Asepsis, Infection Control and Prevention

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Questions and Answers

Which scenario poses the greatest challenge in maintaining asepsis and preventing healthcare-associated infections (HAIs)?

  • A nonpathogenic microorganism causes a severe illness in a susceptible individual. (correct)
  • A healthcare worker proficiently performs hand hygiene and uses personal protective equipment.
  • A patient with a compromised immune system is admitted for a routine checkup.
  • Effective infection prevention measures are implemented consistently in a healthcare facility.

Implementing infection prevention measures solely in healthcare facilities effectively mitigates the rise of transmissible infections, thereby eliminating the need for concern in home settings.

False (B)

In the context of infection prevention, explain how the actions of Joseph Lister have impacted modern healthcare practices.

Joseph Lister's method, the aseptic technique, reduced morbidity and mortality from infection.

Infection prevention and control measures play a crucial role in minimizing patient deaths, disabilities, and extended hospital stays, ultimately leading to a reduction in healthcare ______.

<p>costs</p> Signup and view all the answers

Match the term with its definition:

<p>Asepsis = The state of being free from disease-causing microoganisms. Virulent = Extremely harmful or poisonous; severe. Fomite = An inanimate object that can transmit infectious agents. Host = An organism that harbors a parasitic, a mutual, or a commensal symbiont, typically providing nourishment and shelter.</p> Signup and view all the answers

Which factor affecting the respiratory tract's defense mechanisms poses the MOST significant risk for a patient in a critical care unit?

<p>High concentration of oxygen (B)</p> Signup and view all the answers

The presence of normal flora in the vagina always maintains a high pH, regardless of external factors.

<p>False (B)</p> Signup and view all the answers

How does the urinary tract's flushing action prevent infection, and what intervention most directly interferes with this natural defense?

<p>Urine flow washes away microorganisms, and urinary catheter placement most directly interferes with this defense.</p> Signup and view all the answers

The severity of an infection is dependent on the extent of the infection, the ______ of the microorganisms, and the host's susceptibility.

<p>virulence</p> Signup and view all the answers

Match the following defense mechanisms with the factors that can compromise them:

<p>Skin = Puncture wounds Respiratory Tract = Smoking Gastrointestinal Tract = Use of antacids Urinary Tract = Urinary catheter placement</p> Signup and view all the answers

Which of the following scenarios poses the HIGHEST risk for healthcare-associated Staphylococcus aureus infection, considering both reservoir and mode of transmission?

<p>A nurse with a minor skin abrasion preparing an intravenous catheter insertion site on a patient. (A)</p> Signup and view all the answers

The presence of Candida albicans in the colon invariably leads to a systemic fungal infection requiring aggressive treatment.

<p>False (B)</p> Signup and view all the answers

A patient undergoing chemotherapy develops pneumonia. Based on the provided table, which opportunistic pathogen is MOST likely responsible for this infection?

<p>Pneumocystis jiroveci</p> Signup and view all the answers

Implementing rigorous mosquito control measures can DIRECTLY interrupt the transmission cycle of ______, thereby reducing the incidence of malaria.

<p>Plasmodium falciparum</p> Signup and view all the answers

Match each organism with its MOST associated infection or disease:

<p>β-Hemolytic group A streptococci = Strep throat Escherichia coli serotype O157:H7 = Hemolytic-uremic syndrome (HUS) Mycobacterium tuberculosis = Tuberculosis infection Herpes simplex virus I and II = Cold sores</p> Signup and view all the answers

A researcher is investigating potential bioterrorism agents. Based on the provided table, which of the following characteristics would make Bacillus anthracis a HIGH-priority concern?

<p>It can be transmitted through multiple routes (cutaneous, inhalation, gastrointestinal). (C)</p> Signup and view all the answers

Which patient condition most significantly increases susceptibility to infection due to compromised immune function and frequent exposure to pathogens?

<p>Patients residing in healthcare facilities. (D)</p> Signup and view all the answers

Implementing policies and procedures to maximize the spread of infections qualifies as infection prevention and control in healthcare settings.

<p>False (B)</p> Signup and view all the answers

To effectively interrupt the chain of infection and mitigate the presence of microorganisms, what critical practices should healthcare professionals consistently implement?

<p>Proper disinfection, antiseptic use, and surgical asepsis when indicated.</p> Signup and view all the answers

The techniques to inhibit the growth and transmission of microorganisms constitutes ______.

<p>medical asepsis</p> Signup and view all the answers

Match the following elements of the infection chain with their respective descriptions:

<p>Infectious Agent = Pathogenic microorganism such as bacteria or virus Reservoir = Place where the pathogen can survive and multiply Mode of Transmission = Method by which the pathogen travels from one host to another Susceptible Host = Individual at risk of developing an infection</p> Signup and view all the answers

Which of the following scenarios poses the most immediate risk for infection transmission in a healthcare setting?

