Podcast
Questions and Answers
Match each disease or condition with its primary impact on the risk of infection:
Match each disease or condition with its primary impact on the risk of infection:
Leukemia = Impairs immune cell function, reducing the body's ability to fight off infections. Diabetes = Compromises the immune response and impairs wound healing, increasing susceptibility to infections. Emphysema = Damages the respiratory system, impairing the ability to clear pathogens from the lungs. Peripheral Vascular Disease = Reduces blood flow to extremities, hindering immune cell access and increasing infection risk.
Match the burn characteristic with its corresponding impact on infection risk:
Match the burn characteristic with its corresponding impact on infection risk:
Burn Depth = Deeper burns destroy more skin layers, increasing risk for infection Burn Extent = Larger burns provide a greater surface area for pathogens to enter the body. Skin Protection = Compromised skin protection increases risk of infection Immune Function = Burn injuries supress immune function which increases risck of infection
Match each medical therapy with its primary mechanism for increasing infection risk:
Match each medical therapy with its primary mechanism for increasing infection risk:
Adrenal Corticosteroids = Suppress the inflammatory response, impairing the body's natural defenses against pathogens. Cancer Drugs = Damage or reduce white blood cells, weakening the immune system. Medications to Prevent Organ Rejection = Suppress the immune system to prevent rejection, but also increase infection risk. Antiretroviral Therapy = Improve the immune response, reducing the susceptibility to opportunistic infections
Match each sign or symptom with the type of infection it indicates:
Match each sign or symptom with the type of infection it indicates:
Match each factor with the condition it contributes to increasing vulnerability to infection:
Match each factor with the condition it contributes to increasing vulnerability to infection:
Match each population group with the primary factor that increases their risk of infection:
Match each population group with the primary factor that increases their risk of infection:
Match each stage of the infectious process with the event that characterizes it:
Match each stage of the infectious process with the event that characterizes it:
Allocate potential clinical findings to the areas they impact:
Allocate potential clinical findings to the areas they impact:
For a patient presenting with a surgical wound infection, match the type of assessment with its purpose:
For a patient presenting with a surgical wound infection, match the type of assessment with its purpose:
Match each environmental factor with its potential impact on infectious disease transmission:
Match each environmental factor with its potential impact on infectious disease transmission:
Match the intervention with its primary goal in managing a patient at high risk for infection:
Match the intervention with its primary goal in managing a patient at high risk for infection:
Match each chronic disease with its associated impact on the body's vulnerability to infection:
Match each chronic disease with its associated impact on the body's vulnerability to infection:
Match each medical treatment strategy with the associated infectious risks:
Match each medical treatment strategy with the associated infectious risks:
Match each host factor with the mechanism by which it influences susceptibility to infection:
Match each host factor with the mechanism by which it influences susceptibility to infection:
Match each stage of the infectious process with its corresponding timeframe:
Match each stage of the infectious process with its corresponding timeframe:
Match each factor with the specific way it can impact the effectiveness of the immune system to fight infections:
Match each factor with the specific way it can impact the effectiveness of the immune system to fight infections:
Match each diagnostic test with the type of insight it provides regarding infections:
Match each diagnostic test with the type of insight it provides regarding infections:
Match each type of white blood cell (WBC) with the type of infection they are typically elevated in:
Match each type of white blood cell (WBC) with the type of infection they are typically elevated in:
Match the age group with the characteristic that influences their susceptibility or response to infection:
Match the age group with the characteristic that influences their susceptibility or response to infection:
