Bacterial Pathogenesis Flashcards

1
Q

what are the key clinical themes of microbiology

A

detection
treatment
prevention

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2
Q

what is a pathogen

A

an organism capable of causing disease

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3
Q

what is a commensal

A

an organism that is part of the normal flora

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4
Q

what is pathogenecity

A

the ability to cause disease

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5
Q

what is virulence

A

the ability to cause severe disease

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6
Q

what is the life cycle of a pathogen

A

enter
attach
colonise
evade host immunity
produce harmful proteins
disseminate
release from host

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7
Q

what are microorganisms

A

agents of infectious diseases that are ubiquitous in nature and in the body
most are harmless
while some are confined to one host, most microbes can live in a wide array of hosts.
plant microbes are harmless to humans

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8
Q

what are microorganisms divided into

A

bacteria
fungi
viruses
prions
parasites

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9
Q

are parasites relevant in dentistry

A

not really

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10
Q

what is microbiology

A

the study of microscopic organisms.

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11
Q

what are the subdisciplines of microbiology

A

virology
mycology
parasitology
bacteriology

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11
Q

describe the pathogenesis of infection

A

when there is colonisation, a balance can develop between colonised microbes and humans to lead to so called normal flora
if the microbe causes a disease it is called an infection

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12
Q

what is colonisation

A

this is when a microbe finds a host and starts to multiply

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13
Q

what is an endogenous infection

A

this is an infection caused by a microbe that is from the patients own flora

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14
Q

what is an exogenous infection

A

this is when the source of the infection is from flora outside of the patients body

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15
Q

what actually is pathogenesis

A

this is when microbes find a host and invade cells

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16
Q

does normal flora cause damage

A

no, not unless the balance is thrown in favour of the microbe

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17
Q

what are primary pathogens

A

microbes that always cause disease in a new susceptible human

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18
Q

what are opportunistic pathogens

A

microbes that only cause disease in immunocompromised patients

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19
Q

what is carrier state

A

the continued presence of an organism in the body that does not cause symptoms, but is able to be transmitted to infect other people

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20
Q

does colonisation mean there is disease

A

no there is no disease causing in colonisation

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21
Q

what is normal flora

A

the presence of bacteria normally found at specific body sites

22
Q

what is infection

A

invasion and multiplication of microorganisms in body tissues especially that causing local cellular injury due to competitive metabolism, toxins, intracellular replication or antigen antibody response

23
Q

what is koch’s postulates

A

the germ theory of disease that argues the microbe must be present in every case of the disease
the microbe must be isolated from the disease host and grown in pure culture
the disease must be reproduced when a pure culture is introduced into a susceptible host
the microbe must be recovered from an experimentally infected host

24
how can microbes spread from person to persn
contaminated blood or other bodily fluids touch saliva air
25
how can microbes spread from the environment to the person
fomites insects water food
26
explain why UTI colonisation is easy
the vagina and the anus are close
27
who is most commonly affected by UTIs
females under 10 and 20-40 years olds
28
what do UTIs colonise from
faeces or perineal regions
29
what is the main defence against urinary tract infections
flushing action of urine
30
where do the bacteria of UTIs bind to
bladder mucosal cells
31
what are the functions of capsules around bacteria
- mediate adhesion - immune evasion - protection from dessication - reserves of carbohydrate - encapsulated bacteria give rise to smooth colonies - capsule material gives rise to capsular antigens
32
what is the function of the outer membrane of the gram negative bacteria
act as a permeability barrier prevents pentrtion of the bacteria by bile salts and other toxic molecules from the gastrointestinal tract barrier to lysozyme and many antimicrobial agents impedes destruction of the abcterial cells by serum components
33
where are endotoxins found
outer face of the outer membrane of gram negative bacteria
34
what are endotoxins
lipopolysaccharides
35
describe lipopolysaccharides
lipid A - membrane anchoring region of LPS R polysaccharide or antigen - indicator in assays for LPS O antigen or O polysaccharide - provides virulence
36
what do bacterial cells release when they die
lipopolysaccharides
37
describe LPS release from cells
- lysis of gram neg bacteria releases LPS - LPS bind to LPS binding protein in the blood - this complex binds to receptor on the surface of macrophages - macrophage triggered to release cytokines - cytokines bind to cytokine receptors on target cells and intitiate inflammation
38
which exotoxins have an extracellular action on connective tissue
collagenases hyaluronidases proteases
39
which exotoxins act on or within membranes, but probably do not enter the cells
stable toxins of enterogenic e. coli
40
which exotoxins traverse host cell membrane and kill cells
cytotoxin diptheria toxin
41
which exotoxins traverse host cell membranes and deregulate cell functions
cholera toxin
42
which exotoxins are pore forming, thiol activated cytolitic
s. alpha, gamma and theta toxins
43
which exotoxins damage membranes
phospholipases and surfactant
44
which exotoxins are superantigens
staphylococcal toxic shock syndrome toxin
45
do lipopolysaccharides have a high potency
no
46
describe the contribution to virulence of pili and other colonisation factors
adhesion antiphagocytic
47
describe the contribution to virulence of capsules and slime
adhesion protection against phagocytosis camouflage from the immune system
48
describe the contribution to virulence of peptidoglycan
immunomodulation induction of inflammatory mediators
49
describe the contribution to virulence of lipopolysaccharides
protection against complement induction of inflammatory cytokines endotoxin shock
50
describe the contribution to virulence of teichoic acid
adhesion sequestration of divalent cations induction of inflammatory mediators
51
describe the contribution to virulence of flagella and axial filaments
chemotaxis penetration of mucous
52
describe the contribution to virulence of outer membrane proteins
adhesion sequestration of iron invasion intracellular survival
53
describe the contribution to virulence of surface proteins
adhesion binding Fc region of immunoglobulins