a-IPC key terms
a-IPC · Get comfortable with the vocabulary.
- Chain of infection
- Related: Mode of transmission, Susceptible host, Reservoir
A model describing the six linked conditions needed for an infection to spread: a pathogen, a reservoir, a portal of exit, a mode of transmission, a portal of entry, and a susceptible host. Breaking any link prevents transmission.
- Reservoir
- Related: Chain of infection, Mode of transmission
Any place where infectious agents live and multiply, such as a human body, water, soil, or contaminated equipment. Removing or controlling reservoirs is one way to interrupt the chain of infection.
- Mode of transmission
- Related: Chain of infection, Contact precautions, Airborne precautions
The route by which a pathogen travels from a reservoir to a host. Common routes include contact, droplet, airborne, and vector-borne spread; knowing the route guides which precautions are used.
- Susceptible host
- Related: Chain of infection, Immunocompromised
A person who lacks resistance to a particular pathogen and can therefore become infected. Factors such as age, illness, wounds, medications, and weakened immunity increase susceptibility.
- Standard precautions
- Related: Hand hygiene, Personal protective equipment, Transmission-based precautions
Baseline infection prevention practices applied to every patient regardless of diagnosis. They include hand hygiene, gloves, gowns, masks, eye protection as needed, safe injection practices, and safe handling of equipment and waste.
- Transmission-based precautions
- Related: Standard precautions, Contact precautions, Droplet precautions, Airborne precautions
Extra precautions used in addition to standard precautions when a specific pathogen spreads easily. They are grouped as contact, droplet, and airborne precautions and are chosen based on how the organism is transmitted.
- Contact precautions
- Related: Transmission-based precautions, Personal protective equipment
Measures used for pathogens spread by direct or indirect touch, such as MRSA or C. difficile. They typically include gloves, a gown, dedicated equipment, and sometimes a private room.
- Droplet precautions
- Related: Transmission-based precautions, Airborne precautions
Measures used for pathogens spread by large respiratory droplets from coughing, sneezing, or talking, such as influenza. They typically include a surgical mask and keeping a short distance from the patient.
- Airborne precautions
- Related: Transmission-based precautions, Respirator, Droplet precautions
Measures used for pathogens that remain infectious while suspended in the air over long distances, such as tuberculosis or measles. They typically include a fit-tested respirator and an airborne infection isolation room.
- Hand hygiene
- Related: Standard precautions, Alcohol-based hand rub, Five moments for hand hygiene
Cleaning the hands with soap and water or an alcohol-based hand rub to remove or kill microorganisms. It is the single most effective routine action for preventing transmission in care settings.
- Alcohol-based hand rub
- Related: Hand hygiene, Spore
A gel, foam, or liquid containing alcohol used to reduce microorganisms on hands without water. It is fast and effective for most situations but does not remove visible soil or reliably kill some spore-forming organisms.
- Five moments for hand hygiene
- Related: Hand hygiene, Standard precautions
A framework describing the key times to clean hands: before touching a patient, before a clean procedure, after body fluid exposure risk, after touching a patient, and after touching patient surroundings.
- Personal protective equipment
- Related: Standard precautions, Glove use, Respirator
Barriers worn to protect the wearer and others from exposure to infectious material, including gloves, gowns, masks, respirators, and eye protection. It must be put on and removed in the correct order.
- Glove use
- Related: Personal protective equipment, Hand hygiene
Wearing gloves as a barrier when contact with blood, body fluids, or contaminated surfaces is expected. Gloves are not a substitute for hand hygiene and should be changed between tasks and patients.
- Respirator
- Related: Airborne precautions, Personal protective equipment
A tight-fitting facepiece that filters inhaled air, such as an N95 or higher device, used for airborne precautions. It must be fit-tested and seal-checked to work properly.
- Isolation precautions
- Related: Transmission-based precautions, Cohorting
Practices that separate a patient with a contagious illness from others to limit spread. They may include a private room, restricted movement, dedicated equipment, and specific entry requirements for staff and visitors.
- Cohorting
- Related: Isolation precautions, Colonization
Grouping patients who are infected or colonized with the same organism in the same area, cared for by the same staff, to reduce the chance of spreading it to others.
- Colonization
- Related: Infection, Cohorting
The presence and growth of microorganisms on or in a person without causing signs or symptoms of illness. Colonized people can still spread organisms to others even though they are not sick.
