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WAC Describe one thing that you think is a myth that some people believe is true about diseases that can be spread through bodily fluids. Ex. HIV/AIDS, Hepatitis, Herpes, Ebola, the flu, etc. Upcoming grades • Daily bell ringers and reflections • Lab Safety Contract – Normal contract plus extra to cover microbiology and dissection • Pop quizzes at any time • Safety exam • Pretest Benchmark Why BBPs & STDs? • Our first unit is on safety. • In addition to the regular lab safety rules (which we will also review), we will spend time identifying Blood Bourne Pathogens (BBPs) that medical professionals must be aware are a risk when examining and treating a patient. • Some BBPs are also of concern when we are in the lab because someone may get cut. • Many of these same BBPs are diseases that we should also be cautious of in our private lives. Objectives • Describe the safety measures that should be taken whenever examining or treating someone or when working with sharp objects in the lab. • Define the term “universal precautions” and explain its importance. • Identify the primary sources of infection. Blood Borne Pathogens and other STD’s BBP’s and STD’s Group Discussion • Do you know how to protect yourself? • Do you know how these diseases are spread? • Do you know what these diseases do to your body? DON’T LET A ACCIDENT RUIN YOUR LIFE! Sources of Infection • BBP’s may be found not only in human blood, but also in other potentially infectious materials including the following body fluids: – – – – – blood products (such as plasma or serum) semen vaginal secretions cerebrospinal fluid pleural fluid (or lung fluid) Sources of Infection – – – – – – – synovial fluid (or fluid from your joints) amniotic fluid (or uterine fluid) peritoneal fluid (or fluid that fills your body cavity) saliva in dental settings any body fluid that is visibly contaminated with blood any body fluid that you can't tell what it is any human tissue or organ Hutchinson’s Teeth WAC Who do you think should get regular checks for STDs and other BBPs? Why? How often? Objectives • Identify the bodily fluids that are NOT significant sources of HIV. • Describe how to protect yourself from BBPs professionally and in your private life. These do not carry HIV • The following body fluids are not expected to be infectious sources of blood borne pathogens unless they are visibly contaminated with blood: – urine – feces You should STILL – vomit use hygienic – tears practices! – sweat – sputum – nasal secretions 7 PROTECTION 1. Wear gloves whenever examining or treating patients or handling any human tissue or bodily fluid. 2. Don’t have sex! 3. If you do have sex, use a latex condom and spermicide. 4. Have sex with one mutually faithful, uninfected partner. 5. Don’t use injectable drugs/share dirty needles or syringes. • • • • Safe Personal Behaviors Don’t drink so much alcohol that you can’t make clear decisions. Do a genital self-exam regularly to check for sores, discharge, growths, or anything unusual. Do not douche or use enemas without Dr.’s OK – may wash bacteria deeper into your body. Ask your Dr. how often you should have STD checkups. THE SPREAD OF DISEASES • Most BBPs & other STD’s are spread through exposure to bodily fluids including but NOT limited to sexual contact. • Some can be spread through close contact other than sexual contact. • You must always be careful. • BBPs and STD’s do not always have visible symptoms! Reflection • Explain what is meant by “universal precautions” and why they are important. Bell Ringer • Describe 3 ways that you can protect yourself from BBPs and other infections. Objectives • Pop Quiz on previous material • Identify the bacterial BBPs that are also STDs. • Describe the cause, symptoms, and treatment of gonorrhea. BACTERIAL STDs • Gonorrhea • Syphilis • Chlamydia • These diseases are curable with antibiotics – if discovered early and if sex partners are also treated. GONORRHEA • Caused by the diplococcus bacterium Neisseria gonorrhoeae • Also called the Clap, Dose, Strain and Drip. • Easily detected in males: – Discharge of pus from the penis and burning urination after an incubation period of 2-3 days – May cause sterility if testes become infected or when vas deferens becomes blocked with scar tissue. • Difficult to detect in females: – May sometimes cause vaginal discharge. – Usually causes no symptoms or mild symptoms in the case of PID. (Pelvic Inflammatory Disease) – If untreated it can lead to infection, inflammation and scarring of fallopian tubes – May cause sterility or ectopic pregnancy. Gonorrhea Finger Lesion Gonorrhea Hand Lesions Gonorrhea Foot Lesion Severe Conjunctivitis • Untreated gonorrhea can cause serious systemic infections. Infections of joints, heart, meninges, eyes, pharynx, or other parts of the body. • Eye infections can be passed on to newborns and may cause blindness. Doctors perform C-sections to prevent newborns passing through the birth canal of infected mothers. • The law requires intramuscular injections of penicillin to all infants born to infected mothers. • Erythromycin, or silver nitrate in dilute solutions, is placed in the eyes of all newborns. • Gonorrheal infections can also be transferred by hand contact from infected sites to the eyes of adults. • Gonorrheal infections can be acquired at any point of sexual contact; pharyngeal and anal gonorrhea are not uncommon. TREATMENT • Gonorrhea was once easily treated with penicillin but now has become resistant. • Gonorrhea is treatable with Ceftriaxone and Tetracycline. 5