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Questions and Answers

In the context of ocular burns, which factor most significantly elevates the urgency for immediate ophthalmologic intervention?

  • Burns to the sclera, because of the potential to compromise the structural integrity of the eye.
  • Chemical burns affecting the cornea, due to the risk of severe visual impairment. (correct)
  • Burns to the conjunctiva, as they can lead to chronic irritation and discomfort.
  • Involvement of the eyelids due to the potential for long-term cosmetic disfigurement.

Why are prompt assessment and intervention critical in cases of ocular burns, especially those involving chemical exposure?

  • To minimize potential long-term complications and morbidity, such as vision loss. (correct)
  • To prevent the spread of the chemical agent to other parts of the body.
  • To facilitate quicker pain management and reduce patient discomfort.
  • To ensure accurate documentation of the injury for legal purposes following the incident.

Which statement best explains the specific danger posed by chemical burns to the cornea compared to other types of ocular injuries?

  • Corneal burns are more likely to cause systemic toxicity due to absorption of chemicals into the bloodstream.
  • Chemical burns to the cornea are inherently more painful and thus require immediate intervention.
  • The cornea’s unique structure and function make it particularly vulnerable to irreversible damage from chemical exposure. (correct)
  • Corneal burns are more likely to be complicated by secondary infections due to a compromised immune response.

In managing ocular burns, which of the following actions reflects the most critical initial step in minimizing potential harm?

<p>Immediate irrigation with copious amounts of a sterile or clean solution to remove the causative agent. (D)</p> Signup and view all the answers

What is the primary reason that chemical ocular burns are considered a greater threat to long-term vision compared to thermal burns?

<p>Chemical burns cause deeper tissue damage and can continue to cause harm even after the initial exposure. (C)</p> Signup and view all the answers

When conducting risk assessments for Genetically Modified Organisms (GMOs), what consideration regarding the donor organism is MOST critical in determining potential hazards?

<p>The presence of genes encoding toxins or other biologically active compounds in the donor organism. (A)</p> Signup and view all the answers

In the context of biosafety and recombinant DNA technology, what is the MOST significant implication of modifying the host range of a recipient organism?

<p>It enhances the organism's competitiveness in its natural environment, potentially leading to ecological disruption. (A)</p> Signup and view all the answers

Which of the following scenarios represents the MOST complex ethical consideration in the application of gene therapy?

<p>Developing gene therapies that enhance physical or cognitive traits beyond what is considered 'normal'. (A)</p> Signup and view all the answers

Considering the factors contributing to laboratory incidents, how can the impact of 'human-related factors' be MOST effectively mitigated to enhance biosafety?

<p>Focusing on comprehensive training programs that emphasize risk assessment and personal responsibility. (D)</p> Signup and view all the answers

When assessing the risks associated with a genetically modified organism (GMO), which aspect of the recipient/host organism warrants the MOST critical evaluation to prevent unintended consequences?

<p>The pre-existing immune status and inherent pathogenicity of the organism. (B)</p> Signup and view all the answers

A laboratory is designed with a ventilation system that ensures directional airflow, drawing air away from corridors into high-containment areas. Which biosafety principle does this design primarily support?

<p>Implementing engineering controls as a secondary containment strategy. (A)</p> Signup and view all the answers

In a laboratory using a Class II Type A2 Biological Safety Cabinet (BSC), what is the most critical factor in ensuring both personnel and product protection?

<p>Ensuring proper HEPA filtration of both inflow and exhaust air. (B)</p> Signup and view all the answers

Which scenario represents the most comprehensive approach to biocontainment in a research laboratory?

<p>Combining a Class III BSC with a facility designed for BSL-4 containment. (C)</p> Signup and view all the answers

A researcher consistently forgets to properly disinfect the work surface after handling potentially infectious materials. Which principle of standard microbiological practices is being most directly violated?

<p>Proficiency in microbiological techniques. (D)</p> Signup and view all the answers

What is the primary limitation of a Class I Biological Safety Cabinet (BSC) compared to a Class II BSC?

