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Quarantining

Individuals suspected or known to have been exposed to certain contagious pathogens may be quarantined , or isolated to prevent transmission of the disease to others. Hospitals and other health-care facilities generally set up special wards to isolate patients with particularly hazardous diseases such as tuberculosis or Ebola ( [link] ). Depending on the setting, these wards may be equipped with special air-handling methods, and personnel may implement special protocols to limit the risk of transmission, such as personal protective equipment or the use of chemical disinfectant sprays upon entry and exit of medical personnel.

The duration of the quarantine depends on factors such as the incubation period of the disease and the evidence suggestive of an infection. The patient may be released if signs and symptoms fail to materialize when expected or if preventive treatment can be administered in order to limit the risk of transmission. If the infection is confirmed, the patient may be compelled to remain in isolation until the disease is no longer considered contagious.

In the United States, public health authorities may only quarantine patients for certain diseases, such as cholera , diphtheria , infectious tuberculosis , and strains of influenza capable of causing a pandemic . Individuals entering the United States or moving between states may be quarantined by the CDC if they are suspected of having been exposed to one of these diseases. Although the CDC routinely monitors entry points to the United States for crew or passengers displaying illness, quarantine is rarely implemented.

a) Photo of a plastic tent next to an airplane b) Photo of beds in a room.
(a) The Aeromedical Biological Containment System (ABCS) is a module designed by the CDC and Department of Defense specifically for transporting highly contagious patients by air. (b) An isolation ward for Ebola patients in Lagos, Nigeria. (credit a: modification of work by Centers for Disease Control and Prevention; credit b: modification of work by CDC Global)

Healthcare-associated (nosocomial) infections

Hospitals, retirement homes, and prisons attract the attention of epidemiologists because these settings are associated with increased incidence of certain diseases. Higher rates of transmission may be caused by characteristics of the environment itself, characteristics of the population, or both. Consequently, special efforts must be taken to limit the risks of infection in these settings.

Infections acquired in health-care facilities, including hospitals, are called nosocomial infections or healthcare-associated infections (HAI) . HAIs are often connected with surgery or other invasive procedures that provide the pathogen with access to the portal of infection. For an infection to be classified as an HAI, the patient must have been admitted to the health-care facility for a reason other than the infection. In these settings, patients suffering from primary disease are often afflicted with compromised immunity and are more susceptible to secondary infection and opportunistic pathogens.

In 2011, more than 720,000 HAIs occurred in hospitals in the United States, according to the CDC. About 22% of these HAIs occurred at a surgical site, and cases of pneumonia accounted for another 22%; urinary tract infections accounted for an additional 13%, and primary bloodstream infections 10%. Centers for Disease Control and Prevention. “HAI Data and Statistics.” 2016. http://www.cdc.gov/hai/surveillance. Accessed Jan 2, 2016. Such HAIs often occur when pathogens are introduced to patients’ bodies through contaminated surgical or medical equipment, such as catheters and respiratory ventilators. Health-care facilities seek to limit nosocomial infections through training and hygiene protocols such as those described in Control of Microbial Growth .

  • Give some reasons why HAIs occur.

Key concepts and summary

  • Reservoirs of human disease can include the human and animal populations, soil, water, and inanimate objects or materials.
  • Contact transmission can be direct or indirect through physical contact with either an infected host (direct) or contact with a fomite that an infected host has made contact with previously (indirect).
  • Vector transmission occurs when a living organism carries an infectious agent on its body ( mechanical ) or as an infection host itself ( biological ), to a new host.
  • Vehicle transmission occurs when a substance, such as soil, water, or air, carries an infectious agent to a new host.
  • Healthcare-associated infections (HAI) , or nosocomial infections , are acquired in a clinical setting. Transmission is facilitated by medical interventions and the high concentration of susceptible, immunocompromised individuals in clinical settings.

Fill in the blank

A patient in the hospital with a urinary catheter develops a bladder infection. This is an example of a(n) ________ infection.

nosocomial or healthcare-associated

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A ________ is an animal that can transfer infectious pathogens from one host to another.

vector

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Short answer

Differentiate between droplet vehicle transmission and airborne transmission.

