Which Of The Following Are Considered Bloodborne Pathogens
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Blood borne pathogens
Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV), and human immunodeficiency virus (HIV).
Contaminated
The presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.
Contaminated Laundry
Laundry which has been soiled with blood or other potentially infectious materials or may contain sharps.
Contaminated sharps
Any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, broken glass, broken capillary tubes and exposed ends of dental wires.
Decontamination
The use of physical or chemical means to remove, inactivate, or destroy blood borne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling use , or disposal.
Engineering controls
Controls that isolate or remove the blood borne pathogens hazard from the workplace (e.g., sharps disposal containers, self-sheathing needles, safer medical devices, such as shares with engineered sharps injury protections and needless systems)
Exposure incident
Specific eyes, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties.
Handwashing Facilities
A facility providing an adequate supply of running potable water, soap and single use towels or hot air drying machines.
HBV
Hepatitis B Virus
HIV
-Attacks body's ability to protects itself against disease and causes AIDS -1.1 Million people in the US are living with HIV/AIDS. Approximately 50,000 people become infected with HIV each year. About 14,000 people every year die from AIDS
Occupational exposure
Reasonably anticipated skin, eye, mucous membrane, or parental contact with blood or other potentially infectious materials that may result from the performance of an employee's duties
Other potentially infectious materials:
1. Bodily fluids - semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids 2. Any unfixed tissue or organ (other than intact skin) from a human (living or dead) 3. HIV-containing cell or tissue cultures, organ cultures, and HIV - or HBV- contains culture medium or other solutions, and blood, organs, or other tissues from experimental animals infected with HIV or HBV.
Parenteral
Piercing mucous membranes or the skin barrier though such events as needle sticks, human bites, cuts, and abrasions.
Personal Protective Equipment (PPE)
Put on: 1. Gown 2. Mask 3. Goggles 4. Gloves Take off: 1. Gloves 2. Goggles 3. Gown 4. Mask
Regulated waste
Liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious material in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and micro-biological wastes containing blood or other potentially infectious materials.
Sterilize
The use of physical or chemical procedure to destroy ALL microbial life including highly resistant bacterial endospores.
Universal precautions
An approach to infection control. According to the concepts of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other blood borne pathogens
Work Practice Controls
Controls that reduce the likelihood of exposure by altering the manner in which a task is performed. (e.g., prohibiting recapping of needles by a two-handed technique)
According to the Center for Disease Control (CDC)...
As of June 1994, there were 401, 749 confirmed cases of AIDS in the U.S., and approximately 300,000 people become infected with hepatitis B annually. It is estimated that a further 1.5 million people in the U.S. are infected with HIV, and that most are between the ages of 25 and 49 and are active members of the workforce.
The chain of infection
For disease to be spread it requires that all the following conditions be present: - An adequate number of pathogens, or disease causing organisms -A reservoir or source that allows the pathogen to survive and multiply (e.g. blood) -A mode of transmission from he source to the host -An entrance through which the pathogen may enter the host. -A susceptible host (who is not immune)
Effective infection control strategies
Prevent disease transmission by interrupting one or more link in the chain of infection
Transmission through a number of pathways:
-An accidental puncture by a sharp object contaminated with the pathogen. "Sharps" include objects such as: o Needles o Scalpels o Broken glass o Razor blades -Open cuts or skin abrasions coming in contact with contaminated blood or body fluids -Sexual contact -Indirect transmission (a person touches dried or caked blood and then touches eyes, mouth, nose, or an open cut) (HBV only)
bloodborne pathogens are NOT transmitted by the following:
-Touching an infected person by using the same equipments, materials, toilets, water fountains, showers, -Coughing and sneezing
Direct contact
Occurs when micro-organisms are transferred from one infected person directly to another person. For example, infected blood from one person enters a care giver's body through an open cut.
Indirect contact
Involves the transfer of an infectious agent through contaminated object or person. For example, a caregiver doesn't was hands in between caring for someone with infected body fluids and other patients. For Example, parenteral contact with a needle stick
Airborne transmission
Occurs when droplets or small particles contain infectious agents that remain effective over time and distance in the air. Tuberculosis is commonly spread through this type of transmission. Bloodborne pathogens are typically not spread this way.
HIV symptoms
-Fever -Fatigue -Weight loss -Rash only blood test can determine the infection
HIV virus is _______________ and dies within ___________ outside the body. The amount of HIV present in the body fluid and the conditions determine how long the virus lives
Fragile, Seconds
How is HIV spread?
Primarily spread by sexual contact with an infected person or by sharing needles and/or syringes. Babies may become infected before/during birth or through breast-feeding.
Only a fraction of less than ____% of the people contact the virus from providing medical care
1%
Hepatits B Virus
Reproduces in the liver causing inflammation and possible cirrhosis or liver cancer
HBV affects over ______ million people in the U.S
1.5 million
About ________ people/year become infected with HBV
70,000
Each year, about ________ people die as a result of liver disease caused by HBV
5,000
Since ______ HVS Infections have decreased because of HBV vaccinations
1982
HBV Symptoms:
-Jaundice -Yellowing eyes -Tiredness -Loss of appetite -Nausea -Dark urine -Clay colored bowel movements -Joint pain -Abdominal discomfort
HBV is 100 times easier to catch then HIV and can live outside of the body for at least ____ days and longer.
7 days
_____% adults who contract HBV clear the virus from their systems within a few months and develop immunity. About ___% become chronic the virus stays in the blood, infecting liver cells damaging them over time.
-90% -10%
HBV is primarily spread through
-Sexual Contact -Sharing needles/syringes -Sharps exposures on job -Infected mother to baby
Hep B Vaccine
-Given in 3 doses over a period of 6 months -Booster not recommended -Must be offered free to employees who face occupational exposure to blood borne pathogens -If employee does not want vaccine, a vaccine declination must be signed
Hepatitis C Virus (HCV)
Reproduces in the liver causing inflammation and possibly cirrhosis or liver cancer. Disease can incubate for decades
____ Million people carry HCV in the USA. About ____________ new cases each year and ______________________ deaths occur each year.
-4.1 Million -26,000 -8,000-10,000
About ____% of exposed people develop a chronic infection. ___% are able to clear the virus by naturally building immunity
-80% -20%
HCV is primarily spread through
Parenteral contact: -Illegal injection drug use -Transfusion or transplant from infected donor -Tattoos can be spread through -birth to HCV-infected mother -multiple sex partners
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