<p>Class I BSCs do not protect the product or experiment from contamination. (C)</p> Signup and view all the answers

A laboratory supervisor discovers that a researcher has been consistently diluting disinfectants to save costs. This action most directly undermines which aspect of laboratory safety?

<p>The effectiveness of standard microbiological practices. (A)</p> Signup and view all the answers

In the event of a large spill of a high-risk pathogen outside of a biological safety cabinet, what immediate action is MOST critical, assuming appropriate PPE is available?

<p>Quickly use absorbent material, working from the outside in to contain the spill, then apply disinfectant (A)</p> Signup and view all the answers

A researcher is working with a novel, potentially aerosolizing agent of unknown pathogenicity. Considering the hierarchy of controls, what is the MOST effective initial strategy to minimize risk?

<p>Performing all procedures within a certified Class II or III Biological Safety Cabinet. (C)</p> Signup and view all the answers

What is the MOST critical difference in focus between biosafety and biosecurity protocols in a research laboratory setting?

<p>Biosafety aims to prevent unintentional exposure to pathogens, while biosecurity focuses on securing pathogens to prevent intentional misuse. (C)</p> Signup and view all the answers

In a research laboratory, several incidents have occurred. Which scenario would be classified SOLELY as a biosecurity breach rather than a biosafety lapse?

<p>An unauthorized individual gains access to a high-containment laboratory and steals a vial of genetically modified virus. (A)</p> Signup and view all the answers

Considering the information provided, what is the MOST effective strategy for minimizing the risk of Tuberculosis transmission in a healthcare setting in the Philippines?

<p>Ensuring proper ventilation and use of respiratory protection in areas where TB patients are treated. (C)</p> Signup and view all the answers

A researcher is working with a novel virus in a BSL-3 laboratory. Which course of action represents a failure in adhering to proper biosafety principles?

<p>The researcher occasionally eats lunch at their workstation to save time, away from the designated eating area in the lab. (B)</p> Signup and view all the answers

A laboratory is conducting research involving genetically modified organisms (GMOs). What represents the MOST critical biosecurity concern regarding these GMOs?

<p>The risk of unauthorized access to the GMOs and their potential misuse for malicious purposes. (C)</p> Signup and view all the answers

Considering the definition of a 'biological agent,' which scenario would NOT fall under the purview of biosafety or biosecurity regulations?

<p>An investigation into the cause of a cluster of unexplained illnesses potentially linked to environmental toxins. (A)</p> Signup and view all the answers

Given the high prevalence of Tuberculosis in the Philippines, what is the MOST strategic approach for a healthcare facility to balance biosafety and resource constraints?

<p>Implement a comprehensive respiratory protection program for healthcare workers, coupled with improved natural ventilation in patient care areas. (D)</p> Signup and view all the answers

What action exemplifies a proactive approach to enhance biosecurity in a research facility working with highly pathogenic avian influenza viruses?

<p>Regularly updating the inventory of viral stocks and comparing it to the access logs. (C)</p> Signup and view all the answers

A researcher discovers an unexpected mutation in a bacterial strain they are studying. While assessing the risks, they find this mutation GREATLY enhances the bacterium's ability to form biofilms. What is the PRIMARY biosafety concern they must address?

<p>Enhanced resistance to commonly used disinfectants and sterilisation methods. (C)</p> Signup and view all the answers

A new laboratory is being designed for research involving Risk Group 3 pathogens. Which design feature is MOST critical to include to mitigate potential biosecurity risks, beyond standard biosafety measures?

<p>Implementation of an advanced access control system with biometric identification. (A)</p> Signup and view all the answers

What is the MOST critical distinction between Biosafety Level 3 (BSL-3) and Biosafety Level 4 (BSL-4) laboratories?

<p>BSL-3 labs require standard PPE, whereas BSL-4 labs necessitate total containment suits and airtight laboratory designs. (B)</p> Signup and view all the answers

Which scenario BEST illustrates a situation necessitating Biosafety Level 2 (BSL-2) containment?

<p>Performing routine blood draws and handling clinical samples potentially containing HIV. (D)</p> Signup and view all the answers

Considering the classification of infectious microorganisms by risk group, which characteristic MOST differentiates Risk Group 3 from Risk Group 2?

