimulus -> decreased antibody -> increased susceptibles -> outbreak
2) later average age of exposure -> increased severity