Match the host characteristic with how it influences susceptibility to infection:
Match the host characteristic with how it influences susceptibility to infection:
Match the diagnostic test with the best use case in infectious disease diagnostics:
Match the diagnostic test with the best use case in infectious disease diagnostics:
Match each radiographic test with what it is best suited to visualize in the context of infections:
Match each radiographic test with what it is best suited to visualize in the context of infections:
Match each population group with the factors contributing to their increased risk of infection:
Match each population group with the factors contributing to their increased risk of infection:
Match each term related to diagnostic testing with its clinical significance in the context of infection:
Match each term related to diagnostic testing with its clinical significance in the context of infection:
Match each drug class with its primary target:
Match each drug class with its primary target:
Match the correct generation of cephalosporins to their characteristic antimicrobial activity:
Match the correct generation of cephalosporins to their characteristic antimicrobial activity:
Match the following drug administrations with the required safety protocol mentioned in the text:
Match the following drug administrations with the required safety protocol mentioned in the text:
Match the class of anti-infective with a key function that it inhibits to cause cell death:
Match the class of anti-infective with a key function that it inhibits to cause cell death:
Match the following drug classifications with their specific characteristic spectrum :
Match the following drug classifications with their specific characteristic spectrum :
Match the following infection control measures with their primary purpose:
Match the following infection control measures with their primary purpose:
Match the type of isolation precaution with the appropriate situation:
Match the type of isolation precaution with the appropriate situation:
Match the following concepts to their corresponding descriptions related to infection control:
Match the following concepts to their corresponding descriptions related to infection control:
Match the infection control activity with the element of the infection chain it disrupts:
Match the infection control activity with the element of the infection chain it disrupts:
Match the following healthcare practices with the infection control principle they exemplify:
Match the following healthcare practices with the infection control principle they exemplify:
Match scenarios with the most appropriate type of personal protective equipment (PPE):
Match scenarios with the most appropriate type of personal protective equipment (PPE):
Link each action with its consequence regarding sterile technique:
Link each action with its consequence regarding sterile technique:
Associate each type of waste with its required disposal method in a healthcare setting:
Associate each type of waste with its required disposal method in a healthcare setting:
Match each potential nursing diagnosis with the most appropriate intervention focus:
Match each potential nursing diagnosis with the most appropriate intervention focus:
Match each principle of outcome identification with its practical application:
Match each principle of outcome identification with its practical application:
Match each setting priority principle with its application in patient care:
Match each setting priority principle with its application in patient care:
Match each component of teamwork and collaboration with its role in patient care:
Match each component of teamwork and collaboration with its role in patient care:
Match the nursing diagnosis with the appropriate nursing intervention.
Match the nursing diagnosis with the appropriate nursing intervention.
Match the definition of the type of Outcome.
Match the definition of the type of Outcome.
Match the professional with job regarding patient.
Match the professional with job regarding patient.
Flashcards
Causes of Impaired Immunity
Causes of Impaired Immunity
Genetic factors (primary immunodeficiency), malnutrition, preexisting infection with other pathogens (HIV, Epstein-Barr).
Chronic Diseases & Infection Risk
Chronic Diseases & Infection Risk
Diabetes, inflammatory disorders, cancers, and hepatic or respiratory disorders increase vulnerability to infection.
Environmental Factors & Infection
Environmental Factors & Infection
Crowded living conditions increase risk of spread; lack of clean food/water.
