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Fundamentals of Nursing
Chapter 38 P and P
72
Medical
Undergraduate 3
02/08/2009

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Term
Chain of Infection elements (6)
Definition
infectious agent/pathogen, reservoir/source, portal of exit, mode of transmission, portal of entry, susceptible host
Term
what is another term for an infectious agent?
Definition
pathogen
Term
colonization
Definition
bacterial growth and multiplication inside host but no infection
Term
communicable
Definition
infectious ex. infections
Term
symptomatic
Definition
pathogens multiply and cause clinical signs and symptoms
Term
asymptomatic
Definition
clincal signs and symptoms are not present
Term
can hepatitis c be asymptomatic?
Definition
yes
Term
resident organisms
Definition
normal flora-permanaent residents of the skin-survive and multiply without causing illness
Term
transient micoorganisms
Definition
attach to the skin when a person has contact with another person or object
Term
how can transient organisms be removed?
Definition
hand hygiene
Term
what 4 things does the potential for disease depend on? (involving the ability of organisms to cause it)
Definition
sufficient number of (dose), virulence (ability to survive), ability to enter/survive, susceptibility of host (host resistence)
Term
are resident skin microorganisms virulent?
Definition
no
Term
immunocompromised
Definition
impaired immune system
Term
name one condition in which resident microorganisms may be virulent
Definition
someone who is immunocompromised
Term
what is an infectious agent?
Definition
microorganisms
Term
reservoir
Definition
place where a pathogen can survive-may or may not multiply
Term
who are carriers?
Definition
persons who show no symptoms of illness butwho have pathogens on or in their bodies that can be transferred to others
Term
what is an example of a carrier? what aspect of the chain of infetion is a carrier?
Definition
hepatitis b, reservoir
Term
could a fly be a reservoir?
Definition
yes
Term
can an inanimate object be a reservoir?
Definition
yes
Term
what causes gas gangrene?
Definition
clostridium perfringens
Term
aerobic bacteria
Definition
require o2 for survival and for mltiplication sufficient to cause disease
Term
which cause more infections in humans...aneorobic bacteria or aerobic bacteria
Definition
aerobic
Term
what is an example of an aneorobic organism?
Definition
clostridium dificile-causes antibiotic induced diarrhea
Term
what types of spores are most common? what is one characteristic that makes them especially dangerous?
Definition
botulism, anthrax, tetanus; can survive without water
Term
what is the most common temp. range for bacteria to live in?
Definition
20-43 degrees celcius 68-109 F
Term
bacteriostasis
Definition
reproduction of bacteria
Term
preferrable ph for microorganisms
Definition
5-7
Term
bactericidal
Definition
temp. or chemical that destroys bacteria
Term
what is a portal of exit? example?
Definition
blood, skin, mucous membranes, resp. tract, fu tract, gi tract, mother to fetus, means of exit
Term
what type of drainage is a potential portal of exit?
Definition
purulent drainage ex. s. aureus
Term
what is one of the most bacterially contaminated sites of the human body?
Definition
the mouth
Term
modes of transmission
Definition
infected mosquitoes, serves as vector
Term
what is the most common mode of transmission in the hospital care setting?
Definition
improper hand hygiene
Term
portal of entry
Definition
enter body thorugh same routes they exit
Term
susceptible host
Definition
depends on degree of resistance to a pathogen-immune response
infection does not develop until individual becomes susceptible to the strengthand number (dose)
Term
name a few factors that increase someone's susceptibility to infection
Definition
age, nutritional status, chronic disease, trauma, smoking
Term
inflammatory response
Definition
protective reaction that serves to neutralize pathogens and repair body cells
Term
is the inflammatory response specific?
Definition
no-protect against microorganisms regardless of prior exposure
Term
what is a specific defense?
Definition
immune response
Term
broad spectrum antibiotics
Definition
eliminate a wide rane of normal flora organisms, not just those causing infection
Term
suprainfection
Definition
body's defenses arereuced from antibiotics allowing for diseae-producing microorganisms to multiply
Term
what is inflammation
Definition
body's cellular response to injury, infection, or irritation is termed inflammation
Term
necrotic tissues
Definition
dead tissues
Term
what are a few signs of localized inflammation?
Definition
redness, swelling, heat, pain, tenderness, loss of function
Term
modes of transmission
Definition
contact: direct and indirect and droplet, airborne, vehicles, vector
Term
what are examples of direct contract
Definition
person to person (fecal, oral), physical contact between source and host
Term
exxample of indirect contact?
Definition
personal contact of susceptible host with contaminated object
Term
droplet
Definition
large particles that travel up to 3 feet and comee into contac with susceptible host (ex. coughing, sneezing, talking)
Term
airborne mode of transmission
Definition
droplet nuclei-residue or evap. droplets in air-dust particles ex. tb, meningitis
Term
vehicles
Definition
contaminated items, water, drugs, blood, food
Term
vector
Definition
external mechanical transfer (flies)
Term
4 stages of infection
Definition
incubation, prodromal, illness, convalescence
Term
what is the incubation period?
Definition
interval between entrance of pathogen and first symptoms
Term
prodromal stage
Definition
nonspecific signs/symptoms
Term
illness stage
Definition
manifests signs and symptoms specific to infection
Term
convalescence
Definition
acute symptoms of infection disappear
Term
edema
Definition
localized swelling, accumation of fluid
Term
seroius exudate
Definition
clear, like plasma
Term
sanguineous exudate
Definition
containing RBC
Term
purulent
Definition
containing wbcs and bacteria
Term
granulation tissue
Definition
not as strong as tissue collagen and assumes the form of scar tissue-common in chronic inflammation
Term
health care-associated infections (HAIs)
Definition
nosocomial or health care acquired infections result from delivery of health services in a health car facilities. ex. invasive procedures, antiiotic admin. and presence of multidrug resistant organisms/beaks in infection prevention
Term
iatrogenic infections
Definition
type of HAI from a diagnostic or therapeautic procedure ex. after endoscopy infection forms
Term
exogenous infection
Definition
one that is present outside the client
Term
endogenous
Definition
part of a normal flora-ex. c. dificile
Term
asepsis
Definition
absence of pathogenic (disease-producing) microorganisms
Term
medical asepsis
Definition
clean technique;
Term
disinfection
Definition
process that elimates many or all organisms except acterial spres from inanimate objects
Term
sterilization
Definition
the complete elimination or destruction of all microorganisms including spores ex. steam under pressure, eto gas, chemicals
Term
what four factors most influence the efficacy of the disinfecting or sterilizing method
Definition
concentration of soluation and duration of contact, type and number of pathogens, surface areas to treat, temperature of the environment
Term
how does the presence of organic materials affect disinfection
Definition
disinfectants become ineffective
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