SCIENTIFIC KNOWLEDGE BASE ENTRY AND MULTIPLICATION OF

ORGANISM RESULTS IN DISEASE COLONIZATION OCCURS WHEN A

MICROORGANISM INVADES THE HOST BUT DOES NOT CAUSE INFECTION (INJURY TO CELLS)

COMMUNICABLE DISEASE

CHAIN OF INFECTION INFECTIOUS AGENT OR PATHOGEN

ENDOTOXINS EXOTOXINS

SEE TABLE 29-1 PAGE 508 IGNATAVICIUS SEE TABLE 33-1 PAGE 775 POTTER &

PERRY RESERVOIR OR SOURCE OF

PATHOGEN GROWTH CARRIERS

CHAIN OF INFECTION

PORTAL OF EXIT

MODE OF TRANSMISSION DIRECT OR INDIRECT DROPLET AIR VECTOR VEHICLES

CHAIN OF INFECTION

PORTAL OF ENTRY(MAY BE THE SAME AS PORTAL OF

EXIT)

SUSCEPTIBLE HOST

SUSCEPTIBLE HOST FACTORS

INFECTIOUS PROCESS

INCUBATION PERIOD

PRODROMAL STAGE

ILLNESS STAGE

CONVALESCENCE

INFECTIOUS ORGANISMS

PRIONS VIRUSES BACTERIA FUNGI PROTOZOA HELMINTHS MYCOPLASMS RICKETTSIAE

PORTAL OF ENTRY RESPIRATORY GI GU SKIN MUCOS MEMBRANE BLOOD STREAM

DEFENSES AGAINST INFECTIONNON-SPECIFIC DEFENSES NORMAL FLORA

BODY TISSUE

ORGAN SYSTEM DEFENSERESPIRATORYGIGU

INFECTIOUS PROCESS

LOCALIZED

SYSTEMIC

PATHOGENICITY

DEFENSES AGAINST INFECTIONNON-SPECIFIC DEFENSE INFLAMMATION

PHAGOCYTOSIS VASCULAR AND CELLULAR RESPONSE

EDEMA PHAGOCYTOSIS LEUKOCYTOSIS

INFLAMMATORY EXUDATE SEROUS SANGUINOUS PURULENT

SPECIFIC DEFENSES AGAINST INFECTION CELL- MEDIATED IMMUNITY

ANTIBODY-MEDIATED IMMUNITY

HEALTH CARE ASSOCIATED INFECTION (NOSOCOMIAL) INFECTIONS ACQUIRED BY THE

PATIENT IN THE HEALTH CARE SETTING WHICH WERE NOT PRESENT AT ADMISSIONEXOGENOUS

ENDOGENOUS

IATROGENIC

METHODS OF INFECTION CONTROL HAND HYGIENE GLOVES CDC GUIDELINES FOR

DISINFECTION AND STERILIZATIONSTANDARD, AIRBORNE, DROPLET,

CONTACT

STANDARD PRECAUTIONS FOR ALL MODES OF TRANSMISSION

ASSESSMENT OF PATIENT WITH SUSPECTED INFECTION REVIEW OF PAST DISEASES TRAVEL HISTORY IMMUNIZATION HISTORY STATUS OF DEFENSE MECHANISM PATIENT SUSCEPTIBILITY CLINICAL APPEARANCE AND

MANIFESTATIONS

LAB TESTINGCULTURE AND ANTIBIOTIC SENSITIVITY

TESTING

CBC

ERYTHROCYTE SEDIMENTARY RATE

WBC WITH DIFFERENTIAL

IRON LEVELS

LAB TESTINGSEROLOGIC TESTING

RADIOGRAPHIC ASSESSMENT

NURSING DIAGNOSIS AND PLANNING NANDA APPROVED DIAGNOSIS

GOALS AND OUTCOMESMEASURABLEREALISTIC

PRIORITIES

INTERVENTIONS MEDICAL AND SURGICAL ASEPSIS CONTROL/ELIMINATION OF

INFECTIOUS AGENTS CONTROL/ELIMINATION OF:

MODES OF TRANSMISSIONPORTALS OF ENTRYRESERVOIRS

HAND HYGIENE (HCP, PATIENT, FAMILY)

INTERVENTIONS

ISOLATION PRECAUTIONS HYPERTHERMIA INTERVENTION

ELIMINATE UNDERLYING CAUSEFEVER MANAGEMENT

HEALTH TEACHING ANTIBIOTIC THERAPY PSYCHOSOCIAL SUPPORT HEALTH CARE RESOURCES

EVALUATION

MEASURE SUCCESS OF INFECTION CONTROL TECHNIQUES

COMPARE PATIENT’S RESPONSE TO ACTUAL OUTCOME

WHAT WILL YOU DO IF GOAL/OUTCOMES NOT ACHIEVED?