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Which of the following is the BEST strategy for reducing bloodstream infections associated with central venous catheters?
A. Use of povidone-iodine instead of chlorhexidine for skin antisepsis.
B. Use of chlorhexidine-impregnated dressings.
C. Daily blood cultures for patients with central lines.
D. Routine replacement of central lines every 7 days.
Answer: B
Explanation:
* Chlorhexidine-impregnated dressings reduce central line-associated bloodstream infections (CLABSI) by preventing bacterial colonization.
* Routine catheter replacement (A) increases insertion risks without reducing infections.
* Daily blood cultures (C) are unnecessary and lead to false positives.
* Povidone-iodine (D) is less effective than chlorhexidine for skin antisepsis.
CBIC Infection Control References:
* APIC Text, "CLABSI Prevention Measures," Chapter 10.
NEW QUESTION # 133
The Environmental Services department is purchasing a new disinfectant that is an approved hospital disinfectant with no tuberculocidal claim. This product is appropriate for cleaning which of the following items?
A. Blood pressure cuff
B. Laryngoscope blades
C. Respiratory therapy equipment
D. Ultrasound probe
Answer: A
NEW QUESTION # 134
At a facility with 10.000 employees. 5,000 are at risk for bloodbome pathogen exposure. Over the past five years, 100 of the 250 needlestick injuries involved exposure to bloodborne pathogens, and 2% of exposed employees seroconverted. How many employees became infected?
A. 0
B. 1
C. 2
D. 3
Answer: D
Explanation:
To determine the number of employees who seroconverted (became infected) after a needlestick exposure, we use the given data:
* Total Needlestick Injuries: 250
* Needlestick Injuries Involving Bloodborne Pathogens: 100
* Seroconversion Rate: 2%
Calculation:
A black text with black numbers AI-generated content may be incorrect.
Why Other Options Are Incorrect:
* A. 1: Incorrect calculation; 2% of 100 is 2, not 1.
* C. 5: Overestimates the actual number of infections.
* D. 10: Exceeds the calculated value based on given data.
CBIC Infection Control References:
* APIC Text, "Occupational Exposure and Seroconversion Risks".
* APIC Text, "Bloodborne Pathogens and Needlestick Injury Prevention"
NEW QUESTION # 135
Which of the following operating suite design features is LEAST important for the prevention of infection?
A. Type of floor material
B. Control of traffic and traffic flow patterns
C. Positive pressure air handling
D. Placement of sinks for surgical scrubs
Answer: A
Explanation:
The correct answer is A, "Type of floor material," as it is the least important operating suite design feature for the prevention of infection compared to the other options. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, the design of operating suites plays a critical role in infection prevention, particularly for surgical site infections (SSIs). While the type of floor material (e.g., vinyl, tile, or epoxy) can affect ease of cleaning and durability, its impact on infection prevention is secondary to other design elements that directly influence air quality, hygiene practices, and personnel movement (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.5 - Evaluate the environment for infection risks). Modern flooring materials are generally designed to be non-porous and easily disinfected, mitigating their role as a primary infection risk factor when proper cleaning protocols are followed.
Option B (positive pressure air handling) is highly important because it prevents the influx of contaminated air into the operating suite, reducing the risk of airborne pathogens, including those causing SSIs. This is a standard feature in operating rooms to maintain a sterile environment (AORN Guidelines for Perioperative Practice, 2023). Option C (placement of sinks for surgical scrubs) is critical for ensuring that surgical staff can perform effective hand and forearm antisepsis, a key step in preventing SSIs by reducing microbial load before surgery. Option D (control of traffic and traffic flow patterns) is essential to minimize the introduction of contaminants from outside the operating suite, as excessive or uncontrolled movement can increase the risk of airborne and contact transmission (CDC Guidelines for Environmental Infection Control in Healthcare Facilities, 2019).
The relative unimportance of floor material type stems from the fact that infection prevention relies more on consistent cleaning practices and the aforementioned design features, which directly address pathogen transmission routes. This aligns with CBIC's focus on evaluating environmental risks based on their direct impact on infection control (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.4 - Implement environmental cleaning and disinfection protocols).
References: CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competencies 3.4 - Implement environmental cleaning and disinfection protocols, 3.5 - Evaluate the environment for infection risks. AORN Guidelines for Perioperative Practice, 2023. CDC Guidelines for Environmental Infection Control in Healthcare Facilities, 2019.
NEW QUESTION # 136
At a facility with 10.000 employees. 5,000 are at risk for bloodbome pathogen exposure. Over the past five years, 100 of the 250 needlestick injuries involved exposure to bloodborne pathogens, and 2% of exposed employees seroconverted. How many employees became infected?
A. 0
B. 1
C. 2
D. 3
Answer: D
Explanation:
To determine the number of employees whoseroconverted(became infected) after aneedlestick exposure, we use the given data:
* Total Needlestick Injuries:250
* Needlestick Injuries Involving Bloodborne Pathogens:100
* Seroconversion Rate:2%
Calculation:
A black text with black numbers AI-generated content may be incorrect.
Why Other Options Are Incorrect:
* A. 1:Incorrect calculation;2% of 100 is 2, not 1.
* C. 5:Overestimates the actual number of infections.
* D. 10:Exceeds the calculated value based on given data.
CBIC Infection Control References:
* APIC Text, "Occupational Exposure and Seroconversion Risks".
* APIC Text, "Bloodborne Pathogens and Needlestick Injury Prevention"
NEW QUESTION # 137
......
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