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Infection
Question | Answer |
---|---|
What are the 6 aspects of the chain of infection? | -causitive agent -reservoir -portal of exit -mode of transmission -portal of entry -susceptible host |
Examples of a causitive agent | bacteria, virus, fungus, prion, parasite |
Examples of a reservoir | human, animal, food, organic matter on inanimate surfaces, water, soil, insects |
Examples of portal of exit | respiratory tract, GI tract, GU tract, skin/mucous membranes, blood/body fluids, transplacental |
Examples of mode of transmission | contact, droplet, airborne, vector borne |
colonization | presence of germs on or in the body without causing illness |
infection | presence of germs that cause illness |
incubation stage | interval between the pathogen entering the body and the presentation of the first finding |
prodromal stage | interval from onset of general findings to more distinct findings; during this time, the pathogen multiplies |
illness stage | interval when findings specific to the infection occur |
decline stage | interval when manifestations begin to subside as the number of pathogens decrease |
convalescence | interval when acute findings disappear, total recovery taking days to months |
primary infection | first infection that occurs in a patient |
secondary infection | follows primary infection |
local infection | causes harm in a limited are of the body |
systemic infection | pathogens invade bloody/lymph and spread through the body |
exogenous infection | acquired from health care environment |
endogenous infection | patient normal flora multiplies and causes infection due to some form of treatment |
acute | rapid onset with short duration |
chronic | develops slowly lasting for weeks or years |
latent | no symptoms of illness for a long time |
What are some examples of multi drug-resistnat organisms | -MRSA -VISA, VRSA, VRE -CRE -CRAB -CDiff |
What are two nursing interventions for multidrug-resistant organisms | -obtain specimens for culture and sensitivity prior to initiation of antimicrobial therapy -monitor antimicrobial levels and ensure therapeutic levels are maintained |
CDC guidelines for standard precaution | handwashing, gloves, glove removal and hand hygiene between patients for body parts, masks and eye protection and faceshields prn, gowns prn, all equipment cleaned properly, contaminated laundry disposed of properly, safety devices on equipment |
difference between standard and transmission-based precautions | standard precautions are used on all patients whereas transmission-based are specific to certain diseases |
aspects of contact precautions | -private room -gloves and gowns -disposal of infectious dressing material into single, nonporous bag -designated equipment |
aspects of droplet precautions | -private room -surgical mask within 3 foot of patient -dedicated equipment -mask if patient leaves room |
diseases within droplet precautions | streptococcal pharyngitis, rubella, pertussis, influenza |
aspects of airborne precautions | -private, negative pressure airflow room -mask/respiratory protection device -emotional support |
diseases within airborne precautions | measles, varicella, tuberculosis |
order of donning PPE | 1-gown 2-hair 3-mask 4-goggles 5-gloves |
order of doffing PPE | 1-gloves 2-goggles 3-gown 4-mask |