Session 5 - Hospital Acquired Infections Flashcards

1
Q

What are healthcare infections?

A

Infections arising as a consequence of providing healthcare

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2
Q

What are the 4Ps of infection prevention and control?

A

Pathogen
Patient
Practice
Place

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3
Q

What is the patient factor of infection prevention and control?

A

General and specific patient risk factors of infection

Interactions with other patients, healthcare workers and visitors

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4
Q

What are the pathogen factors of infection prevention and control?

A

Virulence factors

Ecological interactions with other bacteria and antibiotics

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5
Q

What are the practice factors of infection prevention and control?

A
Healthcare worker activities
Policies 
Organizational structure and engagement
Political initiatives 
Leadership
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6
Q

What are the place factors of infection prevention and control?

A

Healthcare environment - fixed and variable features

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7
Q

What are 4 general patient interventions to reduce infection?

A

Optimize conditions - reduce smoking, better nutrition
Antimicrobial prophylaxis
Skin preparation
Hand hygiene

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8
Q

What are 3 specific patient interventions to reduce infection?

A

MRSA screens
Mupirocin nasal ointment
Disinfectant body wash

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9
Q

What are 2 ways of halting patient to patient transmission?

A

Isolation of infected patients

Protection of susceptible patients

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10
Q

What are 5 healthcare worker interventions to reduce infections?

A
Vaccinations
Good clinical techniques 
Hand hygiene
PPE
Antimicrobial prescribing
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11
Q

What are 5 environmental interventions to reduce infection?

A

Well designed built environment with sufficient space and toilets
Easy to clean furniture and furnishings
Cleaning using disinfectants, steam and hydrogen peroxide
Single use / sterilized medical devices
Good food hygiene

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12
Q

What is I five?

A
Identify 
Isolate
Investigate
Inform 
Initiate
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13
Q

What are the 6 things to Identify in a patient to suspect infection?

A
Abroad
Blood borne infections 
Colonized
Diarrhea 
Expectorating 
Funny looking rash
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14
Q

What is endemic disease?

A

The usual background rate of disease

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15
Q

What is an outbreak?

A

2 or more cases linked in time and place

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16
Q

What is an epidemic?

A

Rate of infection greater than usual background rate

17
Q

What is a pandemic?

A

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

18
Q

What is R0?

A

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

19
Q

What are 4 pathogen interventions to reduce infection?

A

Antibacterial
Decontamination
Sterilization
Eliminate vector breeding sites

20
Q

What are 4 patient interventions to reduce infections?

A

Nutrition
Medical treatment
Passive immunity
Active immunity