Podcast
Questions and Answers
Which of the following is an example of a disease transmitted through equipment/fomites?
Which of the following is an example of a disease transmitted through equipment/fomites?
- Hepatitis B
- Brucellosis
- Tetanus (correct)
- Rabies
A person who harbours an infectious agent but does not show signs of infection is best described as:
A person who harbours an infectious agent but does not show signs of infection is best described as:
- A carrier
- An ill person
- An infected person
- A colonized person (correct)
Which of these is NOT a typical portal of exit for infectious agents?
Which of these is NOT a typical portal of exit for infectious agents?
- Gastrointestinal tract
- Skeletal system (correct)
- Skin/mucous membrane
- Respiratory tract
What is a significant difference between colonization and infection?
What is a significant difference between colonization and infection?
Which of the following is the most effective way to prevent direct contact transmission?
Which of the following is the most effective way to prevent direct contact transmission?
What is the typical timeframe for an infection to be considered a Healthcare-Associated Infection (HAI) after admission to a healthcare facility?
What is the typical timeframe for an infection to be considered a Healthcare-Associated Infection (HAI) after admission to a healthcare facility?
Which of the following is NOT a typical consequence of Healthcare-Associated Infections (HAIs)?
Which of the following is NOT a typical consequence of Healthcare-Associated Infections (HAIs)?
How is indirect contact transmission best described?
How is indirect contact transmission best described?
Which of the following best describes a 'carrier state'?
Which of the following best describes a 'carrier state'?
Which of the following is NOT a type of infectious agent?
Which of the following is NOT a type of infectious agent?
Which of the following is NOT considered a major type of Healthcare-Associated Infection (HAI)?
Which of the following is NOT considered a major type of Healthcare-Associated Infection (HAI)?
What is one example given of how staff can transmit pathogens to patients?
What is one example given of how staff can transmit pathogens to patients?
Which of the following is NOT categorized as a 'host factor' contributing to the development of Healthcare-Associated Infections (HAIs)?
Which of the following is NOT categorized as a 'host factor' contributing to the development of Healthcare-Associated Infections (HAIs)?
What is the primary mechanism by which ESBLs contribute to antibiotic resistance?
What is the primary mechanism by which ESBLs contribute to antibiotic resistance?
What does the acronym 'HAI' stand for in the context of healthcare?
What does the acronym 'HAI' stand for in the context of healthcare?
Which statement best describes MRSA?
Which statement best describes MRSA?
What is the estimation on how many patients are harmed while receiving healthcare in developed countries?
What is the estimation on how many patients are harmed while receiving healthcare in developed countries?
What is a characteristic of carbapenem-resistant Pseudomonas aeruginosa?
What is a characteristic of carbapenem-resistant Pseudomonas aeruginosa?
Which of the following is considered part of the 'inanimate environment' in the context of HAIs?
Which of the following is considered part of the 'inanimate environment' in the context of HAIs?
Besides patients, who might be included in a HAI?
Besides patients, who might be included in a HAI?
What is the potential consequence of HAIs, besides increased costs and bed blockages?
What is the potential consequence of HAIs, besides increased costs and bed blockages?
What is a common characteristic of gram-positive cocci, as it relates to HAIs?
What is a common characteristic of gram-positive cocci, as it relates to HAIs?
Which of the following best describes CRE?
Which of the following best describes CRE?
Environmental risk factors for HAIs include all EXCEPT which of these?
Environmental risk factors for HAIs include all EXCEPT which of these?
Which medical procedure is LEAST likely to increase the risk of acquiring a healthcare-associated infection (HAI)?
Which medical procedure is LEAST likely to increase the risk of acquiring a healthcare-associated infection (HAI)?
What is the primary way in which invasive devices, such as intubation tubes and catheters, increase the risk of infection?
What is the primary way in which invasive devices, such as intubation tubes and catheters, increase the risk of infection?
Which factor related to the duration of device use increases the risk of infection?
Which factor related to the duration of device use increases the risk of infection?
Which of the following patient treatments is LEAST likely to increase the risk of infection?
Which of the following patient treatments is LEAST likely to increase the risk of infection?
What is the BEST approach to prevent healthcare-associated infections (HAIs) according to the text?
What is the BEST approach to prevent healthcare-associated infections (HAIs) according to the text?
Which category of pathogens is identified as the MOST important cause of healthcare-associated infections (HAIs)?
Which category of pathogens is identified as the MOST important cause of healthcare-associated infections (HAIs)?
What is the term used to describe an infection caused by microorganisms that are part of the patient's own body flora?
What is the term used to describe an infection caused by microorganisms that are part of the patient's own body flora?
Which of the following best describes a fomite in the context of infection transmission?
Which of the following best describes a fomite in the context of infection transmission?
According to the provided definitions, what is a reservoir in the context of infectious diseases?
According to the provided definitions, what is a reservoir in the context of infectious diseases?
Which of the following is NOT typically a method of transmission for sexually transmitted infections?
Which of the following is NOT typically a method of transmission for sexually transmitted infections?
Which of these is a primary method of transmission for Gram-negative bacteria like Klebsiella and Acinetobacter?
Which of these is a primary method of transmission for Gram-negative bacteria like Klebsiella and Acinetobacter?
In addition to blood, which bodily fluid is most directly linked to the transmission of endemic hepatitis B virus (HBV) from mother to child?
In addition to blood, which bodily fluid is most directly linked to the transmission of endemic hepatitis B virus (HBV) from mother to child?
Which of the following infections can be transmitted through both blood-to-blood contact and vertical transmission from mother to fetus?
Which of the following infections can be transmitted through both blood-to-blood contact and vertical transmission from mother to fetus?
Which action is LEAST likely to cause blood-borne transmission?
Which action is LEAST likely to cause blood-borne transmission?