<p>Leaving uncovered wound drainage in the patient's room (C)</p> Signup and view all the answers

Performing regular hand hygiene provides a safe environment but preventing infection transmission does not have a critical role to play.

<p>False (B)</p> Signup and view all the answers

What three factors primarily determine the likelihood of disease development following exposure to pathogenic microorganisms?

<p>A person's immune system, the number of microorganisms, and the exposure time to these microorganisms.</p> Signup and view all the answers

How does capsule formation in bacteria contribute to antibiotic resistance?

<p>By forming a physical barrier that reduces antibiotic penetration. (C)</p> Signup and view all the answers

All bacteria require oxygen to survive and reproduce.

<p>False (B)</p> Signup and view all the answers

What cellular structure enables some bacteria to exhibit motility?

<p>flagella</p> Signup and view all the answers

When environmental conditions become unfavorable, some bacteria form a specialized structure called a(n) ________.

<p>spore</p> Signup and view all the answers

Match the following bacterial characteristics with their descriptions:

<p>Aerobic = Requires oxygen to survive. Anaerobic = Does not require oxygen to survive. Gram-positive = Retains dye after solvent application in staining techniques. Gram-negative = Does not retain dye after solvent application in staining techniques.</p> Signup and view all the answers

Why is it important to perform a sensitivity test on a suspected bacterial infection?

<p>To identify which antibiotics will effectively inhibit the bacteria's growth. (D)</p> Signup and view all the answers

Bacterial spores are easily destroyed by common disinfectants.

<p>False (B)</p> Signup and view all the answers

What staining characteristic differentiates bacteria into Gram-positive and Gram-negative categories?

<p>dye retention</p> Signup and view all the answers

Motility in some bacteria is achieved through hair-like projections called ________.

<p>flagella</p> Signup and view all the answers

Why are viruses unique among disease-causing agents?

<p>They utilize the metabolic processes of a host cell to replicate. (D)</p> Signup and view all the answers

Antibiotics are an effective treatment option for viral infections.

<p>False (B)</p> Signup and view all the answers

What is the primary structure that protects bacteria in hostile environmental conditions?

<p>Capsule (C)</p> Signup and view all the answers

What technological advancement in 1941 significantly improved the understanding of viral structure and function?

<p>electron microscope</p> Signup and view all the answers

Before 1900, scientists discovered that some agents could pass through laboratory filters, unlike bacteria. These agents were described by Martinus Beijerinck as '_______ viruses'.

<p>filterable</p> Signup and view all the answers

Match the following viral characteristics with their descriptions:

<p>Viral Entry = Occurs through respiratory, gastrointestinal, broken skin, or vectors. Replication = Rapid reproduction using the host cell's material. Symptom Management = Medications, fluids, rest, humidifiers, compresses. Viral Structure = Composed of RNA or DNA with a protein coat.</p> Signup and view all the answers

During which stage of an infectious process is the host most likely to unknowingly transmit the disease due to experiencing only nonspecific symptoms?

<p>Prodromal Stage (D)</p> Signup and view all the answers

Systemic inflammation is solely characterized by localized symptoms such as edema and rubor.

<p>False (B)</p> Signup and view all the answers

Compromised infection control techniques and poor hand hygiene can result in what type of infections?

<p>Health Care-Associated Infections</p> Signup and view all the answers

A protective vascular reaction that delivers fluid, blood products, and nutrients to injured tissues is called the ______ response.

<p>inflammatory</p> Signup and view all the answers

Match each stage of the infectious process with its defining characteristic:

<p>Incubation Period = Interval between pathogen entry and symptom appearance Prodromal Stage = Nonspecific signs and symptoms Acute Stage = Specific signs and symptoms of the infection Convalescence = Disappearance of acute symptoms, recovery begins</p> Signup and view all the answers

Which of the following interventions is the MOST critical for a nurse to implement to prevent the spread of both localized and systemic infections in a healthcare setting?

<p>Ensuring proper hand hygiene and adherence to infection control measures. (B)</p> Signup and view all the answers

Administering prescribed antimicrobial agents without regularly assessing patient vital signs and lab results is sufficient for managing infections effectively.

<p>False (B)</p> Signup and view all the answers

What are the three main categories of agents that can trigger an inflammatory response in the body?

<p>Physical, chemical, and microorganisms</p> Signup and view all the answers

An increase in the number of white blood cells, often indicative of systemic inflammation or infection is called ______.

<p>leukocytosis</p> Signup and view all the answers

A patient recovering from a surgical wound develops a localized infection. Which signs would BEST differentiate this localized infection from a systemic one suggesting widespread involvement?

<p>Swelling, redness, and heat at the wound site only. (C)</p> Signup and view all the answers

Flashcards

Medical Asepsis

Procedures to reduce the number and spread of pathogens.

Surgical Asepsis

Sterile techniques to eliminate all pathogens.

