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Exogenous infection The source comes from outside the patient, such as: Hands of healthcare workers Contaminated surfaces or shared equipment Invasive devices, connectors, or IV systems Cross-transmission from other patients Respiratory or airborne routes, depending on the organism Contaminated fluids or environmental reservoirs A patient may be exposed to infection from their own flora, from another person, from a device, or from the care environment

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The open back is secured with a zipper closure