<p>The potential for causing serious disease and the risk of spread within the community. (C)</p> Signup and view all the answers

A researcher is planning an experiment involving a genetically modified virus with enhanced infectivity but no change in pathogenicity. Which of the following considerations should MOST influence the choice of biosafety level?

<p>The potential for increased exposure risk due to the enhanced infectivity. (A)</p> Signup and view all the answers

What is the MOST significant engineering control that distinguishes a Class III Biological Safety Cabinet (BSC) from a Class II BSC?

<p>Class III BSCs provide total enclosure with glove ports and a dedicated exhaust system, unlike Class II BSCs. (B)</p> Signup and view all the answers

In the event of a laboratory-acquired infection (LAI), which factor is LEAST relevant in determining the appropriate course of action?

<p>The lab's accreditation status. (A)</p> Signup and view all the answers

When designing a new BSL-3 laboratory, which of the following features is MOST critical for maintaining appropriate containment?

<p>Independent ventilation system ensuring directional airflow into the laboratory. (A)</p> Signup and view all the answers

A researcher discovers a novel bacterial species in a soil sample. Initial characterization suggests it may produce a potent neurotoxin. Which of the following steps is MOST crucial for determining the appropriate risk group classification?

<p>Evaluate the toxin's effects on mammalian cell cultures and animal models. (B)</p> Signup and view all the answers

Which of the following scenarios would be MOST appropriately handled in a BSL-4 laboratory?

<p>Propagation of Ebola virus for vaccine development. (D)</p> Signup and view all the answers

A lab technician is accidentally splashed with a culture of bacteria classified as Risk Group 3. What IMMEDIATE action is MOST critical?

<p>Immediately notifying the supervisor and following established exposure protocols. (A)</p> Signup and view all the answers

What represents the MOST significant challenge in designing effective laboratory ventilation systems?

<p>Balancing energy efficiency with the need for adequate air changes and directional airflow. (C)</p> Signup and view all the answers

A researcher aims to study the virulence factors of highly pathogenic avian influenza but wants to mitigate the need for BSL-4 protocols. Which of these strategies would be MOST effective in reducing the biosafety level required for the experiment?

<p>Use a highly attenuated strain of avian influenza that is non-pathogenic in mammals. (C)</p> Signup and view all the answers

Which of the following laboratory practices is LEAST effective in minimizing the risk of laboratory-acquired infections?

<p>Permitting eating, drinking, and smoking in designated areas within the laboratory. (C)</p> Signup and view all the answers

When choosing a disinfectant for routine decontamination in a BSL-3 laboratory, what factor is MOST important to consider?

<p>The disinfectant's spectrum of activity against the microorganisms of concern. (D)</p> Signup and view all the answers

How would you properly classify Coronavirus (SARS)?

<p>HIGH individual risk, LOW community risk (B)</p> Signup and view all the answers

Flashcards

Ocular Burns

Damage to the eye's surface (sclera, conjunctiva, cornea) or eyelids.

Ophthalmologic Emergency

Burns needing immediate eye doctor care to reduce harm.

Chemical Ocular Burns

Burns from chemicals, especially those affecting the cornea.

Primary Tuberculosis

An infection that affects the lungs, caused by the bacteria Mycobacterium tuberculosis.

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Prompt Intervention

Quick and effective action to lessen possible illness from eye damage.

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Tuberculosis in the Philippines

Infection common in Philippines.

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Biological Agents

Microbiological entity capable of replication or transferring genetic material.

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Biological Material

Object containing biological agents or their harmful products.

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Biohazard

Potential source of harm caused by biological materials.

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Biosafety

Preventing unintentional exposure to pathogens and toxins.

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Biosecurity

Preventing loss, theft, or intentional release of pathogens and toxins.

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Biosafety’s Goal

Protect PEOPLE from BAD BUGS

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Biosecurity’s Goal

Protect BAD PEOPLE from BAD BUGS

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Containment

Principles, technologies, implemented to prevent exposure to pathogens and toxins.

