Craven Ch 19 Asepsis and Infection Control

  1. antiseptic
    Agent that stops or slows the growth of microorganisms on living tissue, commonly used for handwashing, skin preparation, and wound packing or irrigation
  2. asepsis
    Absence of disease-producing microorganisms
  3. bactericidal
    Able to kill bacteria
  4. bacteriostatic
    Able to inhibit the growth of bacteria
  5. carriers
    Person from whom a microorganism can be cultured but who shows no sign of a disease
  6. disinfectant
    Chemical used to kill microorganisms on lifeless objects
  7. extended-spectrum beta-lactamases
    (ESBLs) Enzymes that give bacteria immunity to both penicillin and cephalosporin antibiotics
  8. hand hygiene
    Handwashing with soap and water or cleansing the hands with a water-less alcohol-based cleanser to prevent the spread of infection
  9. healthcare-associated infection
    (HAI) A term that encompasses infections contracted in all healthcare settings and is now used in place of the older term, nosocomial infection, which refers only to hospital-acquired infection
  10. infectious disease
    • Process resulting from infection that produces manifestations such as fever, leukocytosis, inflammation, or tissue damage
    • Infectious disease refers to pathologic events that result from the invasion and multiplication of microorganisms in a host.
  11. isolation
    Techniques used to prevent or to limit the spread of infection
  12. medical asepsis
    Measures taken to control and to reduce the number of pathogens present; also known as “clean technique”; measures include handwashing, gloving, gowning, and disinfecting to help contain microbial growth
  13. multidrug-resistant organisms (MDROs)
    Organisms that have developed resistance to multiple antibiotics
  14. nosocomial infection
    • Infection acquired during receipt of healthcare
    • Nosocomial infections are those that occur in the setting of the hospital
  15. opportunistic infections
    Infections that do not result in disease in individuals with properly functioning immune systems
  16. pathogenicity
    An organism’s ability to harm and to cause disease
  17. pathogens
    Microorganisms that can harm humans
  18. personal protective equipment
    (PPE) Techniques or equipment that prevents the transfer of pathogens from one person to another; also referred to as “barriers”
  19. prions
    Organisms that cause a rapidly progressing neurodegenerative disease affecting both animals and humans that is untreatable and always fatal
  20. sepsis
    • Poisoning of body tissues; usually refers to bloodborne organisms or their toxic products
    • Sepsis is an infection that manifests with systemic or widespread microbial destruction of tissues, often accompanied by high fever or hypotension.
  21. specificity
    Organism’s attraction to a specific host, which may include humans
  22. standard precautions
    The latest CDC isolation system that combines the major features of Universal Precautions (blood-borne transmissions) and Body Substance Isolation (moist body substances transmission), thus protecting against blood and body-fluid transmission of potentially infective agents
  23. sterilization
    (1) Destruction of all bacteria, spores, fungi, and viruses on an item, accomplished by heat, chemicals, or gas; (2) Rendered unable to reproduce biologically
  24. surgical asepsis
    Refers to “sterile technique” in which an object is free of all microorganisms to prevent the introduction or spread of pathogens from the environment into the patient; employed when a body cavity is entered with an object that may damage the mucous membranes, when surgical procedures are performed, and when the patient’s immune system is already compromised
  25. virulence
    Vigor with which an organism can grow and multiply
  26. Factors that have contributed to the evolution of resistant microbial organisms include the following:
    • Overprescription of antibiotics
    • Use of inappropriate antibiotics for the infecting organism
    • Incomplete use of antibiotic prescriptions as symptoms subside
    • Harboring and spreading of resistant organisms by carriers who remain symptom free, usually unaware that they have been infected
    • Increased use of antibiotics in farming, thus contaminating milk and meat
  27. infectious agents
    • bacteria
    • fungi
    • virus
    • parasites
    • prions
  28. Sources of infection
    • human beings
    • animals
    • inanimate objects
  29. Portal of exit for infection
    • sputum
    • emesis
    • stool
    • blood
  30. Susceptible hosts for infection
    • Immunosuppressed elderly
    • chronically ill
    • trauma
    • surgery
  31. Portal of entry for infection
    • mucous membranes
    • nonintact skin
    • GI tract
    • GU tract
    • respiratory tract
  32. Mode of transmission for infection
    • contact
    • vehicle
    • droplet transmission
    • airborne
    • vectorborne
  33. Contact transmission
    • Direct or indirect contact
    • Direct - body surface to body surface
    • Indirect - susceptible host comes in contact with contaiminated object
  34. Vehicle transmission
    • contaiminated items that transmit pathogens
    • e.g. food can carry Salmonella, water can carry Legionella, blood can carry hepatitis and HIV
  35. Droplet transmission
    Mucous membranes of nose, mouth, or conjuntiva are exposed to secretions of an infected person who is coughing, sneezing, or talking. Droplets do not remain suspended in the air for very long and seldom travel more than 3 feet. This is not the same as airborne transmission.
