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Infection Control
Cravens 7e Chapter 18
59
Nursing
Undergraduate 1
02/17/2014

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Term
What patients are at an increased risk for infections?
Definition
elders, immunocompromised, invasive procedures
Term
What are the 3 factors that influence infection in the body
Definition
Number of invading organisms
Virulence of organisms
Resistance of host
Term
Virus is the
Definition
smallest living organism that cannot live outside the host cell
Term
Protozoa
Definition
Single celled animals living everywhere
Classified by motility
Live in soil and digest materials making soil more fertile
Term
Fungi
Definition
plant kingdom
live outside body
Yeast and -molds
can invade deep tissues
Term
Histoplamosis
Definition
fungal infection from inhaling bird poo
Term
Rickettsiae
Definition
can resemble viruses
intracellular parasites- cannot exist outside living organism
Carried and spread by bites of vectors
Term
Common diseases caused by rickettsiae
Definition
Rocky mtn spotted fever-tick
Lyme disease- tick
typhus fever
malaria- mosquito
west nile- mosquito
Term
Virus
Definition
most commonly encounter microorganism
smallest
cannot live on their own
can cause epidemic
Term
Bacteria
Definition
oldest known group of single celled organisms
contain mechanisms for maintaining life and rapidly replicating themselves
Term
Bacteria are classified according to what they look like under a microscope
Definition
rod shaped- baccili
round- cocci
spiral- spirochetes
Term
Mycoplamas
Definition
single celled
smallest microorganism that can live outside cell
lack cell wall
primarily infect surface linings or respiratory tract, GU, GI
Term
Helminths
Definition
round, tape, flukes (flatworms)
Eosinophils elevated with infection
Term
Chlamydia
Definition
intracellular parasites that invade a cell and produce offspring released by cell rupture
offspring can live outside of cell and resist macrophage destruction
STD, PID, neonatal eye infections and lung
Term
Infection
Definition
invasion of a susceptible host by pathogens or microorganisms
Term
Colonization
Definition
microorganism is present or invades a host, grows and or multiplies but does not cause infections
Term
Normal flora
Definition
body's own natural defense mechanism, each location has beneficial bacteria
Term
Communicable disease
Definition
infectious disease transmitted directly from one person to another
Term
toxins
Definition
protein molelcules released by bacteria to affect host cell at a distant site
neurotoxins- tetnus
Term
endotoxins
Definition
produced in cell walls of certain bacteria and released only with cell lysis
endotoxins (meningococcal, typhoid)
Term
Reservoir
Definition
a person with an active infection or an asymptomatic carrier
Term
Community reservoir EX
Definition
sewage, stagnant or contaminated water, improperly handled food
Term
Animate reservoir
Definition
peoole, insects, animals
Term
Inanimate reservoir
Definition
soil and water
iv solution
urine collection devices
Term
Pathogen
Definition
several microorganisms produce
infection
Term
Host
Definition
greatly influences the development of infection
pt immune status
acquired health status
Term
What has the best defense to infection
Definition
host- immunity
Term
Immunity
Definition
resistance to infection associated with the presence of antibodies or cells that act on specific microorganism
Term
Passive/ Congenital immunity
Definition
short duration, by mother across placental
can be given by injection of antibodies such as immunoglobulin> tetnus
Term
Active immunity
Definition
lasts for years
occurs naturally or by vaccinations
Term
How does a vaccine work
Definition
body reacts and develops own immunity this can take 4-6 weeks
Term
Factors in hosts causing decrease immune status
Definition
Diabetes
ETOH
Nicotine
Malnutrition
Vit. Deficiency
Dehydration
Term
Portal of entry
Definition
Respiratory
GI
GU
Skin/ mucous
bloodstream
Term
Contact transmission
Definition
usual mode causing nosocomial inf
wash hands prevents
Term
Direct contact
Definition
skin to skin
Term
Indirect
Definition
transferred by inanimate object such as iv, contaminated needle, oral- fecal
Term
Airborne transmission
Definition
travel 3 ft
coughing or sneezing droplet
Term
vehicle of transmission
Definition
transmitted through a common source
water supply, food, iv fluids
Term
vectorborne transmission
Definition
insects, ticks, fleas, mosquitos
Term
What is the most effective point to interfere with the chain of infection
Definition
Vehicle of transmission
Term
Portal of exit
Definition
completes the chain of infection
usually same as portal of entry
Term
Nonspecific defense mechanisms
Definition
body tissue
phagocytosis
inflammation
Term
Neutrophils
Definition
responsible for phagocytosis
engulf, ingest, kill and dispose of invading organisms
Term
Inflammation
Definition
occurs when tissue is damaged
these cells release enzymes and polymorphnuclear leukocytes are attracted to the infected site from the bloodstream
if caused by infection pus occurs
Term
5 cardinal signs of inflammation
Definition
red
hot
swollen
decrease in function
pain
Term
nosocomial
Definition
infection acquired in health care setting
Term
Infection control nurse
Definition
monitors infection
report trends
reports to appropriate agency
Term
bioterrorism
Definition
be aware of potential trends
notify appropriate agency
Check CDC for current info
Term
methods of infection control
Definition
handwashing
hygiene
sanitation
disinfection/ sterilization
barriers
Term
What is the most effective way to prevent the spread of infection?
Definition
Handwashing
Term
Universal Precautions
Definition
Must be used with any body fluid
Term
Disinfectants
Definition
used to clean exposed furniture, floors and equipment
Term
TB
Definition
HEPA mask
proper isolation
Term
Hemoptysis
Definition
wear mask
Term
Disinfection
Definition
process that eliminates almost all pathogens on objects with the exception of spores
Term
Sterilization
Definition
destroys all microorganisms
Term
Autoclave
Definition
most dependable method of sterilization uses steam under pressure
Term
Barrier technique
Definition
PPE
Term
Remove PPE
Definition
Glove
Mask
Gown waist then neck
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