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EPIDEMIOLOGY AND NOSOCOMIAL INFECTIONS. CHAPTER 15. What is Epidemiology?. Table 33-1. Epidemiology. What is Epidemiology? Etiology Incidence Prevalence. causation. a/a+b. Epidemiological Terms. Morbidity Mortality. Figure 33-6. Endemic Epidemic. Pandemic Sporadic.
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EPIDEMIOLOGY AND NOSOCOMIAL INFECTIONS CHAPTER 15
Epidemiology • What is Epidemiology? • Etiology • Incidence • Prevalence causation a/a+b
Epidemiological Terms • Morbidity • Mortality
Endemic Epidemic Pandemic Sporadic Diseases in Populations
Common Source Outbreak Propagated Epidemic Disease Spread
Epidemiologic Studies • Descriptive • Analytical • Experimental
The Basic Triad Of Descriptive Epidemiology THE THREE ESSENTIAL CHARACTERISTICS OF DISEASE WE LOOK FOR IN DESCRIPTIVE EPIDEMIOLOGY: • TIME • PLACE • PERSON
Time • Changing or stable? • Seasonal variation. • Clustered (epidemic) or evenly distributed (endemic)? • Point source or propagated.
Place • Geographically restricted or widespread (pandemic)? • Relation to water or food supply. • Multiple clusters or one?
Person • Age • Socio-economic status • Gender • Ethnicity/Race • Behavior
The Basic Triad Of Analytic Epidemiology THE THREE PHENOMENAASSESSED IN ANALYTIC EPIDEMIOLOGY ARE: HOST AGENT ENVIRONMENT
Agents • Nutrients • Poisons • Allergens • Radiation • Physical trauma • Microbes • Psychological experiences
Host Factors • Genetic endowment • Immunologic state • Age • Personal behavior
Environment • Crowding • Atmosphere • Modes of communication – phenomena in the environment that bring host and agent together, such as: • Vector • Vehicle • Reservoir
Infection Reservoirs • Human • Animal • Non-living
Portals of Entry Microbe Spread
Portals of Exit Microbe Spread
Modes of Disease Transmission • Contact • Vehicles • Vectors
Problems in Disease Transmission • Disease Cycles • Herd Immunity
Controlling Disease Transmission • Biosafety
Public Health Organizations • Center for Disease Control (CDC) • World Health Organization (WHO)
Notifiable Diseases • Definition: • Nationally Notifiable Infectious Diseases
Nosocomial Infections • Sources
Nosocomial Infection Risks • Susceptibility • Transmission • Universal Precautions
Blood- stream infections 14% Figure 33-9 Other 17% Surgical site infections 22% Urinary tract infections 32% Pneumonia 15%
Risks • Equipment/Procedures • Sites of Infection