Chain of Infection Overview
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Questions and Answers

What are the necessary steps in the chain of infection?

  • Infectious agent, means of transmission, portal of entry, immune response
  • Reservoir, portal of exit, means of transmission, susceptible host
  • Infectious agent, direct contact, droplet spread, susceptible host
  • Infectious agent, reservoirs, portal of exit, means of transmission, portal of entry, susceptible host (correct)

Which scenario best illustrates a portal of entry for an infectious agent?

  • Touching food contaminated with bacteria
  • Inhaling respiratory droplets from an infected person
  • Eating undercooked meat containing parasites
  • A cut on the skin exposed to a virus (correct)

What is a susceptible host?

  • Anyone in a crowded place
  • Someone with a strong immune system
  • An individual with proper vaccinations and good nutrition
  • An individual who can contract a disease due to factors like age or health condition (correct)

Which of the following represents a means of transmission in infectious disease spread?

<p>Foodborne illness from undercooked meals (C)</p> Signup and view all the answers

What are contact transmission precautions?

<p>Using gloves and gown together (B)</p> Signup and view all the answers

What does routine practice primarily focus on?

<p>Standard procedures applied to all patients in healthcare settings (A)</p> Signup and view all the answers

Which element is part of the point of care risk assessment?

<p>Could my clothing get splashed? (A)</p> Signup and view all the answers

What do airborne transmission precautions require?

<p>Wearing an N95 respirator and gloves (C)</p> Signup and view all the answers

What is the correct order of donning personal protective equipment?

<p>Gown, face protection, gloves (D)</p> Signup and view all the answers

Which period of infection is characterized by the absence of signs and symptoms?

<p>Incubation Period (D)</p> Signup and view all the answers

Which type of infection is a Central Line-associated Bloodstream Infection?

<p>Infection from a catheter (B)</p> Signup and view all the answers

What is the definition of a superbug?

<p>Bacteria or fungi resistant to commonly prescribed medications (D)</p> Signup and view all the answers

Which term describes a disease that is regularly present in a certain area or population?

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

What does the Period of Convalescence signify in the stages of infection?

<p>The body returns to normal function (A)</p> Signup and view all the answers

Which type of transmission pattern involves infections spreading from person to person over time?

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

What best describes the Swiss Cheese Model in relation to infectious outbreaks?

<p>Shows how protective measures can fail. (A)</p> Signup and view all the answers

What term describes a group of linked disease cases from a common source that requires investigation?

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

Which practice focuses on eliminating or reducing potential pathogens?

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

Flashcards

Chain of Infection

A process that describes how an infectious agent moves from one host to another.

Infectious Agent

Any organism that can cause disease, like bacteria, viruses, or fungi.

Reservoir

A place where the infectious agent can live and multiply, like a human body, animal, or contaminated surface.

Portal of Exit

The way the infectious agent leaves the reservoir, like through coughing, sneezing, or open wounds.

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Means of Transmission

The way the infectious agent travels from the reservoir to a susceptible host, like through direct contact, droplets, or air.

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Portal of Entry

The way the infectious agent enters a new host, like through the eyes, nose, mouth, or broken skin.

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Susceptible Host

An individual who is likely to become infected, usually due to weakened immune system or lack of immunity.

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Routine Practices

Standard precautions used for all patients, in all settings at all times.

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Asepsis

The practice of eliminating or reducing potential pathogens.

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Infection

A disease state resulting from the invasion and growth of pathogens in the body.

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Outbreak

A group of linked disease cases from a common source, requiring investigation within healthcare settings.

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Ventilator-associated Pneumonia

An infection that develops when germs enter the lungs through a ventilator tube.

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Central Line-associated Bloodstream Infection

A central line is a catheter inserted into a large vein near the heart to administer medication, fluids, or collect blood.

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Endemic

A disease is regularly present in a certain area or population, and people can expect to see a certain number of cases.

