Means of Transmission of Pathogens
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Questions and Answers

What is an example of a fomite that nurses may use?

  • Gloves
  • Stethoscope (correct)
  • Sphygmomanometer
  • Thermometer
  • What is the primary method of transmission for pathogens greater than 5um in size?

  • Vector-borne transmission
  • Droplet transmission (correct)
  • Contact transmission
  • Airborne transmission
  • What is the term for the point of exit of a pathogen from the host?

  • Vector of transmission
  • Portal of exit (correct)
  • Reservoir of infection
  • Portal of entry
  • What is a factor that can increase a person's susceptibility to infection?

    <p>Multiple wounds</p> Signup and view all the answers

    What is the term for the process of breaking the chain of infection?

    <p>Breaking the chain</p> Signup and view all the answers

    What is the term for the natural barriers that protect the body against microbial invasion?

    <p>All of the above</p> Signup and view all the answers

    What is an example of a vector that can transmit a pathogen to humans?

    <p>Mosquito</p> Signup and view all the answers

    What is the term for the person or animal that harbors a pathogen?

    <p>Reservoir of infection</p> Signup and view all the answers

    What is the primary reason the person in the scenario was hospitalized?

    <p>COVID-19 and dehydration</p> Signup and view all the answers

    What factor contributes to the thriving of an organism?

    <p>All of the above</p> Signup and view all the answers

    What health teaching would the nurse share with the visitor having an upper respiratory infection?

    <p>Use a mask and practice hand hygiene</p> Signup and view all the answers

    What is the period during which the patient is experiencing symptoms?

    <p>Full stage of illness</p> Signup and view all the answers

    Can a person continuously cycle through the same infectious process?

    <p>Yes, with HSV</p> Signup and view all the answers

    Why was an IV placed in the person's left arm?

    <p>For dehydration treatment</p> Signup and view all the answers

    What is the best way nurses can prevent infection?

    <p>By following proper hand hygiene and using personal protective equipment</p> Signup and view all the answers

    What is the last stage of the infection process?

    <p>Convalescent period</p> Signup and view all the answers

    What type of infection is associated with medical devices?

    <p>Healthcare associated infections</p> Signup and view all the answers

    Which of the following is an example of a multidrug resistant organism?

    <p>Methicillin-Resistant Staphylococcus Aureus (MRSA)</p> Signup and view all the answers

    What is the primary goal of surgical asepsis?

    <p>To eliminate the number of pathogens</p> Signup and view all the answers

    What is the primary site of colonization for Methicillin-Resistant Staphylococcus Aureus (MRSA)?

    <p>Nares</p> Signup and view all the answers

    Which of the following practices is NOT part of 'clean technique'?

    <p>Creating and maintaining a pathogen-free environment</p> Signup and view all the answers

    According to the Five Moments for hand hygiene, when should hand hygiene be performed?

    <p>Before a clean or aseptic procedure and after touching a patient</p> Signup and view all the answers

    What type of infection is associated with surgical procedures?

    <p>Surgical Site Infection (SSI)</p> Signup and view all the answers

    What is the source of Clostridium Difficile (C.Diff) transmission?

    <p>Feces</p> Signup and view all the answers

    What is the recommended method of hand hygiene for 20 seconds?

    <p>Hand washing with soap and water</p> Signup and view all the answers

    When is hand sanitizer not appropriate?

    <p>When hands are visibly soiled</p> Signup and view all the answers

    Which of the following is NOT a type of Healthcare Associated Infection (HAI)?

    <p>Community Acquired Pneumonia (CAP)</p> Signup and view all the answers

    What is the term for the pathway that involves critical thinking to determine the presence of an infection?

    <p>Critical Thinking pathway</p> Signup and view all the answers

    What is the purpose of pouring contaminated liquids directly into the drain or hopper?

    <p>To prevent splashing</p> Signup and view all the answers

    What is the term for the presence of a medical device that contributes to the development of an infection?

    <p>Device-associated infection</p> Signup and view all the answers

    Which of the following is a part of surgical asepsis?

    <p>Creating and maintaining a pathogen-free environment</p> Signup and view all the answers

    What is the main difference between medical and surgical asepsis?

    <p>Medical asepsis reduces the number of pathogens, while surgical asepsis eliminates them</p> Signup and view all the answers

    What is the primary purpose of Standard Precautions?

    <p>To apply to all hospitalized patients regardless of their diagnosis or infection status</p> Signup and view all the answers

    Which type of Transmission-Based Precaution requires a private room with negative air pressure?

