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DEFINITIONS OF LAI
• Laboratory acquired infection (LAI) = An infection
obtained through laboratory or laboratory-related
activities as a result of work with infectious
biological agents.
• which may be either symptomatic of
asymptomatic
HISTORY OF LAIS
• Four hallmark studies by pike and sulkin collectively
identified 4,079 LAIs resulting in 168 deaths between 1930 –
1978.
• 159 causative agents identified,
• Although >50% were caused by 10 most common
organismsmany more LAIs likely unreported during this time
period.
BIOSAFETY PRINCIPLES
• Principal investigators and labortary directors are responsible for
biosafety compliance in their institutions to avoid laboratory acquired
infections and outbreaks development in the community and in the
environment
• Pathogenicity of microorganisms Classification of Pathogens
• Group 1: Inlikely to cause Human diseases
• Group 2:Can cause HD
• Group 3:can cause sever HD,risk of spreading to the community
• Group 4:Severe HD,Serious hazards,risk of Spreading to community,no
Treatment
ROUTES OF TRANSMISSION
• Cutaneous- exposure to previously broken or damaged skinmucous membrane exposure
• Pulmonary/ inhalation–infectious aerosols, dropletsingestion
• Ocular
• Digestive– mouth pipetting; eating, drinking
• Inoculation – needlesticks and other contaminated sharps
• Animal bites;– infectious materials in contact with eyes, nose, mouth (splashes, contact from
contaminated surfaces)
SPECIFIC LABORATORY ACQUIRED
INFECTIONS (LAI)
• Bacterial Infections
• Viral Infections
• Fungi & Parasites Infections
Bacterial LAIs: Brucellosis
• The most frequent reported LAI
• In the US 24% LAI and 11% of deaths due to LAI
Transmission
• Aerosol is the major source
• Direct contact
• Post-exposure prophylaxis
• Test should be performed in Periodic Way
• Some other Bacterial infection are:Neisseria meningitides,Mycobacterium tuberculosis,Bacillus
anthracis,Francisella tularensis,Yersinia pestis
VIRAL LAIS
• Viral agents transmitted through blood and bodily fluids
• Viral hemorrhagic fevers in germany in 1967
• 31 works infected while handling tissues specimens from african green
monkeys
• 7 deaths resulting:marburg virus
• Hepatitis b virus
• Incidents four times higher in healthworkers
• Hepatitis b vaccines should be offered to lab workers
• Some other viral infection are: Vaccinia virus
BLOOD BORNE PATHOGENS
• According to OSHA,
“Microorganisms that are present in
human blood and can cause disease in humans.These
pathogens include, but are not limited to, HBV and HIV.”
• Bloodborne pathogens are infectious microorganisms
present in blood that can cause disease in humans
• These pathogens include HBV, HCV, HIV, but are not limited to
these 3 only
• Workers exposed to bloodborne pathogens are at risk for
serious or life-threatening infections or illnesses.
SOURCE OF INFECTION
• POTENTIALLY INFECTIOUS BODY FLUIDS
• ANY BODY FLUID THAT IS VISIBLY CONTAMINATED WITH BLOOD
• SALIVA (IN DENTAL PROCEDURES)
• SEMEN
• VAGINAL SECRETIONS
• CEREBROSPINAL FLUID
• SYNOVIAL FLUID
• PLEURAL FLUID
• PERITONEAL FLUID
• AMNIOTIC FLUID
INFECTED BLOOD CAN ENTER HUMANS
THROUGH
• Open sores cuts abrasions acne any sort of damaged or broken skin such as sunburn or blisters
• Bloodborne pathogens may also be transmitted through the mucous membranes of the
• Eyes
• Nose
• Mouth
COMMON BLOODBORNE PATHOGENIC
DISEASES
• HEPATITIS B
Hepatitis B is caused by infection with the hepatitis B virus (HBV).
• HEPATITIS C
Hepatitis c is caused by infection with the hepatitis C virus (HCV)
• HIV
HIV cause of AIDS, is transmitted primarily through blood.
• VIRAL HEMORRHAGIC FEVERS
SUCH AS EBOLA VIRUS DISEASE AND LASSA FEVER
PREVENTIONS OF INFECTIONS
• Wash your hands often
• Get vaccinated
• Use antibiotics sensibly.
• Stay at home if you have signs and symptoms of an infection.
• Be smart about food preparation
• Disinfect the 'hot zones' in your residence
• Don't share personal items
• Travel wisely
TRAINING
• A general explanation of the epidemiology and symptoms of bloodborne diseases
• An explanation of the modes of transmission of bloodborne pathogens
• An explanation of the employer’s exposure control plan and the means by which the employee can
obtain a copy of the plan
• An explanation of how to recognize activities that may involve exposure to blood and other potentially
infectious material
• An explanation of the use and limitations of methods that will prevent or reduce exposure, including
appropriate engineering controls, work practices and personal protective equipment (PPE)
TRAINING
• Information on the types, proper use, location, removal, handling, decontamination and disposal of
PPE
• An explanation of the basis for selecting PPE
• Information on the efficacy, safety, benefits and method of administration of the hepatitis B vaccine,
and its availability, free of charge, to employees with an occupational hazard exposure
• Information on the appropriate actions to take and people to contact in an emergency involving
blood or other potentially infectious material
• An explanation of the procedure to follow if an exposure incident occurs, including the method of
reporting the incident and the medical follow-up that will be made available
Loboratory acquired infections & blood born pathogens
Loboratory acquired infections & blood born pathogens

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Loboratory acquired infections & blood born pathogens

  • 1.