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Questions & Answers

what is Zika virus?
Somali Reply
intracellular vesicles are found in
Akshay Reply
how do i report widal slide results
Isaac Reply
how food can be used as a substrate for the growth of microorganisms
Ashi Reply
what is the importance of understanding chemistry in the field of microbiology and food technology?
Charmaine Reply
What is different between eukaryotes and prokcaryotic
Abia Reply
main difference is that eukaryotic cells possess membrane bound organelles
Iqra
prokaryotes are primitive organisms that doesn't contain membrane bound nucleus or any orgenelle while in eukaryotes membrane bound orgenelles and nucleus is present
Yashi
what s anatomy
jane Reply
its mean body structure, function, and systems
gazi
study of internal structure of living things
Falere
anatomy is the study structure of the made human
isir
anotomy is the actual study of body internally and externally Which include how itis made. for what and what is need of this
Iqra
la science anatomie c'est la science qui nous aide à étudier l'homme
Baraka
okay
Baraka
Ancestor are they real
Rapheal Reply
yes of course
David
yes please
Clark
50 50, depending on the accuracy of the clan records.
Vincent
okay
Baraka
Why protist is not a kingdom of Linnaeus 'S taxonomy?
Neha Reply
I dont know
Jeewraj
Linnaeus used Aristotle's criteria for dividing living organisms into kingdoms. Plants are immobile and insensitive, while animals are mobile and sensitive. the creatures he saw through the microscope were mobile, so he attributed them to animals.
Lad
name the different types of media use in lab to detect the micro organisms
Shehzadi Reply
The different types of media used in the lab to detect the microorganisms is known as cell culture..
Tean
solid media or broth is used to grow and detect microorganisms
Pohor
what is microbiology
Baraka
the study of large living organisms
Pratibha
the study of organisms which are micro in range
Vency
what is autoclaving?
Yashi
process for sterilization
Vency
is a machine used on the process of sterilisation
Clark
what is difference between hot air oven and autoclave as they both are used for sterilization ?
Vency
autoclave basically do moist heat sterilization while hot air oven do sterilization by dry heat.....
Yashi
what is the microbe
HUSSAIN
which method out of these two is best?
Yashi
why human have microbe
HUSSAIN
Hi
Sadam
hi to all
Sadam
depends on what to sterilize
Vency
microbes
Md
what is knowledge
HUSSAIN
well idea
Daniel
what are the importance of microbiologe to a nurse
Enny Reply
it enable a nurse to know the weight and height of a patient
Abotu
it helps the nurse in way as to give first aid to patient on which basis doctor will take diagonos
Iqra
disagree with both of you
Akhtar
ok
Abotu
Your Own idea
Abotu
it helps a nurse to be able to counsel a patient /client
Abotu
cell culture
Tean
Types of micro organisms
Jennifer Reply
Who discovered plant and animal cell
Jennifer
Robert Hooke
Martha
Father of microbiology
Jennifer Reply
Antonie van Leeuwenhoek
Satarupa
Why are mitochondria and chloroplasts unable to multiply outside of a host cell?
Iqra Reply
iqra mitochondria arises from the division of existing mitochondria and they are fused together. they move around inside the cell with the interactions of the cytoskeleton that's why mitochondria unable to multiply outside the host cells chloroplasts has its own separate DNA from the plant cell.
Rana
short not on medical microbiology
Massah Reply
Hy
Iqra
hope you fine
Arif
love you
Arif
Assalamualaikum
Suhaib
arai yeh micro kai sth kis ko love hua
Umer
icrobiology is the scientific study of these microorganisms. Microorganisms are those organisms that are too small to see with the naked eye and include things like bacteria, fungi, and viruses
Suhaib
iqra iqbal
Arif
What is gram syaining?
Arif
to differentiate between gram positive and gram negative bacty
Umer
True
Arif
where you are from
Arif
i m frm sopore..kashmir
Umer
i m frm baramulla .. Kashmir
Umer
and u
Umer
umer
Arif
and i m from afghanistan lovely country
Arif
yes
Umer
thanks
Arif
medical microbiology means study of microorganisms which are beneficial or harmful for the body. mostly which are studied under microscope by structure and shape appearance. e.g bacteria, viruses, bacteriophage, fungus hyphae and some blood and other body fluids parasites e.g plasmodium etc.
Rana
arif bhai gram staining in which we are given different dyes to the bacterial cell wall and cytoplasm and nucleus.e.g giemsa stain
Rana
Gram staining uses crystal violet to stain cell walls iodine as a mordant and a fuchsin or safranin counterstain to mark all bacteria
Umer
Gram staining uses crystal violet to stain cell walls iodine as a mordant and a fuchsin or safranin counterstain to mark all bacteria
Umer
Gram staining uses crystal violet to stain cell walls iodine as a mordant and a fuchsin or safranin counterstain to mark all bacteria
Umer
Omar baba crystal violet iodine 70% alcohol fuchicine or safranine after every step washing must be done
Rana
hello
Cristy
*Fuchsin stain
Cristy
*Safranin
Cristy
thanks
Ganesh

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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