Infection and Infection Control

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    INFECTION AND INFECTIONCONTROL

    Facilitator: Alex L. Legion, RN

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    INFECTIONWhat is INFECTION?

    Infection is also defined as th

    einvasion multiplication ofmicroorganisms on the tissues of

    the HOST resulting in signs andsymptoms as well as animmunologic response.

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    The production of

    microorganism injure thepatient by either:

    Competing with the HOSTmetabolism

    Cellular damage produced by t

    hemicrobes

    Intracellular multiplication

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    Damage could be

    Localized ( pressure sore, infected pressure

    ulcer )

    Systemic

    Note: the severity of infection varies with the

    disease producing ability and th

    e number ofinvading organism, the strength of thedefense and some other factors

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    Diagnostic Assessments:

    WBC elevated in acute inflammatory

    disease, bacterial disease

    5- 10 x 109 /L

    Lymphocytic and monocytic fractions

    elevated in viral diseases 20%- 30%; 2%- 6% fraction

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    Diagnostic Tests

    ESR Elevated sedimentation ratesindicate the presence of inflammation

    < 15 mm/ hr

    Culture of Infectious Site provides

    information on the growth ofmicroorganism in the culture media,to which type.

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    Why iNFeCtiOn ocCur?

    ?

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    Some bacteria develop resistance to

    antibiotics

    Some microbes such as influenza have somany different strains that a single vaccinecant protect against them all

    Most viruses resist antiviral drugs

    New infectious agents occasionally arise suchas HIV and corona virus

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    Some microbes localize in areas of the body

    that make treatment difficult ( bones, CNS)

    Opportunistic organisms can cause infectionin immuno- compromised patients

    Most of the people have not received

    immunization

    Increase in air travel can speed the virulentorganism to a heavily populated area in hours

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    Use of biological warfare and bioterrorism

    with organism such as Anthrax, plaque, isan increasing threat to public health andsafety throughout the world

    the expanded use of immunosuppressive

    drugs and invasive procedures increase therisk of infection

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    Role of the Nurse in

    Communicable diseases

    Render nursing care to the patients withcommunicable diseases

    Be knowledgeable in the ;

    o Nature of specific microorganism, and itscapacity to survive in the body and outside

    o Most effective method to destruct thespecific microorganism

    o How the organism invades the Host and itsroute of escape from the body

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    o

    Th

    e incubation periods and length

    ofcommunicability

    o How specific drugs alter the clinical signs and

    the infectious course of the disease

    o the most recent methods and concept of

    prophylaxis for communicable diseases

    o The rationales and control measures,

    including isolation techniques

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    NURSING CARE

    SELF PROTECTION

    PREVENTING SPREAD

    PHYSICAL CARE OF PATIENTEMOTIONAL SUPPORT OF PATIENT

    SPIRITUAL ASPECT OF CARE

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    Assessment:(community level)

    Provides an estimate of thedegree to which a family, group,or community is achieving thelevel ofhealth possible for them,

    identifies specific deficiencies orguidance needed and estimatesthe possible effects of the Nursing

    Interventions

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    CHAIN OF INFECTION

    CAUSATIVEAGENT PORT OFENTRY INOCULATIONSTAGE

    INFECTION PORT OF EXIT

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    CHAIN OF INFECTION

    SUSCEPTIBLE

    PORT OFENTERY

    INOCULATIONSTAGE

    INFECTION

    PORT OF EXIT

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    Assessment

    Collection of dataCategories of Health Problems

    Diagnosing community problem( focus oncommunicable diseases)

    Planning/ Goal setting

    Construction an action planImplementation planned care

    Evaluation of care and Services provided

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    In assessment;

    Investigators study the currentincidence of the disease in thatSPECIFIC AREA and compare it tothe past incidence rate.

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    To classify or determine if;

    Sporadic these are diseasesthat occur occasionally an

    irregularly

    Epidemic- these are diseasesthat occurs greater thanexpected number in a specificarea over a specific time

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    To classify or determine if;

    Pandemic is an epidemic that

    affects several countries or continents

    Endemic - are those that are present

    in a population or community at all

    times. They usually involve few

    people during specific time

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    InflaMmaTiOnIRRITATION ON SKIN

    SURFACE

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    INFLAMMATION The protective response of

    body tissues to irritation orinjury.

    Cardinal signs are;Redness

    Swelling

    PainOften accompanied by loss of

    function

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    MANAGEMENT FOR INFECTION

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    THANK YOU!!!