FCCS Sepsis and Infection Control Flashcards

Central line-associated bloodstream infection (CLABSI) prevention requires which bundle element?

Answer: Maximal sterile barrier precautions during insertion

The CLABSI prevention bundle includes maximal sterile barrier (mask, cap, gown, sterile gloves, full drape) during insertion as a core element.

Ventilator-associated pneumonia (VAP) prevention bundles include which intervention?

Answer: Daily sedation vacation and spontaneous breathing trials

Daily sedation interruption and spontaneous breathing trials reduce ventilator days — the primary risk factor for VAP — and are core VAP bundle elements.

Which isolation precaution is required for a patient with suspected pulmonary tuberculosis?

Answer: Airborne precautions with negative pressure room

Pulmonary TB is transmitted via airborne droplet nuclei < 5 µm requiring airborne precautions: N95 respirator and negative pressure isolation room.

Empiric antifungal therapy with an echinocandin is most appropriate in which ICU patient?

Answer: Critically ill patient with multiple risk factors and positive beta-D-glucan or clinical candidiasis

Echinocandin empiric therapy is indicated in critically ill patients with multiple candidiasis risk factors (prolonged antibiotics, TPN, renal replacement, colonization) plus suggestive biomarkers or clinical signs.

Catheter-associated urinary tract infection (CAUTI) prevention is best achieved by:

Answer: Removing the urinary catheter as soon as it is no longer needed

The most effective CAUTI prevention measure is daily reassessment and prompt removal of urinary catheters when no longer clinically indicated.

Which hand hygiene agent is most effective against Clostridioides difficile spores?

Answer: Soap and water (mechanical removal)

Alcohol-based hand rubs do not kill C. difficile spores; soap and water mechanically remove spores from hands and are required when C. diff is suspected.