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DH 111 Infection Control Exam 1
2011
110
Biology
Professional
08/31/2011

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Term
Chicken Pox - Name and incubation
Definition
Varicella Zoster, 10-21 days
Term
Shingles - Name and incubation
Definition
Herpes Zoster, years after chic pox virus
Term
Legionaire's Disease - Name and incubation
Definition
Legionellosis, 2-14 days
Term
Mumps incubation
Definition
12-25 days
Term
Measles - Name and incubation
Definition
Rubeola, 8-12 days
Term
German Measles - Name and incubation
Definition
Rubella, 2-3 weeks
Term
TB incubation
Definition
4-12 weeks
Term
Hep A incubation
Definition
2-6 weeks
Term
Hep B incubation
Definition
2-6 months, 10% enter carrier state
Term
Hep C incubation
Definition
6-7 weeks
Term
Hep D incubation
Definition
no latent period
Term
HIV incubation
Definition
3-6 months
Term
Definition of Hepatitis
Definition
Inflammation of the Liver
Term
Hepatitis Symptoms
Definition
fatigue, mild fever, muscle and joint pain, nausea, vomiting, diarrhea, abdominal discomfort
5-56% of those infected with Hepatitis caused by virus…develop jaundice
Term
Hep A is also called...
Definition
infectious hepatitis
Term
Hep A and Hep E are transmitted through...
Definition
Fecal-Oral
Term
Hep A Carrier State
Definition
None
Term
What percent of Hep B goes undiagnosed
Definition
80%
Term
Non-responders of the Hep B vaccine means....
Definition
4% do not form antibodies. doesn’t mean antibodies aren’t there, it might just not show up on the titer tests because they aren’t completely accurate
Term
Titer test for Hep B should be done...
Definition
1-2 months after dose #3
Term
What percent of people form antibodies to Hep B after the 1st, 2nd, and 3rd injection?
Definition
1st injection: 30% form antibodies
2nd injection: 75% form antibodies
3rd injection: 96% form antibodies
Term
What are 6 Risk Groups for HBV?
Definition
Health care workers
Household contacts of chronically infected persons
Persons with multiple sex partners
Male homosexuals
Injection drug users
Infants born to infected mothers

Also...

Populations with high incidence of the disease: refugees from Africa, Eastern Asia, Middle East and Haiti, Alaskan natives and Pacific Islanders
Military personnel stationed outside the US
More HBV Risk Groups
Inmates of long-term correctional facilities
Morticians and embalmers
Blood bank workers
Term
How many Americans are infected with Hep C annually?
Definition
170,000 Americans
Term
How many Hep C infections are symptomatic?
How many Hep B infections are ASYMptomatic?
Definition
25 to 30% of Hep C infections are symptomatic.
30% of Hep B infections are ASYMptomatic.
Term
How many Hep C infections progress to chronic liver disease?
Definition
85%
Term
Hep C Risk Groups (8)
Definition
IV drug users
Hemodialysis patients
Health care workers
Sexual contact with infected persons