Chain of Infection

A series of events that allows infection to spread.

Standard Precautions

Basic infection control practices to prevent infection transmission.

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Microorganisms

Tiny organisms that can be harmful or harmless.

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Skin Defense Mechanism

The body's first line of defense against infection through an intact multilayered surface.

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Sebum Function

Sebum contains fatty acids that kill some bacteria and help protect the skin.

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Saliva Role in Defense

Saliva acts as a mechanical barrier, washes away particles, and contains microbial inhibitors like lysozyme.

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Respiratory Tract Protection

Cilia in the upper airway trap inhaled microbes in mucus to expel or swallow them.

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Vaginal Flora Importance

At puberty, normal flora create vaginal secretions that maintain a low pH, protecting against infections.

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Susceptibility to Infection

Vulnerability to infections due to factors like immune system weakness, illness, or treatments.

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Infection Prevention

Policies and procedures to limit the spread of infections in healthcare settings.

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Role of Nurses in Infection Control

Nurses implement aseptic techniques to prevent infections in patients.

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Infectious Agent

A pathogen that can cause disease in a host.

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Chain of Infection Steps

Six sequential steps needed for infection transmission: Infectious agent, reservoir, exit, transmission, entry, host.

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Reservoir of Pathogens

The environment or host where pathogens grow and multiply.

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Staphylococcus aureus

A bacteria primarily found on the skin and hair that can cause wound infections, pneumonia, and food poisoning.

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Neisseria gonorrhoeae

A bacterium associated with infections in the genitourinary tract and can lead to gonorrhea and pelvic inflammatory disease.

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HIV

Human immunodeficiency virus that attacks the immune system and can lead to acquired immunodeficiency syndrome (AIDS).

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Methicillin-resistant Staphylococcus aureus (MRSA)

A strain of Staphylococcus aureus that is resistant to methicillin and can cause severe infections.

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Escherichia coli

A bacteria commonly found in the colon that can cause enteritis.

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Plasmodium falciparum

A parasite transmitted by mosquitoes that causes malaria.

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Viruses

The smallest agents causing disease, not complete cells, composed of RNA or DNA.

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Viral Entry

Ways viruses enter the body: respiratory, gastrointestinal, or skin breaches.

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Antibiotics vs Viruses

Antibiotics are ineffective against viruses, unlike bacteria.

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Management of Viral Infections

Symptom management includes medications, fluids, rest, and education.

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COVID-19 Impact

A pandemic in 2020 that changed health practices regarding infection control.

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Bacterial Shapes

Bacteria come in three basic shapes: round, oblong, and spiral.

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Aerobic Bacteria

Bacteria that require oxygen for growth and survival.

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Anaerobic Bacteria

Bacteria that can survive without oxygen.

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Flagella

Hair-like projections that enable bacterial motility.

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Spore Formation

A protective round structure formed by bacteria in unfavorable conditions.

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Capsule Formation

A protective layer around some bacteria, enhancing survival.

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Gram-positive Bacteria

Bacteria that retain a purple color after staining, indicating a thick cell wall.

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Gram-negative Bacteria

Bacteria that lose color after staining, indicating a thinner cell wall.

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Sensitivity Test

A test to determine which antibiotics effectively inhibit bacterial growth.

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Cell Division in Bacteria

Bacteria can reproduce by forming pairs or chains during division.

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Incubation Period

Time between pathogen entry and symptom appearance.

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Prodromal Stage

Initial stage with nonspecific signs before specific symptoms.

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Acute Stage

Stage where specific symptoms of the infection appear.

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Convalescence

Recovery phase when acute symptoms disappear.

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Signs of Inflammation

Common signs include edema, redness, heat, pain, and loss of function.

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Triggers of Inflammatory Response

Causes include physical, chemical agents, and microorganisms.

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Health Care-Associated Infections (HAIs)

Infections occurring in patients during medical treatment.

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Minimizing Illness

Localized symptoms help minimize illness severity.

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Preventing Spread

Nurses play a critical role in infection spread prevention.

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Inflammatory Response

Body's reaction delivering nutrients and cells to injured areas.

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Study Notes

Objectives

  • Explain the difference between medical and surgical asepsis
  • Explain how each element of the chain of infection contributes to infections
  • List five major classifications of pathogens
  • Identify the body's normal defenses against infections
  • Discuss nursing interventions used to interrupt the chain of infection
  • Describe the signs and symptoms of a localized infection
  • Describe the events in the inflammatory response

Key Terms

  • asepsis
  • antiseptic
  • carrier
  • CDC
  • contamination
  • disinfection
  • endogenous
  • exogenus
  • fomite
  • health-care-associated infection
  • host
  • infection prevention and control
  • medical asepsis
  • microorganism (microbes)
  • microorganism (microbes)
  • reservoir
  • spore
  • standard precautions
  • sterilization
  • surgical asepsis
  • vector
  • virulent

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