Incubation Period
Incubation Period
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Prodromal Stage
Prodromal Stage
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Illness Stage
Illness Stage
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Convalescence Stage
Convalescence Stage
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Infection Triangle
Infection Triangle
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Immune System Diseases
Immune System Diseases
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Chronic Diseases & Infection
Chronic Diseases & Infection
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Burns & Infection Risk
Burns & Infection Risk
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Corticosteroids & Immunity
Corticosteroids & Immunity
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Local Infection Signs
Local Infection Signs
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Systemic Infection Signs
Systemic Infection Signs
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High-Risk Populations
High-Risk Populations
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Identifying Infection Risk
Identifying Infection Risk
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Defense Status & Disease
Defense Status & Disease
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Infant Immunity
Infant Immunity
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Elderly Immunity
Elderly Immunity
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Serologic Tests
Serologic Tests
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Radiographic Tests
Radiographic Tests
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WBC Count Changes
WBC Count Changes
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Neutrophil Increase
Neutrophil Increase
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Lymphocyte Increase
Lymphocyte Increase
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Isolation Bag
Isolation Bag
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Antibacterial Drugs
Antibacterial Drugs
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Penicillin
Penicillin
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Cephalosporins
Cephalosporins
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Antiviral Drugs
Antiviral Drugs
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Risk for Infection
Risk for Infection
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Impaired Nutritional Status
Impaired Nutritional Status
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Impaired Oral Mucous Membrane
Impaired Oral Mucous Membrane
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Social Isolation
Social Isolation
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Impaired Skin Integrity
Impaired Skin Integrity
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Impaired Mobility
Impaired Mobility
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Enhanced Immunization Status
Enhanced Immunization Status
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Teamwork and Collaboration
Teamwork and Collaboration
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Cleaning
Cleaning
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Disinfection
Disinfection
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Sterilization
Sterilization
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Protecting the Susceptible Host
Protecting the Susceptible Host
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Control Reservoirs of Infection
Control Reservoirs of Infection
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Control Portals of Exit/Entry
Control Portals of Exit/Entry
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Control of Transmission
Control of Transmission
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Standard Precautions
Standard Precautions
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Study Notes
Infection Control and Prevention
- Nurses are essential to infection prevention and control.
- Patients in healthcare settings are at higher risk of infection due to lowered resistance, increased exposure to pathogens, antibiotic resistance, and invasive procedures.
Key Terms
- Infection is the invasion and multiplication of microorganisms in body tissues, potentially causing injury or immune responses.
- Colonization is the presence of microorganisms without tissue invasion or damage.
- Communicable diseases are those that can be transmitted from one person to another.
- Symptomatic: Presence of clinical signs and symptoms.
- Asymptomatic: Absence of clinical signs and symptoms
- Acute infections resolve within days or weeks.
- Chronic infections last longer than 12 weeks and may be non-curable.
- Localized infections are specific to one body part.
- Systemic infections affect the entire body.
- Sepsis is a systemic infection characterized by pathogens in the blood or other body tissues.
- Epidemic: A widespread occurrence of an infectious disease in a community at a particular time.
- Pandemic: An epidemic of infectious disease that has spread through human populations across a large region.
Infectious Diseases
- Avian flu
- COVID-19
- Seasonal flu
- MRSA, with 20-30% of healthy people carrying staph (MRSA) in their noses without getting sick, and these people are carriers.
- Swine flu outbreak (over 30 years ago)
Common Pathogens
- Fungal pathogens include yeasts, molds, and mushrooms
- Fungal: Tinea pedis (Athlete's Foot), Candidiasis (Yeast Infection), Histoplasmosis, Lobomycosis, Cryptococcosis, Aspergillosis, Coccidioidomycosis, Ring Worm
- In immunocompromised people, fungal infections can lead to death.
- Viral pathogens interfere with normal cellular functioning
- HIV, Hepatitis A,B,C or E, Human papillomavirus, Ebola Virus, Hantavirus, SARS-associated coronavirus, Coronavirus 19, Respiratory Syncytial Virus, and Influenza
- Protozoal Parasitic pathogens typically infect individuals with compromised immune responses and are transmitted by the fecal-oral route.
- Protozoal: Giardia, Cryptosporidiosis, Balantidium, Chagas Disease, Malaria
- Bacterial pathogens depend on the type and area of the body invaded
- Bacterial: Methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile (C-Diff), Vancomycin -Resistant Enterococci (VRE), mycobacterium tuberculosis, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Clostridium tetani (Tetanus)
- Clostridium difficile (C-Diff) is most common in elderly patients being treated with antibiotics
Chain of Infection
- Microorganisms capable of causing disease or illness are infectious Agents
- Bacteria, Fungi, Parasites, and Prions are all infectious agents
- Reservoir: A place where microorganisms can live. People, Water, and Food can all act as reservoirs
- Microorganisms need proper food, oxygen water, temperature, and pH to thrive.
- Aerobic bacteria require oxygen for survival
- Anaerobic bacteria thrive where little or no free oxygen is available
- Most prefer a pH of 5.0-7.0. Prefer dark environments
- A frequent reservoir is moist drainage from surgical wounds.
