Chapter 11: Interactions between Humans and Microbes Flashcards
Infectious Disease
the disruption of a tissue or organism caused by microbes or their products
Do all contacts lead to colonization and then to infection and then to disease?
Not all contacts lead to colonization; Not all colonizations lead to infection and Not all infections lead to disease
Normal (Resident) Biota
microbes that live peacefully and symbiotically in the human body; include an array of bacteria, fungi, protozoa, viruses, and arthropods
Human Microbiome Project
will identify genetic sequences to determine which microbes are inside and on humans, even though they can’t be cultured in the laboratory; will determine what the normal biota play in human health and disease; uses metagenomics
These general parts of the body are microbe free:
Internal organs, tissue, and their fluids
Sites that harbor normal biota (8)
(1) Skin and its adjacent mucous membranes; (2) Respiratory tract; (3) GI Tract (various parts); (4) Outer opening of the urethra; (5) External genitalia; (6) Vagina; (7) External ear canal; (8) External eye
Factors that weaken host defenses and increase susceptibility to infection (4)
(1) Old age and extreme youth; (2) Genetic and acquired defects in immunity; (3) surgery and organ transplants; (4) Underlying disease
Why are normal biota unlikely to be displaced by other microbes?
(1) Limited number of attachment sites; (2) Chemical and physiological environment created by normal biota is hostile to others
Vaginally delivered baby has been colonized by these microbes (3)
streptococci, staphylococci, and lactobacilli
These bacteria colonize the large intestine of bottle-fed infants:
coliforms, lactobacilli, enteric streptococci, staphylococci
Bifidobacterium
Breast-fed infants receive this bacterium because it favors the growth factor in milk; metabolizes sugars into acids to protect the infant from intestinal pathogens
Which of the following body sites is not colonized by known normal biota?
A. skin and mucous membranes B. external genitalia C. gastrointestinal tract D. kidneys and bladder E. respiratory tract
D. Kidneys and bladder (internal organ)
Pathogenicity
an organism’s potential to cause infection or disease
A true pathogen is capable of…
causing disease in a healthy person with normal immune defenses
Opportunistic Pathogen
cause disease when the host’s defenses are compromised or when they become established in a part of the body that is not natural to them; Not pathogenic to a normal, healthy person
Examples of opportunistic pathogens (2)
Pseudomonas species; Candida albicans
Virulence
determined by its ability to establish itself in a host & cause damage (not the same as pathogenicity)
Virulence Factor
any characteristic or structure of the microbe contributes to its ability to establish itself in the host and cause damage
Portal of Entry
the route that a microbe takes to enter the tissues of the body to initiate an infection
Exogenous
microbe originating from a source outside the body from the environment or another person or animal
Endogenous
microbe already existing on or in the body – normal biota or a previously silent infection
Infectious agents that can enter through more than one portal of entry (3)
(1) Mycobacterium tuberculosis can enter through both the respiratory and gastrointestinal tracts; (2) Streptococcus and (3) Staphylococcus can enter through the skin, urogenital tract, and the respiratory tract
Infectious Dose (ID)
the minimum number of microbes necessary to cause an infection to proceed; smaller ID = higher virulence
ID for Rickettsia
single cell
ID for tuberculosis, giardiasis, and coccidioidomycosis
10 cells
ID for gonorrhea
1,000 cells
ID for typhoid fever
10,000 cells
ID for cholera
1,000,000,000 cells
Adhesion
process by which microbes gain a more stable foothold on host tissues; firm attachment is imperative for causing infection
Adhesion Mechanisms (4)
(1) fimbriae (pili), (2) surface proteins, (3) adhesive slimes or capsules, (4) specialized receptors
Phagocytes
cells that engulf and destroy host pathogens by means of enzymes and antimicrobial chemicals
Slime or Capsule
makes it difficult for the phagocyte to engulf the pathogen
Bacteria with slime or capsule (4)
(1) Streptococcus pneumoniae, (2) Salmonella typhi, (3) Neisseria meningitidis, and (4) Cryptococcus neoformans
Bacteria that can survive inside the phagocyte (3)
(1) Legionella, (2) Mycobacterium, and (3) many rickettsias
3 ways microorganisms cause damage to their hosts
(1) directly through the action of ENZYMES; (2) directly through the action of TOXINS; (3) indirectly by inducing the HOST’S DEFENSES to respond excessively or inappropriately
Exoenzyme
enzymes secreted by microbes that break down and inflict damage on tissues & dissolve the host’s defense barriers to promote the spread of disease to other tissues
Mucinase
exoenzyme that digests the protective coating on mucous membranes
Toxin
a specific chemical product of microbes, plants, and some animals that is poisonous to other organisms
Neurotoxins act on…
the nervous system
Enterotoxins act on…
the intestines
Hemotoxins…
lyse red blood cells
Nephrotoxins…
damage the kidneys