Chapter 9 Flashcards
What does bacterial Pathogenesis depend on? (3 points)
Host immune status
Nature/ Virulence of species/strain
Organisms number in the initial exposure
What are the 4 bacterial classifications?
Saprophytic
Non-pathogenic
Opportunistic
Pathogenic
Where is Saprophytic present in?
Nature
Where can Saprophytic be found in?
3 points
Air
Water
Soil
Describe Non-pathogenic bacteria
Harmless
What are the 2 Non-pathogenic bacteria?
Normal flora
Commensals
Where do Non-pathogenic bacteria live in?
Humans
Where can Non-pathogenic bacteria be found in humans?
Skin
Gut (GIT)
What are the 3 non-pathogenic bacteria which are found on the Skin?
Staphylococcus aureus
S. epidermidis
Propioni-bacterium acnes
What are the 2 non-pathogenic bacteria which are found in the Gut (GIT)?
Bacteroides
Enterobacteriaceae
Where can Opportunistic bacteria be found in?
Immuno-compromised patients
What does the opportunistic bacteria exploit in an immuno-compromised patient?
Weakened defenses
What can the opportunistic bacteria cause?
Infectious diseases
Give an example of an opportunistic bacteria that causes infectious
diseases
Normal flora
When does Normal flora cause infectious diseases?
When it enters bloodstream
When would it enter the bloodstream?
After surgery
What does Pathogenic bacteria cause?
Disease
Where can Pathogenic bacteria cause disease in?
Humans
What does the outcome of an infection depend on? (2 points)
Pathogen’s virulence
Effectiveness of host defense mechanisms.
Define Superinfection
The occurrence of a new infection after a pre-existing infection
What can Superinfection complicate?
Antimicrobial therapy course
When can Superinfection complicate Antimicrobial therapy course?
When the organism causing the new infection is resistant to the drugs being used to treat the first infection.
Give an example where Superinfection can occur
Viral respiratory disease
From where are most bacterial infections obtained?
External sources
What are the 6 stages of bacterial pathogenesis?
Transmission Escape Colonization Disease symptoms Responses Disease progression/resolution
Between what are bacteria transmitted?
External source to entry portal
What are the 6 modes of bacterial transmission?
Inhalation Contact Ingestion Injection Trans-placental Sexual contact.
What does bacteria escape from?
Host defense mechanisms
Define Colonization
Bacterial growth at entry site
What causes the symptoms of the disease?
Toxins production
Invasion
Inflammation
From where does a response come from?
Host
What does the host response triggers?
Immune response
What are the 2 determinants of bacterial pathogenesis?
Pathogenicity
Virulence
Define Pathogenicity
Host organism ability of disease production
Define Virulence
Microbe pathogenicity degree
What are the 2 ways in which Virulent bacteria produce disease in humans?
Microbe adherence
Invasion and intercellular survival
What does the microbe adhere to?
Cell surfaces
What are the two factors that are involved in microbe adherence to cell surfaces?
Receptor
Adhesion
Where is the receptor found on?
Tissue cell
Where is the adhesion found on?
Bacteria
Define tissue tropism
Receptor and adhesion interaction
Describe the interaction of the Receptor and the Adhesion? (2 points)
Complementary
Specific
Give an example of by how does a microbe adhere to cell surfaces
Fimbriae (pili)
What does the microbe do to facilitate its invasion? (2 points)
Produce extracellular substances
Inhibit phagocytic engulfment/adsorption
What are these extracellular substances produced?
Enzymes
What are the enzymes produced by the microbe? (11 points)
Hyaluronidase Collagenase Neuraminidase Streptokinase Staphylokinase 3 enzymes that cause hemolysis/leucolysis Protease Deoxyribonuclease Coagulase
Describe Hyaluronidase
The original spreading factor
What does Hyaluronidase break down?
Hyaluronic acid
Where is Hyaluronic acid present in?
Connective Tissue
Which bacteria produces Hyaluronidase?
Streptococci