Multiple sex partners
Recipients of transfusions before 1992
Infants born to infected mothers
Cocaine use
Term
AKA Delta Virus
Definition
Hep D
Term
How many ppl develop chronic liver disease from Hep D? versus just having Hep B?
Definition
70-80% develop chronic liver disease (6-10% HBV alone)
Term
Is the medical history review an adequate tool to assess a patient’s history of infectious diseases?
Definition
No. Patient may not know they have it. Prodronal Symptoms are the same for most diseases.
Term
when do TB symptoms begin to appear?
Definition
6-9 months after infection
Term
Dental masks cannot block TB, how do we protect ourselves?
Definition
aerosolization: highspeeds, air/water syringe, ultrasonic device
Term
How many are infected with TB worldwide?
Definition
9 million
Term
Describe latent TB
Definition
have a positive skin test, do not have active TB, and cannot infect others, but are at risk of developing active TB. 90% of cases remain latent with no progression to active disease
Term
A positive TB skin test means there was past infection, present infection, or _____________
Definition
BCG (bacille Calmette-Guerin) vaccination
Term
TB transmission must.....
Definition
…must have repeated, prolonged, indoor air contact with persons suffering from TB
Term
Places you can get TB (4)
Definition
Public health clinics
Correctional facilities
Homeless shelters
Nursing homes
Term
How do you treat TB (latent and active)
Definition
6-9 months of daily antimicrobial drugs
Term
What is the cure rate if treated correctly from TB? Why is compliance low?
Definition
100%; because the patient doesn't remember to take meds, or they feel better so they stop
Term
Due to low compliance, what new strand of TB has developed?
Definition
Multi-drug resistant TB (MDR-TB)
Term
**AIDS will develop in how many persons infected with HIV?
Definition
75-100%
Term
Major route of HIV transmission worldwide is
Definition
heterosexual sex
Term
What are the 4 most affected world regions for HIV?
Definition
Sub-Saharan Africa, S/SE Asia, Latin America, Eastern Europe/Central Asia
Term
How many T4 cells are in a normal adult?
Definition
700-1000
Term
Risk factors for HIV (4)
Definition
Sexual contact
Exposure to infected blood
Transplacental
Breast feeding
Term
What are the 2 HIV tests?
Definition
ELISA & Western Blot. ELISA detects antibodies and Western Blot is more sensitive and used to confirm a positive ELISA test.
Term
Viruses are also called _______ _________ parasites
Definition
Obligate intracellular
Term
Viruses can carry DNA? RNA?
Definition
Yes, both
Term
Describe the cycle viruses use to replicate
Definition
Lytic Cycle. genetic material from the virus takes over the metabolic machinery of the host cell to produce new viruses. Host cell lyses (bursts)
Term
What are the shapes of bacteria (4)
Definition
Cocci (round), Bacilli (rod), Spirilla (spiral), pleomorphic
Term
One of the most resistant life forms against heat, drying and chemicals
Definition
endospore
Term
Used as biological monitors for sterilizers and liquid sterilants
Definition
endospores
Term
diseases caused by fungi are termed
Definition
mycosis
Term
3 Fungal Diseases
Definition
Candidiasis
Althlete’s foot
Ringworm
Term
Found in soil and water, Cause human diseases such as amebic dysentery, malaria, sleeping sickness
Definition
Protozoa (amoeba)
Term
Prions are ______ _______ _______
Definition
proteinaceous infectious particles
Term
most resistant to disinfectants
Definition
prions
Term
Prion Associated Diseases
Definition
neurodegenerative, destroys brain tissue

