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6 LINKS OF INFECTION
MICROBIOLOGY AND PARASITOLOGY
| Question | Answer |
|---|---|
| SIX (6) LINKS OF INFECTION PROCESS | 1. INFECTIOUS AGENT 2. RESERVOIR 3. PORTAL OF EXIT 4. MODE OF TRANSMISSION 5. PORTAL OF ENTRY 6. SUSCEPTIBLE HOST |
| The first link in the chain of infection is the | INFECTIOUS AGENT OR PATHOGEN |
| The first link in the chain of infection is the infectious agent or pathogen which can take the form of: | -viruses -bacteria -fungi -parasitic protozoan diseases -prions |
| INFECTIOUS AGENT: Influenza A, shingles and Hepatitis | Viruses |
| INFECTIOUS AGENT: including Lyme disease and Leptospirosis | Bacteria |
| INFECTIOUS AGENT: Candidiasis and Aspergillosis | Fungi |
| INFECTIOUS AGENT: Malaria, Giardia and Toxoplasmosis | Parasitic protozoan diseases |
| INFECTIOUS AGENT: are the cause of rare progressive neurodegenerative disorders such as Creutzfeldt-Jakob disease (CJD) | Prions |
| How well any pathogen can thrive depends on three factors: | -Pathogenicity -Degree of virulence -Invasiveness |
| How well any pathogen can thrive depends on three factors: – its ability to produce disease | Pathogenicity |
| How well any pathogen can thrive depends on three factors: – its severity or harmfulness | Degree of virulence |
| How well any pathogen can thrive depends on three factors: – its tendency to spread | Invasiveness |
| is the principal habitat in which a pathogen lives, flourishes and can multiply. | RESERVOIR |
| Common reservoirs for infectious agents include ____, ____ or ____ and the ____. | humans, animals, insects, environment |
| HUMAN RESERVOIRS: In humans, there are two forms of reservoir: | 1. acute clinical cases 2. carriers |
| HUMAN RESERVOIRS: in which someone is infected and is displaying signs and symptoms of the disease | acute clinical cases |
| HUMAN RESERVOIRS: where someone has been colonized with an infectious agent but is not unwell | carriers |
| HUMAN RESERVOIRS: are more likely to be diagnosed and treated which means that the patient’s contacts and normal activities will normally be restricted. | acute clinical cases |
| HUMAN RESERVOIRS: can present more of a risk to those around them because they do not display any signs or symptoms of illness | carriers |
| Carriers can be further subdivided into four main types: | 1. incubatory carriers 2. inapparent carriers 3. convalescent carriers 4. chronic carriers |
| CARRIERS: people who are infectious even before their own symptoms start | incubatory carriers |
| CARRIERS: an individual is able to transmit an infection to others, without ever developing the infection themselves | inapparent carriers |
| CARRIERS: people who are in the recovery phase of their illness but who continue to be infectious | convalescent carriers |
| CARRIERS: anyone who has recovered but who continues to be a carrier for infection | chronic carriers |
| ANIMAL RESERVOIRS: Examples of animal or insect reservoirs include: | 1. Lyme disease 2. rabies 3. salmonella |
| ANIMAL RESERVOIRS: transmitted via ticks | Lyme disease |
| ANIMAL RESERVOIRS: transmitted by dogs, cats, foxes and bats | rabies |
| ANIMAL RESERVOIRS: transmitted by poultry, cattle, sheep and pigs | salmonella |
| Any infectious disease that is transmitted under natural conditions from animal to human is referred to as | zoonosis |
| ENVIRONMENTAL RESERVOIRS: The environment contains a large number of reservoirs of infection, including: | 1. soil 2. water |
| ENVIRONMENTAL RESERVOIRS: acts as a reservoir for Clostridium tetani, the causative agent of tetanus | soil |
| ENVIRONMENTAL RESERVOIRS: is a reservoir for Legionella pneumophila, the causative agent of Legionnaire’s disease | water |
| is any route which enables a pathogen to leave the reservoir or host. | PORTAL OF EXIT |
| In humans the key portals of exit are: | 1. alimentary 2. genitourinary 3. respiratory 4. skin 5. trans-placental |
| PORTAL OF EXIT: via vomiting, diarrhea or biting | Alimentary |
| PORTAL OF EXIT: via sexual transmission | Genitourinary |
| PORTAL OF EXIT: through coughing, sneezing and talking | Respiratory |
| PORTAL OF EXIT: via skin lesions | Skin |
| PORTAL OF EXIT: where transmission is from mother to fetus | Trans-placental |
| The two main ways that an infection can be transmitted from its reservoir to a susceptible host are via ____ transmission or ____ transmission. | direct; indirect |
| MODE OF TRANSMISSION: occurs when there is direct contact with the infectious agent. | Direct transmission |
| MODE OF TRANSMISSION: Examples include tetanus, glandular fever, respiratory diseases and sexually transmitted diseases. | Direct transmission |
| MODE OF TRANSMISSION: can occur through animate mechanisms such as fleas, ticks, flies or mosquitoes | Indirect transmission |
| MODE OF TRANSMISSION: via inanimate mechanisms such as food, water, biological products or surgical instruments | Indirect transmission |
| MODE OF TRANSMISSION: can also be airborne, in which tiny particles of an infectious agent are carried by dust or droplets in the air and inhaled into the lungs. | Indirect transmission |
| is the means by which an infection is able to enter a susceptible host. | PORTAL OF ENTRY |
| Portals of entry into the human body include: | 1. inhalation 2. absorption 3. ingestion 4. inoculation 5. introduction |
| PORTAL OF ENTRY: via the respiratory tract | Inhalation |
| PORTAL OF ENTRY: via mucous membranes such as the eyes | Absorption |
| PORTAL OF ENTRY: via the gastrointestinal tract | Ingestion |
| PORTAL OF ENTRY: as the result of an inoculation injury | Inoculation |
| PORTAL OF ENTRY: via the insertion of medical devices | Introduction |
| The last link in the chain of infection is the | SUSCEPTIBLE HOST |
| Susceptible host depends on a variety of factors: | -age -malnutrition or dehydration -chronic disease -immobility -medication -general resistance factors |
| can expose patients to infection risks that they may not encounter elsewhere. | healthcare environment |
| Understanding how infections become established, and how they are transmitted, is: | essential for effective infection prevention and control |
| There are opportunities to break or disrupt the chain at any link: | -rapid and accurate diagnosis of an infectious disease -prompt treatment of infected patients -safe disposal of waste -sterilization and disinfection of medical equipment -implementation of an environmental decontamination strategy |
| Break the chain by: | -cleaning hands -staying up to date on vaccines -covering coughs and sneezes -staying home when sick following the rules for standard and contact isolation -using personal protective equipment the right way -cleaning and disinfecting the environment |