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19 Cards in this Set
- Front
- Back
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which of the following organisms that cause meningitis are you concerned about person-person transmission?
strep pneumo H flu enterovirus HSV neisseria |
neisseria meningitidis
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how does person - person trasmission occur in N meningitidis?
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droplet transmission (same household, healthcare workers doing CPR, intubation)
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what to do to prevent transmission of N menigitidis?
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isolation of index patient
prophylaxis of exposed healthcare workers and household contacts |
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who do you offer immudiate antimicrobial prophylaxis?
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personnel who have had intensive close contact
without the use of proper precautions (mask, etc) with a patient w/ meningococcal disease before administration of antibiotics (less than 24 hrs of antibiotics) |
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who to give prophylaxis for non HCW contact?
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household member
military sam barrack roommate friends that share eating utensil clasmates in day care |
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all healthcare workers who enter TB pt's room without an N-95 mask.. needs?
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need a tuberculin test now and in 8-10wks
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TB spreads via?
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droplet. hang in air a long time
** no risk from latent TB |
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if a exposed person had prior positive TST, how do you evaluate exposure?
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Sx screening only
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rank the following blood exposure risk from highest to lowest
percutaneous injury mecous membranes cutaneous non intact skin |
percutaneous injury (highest)
mecous membranes (intermediate) non intact skin (low) cutaneous (none) |
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how do you test HBV, HCV, HIV in the source pt?
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hep B - HBsAg
HCV - anti HCV Ab HIV - HIV antibody |
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infection risk of percutaneous injury of HBV? HCV? HIV?
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HBV - 30%
HCV - 3% HIV - 0.3% |
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how many doses is HBV vaccine?
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3 doses
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is HBV vaccine protective from blood exposure?
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yes
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post exposure management for unvaccinated ?
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HBIG (within 7 days) + restart vaccination series
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is it OK to test source before treating in HBV exposure?
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yes
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prophylaxis treatment of HCV exposure?
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not needed
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what to do if exposed to HCV then?
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check HCV RNA and ALT at 4-6 wk, 3 months, 6 months and with Sx
HCV Ab at baseline and 6 months if infection, start treatment |
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prophylaxis in HIV exposure?
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initiate promptly (within 2 hrs)
continue for 28 days (or until source test is negative) |
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prophylaxis Tx of HIV exposure?
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basic 2 drug prophylaxis - for low risk exposure (cutaneous, MM) and low risk source (low viral load)
3 drug prophylaxis - high risk exposure (percutaneous) and or high risk source |
