Ch.14: INFECTION Flashcards
the presence, multiplication and subsequent injury within a host by another living organism
infection
the act of establishing a presence
colonization
the presence of sustaining injury or pathologic damage in response to an infection. Severity can range from mild to life threatening depending on variables
infectious disease
small, modified infectious host proteins, cause normal proteins to change shape and make new prions, clump together, cause degenerate of the nervous systems. no hereditary (mad-cow)
prions
smallest of the pathogen, they have no organized cellular structure, do have proteins coat (nucleic acid), no metabolic enzyme, insert their genome into a host cell’s DNA. rely on host cell
viruses
have no membrane bound organelles. live independently, use host for food/home. produce toxins and exotoxin
bacteria
have no cell wall can cause pneumonia
mycoplasma
must live inside a cell to metabolize, rocky mounted spike fever
rikettsia
use live inside a cell to meatabolize (sexually transmitted)
chlamydia
most require a decrease human body temperature/body surface (ringworm)
fungi
parasite- west nile virus/malaria
protozoa
roundworm/tapeworm
helminths
Infection risk, influencing factors include:
type of pathogen (who what what when )
Portal of Entry: (Transmission in direct proportion to pathogen quantity
Penetration, direct contact, ingestion, inhalation)
Immune competence
Bacterial Growth:
humidify biofilm oxygenation adaptability growth parameters (environment)
LPS-dependent: in low levels beneficial (T- lymph activate), in high levels harmful (septic shock, DIC, ARDS)
Gram-negative bacteria
endotoxins
Inactivate or modify vital cell elements, cause cell death or dysfunction (diphtheria, botulism tetanus, cholera)
exotoxins
Chain of infection:
reservoir portal of entry portal of exit means of transmission susceptible host
Horizontal – sexual intercourse
Vertical - congenital
direct transmission
Ingestion – PO, GI
Inhalation - lungs
indirect transmission
Routes of Entry & Defense Mechanisms:
Skin and Mucosa
provide physical & multilayer barrier
Routes of Entry & Defense Mechanisms:
Oral cavity and GI tract
pH levels, and enzyme activity of gastric secretions, peristaltic action of intestines, normal bacteria flora, saliva
Routes of Entry & Defense Mechanisms:
Respiratory tract
nasal hair, cilia, humidification, cough mechanism, secretions, and phagocytes
Stages of infectious Disease
incubation prodromal acute convalescent resolution
the phase where the pathogen begins active replication. does not produce recognize symptoms within the host, length varies
incubation