- Infection
- Related: Colonization, Pathogen
The invasion and multiplication of a pathogen in body tissues that produces signs or symptoms of illness. It differs from colonization, in which organisms are present without causing disease.
- Pathogen
- Related: Infection, Normal flora
A microorganism capable of causing disease, including certain bacteria, viruses, fungi, and parasites. Not all microorganisms are harmful; many normally live on and in the body.
- Normal flora
- Related: Pathogen, Immunocompromised
The community of microorganisms that normally lives on the skin and in body cavities without causing harm. It can become harmful if it enters other body sites or if the person's defenses weaken.
- Healthcare-associated infection
- Related: Standard precautions, Chain of infection
An infection a person acquires while receiving care for another condition, one that was not present or incubating at the time of admission. Prevention relies on standard and transmission-based precautions.
- Immunocompromised
- Related: Susceptible host, Normal flora
Having a weakened immune system that reduces the ability to fight infection. Causes include certain illnesses, treatments such as chemotherapy, and some medications, making the person a more susceptible host.
- Antibiotic resistance
- Related: Antimicrobial stewardship, Multidrug-resistant organism
The ability of bacteria to survive drugs that would normally kill or stop them. It develops when organisms change over time, often encouraged by unnecessary or incomplete antibiotic use.
- Multidrug-resistant organism
- Related: Antibiotic resistance, Contact precautions
A microorganism that is not killed by several of the drugs normally used to treat it, such as MRSA or certain resistant gut bacteria. Infections are harder to treat and spread readily in care settings.
- Antimicrobial stewardship
- Related: Antibiotic resistance, Multidrug-resistant organism
A coordinated effort to use antimicrobial drugs wisely, prescribing them only when needed and for the right duration. It helps preserve effectiveness and slows the development of resistance.
- Spore
- Related: Disinfection, Alcohol-based hand rub
A tough, dormant form some bacteria produce that resists heat, drying, and many disinfectants and alcohol. Spores can survive on surfaces for long periods and require specific agents to destroy.
- Cleaning
- Related: Disinfection, Sterilization
Physically removing soil, organic matter, and many microorganisms from a surface using soap or detergent and water. Cleaning is usually the necessary first step before an item is disinfected or sterilized.
- Disinfection
- Related: Cleaning, Sterilization, Spore
Using chemicals to destroy or reduce many disease-causing organisms on surfaces or equipment, though not necessarily bacterial spores. The level needed depends on the item and how it is used.
- Sterilization
- Related: Disinfection, Cleaning
A process that destroys all microorganisms, including spores, on an item. It is required for equipment that enters sterile body areas or breaks the skin barrier.
- Sharps safety
- Related: Bloodborne pathogen, Standard precautions
Practices that prevent injuries from needles, scalpels, and other sharp devices, such as not recapping by hand and disposing of sharps immediately in puncture-resistant containers. Injuries can transmit bloodborne pathogens.
- Bloodborne pathogen
- Related: Sharps safety, Standard precautions
A microorganism carried in blood that can cause disease when blood or certain body fluids enter another person, such as hepatitis B, hepatitis C, and HIV. Exposure prevention relies on standard precautions.
- Post-exposure prophylaxis
- Related: Bloodborne pathogen, Sharps safety
Treatment given after a possible exposure to an infectious agent to reduce the chance of becoming infected, such as medication or vaccination after contact with certain viruses. It is started as soon as possible after the event.
- Outbreak
- Related: Healthcare-associated infection, Surveillance
The occurrence of more cases of an infection than normally expected in a given place and time. Responding involves identifying cases, finding the source, and applying control measures quickly.
- Surveillance
- Related: Outbreak, Healthcare-associated infection
The ongoing, systematic collection and review of infection data to detect problems and guide prevention efforts. It may track specific organisms, infection rates, or clusters of cases.
- Occupational exposure
- Related: Sharps safety, Post-exposure prophylaxis
Contact with blood, body fluids, or infectious material that happens during work, such as a needlestick or splash to the eyes. It should be reported promptly and evaluated for follow-up care.
- Medical waste segregation
- Related: Standard precautions, Sharps safety
Separating waste at the point of generation into the correct stream, such as regular trash versus regulated medical or infectious waste. Correct sorting protects workers and reduces unnecessary disposal costs.