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Primary Containment

Creating barriers to protect.

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Mycobacterium tuberculosis

A bacterium that causes tuberculosis.

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N. meningitidis

A bacterium that causes meningitis.

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Oncogenes

Genes that can cause cancer when mutated or overexpressed.

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Antibiotic resistance

The ability of bacteria to resist the effects of antibiotics.

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Allergens

Substances that can cause an allergic reaction.

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Standard Microbiological Practices

Following rules to stay safe while handling microbes.

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Biocontainment

Keeping pathogens physically contained to prevent infection or release.

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Safety Equipment

Equipment that minimizes danger in the lab.

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Primary Containment barrier

A primary physical enclosure, like special cabinets that keeps you safe from dangerous materials

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Secondary Containment

Structure around the primary containment.

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Class I BSC

Protects personnel and the environment, but not the product; uses unsterilized room air.

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Class II BSC

Type of BSC with inward airflow and HEPA-filtered laminar airflow.

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Facility Design & Construction

Engineering controls protecting the outside world from the lab.

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Containment Levels

Combination of lab practices, safety equipment, and facility design to minimize risk of infection.

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BSL 1

Using well-characterized, non-pathogenic organisms with standard practices.

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BSL 2

Builds on BSL-1 with agents of moderate hazard, requires restricted access.

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BSL 3

High containment for agents causing serious disease through inhalation.

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BSL 4

Maximum containment for dangerous, exotic agents with high individual risk, requires total containment.

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Risk Group Assignment

Determining the danger an organism poses, considering pathogenicity, transmission, and availability of treatments.

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Risk Group 1

Microorganism unlikely to cause human or animal disease.

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Risk Group 2

Pathogen that can cause disease but is unlikely to be a serious hazard.

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Risk Group 3

May cause serious infection, but effective treatment and preventive measures are available.

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Risk Group 4

Usually causes serious disease that can readily be transmitted, and effective treatments are unavailable.

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Laboratory-Acquired Infections (LAIs)

Illnesses caused by infectious agents through laboratory or lab-related activities.

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Anthrax (Risk Group)

Anthrax is a serious bacterial infection.

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Crimean-Congo Hemorrhagic Fever (Risk Group)

Crimean-Congo Hemorrhagic Fever is a widespread tick-borne viral disease.

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Tularemia (Risk Group)

Tularemia is a bacterial disease typically found in animals, especially rodents.

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Study Notes

  • Laboratory Safety (P1) is the topic
  • The professor is Milliem Reyes, RMT, MD
  • The date is January 22, 2024

Ocular Burns

  • Ocular burns involve the sclera, conjunctiva, cornea, and eyelids
  • Chemical burns, especially those involving the cornea, are true emergencies
  • Require prompt assessment and intervention to minimize morbidity

Primary Tuberculosis

  • A lot of Filipinos have active Tuberculosis
  • The Philippines is 3rd highest in prevalence worldwide
  • 70 people die every day in the Philippines due to Tuberculosis
  • Spreads through airborne transmission
  • Can stay suspended in the air if ≤5 um

Biological Agents

  • Any microbiological entity (cellular or non) that is natural or engineered
  • Capable of replication or transferring genetic material
  • May affect other organisms
  • Examples include: Viruses, bacteria, fungi, parasites, prions

Biological Material

  • Any object/specimen comprised or containing/may contain biological agents or their harmful products

Biohazard

  • Anything that is a potential source of harm caused by biological materials

Biosafety

  • Containment principles, technologies, and practices
  • Implemented to prevent UNINTENTIONAL exposure to or release of pathogens and toxins

Biosecurity

  • Institutional and personal security measures
  • Prevents the loss, theft, misuse, diversion, or INTENTIONAL release of pathogens and toxins

Principles of Biosafety

  • Practices and procedures
  • Safety equipment
  • Facility design and construction
  • Biosafety levels

Standard Microbiological Practices

  • For STRICT adherence to guidelines
  • Must be always aware of hazards
  • Must have training and proficiency in techniques