- Bacteriostasis: prevention of further growth of bacteria using cold temperatures
- Bactericidal: temperature or chemical that destroys bacteria
- Portal of Exit: How infectious agents can leave a host.
- Blood (HBV, HCV and HIV)
- GI (Normal Flora)
- Reproductive tract
- Respiratory tract (sneeze, cough)
- Skin (breaks in skin)
- Urinary Tract (in urine when infection is present)
- Modes of Transmission: How an infectious agent reaches the susceptible host.
- Contact: source and susceptible host.
- Direct: Person-to-person or fecal/oral.
- Indirect: Via contaminated inanimate objects.
- Droplet: Via cough or sneeze within a short distance (<6 ft).
- Airborne: Carried in droplets or suspended in the air.
- Vehicles: Contaminated items (sharps injuries)
- Vector: External mechanical transfer (flies) and internal transmission (parasites)
- Contact: source and susceptible host.
- Portal of Entry: The routes they use for exiting.
- Susceptible Host:
- Susceptibility depends on an individual's resistance to pathogens.
Risk Factors
- Immunodeficiency:
- is being immature or less efficient with age
- Genetic factors, malnutrition, preexisting infections, stress, medications, and cancer treatment
- Chronic Disease
- Diseases such as diabetes, inflammatory disorders such as cancers, and hepatic or respiratory disorders
- Intro of invasive lines, immunosuppressant medications (corticosteroids), antibiotics or antivirals, surgery, intubation and mechanical ventilation
- Environmental Conditions
- Crowded living conditions increase risk of spread
- Lack of clean food and water, poor food preparation, and insufficient air ventilation
Infectious Process
- Incubation Period is the Time from the entrance of the pathogen into the body and the appearance of the first symptom.
- Prodromal Stage Time from nonspecific signs and symptoms to more specific symptoms.
- Illness Stage: Time when a patient manifests signs and symptoms of a specific infection.
- Convalescence: Recovery depends on severity of infection and host resistance
Interaction
- An infection involves intersection with a person, the environment, and a pathogen.
Defenses Against Infection
- Normal flora helps in maintaining health when in their location but can cause the infection if they enter an unusual place.
- Broad-spectrum antibiotics cause superinfection via the elimination of normal flora
- Body system defenses protect against infection and a urinary catheter allows microorganisms to cause a bladder infection
- The skin is the #1 defense mechanism if it remains intact and the cilia in the upper airway and nose capture inhaled microbes
- Inflammation the protective vascular reaction delivers fluid, blood products, and nutrients to an area of injury.
- Swelling, redness, heat, pain, tenderness, and loss of function to the affected body part are all symptoms of inflammation. -Treatment: R.I.C.E.
- Inflammatory Exudate
- Accumulation of liquids, dead tissue cells, and WBCs form at the site of inflammation.
- Serous: clear
- Sanguineous: containing red blood cells
- Purulent: contains WBCs and bacteria
- Accumulation of liquids, dead tissue cells, and WBCs form at the site of inflammation.
- Tissue Repair: Damaged cells are replaced, although scar tissue is not as strong as normal tissue
Health Care Associated Infections (HAIs)
- Infections that occur with a patient who develops an infection that was not at the time of admission, resulting from the delivery of health services in a health care agency such as invasive procedures, antibiotic administration, multidrug-resistant organisms (MDROs), and breaks in infection prevention and control activities.
- Major sites for HAIs include surgical or traumatic wounds, urinary and respiratory tracts, and the bloodstream
Risk Factors
- Risks for patients in the health-care system include number of health professionals in direct contact with clients, the type and number of invasive procedures, and the length of hospitalization
- Iatrogenic is a type of HAI from a diagnostic or therapeutic procedure like bronchoscopy or broad spectrum antibiotics.
