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Micro (state board)
| Question | Answer |
|---|---|
| Contact | Direct contact- transfer from one person to another; indirect contact- transfer through intermediate object (fomite) or person |
| Droplet | Transmitted through droplets propelled. Into the air by coughing, sneezing, or talking. Distance < 3 ft |
| Airborne | Spread of droplet nuclei (evaporated droplets that can remain suspended in the ribs for long periods of time) |
| Standard Precautions | Wash hands and gloves |
| Contact precautions | Gloves, gown |
| Droplet precautions | Gloves, gown, mask, and eye shield |
| Airborne precautions | Gloves, gown, eye shield, N95 mask |
| PPE for all precautions | Wash hands and wear gloves |
| Nosocomial | Healthcare Associated infection |
| HAP | Hospital Acquired Pneumonia |
| VAP | Ventilator Acquired Pneumonia |
| CAP | Community Acquired Pneumonia |
| Disinfection | destroys all pathogenic organisms except bacterial spores |
| Sterlization | Destroys all microorganisms, including spores |
| Antiseptic | Disinfectant that can be applied to the skin |
| Humans | Primary source of infection |
| Handwashing | For15 sec; best way to prevent spread of infection |
| Autoclave | Sterlization technique; normal settings: 15 psi, 121* C , 15 min, most efficient, ventilator bacteria filters are mostly autoclaved |
| Ethylene Oxide Gas; ETO | Low temp sterilization; must allow aerate for 8 hours at 60* C, or 7 days. Hazardous: airway inflammation, nausea, diarrhea, headache, dizziness, convulsions |
| Gluteraldehyde | High-level disinfection or sterilization depending on exposure. Two types Alkaline Gluteraldehyde (cidex and sporacidin) and Acid Gluteraldehyde (sonacide) |
| Incinearation | For contaminated disposable items |
| Irradiation | Gamma rays used to sterilize |
| Pasteurization | Immersion in water 70* C, 30min |
| Antiseptics | Alcohol, iodine, 5% acetic acid (vinegar) Disinfectants |
| Sodium chlorite | Bleach ( 1:10 bleach solution to clean blood spills and equipment surfaces) |
| Acetic Acid | 1:3 solution for home clean and very affected against pesudomonas |
| Pseudomonas | Most frequently responsible for contamination of respiratory equipment, especially aerosol or water containing devices |