Mad Cow disease
Creutzfeldt-Jakob disease
Term
113-158F (hot) used to test heat sterilizers
Definition
thermophils
Term
71-113F with optimal growth at body temp of 98.8F
Definition
mesophils
Term
33.8-71.6F (cold) can grow in a refrigerator
Definition
psychrophils
Term
Acidophiles prefer a pH of...
examples?
Definition
pH of 2-5, stomach and pickled foods
Term
These prefer a pH of above 8.5, inside the intestines...
Definition
Alkaliphiles
Term
require oxygen of 20% or more to survive
Definition
Obligate aerobes
Term
can tolerate oxygen (4% or less)
Definition
Microaerophiles
Term
cannot tolerate oxygen
Definition
Obligate anerobes
Term
What organism can survive lack of water?
Definition
Bacterial Endospores
Term
Goal of Infection Control (3)
Definition
Personal protective equipment
Barriers
Eliminating pathogenic organisms through disinfection and sterilization
Term
Infectious disease=
Definition
a disease caused by a microorganism (i.e. bacteria, virus, prion, fungus)
Term
Pathogen=
Definition
microoganism that causes an infectious disease
Term
What's the difference between endogenous and exogenous?
Definition
Endogenous=normal organism in / on the body. Exogenous=organism found outside the body
Term
microorganisms that cause disease only when given a special opportunity to enter the body
Definition
Opportunistic pathogens
Term
Virulence=
Definition
measure or degree of pathogenicity or the ability to cause disease…related to numbers of pathogens
Term
Communicable disease
Definition
transmitted from person to person
Term
A pathogen does not cause disease in a _______ but that pathogen can be transmitted to others.
Definition
carrier
Term
rapid onset, rapid recovery
Definition
acute disease
Term
slow onset, lasts a long time
Definition
chronic disease
Term
Endemic Disease
Definition
Constantly present in a population
disease never dies out completely
i.e. malaria in Africa. Flu in America
Term
Epidemic Diseases
Definition
Greater than normal number of cases of a disease in a particular population
i.e. Legionnaires' disease, hantavirus
Term
Pandemic Diseases
Definition
World wide epidemic
i.e. Spanish flu, HIV/AIDS
Term
Name the 6 parts of the Chain of Infection
Definition
Infectious Agent→Reservoir→Portal of Exit→Mode of transmission→portal of entry→susceptible host
IRPMPS
Term
the Source of infection
Can be bacteria, virus, fungi, protozoa or prion
Definition
Infectious Agent
Term
causative agent's permanent place to reside
Definition
Reservoir
Term
Modes of Transmission (5)
Definition
Direct contact: direct physical contact with infectious agent- touching, kissing, biting
Airborne: agent is inhaled
Bloodborne: infected blood enters host
Ingestion: eating or drinking
Indirect contact: pathogen is on an inanimate object such as a toilet seat or door knob etc.
Term
Portals of Entry (4)
Definition
Inhalation
Ingestion
Broken skin
Mucous membranes
Term
Susceptibility of Host depends on ... (5)
Definition
Number and specific types of pathogens
Duration of exposure
General physical condition of host
Occupation
Age
Term
What are the 2 host defense mechanisms?
Definition
1. Innate Host Defenses
2. Immune System
Term
Name 4 Innate Host Defenses
Definition
Physical barriers
Chemical barriers
Antimicrobial chemicals
Phagocytosis
Term
Antimicrobial chemicals
Definition
hydrochloric acid in stomach, enzymes, interferon etc
Term
Chemical barriers
Definition
action of secretions such as
saliva & tears, excretions such as urine and sticky mucus that traps inhaled organisms
Term
Physical barriers
Definition
skin, mucous membranes
Term
Phagocytosis
Definition
phagocytes the “clean-up-crew” engulf and destroy the microorganisms
Term
Immunocompetent
Definition
immune system functions properly
Term
Immunosuppressed
Definition
immune system cannot respond appropriately to a challenge.
Term
antigens
Definition
antibody-generating substance
Term
Immune Response
Definition
Activated by Antigen
Antigens stimulate lymphocytes to produce antibodies
Antibodies multiply, destroy or interfere with pathogens.
Term
4 Types of Immunity
Definition
Active Acquired Immunity
Artificial Active Immunity
Congenital Passive Immunity
Passive Immunity
Term
Active Acquired Immunity
Definition
Results from actually contracting the disease
Term
Artificial Active Immunity
Definition
Achieved after administration of vaccines. Takes a while to mount an immune response… usually about 2 weeks
Term
Weakening the pathogen is called
Definition
attenuation
Term
Vaccines prepared from weakened pathogens are referred to as
Definition
attenuated vaccines
Term
Congenital Passive Immunity
Definition
Antibodies pass from mother to developing fetus through placental wall. Exogenous. short term (6-12 months)
Term
Passive Immunity
Definition
Administration of antibodies from an immune person to a susceptible person. Temporary Protection-because the antibodies are not actively produced by the patient. antibodies taken from the blood of many immune people
Term
4 Stages of an Infectious Disease
Definition
1. Incubation stage
2. Prodromal stage
3. Acute stage
4. Convalescent stage -OR- Death
Term
Prodromal Stage
Definition
Pathogens have multiplied to large enough numbers to cause the first symptoms of disease. Symptoms are the same for many infectious diseases*
Term
Convalescent Stage
Definition
Number of pathogens is declining
Still can transmit disease
Term
About 1% of the worlds population has been displaced by war and moved into poverty-ridden camps where______ deaths are caused by infectious diseases
Definition
3/4
Term
Top 3 microbial killers worldwide are
Definition
HIV/AIDS, tuberculosis, and malaria
Term
HIV is considered an _________disease.
TB and malaria are considered _________ diseases
Definition
emerging, reemerging
Term
Flu strains categorized according to 2 proteins found on the surface of the virus…
Definition
1. Hemagglutinin (H)
2. Neuraminidase (N)
Term
Next pandemic is believed to be....
Definition
H5N1
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