Tuesday Notes Flashcards
Teal die is
Food Die and Cosmetic Green Die #3
Orange die is
Food Die and Cosmetic Yellow Die # 6
Why sell PreVail?
Can be sold when Chloraprep is not indicated (nose, vaginal, eyes)
If admitted to the hospital what ate your chances of contracting an HAI?
5-10%
How long can an HAI increase your length of stay?
5 up to 30 days
Most common microorganism associated with SSI?
S. aureus
Most common microorganism associated with CRBSI and BSI?
CoNS
Skin is the source of ____?
infection
How many bacteria on a single square centimeter of skin?
10 million
Resident bacteria
occur naturally on the skin
Transient bacteria
get from everyday activity
Two types of people that have compromised skin?
Geriatric and Neonate
Resident and transient skin flora reisde in the first ___ cell layers of the ____
first 5 cell layers
of the stratum corneum
How long does the microorganism reduction last when using ChloraPrep?
48 hours
What log reduction must occur when cleaning a wet surface?
3 log reduction
What log reduction must occur when cleaning a dry surface?
2 log reduction
Is ChloraPrep a medical device or drug?
drug
Where are microbes most concentrated in the hospital?
hands
What features does ChloraPrep have?
Broad spectrum Rapid activity Persistent antimicrobial activity Effective in the presence of organic matter Less irritating and non toxic Little absorption into the skin
Is ChloraPrep nonsterile?
No- no solution on the market is non-sterile
Why use back and forth method?
gets to the cracks and crevices (gets 80% of microorganisms)
Sufficient friction to ensure deeper penetration
Asepsis definition
without infection
Antiseptic
Chemicals used to kill microorganisms on the surface of skin
Activity of an antimicrobial solution can be affected by what factors?
Microorganism, antimicrobial, environment and time
Advantages of using alcohol as an antiseptic
broad spectrum
rapid acting
quick dry time
Disadvantages of using alcohol as an antispectic
Short of persistence
Potentially flammable
Advantages of Iodine
Broad spectrum
Disadvantages of Iodine
diminished efficacy by organic material
variable persistence
needs time to act
Advantages of Chlorhexidine
Broad spectrum
Excellent residual efficacy
Disadvantages of Chlorhexidine
Irritate skin
No quick kill
NDA
New Drug Application
3 Factors that affect the activity of an antimicrobial
healthcare worker hands
surgical technique
application technique
HAI’s cost the US ___ billion dollars per year
40
Why is ChloraPrep preferred by clinicians
Clinical studies
Aseptic Technique
Application methodology
What two products were compared in the Ostrander study?
ChloraPrep and DuraPrep
What region of the body was used in the Ostrander study?
Foot and ankle
What were the results of the Ostrander study?
ChloraPrep treated skin had fewer microorganisms present
What products were compared in the Saltzman study?
PVP, DuraPrep and ChloraPrep
What region of the body was used in the Saltzman study?
Shoulder
What were the results of the Ostrander study?
ChloraPrep treated skin has less microorganisms present
What was the Saleh study testing?
Surgical site skin preparation compliance rates
In the Saleh study, what % of hospitals were strictly compliant?
24%
What are the benefits of using the Saleh study?
Promoting standardization and the PIP program
