Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide Other infections that can be transmitted among patients are: • Pseudomonas aeruginosa • Escherichia coli • Staphylococcal aureus • Streptococcus pneumoniae • Proteus • Kelbsiella • Enterobactera • Serratia • Neisseria meningitides • Bacteroides fragilis • Clostridium deficile These organisms are most often transmitted due to a break in infection control. Even with proper infection control, these organisms can still be spread. Some of the ways these organisms enter the body are: • Brushing teeth and flossing in the hospital • IV access • Foley catheters • Surgical wounds • Respiratory/droplet inhalation • Ventilator access in ICU • Antibiotic use causing pseudo membranous colitis • Lack of hand washing, changing gloves, or use of hand sanitizer Signs and symptoms of nosocomial infections: • Fever • Erythema (localized) • Lack of healing (wounds) • Lymphadenopathy • Purulent drainage • Pain, fatique, and swelling • CBC elevated white blood cell count • Tachycardia • Tachypnea • Altered mental status • Dyspnea/respiratory distress/cough • Hypotension • Lesions/boils/abscesses • Diarrhea (foul smelling)

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