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21 Cards in this Set

  • Front
  • Back
3 major causes of nosocomial infection emergence
1. antimicrobial use
2. failure of staff to adhere to basic infection control procedures
3. increasing # of immunocompromised patients
Nosocomial burden of disease
1 in 10 hospital patients acquire infection
1 in 3 ICU patients acquire infection
4 steps to take against nosocomial infections
1. increased surveillance
2. improve design of invasive devices
3. Ensure personnel follow infection control procedures
4. prevent overuse of antibiotics
3 methods of developing antimicrobial resistance (video)
1. mutation
2. destruction or innactivation
3. efflux
Efflux
process by which bacteria actively pump out antibacterial substances
Destruction or inactivation (video)
process by which bacteria produces enzymes or other material that degrades antimicrobial drug
3 methods of genetic transfer (video)
1. Conjugation
2. transformation
3. transduction
process of conjugation (video)
Transfer of circular plasmid DNA by pili
process of bacterial transformation (video)
Bacteria takes of naked DNA from environment
process of transduction (video)
bacteria passes genetic material to virus which infects other bacteria
Description of Case series
study type with 2 or more patients with same disease or have undergone same procedure
Definition of effectiveness
Whether or not the drug achieves the desired effect in real-world use
Definition of efficacy
does the drug / treatment work?
Definition of pharmacoepidemiology
the study of the use of and effects of drugs in large numbers of people
2 Types of adverse drug reactions (ADR)
Type A

Type B
Type A drug reaction
expected exaggerations of a drug’s known pharmacologic effects.
usually dose-dependent, predictable, and preventable.
Type B drug reaction
drug reaction that is unrelated to known action of drug
unrelated to dose, are unpredictable and uncommon
Passive Surveillance
Surveillance that is initiated by healthcare-provider
Active Surveillance
Surveillance that is initiated by health department
Sentinel Surveillance
Surveillance where a few doctors or hospitals agree to report all cases of one or more given conditions
Syndromic Surveillance
Surveillance using minimally specific case criteria