Field Epidemiologic Investigation Quiz

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What is the main challenge faced by epidemiologists in today's information age?

Inability to collect new data

Lack of relevant data for meaningful results

Difficulty in identifying the most irrelevant data

Standardization and interoperability of data (correct)

Why are epidemiologic data considered paramount?

To protect the public's health and safety (correct)

To implement evidence-based control measures

To enable immediate intervention

To create urgency in public health problems

What is the primary objective of a field epidemiologic investigation?

To collect new data that address key investigation objectives

To determine whether existing data can be analyzed

To identify urgent public health problems (correct)

To inform the investigation by analyzing existing data

What must epidemiologists consider when identifying relevant data sources for a field investigation?

Standardization and interoperability of data Signup and view all the answers

Why is the challenge in today's information age not the lack of data?

Difficulty in identifying relevant data Signup and view all the answers

What do epidemiologists need to determine quickly during a field investigation?

Whether existing data can be analyzed or new data need to be collected Signup and view all the answers

What is a challenge in accessing or collecting data for field epidemiologic investigations?

Difficulty in combining data from different sources Signup and view all the answers

Where do public health departments primarily get notifiable disease case data from?

Mandatory reporting by providers and laboratories Signup and view all the answers

What type of data might be available only through secondary sources, such as hospital discharge summaries?

Data on chronic diseases and injuries Signup and view all the answers

What type of surveys generally are conducted only among a small proportion of the total population and are de-identified?

Population-based surveys Signup and view all the answers

What should new data collected in the context of field investigations be evaluated for?

Quality, definitions, timeliness, completeness, simplicity, generalizability, validity, and reliability Signup and view all the answers

What should epidemiologists remember when delineating their data collection plans?

GIGO (garbage in, garbage out) Signup and view all the answers

What kind of data sources cover many disease outcomes?

Death certificates Signup and view all the answers

"These include investigation objectives and scope, whether requisite data exist and can be accessed," What are 'requisite data'?"

"Data required for investigation objectives" Signup and view all the answers

"Methods for and feasibility of primary data collection," What do 'feasibility' refer to in this context?

"Practicality of primary data collection methods" Signup and view all the answers

What is the first choice for most surgical procedures, according to the text?

Cefazolin Signup and view all the answers

In the presence of severe penicillin allergy, what antibiotic might be used as an alternative?

Clindamycin Signup and view all the answers

Which antibiotic should be added for colorectal procedures, appendectomy, hysterectomy, and urologic procedures entering the gastrointestinal tract?

Metronidazole Signup and view all the answers

If cefazolin is not available, what action should the hospital take?

Take action to avail it Signup and view all the answers

Which of the following is a common organism causing surgical site infections (SSIs)?

E. coli Signup and view all the answers

Which antibiotic should be used as an alternative until cefazolin supply is ensured?

Ampicillin/Ampicillin sulbactam Signup and view all the answers

When should antimicrobial prophylaxis be administered for clean procedures?

30-45 minutes prior to incision Signup and view all the answers

For procedures lasting longer than 3 hours, what is the re-dosing recommendation for antimicrobial prophylaxis?

Additional dose is needed Signup and view all the answers

What should be the route of administration for all prophylactic agents?

Intravenous (IV) Signup and view all the answers

What is strongly discouraged in terms of postoperative antimicrobial prophylaxis?

Multiple additional doses Signup and view all the answers

What is one of the basic challenges mentioned regarding the use of broad-spectrum antimicrobials for prophylaxis?

Short supply of cefazolin Signup and view all the answers

What limitation should be placed on the use of vancomycin for surgical prophylaxis?

Limited use for patients with a high risk of MRSA colonization Signup and view all the answers

What can be implemented to avoid unnecessary and risky prolonged antimicrobial prophylaxis?

Automatic stop order policy Signup and view all the answers

What is required for the use of vancomycin, third generation cephalosporins, and other advanced antimicrobials indicated as alternatives in the guideline?

Authorization policy implemented by the hospital administration Signup and view all the answers

Who may be involved in authorizing the use of advanced antimicrobials in a hospital setting?

'Reserve' category specialist Signup and view all the answers

Which category of patients can cefazolin safely be used for, even in settings with a high prevalence of MRSA?

All patients regardless of MRSA risk Signup and view all the answers