CIC Study Questions September 23, 2016

Which of the following studies is experimental rather than observational? Cohort Clinical Trial Case Control Cross- Sectional

B Clinical trial Rational: Experimental studies are prospective studies designed to compare outcomes in individuals who are assigned to an experimental (intervention) or control (placebo or standard care) group. The intervention may be a procedure drug or other treatment, and the comparison group usually recieves a placebo, the previously accepted treatment, or, if approprite, no treatment. The two major types of experimental studies are randomized clinical and community trials

What healthcare-associated viral outbreaks are most frequently reported among infants and children? Hepatitis A Coxsackie A Staphylococcus aureus RSV

D. RSV Rational: RSV is one of the most important causes of respiratory tract infection in infants and the elderly worldwide. It is transmitted by direct and indirect contact. RSV is a major preventable HAI with frequent outbreaks that can lead to high mortality rates in healthcare facilities. Proper infection prevention measures, including hand hygiene, standard and contact precautions, cohorting, and rapid diagnostic techniques are critical in controlling the spread of RSV in healthcare facilities.

Which of the following are allowed in an ICU or other unit with immunocompromised patients? Latex-free balloons Flowers in a vase Fresh fruit Fish tank

A. Latex-free balloons Rational: Infectious diseases cause significant morbidity and mortality in immunocompromised patients. Water is a reservoir for pathogenic microorganisms and can be a source for HAIs. As organizations recognize the importance of care delivery sites as therapeutic environments, they may consider installing features such as fish tanks, decorative water fountains, water walls, or other water features. In balancing the risk of adding a potential reservoir of waterborne opportunistic pathogens, the CDC Guidelines for Infection Control in Healthcare Facilities recommends facilities avoid placing them in patient care areas. It is well established that both potted plants and fresh flowers carry microbial flora that are pathogenic for the immunocompromised host. Fresh fruits and vegetables also carry several species of Gram-negative rods as part of their natural flora. Latex-free balloons are a safe choice in healthcare facilities.