How are infections typically spread through droplets as described?
How are infections typically spread through droplets as described?
Which of the following is an example of fecal-oral transmission of infection?
Which of the following is an example of fecal-oral transmission of infection?
Flashcards
Colonization
Colonization
The presence of bacteria on a body surface (like on the skin, mouth, intestines or airway) without causing disease in the person.
Carrier state
Carrier state
The continued presence of a microorganism (bacteria, virus, or parasite) in the body that does not cause symptoms, but is able to be transmitted and infect other persons.
Infection
Infection
Presence of multiplying bacteria that overwhelms the host's defenses, leading to clinical symptoms.
Portal of exit
Portal of exit
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Direct contact transmission
Direct contact transmission
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Indirect contact transmission
Indirect contact transmission
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Droplet transmission
Droplet transmission
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Airborne transmission
Airborne transmission
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Healthcare-associated infections (HAIs)
Healthcare-associated infections (HAIs)
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HAI definition
HAI definition
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Patient safety in healthcare
Patient safety in healthcare
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Cost of HAIs
Cost of HAIs
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Catheter-associated urinary tract infection (CAUTI)
Catheter-associated urinary tract infection (CAUTI)
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Hospital-acquired pneumonia (HAP) / Ventilator-associated pneumonia (VAP)
Hospital-acquired pneumonia (HAP) / Ventilator-associated pneumonia (VAP)
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Surgical Site Infection (SSI)
Surgical Site Infection (SSI)
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Catheter-related bloodstream infection (CR-BSI)
Catheter-related bloodstream infection (CR-BSI)
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Infectious Agent
Infectious Agent
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Methicillin-Resistant Staphylococcus aureus (MRSA)
Methicillin-Resistant Staphylococcus aureus (MRSA)
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ESBL (Extended-Spectrum Beta-Lactamase)
ESBL (Extended-Spectrum Beta-Lactamase)
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CRE (Carbapenem-Resistant Enterobacteriaceae)
CRE (Carbapenem-Resistant Enterobacteriaceae)
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Vancomycin-Resistant Enterococci
Vancomycin-Resistant Enterococci
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Carbapenem-Resistant Pseudomonas aeruginosa
Carbapenem-Resistant Pseudomonas aeruginosa
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Environmental Factors for HAIs
Environmental Factors for HAIs
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Animate Environment in Healthcare
Animate Environment in Healthcare
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Staph transmission
Staph transmission
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GNB transmission
GNB transmission
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Enteric Infections transmission
Enteric Infections transmission
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Fomites
Fomites
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Sexually Transmitted Diseases (STDs)
Sexually Transmitted Diseases (STDs)
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Bloodborne Transmission
Bloodborne Transmission
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Vertical transmission
Vertical transmission
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What are some procedures that increase the risk of HAIs?
What are some procedures that increase the risk of HAIs?
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What is an endogenous infection?
What is an endogenous infection?
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What is a reservoir in the context of infection?
What is a reservoir in the context of infection?
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How do we break the chain of infection to prevent HAIs?
How do we break the chain of infection to prevent HAIs?
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What are infectious agents in the context of HAIs?
What are infectious agents in the context of HAIs?
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How does the duration of an invasive device correlate with infection risk?
How does the duration of an invasive device correlate with infection risk?
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What are key factors that can increase a patient's vulnerability to infection?
What are key factors that can increase a patient's vulnerability to infection?
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How do human factors contribute to the spread of infections?
How do human factors contribute to the spread of infections?
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Study Notes
Healthcare-associated Infections (HAIs)
- HAIs refer to infections acquired during healthcare delivery in any setting (hospitals, long-term care, community)
- Approximately 8.9 million HAIs occur annually in European hospitals and long-term care facilities combined.
- More than half of certain HAIs are preventable.
- A localized or systemic infection originating from an adverse reaction to an infectious agent or toxin.
- An infection is considered an HAI if it appears more than 48 hours after admission.
Patient Safety - Facts
- In developed countries, 1 in 10 patients experience harm during healthcare.
- Harm can result from errors or adverse events.
- High-risk industries (aviation, nuclear plants) have a higher rate of HAIs.
- HAIs increase hospital costs due to delays in patient discharge, blocked beds, increased treatment costs, and potential litigation.
Major Types of HAIs
- Catheter-associated urinary tract infection (CAUTI)
- Hospital acquired pneumonia (HAP) / Ventilator-associated pneumonia (VAP)
- Surgical site infection (SSI)
- Catheter-related bloodstream infection (CR-BSI)
3 Main Factors Related to Development of HAIs
- Host factors (e.g., coma, HIV, malignancies, diabetes, malnutrition, circulatory impairment, advanced age)
- Agent factors (e.g., bacteria, viruses, fungi, parasites)
- Environmental factors (e.g., medical instruments, equipment, cleanliness, temperature, humidity, procedures)
Infectious Agents
- Microorganisms (bacteria, viruses, fungi, parasites) capable of causing disease are infectious agents
- Gram-positive cocci (Staphylococci, Streptococci) and Gram-negative bacilli (Acinetobacter, Pseudomonas, Klebsiella) are frequent causes of HAIs.
- Multi-drug resistant organisms (MDROs) such as ESBLs and CRE pose significant treatment challenges.
Reservoirs
- Reservoirs are places where infectious agents live, grow, and reproduce—including humans (e.g., chickenpox, hepatitis B), animals, and equipment.
Transmission
- Modes of transmission include contact (direct, indirect, droplet), airborne, vehicle (e.g., contaminated food or water), and vector-borne.
- Direct contact involves physical touch, indirect contact involves contact with contaminated surfaces.
- Droplet transmission involves large droplets expelled during coughing or sneezing
- Airborne transmission includes small droplets that remain airborne for longer durations.
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