Supervisors

  • Need appropriate laboratory facilities
  • Responsible for Personnel and training Special practices and precautions
  • Need occupational health programs

Class I BSC

  • Control hazard at the source
  • Provides personnel and environmental protection but not product
  • Unsterilized room air is drawn over the work surface

Class II BSC

  • Has four types (Al, A2, B1, and B2) that differ depending on the ratio of air exhausted
  • MOST BSCs are Type II A2
  • Has inward airflow as well as downward HEPA filtered laminar airflow over the work surface

Class III BSC

  • Highest level of personnel protection
  • Totally enclosed with glove ports
  • Airflow maintained by a dedicated exhaust system exterior to the cabinet
  • Keeps the cabinet under negative pressure

Secondary Containment

  • Structure surrounding primary containment

Safety Equipment

  • Minimizes exposure to hazard
  • Includes the primary containment barrier
  • Engineering controls/equipment
  • Personal Protective equipment (PPE)

Facility Design & Construction

  • SECONDARY barrier/ engineering controls
  • Protects the outside from the laboratory
  • Examples: Lab/building design, ventilation, drainage, autoclaves, cage wash facilities

Biosafety Levels

  • Combination of laboratory practices and procedures, safety equipment (primary barriers), and laboratory facilities (secondary barriers)

BSL 1

  • Well characterized, non-pathogenic organisms or agents
  • OPEN bench - NO containment
  • Use good lab practices, waste disposal, and aseptic techniques

BSL 2

  • Builds upon BSL-1
  • Agents of moderate hazard to personnel or environment (non- respiratory, non-lethal)
  • Restricted access
  • Requires additional autoclave and biological safety cabinet (Class II)

BSL 3

  • High containment
  • Agents of high hazard to personnel or environment
  • Agents that may cause serious or potentially lethal disease through the inhalation route of exposure
  • Clinical, diagnostic, teaching, research, or production facilities where work is performed with indigenous or exotic agents

BSL 4

  • MAXIMUM containment
  • Dangerous and exotic agents that pose high individual risk of aerosol transmitted laboratory infections
  • Requires Total containment, airtight labs, "submarine" doors, air pumps, water treatment, HEPA filtration
  • Requires Positive pressure "moonsuits"

Risk Groups

  • Assignment is based on
    • Pathogenicity of organism
    • Mode of transmission and host range
    • Local availability of effective preventive measures
    • Local availability of effective treatment
    • Pathogen Safety Data Sheets (PSDS)

Risk Group 1

  • No or LOW individual/community risk
  • Microorganism that is unlikely to cause human/animal disease

Risk Group 2

  • MODERATE individual risk, LOW community risk
  • Pathogen that can cause disease but is unlikely to be a serious hazard

Risk Group 3

  • Lab exposure may cause serious infection, effective treatment/preventative measures are available
  • Risk of spread is limited

Risk Group 4

  • HIGH individual / community risk
  • Usually causes serious disease that is readily transmitted, directly, or indirectly
  • Effective treatment and preventive measures are not usually available

Laboratory-Acquired Infections

  • Illnesses caused by infectious agents that occur through laboratory or laboratory-related activities
  • Top Agents: M. tuberculosis, N. meningitidis, Salmonella spp.
  • 20% is from Equipment failure
  • 80% is Human related factors

Hazards Associated with Recipient/Host

  • Consequences of exposure
  • Host susceptibility
  • Immune status
  • Modification of the host range
  • Pathogenicity of host strain

Generic Engineering

  • The first used to clone DNA segments in bacterial hosts
  • for overexpression of gene products of interest
  • Gene therapy (e.g., for cystic fibrosis)
  • New vectors for gene transfer
  • Used to create GMOs (e.g., BT corn)

Risk assessments for GMO's

  • Always consider the characteristics of donor & recipient/host organisms

Hazards Associated with Donor

  • Cytokines and hormones
  • Gene expression regulators
  • Virulence factors/enhancers
  • Oncogenes
  • Antibiotic resistance
  • Allergens
  • Risk assessment is necessary when product of the inserted gene has known biologically or pharmacologically active properties that may give rise to harm:
  • Toxins

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