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Chain of infection

 Chain Of infection/ Portal of Entry and Exit of microorganism


To cause any infection, pathogen must enter the body through certain pathway or routes called portal of entry.

The pathogen exit from the body of infected person or carrier through certain routes or pathways called portal of exit.


Susceptible host

1. Clients

2. Service provider

3. Ancillary staff

4. Community member

Causative Agent

1. Bacteria

2. Fungi

3. Parasite

4. Viruses

5. Infectious agents


Reservoir

1. People

2. Water

3. Instrument

4. Equipment

5. Soil

6. Air

7. Animal

Portal of Exit

1. Nose and throat secretion

2. Faces

3. Urine

4. Skin; dead skin, scales

5. Genital secretions

6. Through blood

7. Eye secretion


Mode of Transmission

1. Contact

2. Droplet

3. Vector borne

4. Vehicle borne

Portal of Entry

1. Broken skin

2. Puncture wound

3. Surgical site

4. Mucus membrane

5. Respiratory tract

6. Blood/open lesion

7. Inoculation

8. Alimentary tract

9. Urogenital tract

Portal of Entry of Microorganisms

1. Alimentary tract

Typhoid

Cholera

Food poisioning

Bacillary dysentery

Amoebic dysentery

2. Respiratory tract

Diphtheria

Tuberculosis

Pneumonia

3. Urogenital tract

Gonorrhoea

Syphilis

4. Inoculation

Malaria

Plague

Epidemic typhus


Portal of Exit of Microorganism

1. Faeces

Cholera

Dysentery

Typhoid, amoebic dysentery

Poliomyelitis

2. Urine

Typhoid

Tuberculosis

3. Sputum/ Saliva

Rabies, tuberculosis

Pneumonia, Whooping cough

4. Nose and throat secretion

Whooping cough

Diphtheria

5. Blood 

Malaria

6. Eye secretion

Trachoma

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