HSS 1100 Lecture Notes - Lecture 10: Diabetes Mellitus Type 1, Gut Flora, Universal Precautions
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Sources for hospital acquired infections include: environment, person to person (endogenous vs exogenous, food supply, air supply, fomites non-living (surgical equipment, food, comb, vector living, water supply. Hospital prevention techniques: good clinical practices, wound and enteric isolation, respiratory isolation facemasks, sars, strict isolation air systems (legionella, protective isolation immunocompromised, typing molecular (genetic fingerprint to determine if it is hospital acquired) Routine practice (universal precaution) does not equal isolate the patient because. When a person is in isolation there is a medical professional who is taking care of that patient and that professional must also practice routine practice, so everyone needs to use routine practice/universal precaution. Infection control in communities: social and environmental factors, health education, food safety, vector control. Immunization: chemoprophylaxis taking antibiotics, outbreak investigations, national and international agencies. What affects a particular disinfectant: concentration of germicide, contact time, temperature. Decreasing order of resistance: spores/cysts, mycobacteria lipid rich, waxy cell wall, fungi, vegetative bacteria, enveloped viruses.