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Objectives
Describe three ways infectious agents can be transmitted Describe at least three ways to decrease risk of infections in public settings List three examples of common infectious diseases and how to reduce risk of infection
Chain of Infection
Chain of Infection
Model used to understand the infection process Each link represents step in transmission of infection Each link has to be present and in order for an infection to occur
Fungal
Parasitic
2 - The Reservoir
-Where a microorganism normally lives and reproduces
Examples of reservoirs:
Humans Animals Water Food
4 - The Route of Transmission (Spread) -the way the pathogen gets from the
reservoir to the new host
Do not circulate in air for long time or travel far (mostly < 3 feet) Many diseases spread by respiratory droplets; e.g. flu, cold, pertussis, SARS Can spread germs directly or indirectly
Droplet Transmission
Agent is coughed or sneezed out into the air and floats on droplets
Close contact with infected person (<3 ft) Infected person coughs, sneezes, talks, sings Droplets land directly on mucous membranes (eyes, nose, mouth) of susceptible person
Airborne Transmission
Germs stay suspended in air on small particles Uncommon method of transmission Only occurs for certain germs, such as tuberculosis
Less commonly for flu, SARS
Airborne Transmission
Germs stay suspended in air on small particles Uncommon method of transmission Only occurs for certain germs, such as tuberculosis
Less commonly for flu, SARS
Food/water/hands contaminated with stool from infected person; e.g., norovirus Blood exposures, sexual contact
a.k.a. blood-borne; e.g. HIV, hepatitis B and C
Vector-borne
E.g. Mosquitoes and West Nile virus, malaria
Make sure that you have available for staff and patient use an adequate supply of:
surgical masks tissues alcohol hand rub trash cans with foot pedals to lift lid for disposing of tissues/masks
5 - The Portal of Entry -route through which the pathogen enters its new host
Respiratory System
Inhale germs
6 - The Susceptible Host -A person who can get sick when they
are exposed to a disease causing pathogen
Hand Hygiene
Wash hands frequently with soap and warm water for at least 20 seconds
Alcohol hand gels
Use gloves where contact with body secretions and excretions is taking place
Cough Etiquette
Limit close contact (<3 feet) with coughing clients Cover cough/sneeze with tissue Offer mask to coughing clients
Flu shot- every year for age >50 and high-risk groups Tetanus shot every 10 years Hepatitis B for persons who may contact objects contaminated with blood Pneumovax (pneumonia vaccine) for age 65 Hepatitis A
colds
Droplet and contact transmission Runny nose and prolonged severe cough A bacterial infection Most dangerous for babies Vaccine preventable for children aged 7 and under
Tuberculosis
Agent Caused by bacterium, Mycobacterium tuberculosis Reservoir Humans
TB in King County
180 160 140 120 100 80 60 40 20 0 1998 1999 2000 2001 2002 2003
Number of Cases
Year
Latent TB Infection
Person infected with TB bacteria Bacteria kept dormant by persons immune system Not sick or contagious 10% develop TB disease over life time Infection detected by TB skin test
Active TB Disease
Usually involves lung infection Cough >3 weeks, fevers, weight loss, night sweats Can cause serious illness but is treatable with antibiotics Contagious until appropriately treated
Preventing Spread of TB
Patients with TB disease should delay court appearance until appropriate duration of therapy Patients with active TB are no longer contagious after 2-3 weeks of appropriate therapy
should be cleared by doctor
Influenza (Flu)
Agent Virus Reservoir Humans Animals (e.g. birds, pigs)
Generally different strains
Flu Vaccine
Recommended for:
Persons >50 years old Anyone with a chronic illness, such as asthma or diabetes Children age 6-23 months Women who will be pregnant during flu season
Avoid close contact with people who are sick Stay home when sick Cover mouth/nose with tissue when coughing/sneezing Avoid touching nose, mouth, eyes Wash hands often with soap/water or alcohol rub
Encourage coughing clients to wash their hands (or use alcohol hand rub) Wash your own hands frequently Wipe down counters, pens, phones, computer keyboards, etc. with disinfectant cleaner as needed Cough etiquette- cover with tissue Offer mask to coughing clients
Recommendations
QUESTIONS???