  • 2.
  • 3. DEFINITIONS OF LAI • Laboratory acquired infection (LAI) = An infection obtained through laboratory or laboratory-related activities as a result of work with infectious biological agents. • which may be either symptomatic of asymptomatic
  • 4. HISTORY OF LAIS • Four hallmark studies by pike and sulkin collectively identified 4,079 LAIs resulting in 168 deaths between 1930 – 1978. • 159 causative agents identified, • Although >50% were caused by 10 most common organismsmany more LAIs likely unreported during this time period.
  • 5. BIOSAFETY PRINCIPLES • Principal investigators and labortary directors are responsible for biosafety compliance in their institutions to avoid laboratory acquired infections and outbreaks development in the community and in the environment • Pathogenicity of microorganisms Classification of Pathogens • Group 1: Inlikely to cause Human diseases • Group 2:Can cause HD • Group 3:can cause sever HD,risk of spreading to the community • Group 4:Severe HD,Serious hazards,risk of Spreading to community,no Treatment
  • 6. ROUTES OF TRANSMISSION • Cutaneous- exposure to previously broken or damaged skinmucous membrane exposure • Pulmonary/ inhalation–infectious aerosols, dropletsingestion • Ocular • Digestive– mouth pipetting; eating, drinking • Inoculation – needlesticks and other contaminated sharps • Animal bites;– infectious materials in contact with eyes, nose, mouth (splashes, contact from contaminated surfaces)
  • 7. SPECIFIC LABORATORY ACQUIRED INFECTIONS (LAI) • Bacterial Infections • Viral Infections • Fungi & Parasites Infections
  • 8. Bacterial LAIs: Brucellosis • The most frequent reported LAI • In the US 24% LAI and 11% of deaths due to LAI Transmission • Aerosol is the major source • Direct contact • Post-exposure prophylaxis • Test should be performed in Periodic Way • Some other Bacterial infection are:Neisseria meningitides,Mycobacterium tuberculosis,Bacillus anthracis,Francisella tularensis,Yersinia pestis
  • 9. VIRAL LAIS • Viral agents transmitted through blood and bodily fluids • Viral hemorrhagic fevers in germany in 1967 • 31 works infected while handling tissues specimens from african green monkeys • 7 deaths resulting:marburg virus • Hepatitis b virus • Incidents four times higher in healthworkers • Hepatitis b vaccines should be offered to lab workers • Some other viral infection are: Vaccinia virus
  • 10. BLOOD BORNE PATHOGENS • According to OSHA, “Microorganisms that are present in human blood and can cause disease in humans.These pathogens include, but are not limited to, HBV and HIV.” • Bloodborne pathogens are infectious microorganisms present in blood that can cause disease in humans • These pathogens include HBV, HCV, HIV, but are not limited to these 3 only • Workers exposed to bloodborne pathogens are at risk for serious or life-threatening infections or illnesses.
  • 11. SOURCE OF INFECTION • POTENTIALLY INFECTIOUS BODY FLUIDS • ANY BODY FLUID THAT IS VISIBLY CONTAMINATED WITH BLOOD • SALIVA (IN DENTAL PROCEDURES) • SEMEN • VAGINAL SECRETIONS • CEREBROSPINAL FLUID • SYNOVIAL FLUID • PLEURAL FLUID • PERITONEAL FLUID • AMNIOTIC FLUID
  • 12. INFECTED BLOOD CAN ENTER HUMANS THROUGH • Open sores cuts abrasions acne any sort of damaged or broken skin such as sunburn or blisters • Bloodborne pathogens may also be transmitted through the mucous membranes of the • Eyes • Nose • Mouth
  • 13. COMMON BLOODBORNE PATHOGENIC DISEASES • HEPATITIS B Hepatitis B is caused by infection with the hepatitis B virus (HBV). • HEPATITIS C Hepatitis c is caused by infection with the hepatitis C virus (HCV) • HIV HIV cause of AIDS, is transmitted primarily through blood. • VIRAL HEMORRHAGIC FEVERS SUCH AS EBOLA VIRUS DISEASE AND LASSA FEVER
  • 14. PREVENTIONS OF INFECTIONS • Wash your hands often • Get vaccinated • Use antibiotics sensibly. • Stay at home if you have signs and symptoms of an infection. • Be smart about food preparation • Disinfect the 'hot zones' in your residence • Don't share personal items • Travel wisely
  • 15. TRAINING • A general explanation of the epidemiology and symptoms of bloodborne diseases • An explanation of the modes of transmission of bloodborne pathogens • An explanation of the employer’s exposure control plan and the means by which the employee can obtain a copy of the plan • An explanation of how to recognize activities that may involve exposure to blood and other potentially infectious material • An explanation of the use and limitations of methods that will prevent or reduce exposure, including appropriate engineering controls, work practices and personal protective equipment (PPE)
  • 16. TRAINING • Information on the types, proper use, location, removal, handling, decontamination and disposal of PPE • An explanation of the basis for selecting PPE • Information on the efficacy, safety, benefits and method of administration of the hepatitis B vaccine, and its availability, free of charge, to employees with an occupational hazard exposure • Information on the appropriate actions to take and people to contact in an emergency involving blood or other potentially infectious material • An explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available