Hospital-Acquired Infections: Risk Factors, Causes, and Treatment

Factors Predisposing to Hospital Infection

Hospital-acquired infections (HAIs) appear within 3 days after a patient is admitted.

Routes of Transmission

  • Contact
  • Droplets
  • Airborne
  • Vehicle
  • Vector

Hospitalized Patients at High Risk for Infection

Hospitalized patients are at a higher risk for infection due to:

  • Underlying illness
  • Environment
  • Microbiological/virulence factors
  • Procedures and interventions
  • Process of care

I. Host Factors

  • Extreme age
  • Severe underlying disease
  • Immune dysfunction
  • Poor nutrition
  • Genetic factors

II.

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English-Spanish Vocabulary List: Personality, Finances, Crime, and More

UNIT 1: Personality Traits

English – Spanish

Ambitious – ambicioso
Argumentative – argumentativo
Assertive – asertivo
Considerate – considerado
Conventional – convencional
Creative – creativo
Dedicated – dedicado
Eccentric – excéntrico
Immature – inmaduro
Organised – organizado
Outgoing – extrovertido
Responsible – responsable
Selfish – egoísta
Sensible – sensato
Serious – serio
Stubborn – testarudo
Unconventional – poco convencional

Additional Traits

Cagey – wary/careful
Conceited – vain
Condescending – patronising
Daring
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Acute Respiratory Failure: Causes, Classification, Diagnosis & Treatment

Classification:

A- Acute Hypercapnic Respiratory Failure:

PaCO2 > 45mmHg, develops within minutes to hours

B- Acute Hypoxemic Respiratory Failure:

PaO2 < 55mmHg when FIO2 ≥ 0.6, develops within minutes to hours

Causes:

A

B

I- Acute Exacerbation:
  • COPD
  • ASTHMA
  • Pneumonia
II- Reduced Respiratory Drive:
  • Sedative Drugs
  • CNS Tumor
  • Trauma
III- Neuromuscular Disease:
  • Myasthenia Gravis
  • Cervical Cord Lesion
IV- Thoracic Wall Disease
  • Pneumonia
  • Pulmonary Edema
  • Asthma
  • Emphysema
  • Pulmonary Fibrosis
  • ARDS

Diagnosis:

I- Clinical Features:
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Nutrition and Health: A Comprehensive Guide

Chapter 9: Weight Management and Eating Behaviors

Understanding Overweight and Obesity in America

  • A significant portion of the American population struggles with weight issues:
    1. 68% are overweight
    2. Over one-third of the population is obese.
  • Obesity is linked to various health consequences, including:
    1. Cancer
    2. Gallbladder disease
    3. Stroke
    4. Heart disease
    5. Breathing problems
    6. Kidney problems
    7. Diabetes

Characteristics of a Reasonable Weight Loss Program

A successful weight loss program should incorporate the following elements:

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English Vocabulary List: Personality, Finance, Relationships, Technology, Food, Media, Sports, and Idioms

English Vocabulary List

Unit 2: Finance

Financial Terms: afford, allowance, budget, debt, expenses, financial, income, repay, save, waste

Describing Wealth: careless, dear, hard-up, mean, valuable, well-off, worthless, stingy, affluent

Housing Terms: amenities, fully-fitted, top-floor, available, central heating, double glazing, furnished, squatters

Unit 3: Relationships

Positive Relationships: be on the same wavelength, respect, trust

Negative Relationships: be wary of, despise, envy, feel sorry for,

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Infectious Diseases in Immunocompromised Patients: Diagnosis and Treatment

Infectious Diseases in Immunocompromised Patients

CMV Retinitis

Diagnosis

  • Ophthalmologic examination
  • Aqueous humor test

Treatment

  • Valganciclovir (oral)
  • Ganciclovir (intravenous)

Candida

Diagnosis

  • Clinical evaluation
  • Endoscopy and serology

Treatment

  • Topical antifungals (nystatin, clotrimazole)
  • Oral antifungals (itraconazole, fluconazole)
  • Intravenous antifungals (amphotericin B)
  • Antifungal diet (low carb)
  • Probiotics

Malaria

Diagnosis

  • Clinical features
  • Blood smear microscopy
  • Serology
  • PCR
  • Elevated CRP/ESR/lactate dehydrogenase
  • Thrombocytopenia

Treatment

  • Chloroquine
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