Thinking of your current or a past practice area provide an example of the train of transmission specific to that area. Fill in all ‘links’ in the chain with an example for each link:
Infectious Agent:
Reservoirs:
Portals of Exit:
Modes of Transmission:
Portals of Entry:
Susceptible Host:
Infectious Agent: Influenze Virus
Reservoirs: An infected clients lungs
Portals of Exit: respiratory passage through coughing or sneezing
Modes of Transmission: contact (hands or surface) and/or droplet
Portals of Entry: Another persons eyes, nose or mouth
Susceptible Host: immunocompromised person, someone who has not been immunized
1. Infectious Agent:
• Streptococcus pneumoniae, a common bacterium that can cause pneumonia, particularly in patients with compromised lung function, like those with COPD.
2. Reservoirs:
• Patient’s respiratory system: The bacteria reside in his lungs and airways, causing the pneumonia infection.
• Contaminated respiratory equipment (oxygen masks, nebulizers).
3. Portals of Exit:
• Respiratory secretions: The bacteria exit through droplets when patients coughs or sneezes, releasing them into the environment.
• Sputum: The bacteria can also be present in the mucus or sputum that patients cough up.
4. Modes of Transmission:
• Direct contact: If healthcare workers come into direct contact with patient’s respiratory secretions while providing care (suctioning or handling his oxygen mask) without proper hand hygiene or PPE.
• Droplet transmission: Patients’ cough or sneeze, bacteria in respiratory droplets can be inhaled by others nearby, leading to transmission of the infection.
• Indirect contact: If contaminated surfaces ( bed rails, oxygen tubing) are touched by others and proper hand hygiene isn’t followed.
5. Portals of Entry:
• Respiratory tract: The bacteria enter through the nose or mouth when inhaled via respiratory droplets.
• Mucous membranes: Bacteria can enter through contact with the eyes, nose, or mouth, either directly or via contaminated hands or surfaces.
6. Susceptible Host:
• Other hospitalized patients: Particularly those with weakened immune systems or underlying respiratory conditions such as COPD or asthma.
• Healthcare workers: If they are not using appropriate PPE or following hand hygiene protocols, they can also become hosts.