Podcast
Questions and Answers
In the context of ocular burns, which factor most significantly elevates the urgency for immediate ophthalmologic intervention?
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?
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?
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?
In managing ocular burns, which of the following actions reflects the most critical initial step in minimizing potential harm?
What is the primary reason that chemical ocular burns are considered a greater threat to long-term vision compared to thermal burns?
What is the primary reason that chemical ocular burns are considered a greater threat to long-term vision compared to thermal burns?
When conducting risk assessments for Genetically Modified Organisms (GMOs), what consideration regarding the donor organism is MOST critical in determining potential hazards?
When conducting risk assessments for Genetically Modified Organisms (GMOs), what consideration regarding the donor organism is MOST critical in determining potential hazards?
In the context of biosafety and recombinant DNA technology, what is the MOST significant implication of modifying the host range of a recipient organism?
In the context of biosafety and recombinant DNA technology, what is the MOST significant implication of modifying the host range of a recipient organism?
Which of the following scenarios represents the MOST complex ethical consideration in the application of gene therapy?
Which of the following scenarios represents the MOST complex ethical consideration in the application of gene therapy?
Considering the factors contributing to laboratory incidents, how can the impact of 'human-related factors' be MOST effectively mitigated to enhance biosafety?
Considering the factors contributing to laboratory incidents, how can the impact of 'human-related factors' be MOST effectively mitigated to enhance biosafety?
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?
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?
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?
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?
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?
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?
Which scenario represents the most comprehensive approach to biocontainment in a research laboratory?
Which scenario represents the most comprehensive approach to biocontainment in a research laboratory?
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?
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?
What is the primary limitation of a Class I Biological Safety Cabinet (BSC) compared to a Class II BSC?
What is the primary limitation of a Class I Biological Safety Cabinet (BSC) compared to a Class II BSC?
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?
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?
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?
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?
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?
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?
What is the MOST critical difference in focus between biosafety and biosecurity protocols in a research laboratory setting?
What is the MOST critical difference in focus between biosafety and biosecurity protocols in a research laboratory setting?
In a research laboratory, several incidents have occurred. Which scenario would be classified SOLELY as a biosecurity breach rather than a biosafety lapse?
In a research laboratory, several incidents have occurred. Which scenario would be classified SOLELY as a biosecurity breach rather than a biosafety lapse?
Considering the information provided, what is the MOST effective strategy for minimizing the risk of Tuberculosis transmission in a healthcare setting in the Philippines?
Considering the information provided, what is the MOST effective strategy for minimizing the risk of Tuberculosis transmission in a healthcare setting in the Philippines?
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?
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?
A laboratory is conducting research involving genetically modified organisms (GMOs). What represents the MOST critical biosecurity concern regarding these GMOs?
A laboratory is conducting research involving genetically modified organisms (GMOs). What represents the MOST critical biosecurity concern regarding these GMOs?
Considering the definition of a 'biological agent,' which scenario would NOT fall under the purview of biosafety or biosecurity regulations?
Considering the definition of a 'biological agent,' which scenario would NOT fall under the purview of biosafety or biosecurity regulations?
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?
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?
What action exemplifies a proactive approach to enhance biosecurity in a research facility working with highly pathogenic avian influenza viruses?
What action exemplifies a proactive approach to enhance biosecurity in a research facility working with highly pathogenic avian influenza viruses?
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?
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?
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?
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?
What is the MOST critical distinction between Biosafety Level 3 (BSL-3) and Biosafety Level 4 (BSL-4) laboratories?
What is the MOST critical distinction between Biosafety Level 3 (BSL-3) and Biosafety Level 4 (BSL-4) laboratories?
Which scenario BEST illustrates a situation necessitating Biosafety Level 2 (BSL-2) containment?
Which scenario BEST illustrates a situation necessitating Biosafety Level 2 (BSL-2) containment?
Considering the classification of infectious microorganisms by risk group, which characteristic MOST differentiates Risk Group 3 from Risk Group 2?
Considering the classification of infectious microorganisms by risk group, which characteristic MOST differentiates Risk Group 3 from Risk Group 2?
