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Infection Control Practices
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Principles of Infection Control
Microorganism: A small living organism that is not visible to the naked eye. Pathogen (Germs): Disease causing organism Non-pathogen: Non-disease causing organism
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How Diseases Spread Most pathogens prefer a warm, dark, moist environment Need for oxygen varies Aerobic (requires O2) Anaerobic (Does not require O2) Human body is an ideal supplier
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Microorganism Classifications
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1. Viruses Smallest microorganisms Spread by blood and body secretions
Very difficult to kill Cause many diseases
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2. Rickettsiae Parasitic microorganisms
Transmitted to humans by the bites of insects (e.g., fleas, lice, ticks, mites)
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3. Fungi Simple, plant-like organisms Live on dead organic matter
EX: Yeast and mold Antibiotics do not kill
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4. Protozoa One-celled, animal-like organism
Found in decayed materials and contaminated water May have flagella for movement
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5. Bacteria Simple, one-celled organisms Multiply rapidly
Classified by shape and arrangement Cocci: round Bacilli: rod-shaped Spirilla: spiral/twisted
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Antibiotics Antibiotics are used to kill bacteria
Antibiotic-resistant: the antibiotic is no longer effective against the bacteria
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Chain of Infection Diagram
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The Chain of Infection Infectious Agent Pathogen must be present
Examples: bacteria or viruses
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The Chain of Infection Infectious Agent Reservoir Host
Where pathogen can live Examples: human body, animals, the environment
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The Chain of Infection Infectious Agent Reservoir Host Portal of Exit
Way for pathogen to escape from the reservoir Examples: bodily fluids
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The Chain of Infection Infectious Agent Reservoir Host
Direct contact: person-to-person Indirect contact: from contaminated substances to the person Portal of Exit Mode of Transmission
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The Chain of Infection Way to enter a new reservoir or host
Examples: breaks in the skin or mucous membranes, Infectious Agent Reservoir Host Portal of Exit Portal of Entry Mode of Transmission
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The Chain of Infection Infectious Agent Reservoir Host
Susceptible Host Portal of Exit Individual who can contract the disease Can usually fight off disease Portal of Entry Mode of Transmission
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Ending the Chain of Infection
Eliminate any step in the chain and infection is stopped Contamination: contact with pathogens where something becomes unclean
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Proper hand washing is essential to prevent the spread of infection.
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Endogenous Exogenous Nosocomial Opportunistic
Originates within the body Exogenous Originates outside the body Nosocomial Acquired in a health care facility Opportunistic Infections that occur when the body’s defenses are down
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Universal Precautions
Precautions we take for every patient we encounter. All blood and body fluid are considered to be contaminated. These are standard
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Handwashing The single most effective way to prevent the spread of infection
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Methods that Destroy Microorganisms
Antiseptics – solutions that are applied directly to the skin Ex: handwashing or hand sanitizer
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Methods that Destroy Microorganisms
Disinfection – strong chemicals such as bleach solution used to kill many pathogen. used on objects and NOT on the skin
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Methods that Destroy Microorganisms
Sterilization – the best way to kill ALL microorganisms Steam under pressure Autoclave: machine used
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Bloodborne Pathogens Pathogenic organisms that are present in blood and bodily fluids that can lead to a disease
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Personal Protective Equipment (PPE)
Things you wear to prevent spread of blood borne pathogens: Gloves Gown Mask
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Sharps Container Dispose of all needles in appropriate containers
Never overfill containers Usually RED in color
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Hand Hygiene handout
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Summary Alcohol-Based Handrubs: What benefits do they provide?
Require less time More effective for standard handwashing than soap More accessible than sinks Reduce bacterial counts on hands Improve skin condition In summary, alcohol-based handrubs provide several advantages compared with handwashing with soap and water, because they not only require less time, they also act faster. In addition, alcohol-based handrubs are more effective for standard handwashing than soap, are more accessible than sinks, are the most efficacious agents for reducing the number of bacteria on the hands of healthcare workers, and can even provide improved skin condition.
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