Common Nosocomial Pathogens and Infections Quiz
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Questions and Answers

What is the main difference between a Port-A-Cath and a PICC line?

  • Port-A-Cath has a higher risk of catheter-related bloodstream infections compared to PICC line.
  • Port-A-Cath is a subcutaneous port with a self-sealing septum, while PICC line is inserted into the superior vena cava. (correct)
  • Port-A-Cath is associated with a higher risk of pocket infection, while PICC line has a similar risk of short-term central venous catheter.
  • Port-A-Cath is inserted into the peripheral vein, while PICC line is inserted into a central vein.
  • Which of the following is a patient-related risk factor for catheter-related bloodstream infections (CRBSI)?

  • Insertion of the catheter during emergency procedures.
  • Presence of a distant infection. (correct)
  • Use of a multiple lumen catheter.
  • Poor hand hygiene of the caregiver.
  • Which type of central venous catheter (CVC) is associated with the lowest risk of catheter-related bloodstream infections (CRBSI)?

  • Catheters made of steel.
  • Catheters with multiple lumens.
  • Non-tunneled catheters.
  • Tunneled catheters. (correct)
  • Which pathogen is the most common cause of catheter-related bloodstream infections (CRBSI)?

    <p>Coagulase-negative Staphylococcus.</p> Signup and view all the answers

    What is the main indication for the use of a central venous catheter (CVC)?

    <p>Long-term intravenous access for medication or nutrition.</p> Signup and view all the answers

    Which of the following is a device-related risk factor for catheter-related bloodstream infections (CRBSI)?

    <p>Shorter duration of catheter use (less than 72 hours).</p> Signup and view all the answers

    What is the preferred skin antiseptic for central venous catheter (CVC) insertion?

    <p>Chlorhexidine with alcohol</p> Signup and view all the answers

    What is the most widely practiced method worldwide for diagnosing catheter-related bloodstream infections (CRBSI) without removing the catheter?

    <p>Differential time to positivity (DTP) in automated culture system</p> Signup and view all the answers

    Which of the following is NOT a recommended prevention measure during CVC insertion?

    <p>Applying antibiotic ointment to the insertion site</p> Signup and view all the answers

    Which of the following is a clinical criterion for diagnosing catheter-related bloodstream infection (CRBSI)?

    <p>Presence of fever, chills, and hypotension after CVC insertion</p> Signup and view all the answers

    Which of the following is a recommended treatment for catheter-related bloodstream infection (CRBSI)?

    <p>Broad-spectrum antibiotics initially, then adjust based on the case</p> Signup and view all the answers

    Which of the following is a key characteristic of central venous catheters (CVCs)?

    <p>They have a longer lifespan compared to peripheral intravenous catheters</p> Signup and view all the answers

    Which type of bacteria is most commonly associated with CAUTI in short-term catheterized patients?

    <p>Pseudomonas aeruginosa</p> Signup and view all the answers

    What is the primary risk factor for CAUTI in long-term catheterized patients?

    <p>Morganella morganii</p> Signup and view all the answers

    Which of the following is NOT a type of bacteria commonly found in long-term catheterized patients with CAUTI?

    <p>Enterococcus faecium</p> Signup and view all the answers

    What is the appropriate CFU/ml threshold for asymptomatic bacteriuria in catheterized patients?

    <p>&gt;10^5 CFU/ml</p> Signup and view all the answers

    What is the most common entry point through which microorganisms reach the bladder in catheterized patients?

    <p>Through the catheter itself</p> Signup and view all the answers

    Which of the following is NOT a gram-negative bacterium that can cause CAUTI in short-term catheterized patients?

    <p>Enterococcus faecium</p> Signup and view all the answers

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