Nosocomial infxns + prevention

Question 1

COmmunity acquired Pneumonia (CAP)

Answer 1

pneumonia in pts NOT hospitalized and NOT

residing in long term care facility for > 14 days

Question 2

Healthcare assoc. pneumonia (HCAP)

Answer 2

pts were hospitalized in acute care hosp for >2 days w/in the previous 90 days of infxn

Pts who live in nursing home

Pt has recieved:
IV Ab/chemotherapy/wound care/hemodialysis

Question 3

are pts who: received IV antibiotics,
chemotherapy,
hemodialysis,
or wound care in previous 30 days, and get pneumonia, considered CAP or HCAP?

Answer 3

HCAP

*Pt has recieved:
IV Ab/chemotherapy/wound care/hemodialysis

Question 4

Outcomes of Multiresistant vs non resistant GN infxn?

Answer 4

If you have multiresistant GN infxn, you are likely to have greater:
Mortality
Length of stay (LOS)
Cost

Question 5

If you hear “spider bite” and they live in colorado, assume:

Answer 5

MRSA

• ask if they have seen the spider - uncommon
• Gram stain will show GPC

Question 6

Why do gram - survive on surfaces for long periods of time?

Answer 6

They are used to living in soil and cold surfaces

Question 7

If you enter a hospital room with VRE, likelyhood will be diagnosed with VRE?

Answer 7

8% acquired VRE during stay

Question 8

Even if you dont touch a pt, can you still get an infection?

Answer 8

Yes

• environment is contaminated
• 42% can get glove contamination if pt contact
• 65% can get glove contamination if they have pt contact

Question 9

For which organisms would you use droplet precautions on? Airborne?

Answer 9

Droplet:
INfluenza
RSV
N. meningitides

Airborne:
M. tuberculosis
Measles
VZV

Question 10

Airborne vs Droplet precaution

Answer 10

Airborne:
N-95 mask
- organism are spread via airborne droplet