Infection Control and Prevention

Infection control is the cornerstone of patient safety in every healthcare setting. Understanding how infections develop and spread requires knowledge of the chain of infection, a model consisting of six interconnected links: the infectious agent (pathogen), the reservoir (where the pathogen lives and multiplies), the portal of exit (how the pathogen leaves the reservoir), the mode of transmission (how it travels to a new host), the portal of entry (how it enters the new host), and the susceptible host (an individual whose immune defenses cannot effectively resist the pathogen). Breaking any single link in this chain prevents infection transmission. Infectious agents include bacteria (such as Staphylococcus aureus, Escherichia coli, and Clostridioides difficile), viruses (influenza, SARS-CoV-2, norovirus), fungi (Candida species), and parasites (Giardia, head lice). Reservoirs can be human (patients, healthcare workers, visitors), animal, or environmental (contaminated surfaces, water, medical equipment). Portals of exit include the respiratory tract (coughing, sneezing), gastrointestinal tract (feces, vomitus), genitourinary tract (urine, genital secretions), skin and mucous membranes (wound drainage, blood), and the placenta (transplacental transmission). Modes of transmission are classified as contact (direct person-to-person or...