Activities of Pathogens Flashcards

1
Q

What are microbes?

A

Microbes are tiny organisms (need a microscope to be seen). Many are healthy and are essential for live on earth (eg microbes in soil, the commensal bacteria in our gut) however many are disease causing.

The disease causing microbes include bacteria, viruses, prions, fungi and parasites.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the difference between a bacteria and a virus? (and also a bacterial infection and a viral infection)

A

Bacteria are much bigger with a rigid cell wall and cytoplasm etc and can survive on their own and thrive in many environments.

Viruses are much tinier than bacteria and they rely on invading the cells and taking over the machinary in order to reproduce. They just consist of a protein coat that encloses the genetic material (DNA or RNA).

Only a small percentage of bacteria is disease causing whereas most viruses are disease causing.

The treatment of bacterial infections is relatively simple with antibiotics however these are becoming harder to treat due to antibiotic resistance.

Viruses cannot be treated with an antibiotic and instead require an antiviral drug.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the two ways in which viruses can cause symptoms can disease?

A
  1. Direct damage to the host cell during its replication (cytopathic). eg cause the cell to lyse
  2. Alarming of the immune system can result in the immune system attacking the virus infected cells and cause necrotic tissue/ other tissue damage by cytokine release
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does a humans skin flora do?

A

Prevent foreign bacteria invasion into the body - mostly by competition. eg Staph Epidermidis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the bodies flora?

A

The bacteria that is normally found on the human body (in gut, mucosal surfaces, skin) etc that does not cause disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is colonisation?

A

Where a bacteria or microbe invades the body and makes it its new home but it dosent cause an immune response in the host and dosent cause any symptoms.
This colonisation may however cause disease later on.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a pathogen?

A

A disease causing microbe.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the difference between infection and colonisation?

A

Infection is where a microbe invades and causes an immune response. Note infections do not have to result in disease if the infection is cleared by the immune system.

Colonisation is where a microbe invades and does not cause an immune response.

Note: Staph aureus can cause both colonisation (primarily in the nose) and infection (noticeable in the skin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the difference between a clinical infection and subclinical infection?

A

A clinical infection is where the host has signs and symptoms of the disease whereas a subclincal infection is where the host has no symptoms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is an endogenous infectious disease compared to an exogenous infectious disease?

A

Endogenous = an infectious disease arising from inside the body eg colonising gut flora or other bacteris. example would be urinary tract infection.

Exogenous = an infectious disease arising from outside the body eg flu - the microbe comes from the environment/other person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is zoonosis?

A

An infectious disease transmitted from an animal host.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the difference between a primary pathogen, a principle pathogen and an opportunistic pathogen?

A

Primary = always causes disease

Principle = most often/usually causes disease in otherwise well people

Opportunistic = only causes disease in people whose immune defenses are down. eg already sick people or young or old people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Infections can occur in the community or the healthcare setting. How can we reduce the spread of healthcare associated infections?

A

WASH HANDS.

Otherwise wear gloves, decontaminate spills, dispose of needles appropriately, wear face masks where appropriate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is an arbovirus?

A

An infection spread by an insect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How can serology be used to diagnose a viral infection?

A

Serology is the study of the antibodies in the blood serum.

If there are antibodies against a pathogen it can often be used for diagnosis but for things like influenza where we already have antibodies against it we may need to monitor the level of antibodies after a 2 or 3 week period.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are virulence factors? and list the four virulence factors of bacteria that determine their infectiousnous

A

Factors that allow a pathogen to cause disease.

The virulence of commensal bacteria is very low and as these factors increase in bacteria their potential to cause infection also increases.

  1. Adherence - need to bind to host cells

2/3. Invasion and immune evasion - need to invade through the lining of the host tissue and avoid being recognised by the immune system

  1. Toxins - bacteria often release proteins that harm the tissue
17
Q

Describe what happens in the appendicitis.

A

If the appendix is obstructed then bacteria may get trapped in there.

This bacteria will compete with the commensal bacteria but if there are not enough resources the bacteria will commit suicide or start attacking the appendix lining cells.

The damaged cells release inflammatory signals (cytokines) which trigger inflammation. Inflammation results in lots of immune cells migrating to the appendix and lots of necrotic cells. This results in pain.

Initially because the appendix is in the midgut and is supplied by the superior mesenteric nerve plexus (lesser sphlachnic nerves) the pain is felt around the umbilical region. After approx 12 hours the appendix will be so inflammed that it will be pushing on the parietal peritoneum. This will result in a localised pain in the right upper iliac fossa/groin region.

If this is left untreated the appendix may be enclosed by omentum/fat and if its lyses it can cause peritonisi and sepsis (leakage of toxins into the blood) and then death.

It must be operated on. Antibiotics prior to surgery will help reduce the risk of surgical wound infection but wont help the appendix.

18
Q

Describe what happens in rheumatic fever.

A

Strep pyogenes colonises 40% of childrens pharynx. RARELY some children may then develop rheumatic fever from this. Rheumatic fever causes fever, painful joints, heart damage and chorea (a swaying motion of the body) and interesting rash.

This occurs when the S pyogenes damages cells in the pharynx resulting in inflammation and the production of antibodies.

These antibodies can sometimes mistake the anitgens found on other cells in the body as the bacterial antigens eg CT (joints and muscle in the heart.

This is what is responsible for the painful inflammed joints and inflammed and damaged CT of the heart.

19
Q

If you took an aspirate of the knee of someone with rheumatic fever, would you be able to grow/culture the S pyogenes bacteria?

A

No! it is the antibodies produced by the body that are causing this damage/symptom.