Common Nosocomial Pathogens and Infections Quiz

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

Port-A-Cath is a subcutaneous port with a self-sealing septum, while PICC line is inserted into the superior vena cava.

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

Presence of a distant infection.

Which type of central venous catheter (CVC) is associated with the lowest risk of catheter-related bloodstream infections (CRBSI)?

Tunneled catheters.

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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