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Epidemic

A disease spreads quickly and affects more people than usual in a specific area. It lasts longer and affects more people.

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Pandemic

When a disease spreads across many countries or even continents, affecting a large number of people.

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Medical Asepsis

Clean technique. Prevent pathogens from spreading from one client or place to another client or place.

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Surgical Asepsis

Sterile technique. All items in contact with the client are kept sterile.

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Study Notes

Chain of Infection

  • Infection: Harmful microorganisms invade a host's body.
  • Chain of infection: Steps for infectious agent spread from host to host.
  • Components: Infectious agent, reservoir, portal of exit, transmission, portal of entry, susceptible host.
  • Portal of entry: Ways microbes enter (skin breaks, respiratory tract, digestive tract, circulatory system).
  • Susceptible host: Individuals who can contract the disease (age, physical condition, compromised immune system).
  • Infectious agent: Microorganism causing infection (bacteria, viruses, fungi, parasites).
  • Reservoir: Where the causative agent lives (human body, animal, object, environment).
  • Portal of exit: Ways microbes leave the reservoir (nose, mouth, rectum).
  • Means of transmission: How the agent moves (direct contact, indirect contact).
  • Direct contact: Person-to-person via physical or sexual contact.
  • Indirect contact: Transmission via contaminated substances (food, air, equipment, droplets).
  • Routine practices: Always used for all patients in healthcare settings.
  • Routine practice elements: Patient assessment, PPE use, hand hygiene, risk assessment, respiratory etiquette, environmental cleaning.
  • Additional precautions: Used with routine practices, specific to mode of transmission.
  • Contact precautions: Gown and gloves.
  • Droplet precautions: Masks and eye protection.
  • Airborne precautions: N95 respirator.
  • Combined precautions (contact & droplet): Gown, gloves, masks, eye protection.
  • Combined precautions (airborne & contact): Gown, gloves, N95 respirator.

Healthcare-Associated Infections (HAIs)

  • Infection: Pathogen invades and grows in the body.
  • Infection stages:
    • Incubation period: No symptoms.
    • Prodromal period: Early symptoms.
    • Illness period: Severe symptoms.
    • Decline period: Symptoms decrease.
    • Convalescence period: Recovery.
  • Central line-associated bloodstream infection: Infection from a central line.
  • Catheter-associated urinary tract infection: Infection in the urinary system, often related to catheters.
  • Surgical site infection: Infection at the surgical site (superficial to deep).
  • Ventilator-associated pneumonia: Lung infection from a ventilator.
  • Superbugs: Bacteria/fungi resistant to common medications.
  • Types of superbugs:
    • Clostridium difficile Infections (CDI)
    • Methicillin-resistant Staphylococcus aureus (MRSA)
    • Vancomycin-resistant enterococci (VRE)

Asepsis and Infection Control

  • Asepsis: Eliminating or reducing pathogens.
  • Medical asepsis: Clean technique. Preventing pathogen spread.
  • Surgical asepsis: Sterile technique. Keeping all items sterile.
  • Cluster: Group of cases, suspected to be higher than expected. Requires investigation.
  • Outbreak: Linked cases from a common source. Requires investigation.
  • Pseudo-outbreak: Increased cases due to factors other than a true outbreak (staff, case definition changes).
  • Sporadic: Rare, random pattern.
  • Endemic: Disease regularly present in an area.
  • Epidemic: Rapid spread affecting more people than usual.
  • Pandemic: Disease spreads across multiple countries.
  • The Swiss Cheese Model: Multiple failures can allow pathogens to cause an outbreak.
  • Common source: All cases from same origin (e.g., contaminated food).
  • Propagated transmission: Infection spreads from person to person over time.
  • Mixed source: Combination of common source and propagated transmission.

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Description

Explore the critical components of the chain of infection in this quiz. Understand how harmful microorganisms spread from one host to another through various portals and means of transmission. Test your knowledge of infectious agents, reservoirs, and the susceptible hosts.

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