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Micro Infection
Micro106 - Infection & disease
Question | Answer |
---|---|
What is microbiota? | Microbiota are microbes that naturally associate with the body without causing disease |
What is indigenous microbiota? | Bacteria that establish a permanent relationship with host, E. coli found in the large intestine. |
What is transient microbiota? | Bacteria that are found only for limited periods of time, staph or strep on the skin or respiratory tract |
What is symbiosis? | Symbiosis is the relationship between microorganisms and the human body – living together. |
What is mutualism? | In mutualism, both the host and the microbe benefit, bacterial synthesis of vitamins or pH regulation of organs or tissues. |
What is commensalism? | In commensalism, the microbe benefits and the host is unaffected, flora living on the skin. |
What is parasitism? | In parasitism, the microbe benefits at the expense of the host. A pathogenic infection results in disease. Infection does not always lead to noticeable adverse effects. |
What is pathogenicity? | Pathogenicity refers to a microbe’s ability to enter a host and cause disease. |
What are pathogens? | Pathogens are microorganisms that can cause disease in otherwise healthy people. |
What are opportunistic pathogens? | Opportunistic pathogens are microbes that cause disease when the body’s defenses are down. |
What is virulence? | Virulence is a qualitative term referring to a pathogen’s disease causing ability. |
What is an exogenous infection? | Exogenous infection occurs if a pathogen breaches the host’s external defenses and enters sterile tissue. |
What is an endogenous infection? | Endogenous infection occurs if normal microbiota enter sterile tissue. When microbes take advantage of a change in the body’s environment. |
Primary infection | Occurs in otherwise healthy bodies |
Secondary infection | Occurs in a body weakened by a primary infection |
Local diseases | Restricted to a single area – a staph skin boil |
Systemic diseases | Disseminate to organs & systems – infections that spread to bones, meninges, or heart tissue |
Bacteremia | The dissemination of living bacteria through the bloodstream |
Septicemia | Multiplication of bacteria in the bloodstream |
Signs | Evidence of disease detected – fever, bacteria found |
Symptoms | Change in body function sensed by patient |
Syndrome | Collection of signs & symptoms – aids |
Acute diseases | Develop rapidly, cause severe symptoms and fade quickly |
Chronic diseases | Linger for long periods of time and are slower to develop and recede |
Incubation period | The time between entry of the microbe & symptom appearance – depends on different factors |
Prodromal phase | Time of mild signs & symptoms |
Acme period | When signs & symptoms climax |
Period of decline | Signs & symptoms begin to subside |
Convalescence | Body systems return to normal |
Foodborne intoxication | Production of toxins that are ingested |
Colonization/toxin production | Microbe multiplies to high numbers on host surface then produces toxin that interferes with cell function |
Invasion of host tissues | Microbes penetrate barriers & multiply in tissues, generally have mechanism to avoid destruction by macrophages |
Invasion/toxin production | Penetration of host barriers with addition of toxin production |
Adhesion | Adhesions allow pathogens to adhere to appropriate tissue, associated with capsules, flagella & pili |
Infectious dose | The number of microbes entering the body |
Portal of entry | The route an exogenous pathogen uses to enter the body, abrasion or injury to the skin |
Invasiveness | The ability of a pathogen to penetrate tissues & spread |
Phagocytosis | Engulfing pathogens into the cell cytoplasm in vacuoles, vacuoles are then fused with lysosomes to destroy the pathogen – production of an actin tail propel microbes from cell to cell |
Coagulase | Virulent staphylococci produce coagulase which forms a blood clot from fibrinogen proteins in blood that protects them from phagocytosis |
Streptokinase | Streptococci produce streptokinase it dissolves fibrin clots used by the body to restrict infection and allows dissemination of the bacteria |
Hyaluronidase | Hyaluronidase enhances pathogen penetration through tissue, digest hyaluronic acid a polysaccharide that binds cells together |
Leukocidins | Disintegrate white blood cells |
Hemolysins | Dissolve red blood cells, lysis of RBCs gives the pathogens iron in hemoglobin |
Exotoxins | Most potent toxins – produced by gram negative & gram positive bacteria and secreted into host tissues |
Neurotoxins | Act on the nervous system – paralysis |
Enterotoxins | Act on the gastrointestinal tract – vomiting & diarrhea |
Antitoxins | Antibodies produced by the host body to neutralize toxins |
Toxoids | Toxins whose toxicity has been destroyed but still elicit an immune response |
Toxemia | Toxins present in the blood |
Endotoxin | Not a protein – a component of the lipopolysaccharide of the gram-negative cell wall unique to gram negative pathogens |
Lipid A – endotoxin | The portion of the endotoxin responsible for the toxic properties |
How are endotoxins released? | Endotoxins are released upon disintegration of gram-negative cells – endotoxin shock or septic shock may occur with antibiotic treatment of diseases caused by gram-negative bacilli |
Portals of exit | Microbes in the intestinal tract are shed in feces. Microbes in the respiratory tract are expelled by droplets |
Communicable diseases | Infectious diseases transmitted from one person to another |
Noncommunicable diseases | Not easily transmitted, but acquired directly from the environment – tetanus |
Mechanical vectors | Arthropods carrying microbes on their body – flies |
Biological vector | When pathogens must reproduce in the insect – mosquitoes |
Vehicle transmission | Pathogen spread through food or water |
Reservoirs | Ecological niches where microbes live & reproduce, animals, water, soil – humans are the only reservoir for small pox |
Carriers | Someone who has recovered from disease but continues to shed the disease agents |
Endemic disease | Constantly present at a low level in a certain geographic area – plague in the American south west |
Epidemic disease | Occurs in a region in excess of what is normally found |
Outbreak | A contained epidemic |
Pandemic | Worldwide epidemic |
Nosocomial infection | Hospital acquired infections |