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?
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?
What is the MOST significant engineering control that distinguishes a Class III Biological Safety Cabinet (BSC) from a Class II BSC?
What is the MOST significant engineering control that distinguishes a Class III Biological Safety Cabinet (BSC) from a Class II BSC?
In the event of a laboratory-acquired infection (LAI), which factor is LEAST relevant in determining the appropriate course of action?
In the event of a laboratory-acquired infection (LAI), which factor is LEAST relevant in determining the appropriate course of action?
When designing a new BSL-3 laboratory, which of the following features is MOST critical for maintaining appropriate containment?
When designing a new BSL-3 laboratory, which of the following features is MOST critical for maintaining appropriate containment?
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?
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?
Which of the following scenarios would be MOST appropriately handled in a BSL-4 laboratory?
Which of the following scenarios would be MOST appropriately handled in a BSL-4 laboratory?
A lab technician is accidentally splashed with a culture of bacteria classified as Risk Group 3. What IMMEDIATE action is MOST critical?
A lab technician is accidentally splashed with a culture of bacteria classified as Risk Group 3. What IMMEDIATE action is MOST critical?
What represents the MOST significant challenge in designing effective laboratory ventilation systems?
What represents the MOST significant challenge in designing effective laboratory ventilation systems?
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?
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?
Which of the following laboratory practices is LEAST effective in minimizing the risk of laboratory-acquired infections?
Which of the following laboratory practices is LEAST effective in minimizing the risk of laboratory-acquired infections?
When choosing a disinfectant for routine decontamination in a BSL-3 laboratory, what factor is MOST important to consider?
When choosing a disinfectant for routine decontamination in a BSL-3 laboratory, what factor is MOST important to consider?
How would you properly classify Coronavirus (SARS)?
How would you properly classify Coronavirus (SARS)?
Flashcards
Ocular Burns
Ocular Burns
Damage to the eye's surface (sclera, conjunctiva, cornea) or eyelids.
Ophthalmologic Emergency
Ophthalmologic Emergency
Burns needing immediate eye doctor care to reduce harm.
Chemical Ocular Burns
Chemical Ocular Burns
Burns from chemicals, especially those affecting the cornea.
Primary Tuberculosis
Primary Tuberculosis
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Prompt Intervention
Prompt Intervention
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Tuberculosis in the Philippines
Tuberculosis in the Philippines
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Biological Agents
Biological Agents
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Biological Material
Biological Material
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Biohazard
Biohazard
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Biosafety
Biosafety
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Biosecurity
Biosecurity
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Biosafety’s Goal
Biosafety’s Goal
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Biosecurity’s Goal
Biosecurity’s Goal
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Containment
Containment
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Primary Containment
Primary Containment
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Mycobacterium tuberculosis
Mycobacterium tuberculosis
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N. meningitidis
N. meningitidis
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Oncogenes
Oncogenes
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Antibiotic resistance
Antibiotic resistance
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Allergens
Allergens
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Standard Microbiological Practices
Standard Microbiological Practices
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Biocontainment
Biocontainment
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Safety Equipment
Safety Equipment
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Primary Containment barrier
Primary Containment barrier
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Secondary Containment
Secondary Containment
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Class I BSC
Class I BSC
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Class II BSC
Class II BSC
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Facility Design & Construction
Facility Design & Construction
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Containment Levels
Containment Levels
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BSL 1
BSL 1
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BSL 2
BSL 2
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BSL 3
BSL 3
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BSL 4
BSL 4
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Risk Group Assignment
Risk Group Assignment
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Risk Group 1
Risk Group 1
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Risk Group 2
Risk Group 2
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Risk Group 3
Risk Group 3
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Risk Group 4
Risk Group 4
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Laboratory-Acquired Infections (LAIs)
Laboratory-Acquired Infections (LAIs)
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Anthrax (Risk Group)
Anthrax (Risk Group)
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Crimean-Congo Hemorrhagic Fever (Risk Group)
Crimean-Congo Hemorrhagic Fever (Risk Group)
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Tularemia (Risk Group)
Tularemia (Risk Group)
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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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