Chain of Infection
Infection:
• An invasion of pathogens or
microorganisms into the body that
are capable of producing disease.
• The invasion and reproduction of
microorganisms in a body tissue
that can result in a local or
systemic clinical response such as
cellulitis, fever etc.
Infection Control:
• Includes all of the practices used to
prevent the spread of
microorganisms that could cause
disease in a person.
• Infection control practices help to
protect clients and healthcare
providers from disease by reducing
and/or eliminating sources of
infection.
The Six Links…
• Pathogen
• Reservoir
• Place of Exit
• Method of Transmission
• Port of Entry
• Susceptible Host
Cycle of infection
Agent
Susceptible Host Reservoir
IP
PC
Portal of Inlet Portal of Exit
Mode of transmission
10/10/2009 Dr. Salwa Tayel 5
Reservoir
• The place for a pathogen to live
and grow
– Direct transmission:
Human or animal body (host)
– Indirect transmission:
Contaminated food or water
Animal/insect
Infected soil
Place of Exit
• Ways pathogens escape the
reservoir
– Mouth
– Nose
– Broken skin
Method of Transmission
• A way to get to a new host
• Directly
– Body fluids (i.e. blood, secretions)
• Indirectly
– Intermediate hosts (i.e.
toothbrushes, animals, drinking
fountains, food)
Port of Entry
• Ways to enter a new host
– Broken skin
– Mouth
– Nose
– Eyes
– Genitals
– Insect bites
Susceptible Host
• Those that have little (if any)
resistance to the pathogen
and thus, lack the ability to
fight them off
• Carriers: Those who carry
germ, but show no signs or
symptoms; can spread
disease, but often do so
unknowingly
Do all 6 links need to
YES
be connected in order
for a disease to be
transmitted?
…if even ONE link is
broken, an infection
will not occur!
Break the Chain…
• Kill the pathogen
• Prevent contact
• Prevent its escape
• Prevent Transmission
• Block the Ports
• Resistant Host
Kill Pathogen
• If you kill the pathogen, you
stop it from spreading
• Method
– Antibiotics or other medications
– Wash hands
Prevent Contact
• By preventing things from
coming in contact with an
infected source, the pathogen
has no place to escape to
• Method:
– Quarantine/
isolate
those with
disease
Prevent Escape
• If the pathogens cannot get
out of its host, the disease
cannot spread
• Method:
– Cover your mouth when you
sneeze
– Wear a band-aid to cover
wounds
Prevent Transmission
• By not giving pathogens a
means to travel, we can stop
the spread
• Method
– Kill/control infected
animals/insects
– Ensure proper treatment of
sewage
– Chlorinate drinking water
Block the Ports
• If you do not have ways for
pathogens to get into a new
host, they cannot infect
• Method
– Cover wounds
– Do not eat “shady” food
Resistant Host
• By making smart choices about
your health and developing a
strong immune system, your
body can fight off pathogens
without you ever feeling sick
• Method
– Exercise
– Eat well-balanced diet
– Get immunizations