    <p>Airborne Precaution</p> Signup and view all the answers

    What is the primary reason for wearing gloves when caring for a patient on Contact Precautions?

    <p>To prevent contact with bodily fluids and contaminated surfaces</p> Signup and view all the answers

    When should a surgical mask be worn?

    <p>When caring for a patient on Droplet Precautions</p> Signup and view all the answers

    What is the purpose of respiratory hygiene/cough etiquette?

    <p>To prevent airborne transmission of pathogens</p> Signup and view all the answers

    When should a gown be worn?

    <p>When caring for a patient on Contact Precautions</p> Signup and view all the answers

    Why is it important to change gloves after contacting infective material?

    <p>To prevent contact with bodily fluids and contaminated surfaces</p> Signup and view all the answers

    What should be done with equipment used in the care of a patient on Contact Precautions?

    <p>Clean and disinfect</p> Signup and view all the answers

    Study Notes

    Modes of Transmission

    • Contact Transmission: direct contact (touching, kissing, sexual intercourse) and indirect contact (vector, fomite)
    • Droplet Transmission: organisms > 5um attach to dust particles, droplets heavy enough to land on surfaces
    • Airborne Transmission: organisms < 5um attach to dust particles, remain in the air

    Infection Cycle

    • Portals of Exit for Humans: respiratory, gastrointestinal, genitourinary tracts, skin breakdown, blood & tissues
    • Susceptible Host: multiple wounds, poor skin integrity, pH levels, white blood cell count, age, sex, heredity, immunity, fatigue, nutritional status, general health, pre-existing illness, certain medications, stress level, invasive or indwelling medical devices

    Case Study: Jimin

    • 27-year-old nursing student, biological male, Asian descent, unvaccinated for COVID-19, sustained a laceration on his left leg, hospitalized for COVID-19 and dehydration, IV fluid in left arm

    What makes an Organism Thrive?

    • Quantity of Organism
    • Virulence
    • Patient's Immune System
    • Length of Contact
    • Type of Contact

    Practice Question

    • Friend visiting a long-term care client with an upper respiratory infection: wear a mask and practice hand hygiene to prevent the spread of infection

    Stages of Infection

    • Incubation Period
    • Prodromal Stage
    • Full Stage of Illness
    • Convalescent Period
    • Can a person continuously cycle through the same infectious process?

    Prevention of Infection

    • Asepsis: methods to prevent infection (medical, surgical)
    • Hand Hygiene: washing with soap and water for 20 seconds, or using hand sanitizer with vigorous friction until hands are dry
    • Five Moments for Hand Hygiene: before touching a patient, before a clean/aseptic procedure, after body fluid exposure risk, after touching a patient, after touching patient surroundings

    Healthcare-Associated Infections (HAIs)

    • Catheter-Associated Urinary Tract Infections (CAUTI)
    • Surgical Site Infections (SSI)
    • Central-Line Associated Bloodstream Infections (CLABSI)
    • Ventilator-Associated Pneumonia (VAP)

    Multidrug-Resistant Organisms (MDROs)

    • Vancomycin-Resistant Enterococci (VRE)
    • Methicillin-Resistant Staphylococcus Aureus (MRSA)
    • Carbapenem-Resistant Enterobacteriaceae (CRE)
    • Clostridium Difficile (C.Diff)

    Critical Thinking Pathway

    • Signs/symptoms of infections
    • Medical device present: determine potential infection

    Personal Protective Equipment (PPE)

    • Gloves
    • Gown
    • Masks
    • Protective Eye Wear

    Transmission-Based Precautions

    • Used in addition to standard precautions for patients with suspected infection via airborne, droplet, or contact routes
    • Proper donning and doffing of PPE

    Droplet Precautions

    • Infection spreads by large particle droplets
    • Private room
    • Door can stay open
    • Surgical mask and gloves

    Contact Precautions

    • Infected or colonized by a multidrug-resistant organism (MDRO)
    • Private room
    • Gown and gloves
    • Change gloves after contacting infective material
    • Clean all equipment; do not share

    Airborne Precautions

    • Infections that spread through the air
    • Private room
    • Negative air pressure
    • Door closed, patient remains in room
    • Respirator mask
    • Surgical mask on patient for transport

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    Description

    This quiz covers the different modes of transmission of pathogens, including contact transmission, direct and indirect contact, and the role of vectors and fomites.

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