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The Chain of Infection
As healthcare
professionals, it is
important to
understand two
things about
infection:
1.the various ways infection can
be transmitted
2. the ways the infection chain
can be broken
There are six
links
in the chain of
infection :
1st - The Infectious Agent
-any disease-causing
microorganism
(pathogen)
2nd - The Reservoir
-the place where the
pathogen originally lives
Hosts that do not show any outward signs or
symptoms of a disease but are still capable
of transmitting the disease are known as
carriers.
What are “Carrier Hosts”
3rd - The Portal of Exit
-route of escape of the pathogen
from the reservoir.
Examples: respiratory
secretions, blood
exposure, breaks in
skin.
4th - The Mode of Transmission
-method by which the pathogen
gets from the reservoir to the
new host
Transmission may occur through:
direct contact
occurs through skin-to-skin contact,
kissing, and sexual intercourse
air
insects
5th - The Portal of Entry
-gaining access to a new host or
reservoir
Respiratory System
Gastrointestinal System
Urinary & Reproductive Tracts
Breaks in Protective Skin Barrier
6th - The Susceptible Host
-the organism that accepts the
pathogen
A person who is sick, stressed, etc.
Organisms with strong immune
systems are better able to fend off
pathogens.
Organisms with weakened immune
systems are more vulnerable to the
support & reproduction of pathogens.
-The essential part of patient care &
self-protection.
How to interrupt the chain of
infection:
1. Pathogen Identification
-identification of infectious
agent & appropriate treatment
2. Hygiene
-potential hosts &
carriers must practice
maintain proper
personal hygiene
3. Control Portals of Exit
-we must practice standard
precautions:
(Control body secretions & wash
hands according to protocol.)
4. Prevent a Route of
Transmission
-prevent direct or indirect contact
by:
1.Proper handwashing
2.Disinfection & sterilization techniques
3.Isolation of infected patients
4.Not working when contagious
Antiseptics
• Antiseptics are solutions that are applied
directly to the skin. They prevent or slow
the growth of pathogens.
• Examples: Alcohol, Betadine, Listerine
Disinfection
• Disinfection uses strong chemicals to kill
many pathogens on objects
• Examples: Bleach, Lysol, etc.
Sterilization
• It is the best way to kill all microbes and
their spores
• Examples: Autoclave (steam under
pressure)
5. Protect Portal of Entry
-We must make sure that ports of
entry are not subjected to
pathogens.
(nose, mouth, eyes, urinary tract,
open wounds, etc.)
6. Recognition of Susceptible
Host
-We must recognize & protect high-
risk patients
Remember--breaking the chain of
infection is the responsibility
of everyone.

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HSTE Chain of Infection.ppt

Editor's Notes

  1. Infectious agent is the pathogen (germ) that causes diseases
  2. Reservoir includes places in the environment where the pathogen lives (this includes people, animals and insects, medical equipment, and soil and water)
  3.  A transport host is a carrier in which the organism remains alive but does not undergo development. Warmth, moisture, pH levels and oxygen levels are the four big physical and chemical factors affecting microbial growth
  4. Portal of exit is the way the infectious agent leaves the reservoir (through open wounds, aerosols, and splatter of body fluids including coughing, sneezing, and saliva)
  5. Mode of transmission is the way the infectious agent can be passed on (through direct or indirect contact, ingestion, or inhalation)
  6. Direct contact occurs through skin-to-skin contact, kissing, and sexual intercourse. Direct contact also refers to contact with soil or vegetation harboring infectious organisms.
  7. These organisms may be spread through sneezing, coughing, spraying of liquids, the spread of dust, or any activity that results in the generation of aerosolized particles.
  8. Transmission takes place when the vector injects salivary fluid by biting the host, or deposits feces or eggs in a break in the skin. Mosquitoes are vectors for malaria and West Nile virus.
  9. Portal of entry is the way the infectious agent can enter a new host (through broken skin, the respiratory tract, mucous membranes, and catheters and tubes)
  10. These infections are usually passed from person to person through vaginal intercourse. They can also be passed through anal sex, oral sex, or skin-to-skin contact.
  11. Susceptible host can be any person (the most vulnerable of whom are receiving healthcare, are immunocompromised, or have invasive medical devices including lines, devices, and airways)