Chapter 14 Flashcards
etiology
establishing cause of disease
disease
disturbance in the state of health where the body cannot carry out all its normal functions
normal microbiota
microbes always present on or in the human body
ex. gut or skin
transient microbiota
microbes that may be present in or on host under certain conditions and for certain lengths of time at sites where resident microbiota are found
what is symbiosis
describes interactions that occur between different organisms that live close together
3 types of symbiosis
mutualism
commensalism
parasitism
mutualism
association where both partners benefit
commensalism
an association in which one partner benefits but the other remains unaffected
parasitism
one organism (parasite) benefits at the expense of the other organism (host)
parasite
organism that benefits at the expense of the host
host
any organism that harbors another organism
pathogen
anything that can produce disease
contrast normal and transient microbiota
disturbances of normal microbiota can allow transient microbiota into host
how is human colonized with their normal microbiota
when foreign microbial growth becomes normal microbiota
3 conditions that create opportunities for normal microflora to cause disease
- Failure of host normal defenses (immunocompromised)
- Introduction of the organisms into unusual body sites (location)
- Disturbances of the normal microflora (microbial antagonism)
Kock’s postulates
- Suspected pathogen must be present in every case of the disease
- Pathogen must be isolated and grown in pure culture
- Cultured pathogen must cause the disease when it is inoculated into a healthy, susceptible host
- Same pathogen must be reisolated from the disease experimental host
Exceptions to Koch’s postulates
- some pathogens cannot be cultures in the lab
- some disease are caused by combination of pathogen, or a combination of pathogen + physical, environmental or genetic factors
- ethical considerations (infect healthy person)
- no single cause established
- pathogens ignored
any change is normal body function
disease
infection
organism or pathogen establishes itself in the tissue and starts to reproduce or grow - increase in number
5 fundamental requirements for a pathogen to infect host
- contamination
- portal of entry
- adherence
- avoid detection by the host
- virulence factor
portals of entry
eye nose mouth mammary glands urethra vagina anus placenta broken skin ear
portals of exit
- secretions - eyes (tears), ears (wax), nose, mouth
- skin - flakes or blood
- blood - needles, bites, wounds
- vaginal secretions/semen
- excreted body waste - urine, feces, sweat
how microbes adhere to host cells
- fimbriae, flagella, glycocalyx
- attachment proteins - viruses and bacteria, ligands bind to receptor on host cell
strategy pathogens employ to avoid host defense systems
prevent phagocytosis or detection by WBC
capsules
- prevent phagocytosis
- increase virulence of pathogens
virulence
- ability to cause disease
- degree of pathogenicity
exoenzyme produced by bacteria that destroy WBC (neutrophils and macrophages)
leukocidins
Exoenzyme that lyse (rupture) RBC
hemolysis