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33 Cards in this Set

  • Front
  • Back

MRSA Skin colonization infection control precautions.

Contact precautions.

MRSA Necrotizing Pneumonia infection control precautions.

Placed on droplet precautions until 24 hours of effective treatment and then droplet preatutions. Longer if intubated.

Infection control in someone who has travelled to high-risk region for CRE

Isolate with contact precautions.




Screen patients who has been in another healthcare facility within the past 6 months.

Isolation for patient in rehabilitation hospital with KPC w.r.t. infection control.

None.

Infection control for HAV infection.

Incubation period 15-50 days.


Infectious 1-2 weeks before jaundice nd 1 week after.


Exclude worker x 14 days from onset of symptoms or 7 days from onset of jaundice.


Household, close, sexual contacts should be given PEP with vaccine or Ig.

Infection control for meningitis. (2)

Isolation with droplet precautions for 24 hours of effective antibiotic therapy.


PEP with Abx.



High risk contacts with recent meningitis. (7)

Contact within last 7 days and within 24 hours of therapy.


Household contacts.


Shared sleeping arrangements.


Direct contact with secretions.


Children/staff in education facilities.


Healthcare workers with unprotected contact (intubating, closely examining, etc).


Airline passengers on flights >8 hours.


Direct secretion exposure.

Regiments for contact prophylaxis with N. meningitides.

1) Rifampin 1mg/kg q12h x 48h.


2) CTX 250 mg IM x 1 dose.


3) Ciprofloxacin 500 mg PO x 1 dose.

Infection Control - Varicella Zoster Virus.

Airborne and Contact.


Infectious 1-2 days before rash and until sin lesions crust. Prolonged in immunocomp.


Precautions until all lesions crust.


All workers should be immune to chickenpox.


Respirators for all non-immune workers.


Non-immune contacts should receive VZIG.

Name the 3 stages of the total testing/processing lab cycle.

Pre-analytical.


Analytical.


Post-analytical.

Name the components of the laboratory cycle and a quality indicator for each. (9)

Analytical


Patient/Client sample collection


Competency/Test evaluations


Sample receipt and Accessioning.


Sample Transport.


Quality Control.


Testing.


Record keeping.


Reporting results.

5 components of a WHMIS Worksheet.

Product Info.


Hazardous ingredients.


Physical data.


Fire/Explosion Data.


Reactivity Data.


Toxicologic properties.


Preventive measures.


First aid measures.

2 Advantages and Disadvantages of Maldi-Tof

Does not require specific primers.


Can identify all organisms on single assay.


Rapid.


Applies to all microorganisms.


Minimal training.




Cannot do sensitivities.


High up-front costs.

42 year old male with large dirty laceration across hand with an unknown immunization history.

Human Tetanus Immune Globulin.


Tdap.


Wound care.


Full immunization series.



Six elements of a lab safety program.

Biosafety.


Chemical safety.


Fire safety.


Hazardous waste management.


Emergency management preparedness.


Occupational health.

Mechanism of action of alcohol hand sanitizers.

Membrane damage with rapid denaturation of proteins, interference with cellular metabolism.

Mechanism of action of iodophors.

Exact mechanism unknown.


Penetration into microorganisms and attacking of key groups of proteins resulting in denaturation.

Mechanism of action of soap/water.

Physical removal of debris.

Mechanism of action of chlorhexidine.

Cell entry by passive diffusion with resulting cell membrane damage and leakage of intracellular constituents - ultimately producing cell death.

Mechanism of action of Triclosan.

Disruption of cellular membrane and ultimately leakage of cytoplasmic contents and cell death.

What is normal respiratory flora?

Non-hemolytic strep, CNS, Neisseria, Corynebacterium, lactobacillus, veilonella.

What respiratory flora are potential pathogens?

Strep pneumoniae


Moraxella catarrhalis


H flu


MSSA


MRSA


Coliforms


Pseudomonas


Stenotrophomonas



What are the three types of media used in respiratory specimens and what are they used to isolate?

Blood Sheep Agar (Most)


Chocolate - Hemophilus


MAC - Coliforms, Pseudo, and Nonfermenters

Disseminated Zoster Isolation


Meningococcus


Pertussis


Invasive Group A Strep

Contact/Airborne


Droplet


Droplet


Contact

What is Sanger Sequencing?

Amplification of DNA


Denature


Attach primers


Extend with dye labelled nucleotides


Sequence varying lengths and measure cap electrophersis

What is next gen-sequencing?

Treatment of old lady with scabies?

Caused by Sarcoptes scabiei.


Treatment with Ivermectin x 1 dose or permethrin cream.

Infection control of scabies?

Contact precautions.


Treatment of affected individuals.


Cohorting.


Washing of all laundry and clothing daily x 3 days.

Selective Media


Differential Media


Combination of Selective/Differential


Nutrient Rich Agar

Hektoen


Mackonkey


Mannitol Salt Agar


Brucella Agar

Know CJD infection control.

......

List four pathogens that require airborne isolation.

VZV.


SARS.


TB.


Measles.

6 causes of a blurry slide.

LOL.

6 organisms that require post-exposure prophylaxis.

Group A Strep.


HIV.


HBV.


N meningitidis.


Bacillus anthracis.


Brucella,


Francisella.