  36. Airborne transmission
    Fine particles are suspended in the air for a long time or when dust particles contain pathogens. Air currents widely disperse organisms, can be inhaled or deposited on the skin of a susceptible host. Patient must be in rooms with special air handling and ventilation systems.
  37. Vector-borne transmission
    • biologic or mechanical
    • Biologic are living creatures carrying pathogens, e.g. rats, insects, birds. Most concerning in tropical areas; mosquitoes carrying malaria
    • Mechanical vectors are inanimate objects contaiminated with infected body fluids, e.g. central line catheters, ventilators, contaiminated needles, syringes. MRSA, hepatitis B, HIV are commonly spread in this manner.
  38. Environment - reservoir for infectious organisms
    • hospitals, outpatient clinics, extended care facilities, the home, and schools - threat to those with decreased resistance.
    • Sources include: air; other patients; families and visitors; and contaminated equipment, food, and personnel.
    • Pneumonia and influenza is commonly spread in these facilities.
  39. Therapeutic regimen and risk of infection
    Drugs such as steroids, immunosuppressive agents, and cancer therapy, as well as prolonged use of antibiotics, predispose patients to infection. Equipment such as IV catheters, urinary catheters, feeding tubes, and ventilators provide routes for bacterial and fungal invasion. Inadequate dressing techniques for wounds can provide media for bacterial growth.
  40. Patient resistance and infection
    • Changes in the physical or psychological status of a patient can affect his or her resistance to infection. Any break in the integrity of the skin or mucous membranes increases the chance of infection.
    • Stress, fatigue, poor nutrition, poor hygiene, and chronic illness also can decrease the patient’s ability to ward off infection by impairing normal defenses.
    • The elderly are extremely susceptible to infection because of age-related changes to major body systems.
    • Immunocompromised patients are the most susceptible to infection because they are unable to invoke the immune response necessary to fight off infection-causing pathogens.
  41. PICO Question
    Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome
  42. Categories of institutional waste and types
    • Infectious waste:
    • Blood and blood products
    • Pathology laboratory specimens
    • Laboratory cultures
    • Body parts from surgery
    • Contaminated equipment (e.g., dialysis materials, suction receptacles)
    • Injurious Waste:
    • Needles
    • Scalpel blades
    • Lancets
    • Broken glass
    • Pipettes
    • Aerosol cans
    • Hazardous Waste:
    • Radioactive materials
    • Chemotherapy solutions
    • Caustic chemicals
  43. Alcohol based hand sanitizers are NOT effective against?
    • C. difficile
    • Norovirus
    • wash hands after any contact with a patient with diarrhea
  44. Transmission based precautions and indications for Airborne organisms
    • Precautions:
    • Private AIIR with adequate filtration; mask; mask worn by the patient during transport out of room
    • Indications:
    • Transmission via airborne route (small-particle droplets); tuberculosis, measles, varicella
  45. Transmission based precautions and indications for Droplet organisms
    • Precautions:
    • Private room or cohabitation with the patient infected with same organism; mask required when working within 3 feet of the patient; mask worn by the patient during transport
    • Indications:
    • Transmission of large droplets through sneezing, coughing, or talking; Haemophilus influenzae, multidrug-resistant strains, Neisseria meningitidis, diphtheria, rubella, Mycoplasma pneumoniae
  46. Transmission based precautions and indications for Contact organisms
    • Precautions:
    • Private room or cohabitation with the patient infected with same organism; gloves at all times (don before entering room and remove before leaving) with change after exposure to organism; handwashing immediately after removal of gloves; gown and protective barriers when direct contact with organism occurs; daily cleaning of bedside equipment and patient care items; exclusive use of items such as stethoscope and sphygmomanometer for infected patient with terminal disinfection when precautions are no longer necessary
    • Indications:
    • Serious infections easily transmitted through direct contact; any multidrug-resistant strains, C. difficile, Shigella, impetigo, and others
Card Set
Craven Ch 19 Asepsis and Infection Control
Terms for Exam 1 - Ch 19 of Craven