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22 Cards in this Set

  • Front
  • Back
What is a nosocomial infection and some examples?
Hospital based
S. Aureus
C. Diff
What is direct transmission and how virulent are the bacteria that travel this way?
Sexual, kissing, animal bite, transplacental, droplet infection.
Organisms transmitted via direct contact have MINIMAL ability to survive stressful environmental conditions
What is indirect transmission?
Vector borne, air borne (aerosol - e.g. TB, measels) and Vehicle Borne (water, food, blood, surgical instruments)
Organisms have uique adaptation fir survival (spores, protozoan, worm eggs)
If patient presents with Thrush from Candida what should be considered?
AIDS
What is candidemia?
One of the leading causes of fungus or yeast in the blood.
Most commonly caused by Candida Albicans
Diagnosis is difficult as blood cultures are very insensitive
4th leading infection in ICU
What two professional pathogens are adapted exclusivelly to humans?
Neisseria Gonorrhoeae, Treponema Pallidum
What is an example of an organism adapted to both humans and birds/reptiles?
Salmonella Typhimurium
What is the most common cause of intra-abdominal infection?
Two leading are Gram Negative E. Coli and Anaerobic B. Fragiles
What is mainly responsible in skin and soft structure infections?
Gram positive bacteria, mainly S. Aureus
What do you need to treat a polymicrobial infection?
Good antibiotic coverage for gram positive, gram negative and anaerobes
What is the most important way to prevent spreading?
Washing your hands, which the physicians are the biggest offenders of
Now starting to use alcohol wipes
Who is the father of hand asepsis?
Semmelweis
What is a Universial Precaution and what does it apply to?
Prevent transmission of HIV, HBV, and other blood borne pathogens when providing health care.
Apply to blood, semen, vaginal secretions, CSF, synovial, pleural, peritoneal, pericardial and amniotic
What does NOT apply to Universal Precaution?
Feces, nasal secretions, sputum, sweat, tears, urine, saliva, and vomit
UNLESS they contain VISBLE BLOOD
Diseases that could be elminated by 2030
Chagas disease, dracunculiasis, leporsy, lymphatic filariasis, measles, onchocerciases and polyiomyelitis
What is CA MRSA
Community Acquired Methicllin Resistant Staphylococcus Aureus
More virulent and often infect helathy young people, spreads like wildfire
Looks like pinpooint spider bite Can cause Necrotizing Peneumonia and Necrotizing Fascitis
Honey crust skin lesion w/pus
Difference between Isolate and Quarantine
Isolate: Isolate a SICK patient
Quarantine: Restriction of movement of WELL persons presumed to be exposed
Mandatory quarantine for these diseases by LAW
SARS, Cholera, Diphtheria, TB, Plague, Smallpox, Avian Influenza, Yellow Fever and Viral Hemoorhagic Fevor (Ebola)
7 Internationally notifiable infectious diseases that must be reported to the World Health Organization
Plague, Cholera, Yellow Fever, SARS, Novel Influenza, Wild Type Polio, Smallpox
Leading cause of food borne gastroenteritis
Campylobacter followed closly by Salmonela
Four steps presented by the CDC to discourage overuse of ABX
Prevent Infection
Diagnose and treat infection
Use antimicrobials wisely
Prevent transmission
What are the virulence factors of CA MRSA?
PVL gene: Punches holes in WBC
Very different then Hospital Acquired; different origin, may have evolved from S. Epidermis