Types of Infections
- Exogenous: microorganisms outside of the individual
- Endogenous: Occur with altered and overgrowth from the patient's normal flora or when on broad sprectrum antibiotics (Yeast)
Nursing Approach
- Assess patient's risk factors, nutritional status, current medications, and vaccination status
- If they've had previous health problems involving infection and potential risks in the current environment
- A poor intake of carbohydrates, protein and nutrients (like carbohydrates and fat) reduces the body's immune defenses and slows the wound healing process.
- High susceptibility to infection with burn clients ( the greater the depth and extent of the burns),
- Immunocompromised patients, risk of spread
Symptoms
- Clinical Appearance Symptoms of local infection: redness, warmth, swelling, tenderness, May be yellow, green or brown drainage.
- Clinical Appearance Symptoms of systemic: symptoms are more generalized (Fever, fatigue, n/v and malaise. Lymph nodes may be enlarged or swollen. Changes in LOC and vital signs (increased body temp, HR, RR and decrease in BP)
At Risk Populations
- Infants have immature defenses and older adults have decreased cell-mediated immunity and sensitive skin that tears easily.
Diagnostic
- Common Diagnostic Tests include Laboratory (CBC, C&S, CRP, ESR, and serologic tests) and radiographic tests (x-rays, MRI, CAT, PET, and indium scans)
Analyzing Data
- Interpretation of data, analyze clusters to identify patterns, determine nursing diagnoses, and prioritize
- Nursing Diagnoses can include Risk for Infection, Imbalanced Nutrition: Deficient Food Intake, Impaired Oral Mucous Membrane, Social Isolation, Impaired Skin Integrity, and Readiness for Enhanced Immunization Status.
Planning
- Plan interventions that align with patient expectations and preferences and that are purposeful, direct and measurable!
Taking Action
- Health promotion, acute care medical asepsis, and isolation/isolation precautions
- Educate patients, families, and caregivers on infection-control measures.
- Proper nutrition, hygiene, and rest are essential for preventing infections.
Hygiene
- Personal hygiene decreases microorganisms of the skin, maintains integrity of mucous membranes
- Clean from clean to dirty
- Respiratory hygiene/cough etiquette
- Antiseptic hand wash should be used before procedures or contact with a patient.
Safety
- Healthcare workers should follow standard precautions to prevent transmission.
- Standard precautions include hand hygiene, use of PPE, and safe injection practices.
- Perform hand hygiene, put on gown, put on mask, put on eye protection, put on gloves!
- Don't share personal items and always use clean equipment.
Prevention
- Prevent infections, control portals of exit/entry, and control transmission
- Cleaning: the removal of organic material (blood) or inorganic material (soil) from objects or surfaces
- Disinfection: eliminates many or all microorganisms with the exception of bacterial spores
- Sterilization: eliminates all forms of microbial
- Use of standard precautions
- Do not place any nonsterile items on the field and make ure that the area is clean and closed off.
- Avoid contact with blood and body fluids.
- Antibacterial hand soaps: For routine use:Can irritate the skin and kill resident flora
- Antimicrobial hand soaps:Won't kill the "good bacterial" on the skin
Isolation and Isolation Precautions
- Standard Precautions: Apply to all patients because they include barrier precautions and PPE.
- In addition to Standard Precautions, Transmission-Based Precautions prevent airborne, droplet, or contact transmission.
- 1st wash with warms water, 2nd report to supervisor, 3rd Seek medical attention, and 4th create an infection report.
Medication Education
- Educate patients when to take antibiotics, antiviral, antifungal, and antiprotozoal agents
- Always take medication until the entire course of meds should be taken, be sure to ensure the infection if gone, decrease resistance, and even if feeling better and temp is gone
Governing Bodies
- OSHA (Occupational Safety and Health Administration) CDC (Centers for Disease Control and Prevention) and Escambia County Public health department
- Work on reducing central line-associated bloodstream infection (CLABSI Surgical site infection (SSI), Catheter-Associated urinary tract infection (CAUTI), Methicillin-resistant staphylococcus aureus (MRSA) infection, Ventilator-associated pneumonia (VAP), Multidrug-resistant organisms (MDROs)
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