Module 2 Flashcards

(45 cards)

1
Q

Where do microbial populations establish themselves on the body?

A

Skin and mucous membranes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What area of the body has the greatest NF population and what is the organism?

A

The large intestine

E. Coli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What affects NF?

A

Excess moisture on skin (+)

Antibiotic use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the differences between contamination, colonization and infection/disease?

A

Contamination- bacteria is found where it normally isn’t. No growth.

Colonization- bacteria is found where it normally isn’t and grows. No host affect.

Infection- damage has resulted from bacteria but isn’t noticeable

Disease- damage has resulted from bacteria and is evident

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a pathogen?

A

A disease causing organism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are opportunistic/low grade pathogens?

A

Bacteria that are nonpathogenic under normal circumstances but can cause disease when defences are lowered or the immune system is compromised.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What’s the difference between endo- and exotoxins?

A

Endo- produced by G-, released when the cell is lysed, general effect

Exo- produced by G+, released from intact cells, specific effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the three elements required for infection transmission?

A
  1. Source
  2. Means of transmission
  3. Susceptible host
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How can the chain of infection be broken?

A

Immunizations

Standard precautions and isolation procedures

Sterilization, disinfection, cleaning and waste disposal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the categories of reservoirs for infectious microbes?

A
  1. Human
  2. Animal
  3. Nonliving
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the principle reservoir of human disease?

A

The human body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a carrier?

A

A person who is harbouring pathogenic organisms but has no signs of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is normal flora?

A

Protective organisms that are present and do not cause disease. Outcompete pathogenic bacteria.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the difference between a convalescent and chronic carrier?

A

Convalescent- the person had the disease, systems are gone but the microbes are still present

Chronic- six months after symptoms subside microbes are still present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the different types of contact transmission?

A
  1. Direct- reservoir to host
  2. Indirect- reservoir to fomite to host
  3. Droplet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is vehicle transmission?

A

Reservoir is air, food/water, blood. Something else is carrying the organism.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the different types of vehicle transmission?

A
  1. Food/water
  2. Droplet nuclei
  3. Injected solutions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is vector transmission?

A

The microorganism is transferred via an insect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What factors influence host susceptibility?

A

Age, general health, treatments that compromise the immune system (chemo, radiation, antibiotics), surgery, anaesthesia, catheters.

20
Q

What are portals of entry?

A

Skin- hair follicles/sweat glands, moist, broken skin

Mucus membranes

Placenta- only some microbes can cross

Parenteral- through a “poke”

21
Q

What are common signs of infection?

A

Fever, lymph node swelling, inflammation

22
Q

What constitutes a fever?

A

Increase of body temp by 1°C

23
Q

How is heat generated in a fever?

A

Vasoconstriction, increased metabolic week, shivering

24
Q

What happens when fever breaks?

A

Heat loss via vasodilation and sweating

25
Why do lymph nodes swell during infection?
The nodes trap microbes and become infected or the lymphocytes in nodes multiply
26
What are the four signs of inflammation?
Heat, redness, pain, swelling
27
What is released when a pathogen causes an infection?
Histamine
28
What is the chain reaction of inflammation?
- Histamine is released - Blood vessels become more permeable - Fluid leaks into tissue with antibodies and coagulation factors - Increased phagocytes - Purulent exudate - Leukocytosis
29
What is a nosocomial infection?
An infection acquired in hospital.
30
What contributes to nosocomial infections?
Hospital microbes Compromised patients The transmission of microbes is facilitated
31
What are the top three nosocomial infections acquired?
Urinary tract infection Surgical wound infection Pneumonia
32
What are surgical wounds normally infected with?
Staph aureus, most healthcare workers are staph carriers
33
What are antibiotics?
Substances produced by a microorganism that inhibits the growth or kills another microorganism.
34
What does antibiotic testing show?
What antibiotics a microorganism is or isn't sensitive to.
35
What are super bugs?
Bacteria that are resistant to many antibiotics.
36
Why do bacteria develop resistance?
Natural resistance Develop enzymes Mutation Conjugation
37
What are some examples of super bugs?
MRSA VRE C. difficle
38
Why are super bugs a concern?
Fewer antibiotics for treatment Drug resistant strains may spread to others in a health care facility
39
What is the concern with VRE and MRSA?
If VRE and MRSA conjugate there will be very few antibiotics to treat them.
40
Why is silver imbedded in bandages?
It has antimicrobial properties.
41
What are phages?
Viruses that infect specific bacterial cells and destroy them.
42
What parts of infection prevention and control are there?
AHS oversees programs Healthcare facilities monitor nosocomial infections and implement policies Infection prevention and control practitioners Monitoring and reporting of outbreaks Epidemiology
43
What are "other" signs of infection that result from the inflammatory response?
Purulent exudate- pus, phagocytotic WBCs killed in action Leukocytosis- increase in the number of WBCs
44
What have we as humans done to contribute to the development of AROs?
Over prescription of antibiotics People stop taking antibiotics before all the bacteria are killed
45
How can the spread of MRSA be prevented in hospital settings?
Identify cases by screening patients Isolate cases Identify carriers Eradicate from carriers- intranasal mupirocin