Page 95 - 2020 ARE eGuide for Clinical at Nonhospital Sites
P. 95

Portal of Exit – Ways a pathogen           Infectious Agent – Bacteria,
                 leaves its reservoir such as from          viruses, and fungi may cause HAI.
                 an infected person’s mouth,                Examples of bacteria are
                 through coughing or speaking,              Staphylococcus aureus, E. coli, C.
                 the nose through sneezing, cuts,           Difficile, and Tuberculosis.
                 scratches, punctures, or wounds            Examples of viruses are influenza
                 that allow blood/body fluids to            and Hepatitis B. An example of
                 leave the body                             fungi is yeast.







       Reservoir – The most                                              Portal of entry – How
       common reservoir (or                                              pathogen enters a host to
       source) for healthcare                                            cause an infection such as
       associated infections (HAI)                                       broken skin, mucous
       is a colonized or infected                                        membranes, catheter sites,
       person. Other potential                                           or surgical wounds.
       reservoirs are equipment,
       food, medications, dust,
       bedrails, overbed tables,
       computer keyboards,
       phones, counters, door,                          Susceptible host – Many patients are
       and sink handles, etc.                           particularly susceptible to infection such as
                                                        surgical patients and those with weakened
                                                        immunity because they have certain diseases or
                                                        are taking specific drugs.


       Method of transmission – How pathogen travels from person to person by direct skin-to-skin contact
       or indirect when infected person touches a surface that later a susceptible host touches and picks up
       pathogen.
       There are three methods of transmission: 1) Droplet. Respiratory droplets come from coughs, sneezes,
       or talking. These droplets can travel 3 to 6 feet through the air; 2) Airborne. Airborne particles can
       travel a long distance and can remain suspended in the air; and 3) Contact. Blood and other bodily
       fluids can transmit pathogens if they contact a susceptible host's broken skin or mucous membrane.
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