Exam 3: Infection and Epidemiology Part 1 Flashcards

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1
Q

Define Synergism and give an example.

A

Relationship between two or more FREE-living organisms. Beneficial to both members but not necessary for survival.

    Example; Aerobic bacteria using up O2 and producing waste. Anaerobic bacteria benefit from the reduced oxygen concentration and consume the waste. 

Intestinal bacteria in the human colon. Bacteria receive food and hospitable habitat. Humans receive nutrients released by bacteria. Both benefit but each could survive without the other.
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2
Q

Antagonism

A

Association between FREE-living species arising from competition. One organism secretes a substance that inhibits or kills another.

Example; Vaginal flora. Lactobacillus (lactic acid bacterium) in the vagina produces lactic acid which inhibits the growth of the yeast Candida albicans.

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3
Q

What is mutualism? Give at least two specific examples of mutualism.

A

Symbiotic relationship in which both organisms benefit.

  Example; relationship between eukaryotic cells and their mitochondria. Mitochondria gets food and a hospitable environment while eukaryotic hosts get ATP released by mitochondria. 

Microbes in the termite gut. Microbes (protozoa and bacteria) get a hospitable environment and free food (wood pulp). Termites receive nutrients following the enzymatic hydrolysis of the wood pup.
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4
Q

What is parasitism? Give at least two specific examples of parasitism.

A

Symbiotic relationship when one benefits (parasite) and one is harmed (host). Parasite causing disease is termed a pathogen.

Example; Treponema pallidum causes syphilis in humans and fleas that feed on blood of hosts and carry disease.
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5
Q

What is commensalism? Give at least one specific example of commensalism.

A

Symbiotic relationship where one benefits and the other is not significantly affected.

Example; satellite colonies. Central bacterial colony is resistant to ampicillin. Satellite colonies grow in a localized environment devoid of ampicillin due to degradation by the central colony.  Satellite colonies benefit and the central colonies are not affected.
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6
Q

Are all hosts equally affected by a given pathogen? Will all hosts exhibit identical reproductive success? Explain.

A

No, some hosts are less affected by a given pathogen than others. Those that are less affected are more likely to survive and thus have an increased reproductive success.

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7
Q

Are all individuals in a pathogen population equally pathogenic? Will variations in pathogenicity within a population affect the reproductive success of individual pathogens? Will the population evolve in predictable ways? Explain.

A

No, some are more pathogenic. Parasites that allow their hosts to survive are more likely to spread. As a result over time parasite populations become less pathogenic.

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8
Q

Are all individuals in a host population equally sensitive to a given pathogen? Will variations in this sensitivity affect their reproductive success? Will the population change in a predictable way over time? Explain.

A

No, some hosts are better able to fight off pathogens than others. The hosts who are less sensitive to pathogens are more likely to survive and pass their genetics on to the next generation. Over time the population will change to have decreased sensitivity to the given pathogen.

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9
Q

Describe the phenomenon of balanced pathogenicity, and the mechanism by which it occurs.

A

Parasites that allow their hosts to survive are more likely to spread resulting in parasites becoming less pathogenic. Hosts are able to tolerate a parasite and are more likely to reproduce thus host populations become more resistant.

Overall the result is a movement towards commensalism or mutualism.
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10
Q

Ancestors of mitochondria were almost certainly parasitic. Is this the case today? How and why did this change?

A

No, now the relationship between mitochondria and eukaryotic cells where they reside is symbiotic. Over time the parasite becomes less pathogenic and the host becomes more resistant until a symbiotic relationship occurs.

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11
Q

How prevalent are microorganisms in and on the human body? Are they equally distributed throughout the human body? Explain.

A

Trillions of microorganisms present on and within the human body. Not equally distributed throughout the body some parts are free of microbes while others are plentiful.

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12
Q

Axenic

A

Portions of the body that are free of microbes.

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13
Q

What are normal flora? What are other terms for normal flora?

A

Microorganisms colonizing the human body surfaces without normally causing disease. Also called microbiome, normal microbiota, and indigenous flora.

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14
Q

Resident microbiota

A

Type of normal flora that constitutes the body microbiome early in life and remains part of the body throughout life. Most are commensal, feeding on dead cells and waste w/o causing harm.

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15
Q

Transient microbiota

A

Remain in the body for short periods of time before disappearing. Hours, days, or months. Found in the same locations as resident microbiota.

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16
Q

Why do transient microbiota fail to persist?

A

Competition with other microbes, elimination by body defenses, and dislodged by chemical and physical changes in the body.

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17
Q

How and when do resident microbiota initially colonize and become established in an individual?

A

Early in life during birth starting with the rupture of the amniotic sac and passage to the vaginal canal. First breath, first mean, and skin contact all transfer these microbes to the infant’s body.

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18
Q

In what ways are normal microbiota beneficial to humans? Explain.

A

Protection against pathogens: covering binding sites usable by pathogens, consuming available nutrients, producing compounds toxic to other microbes.

Stimulate the adaptive immune system: antibodies produced against normal biota often also bind to pathogen services.
 
Oral tolerance by the immune system: Reduced response to microorganisms and food in the digestive system. Microbes in food are killed off by stomach acid but some make it further down the digestive tract. Down the line there are beneficial microbes so constant encounters with these normal microbes will help build a tolerance so we don't attack the good microbes we want.
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19
Q

Explain how normal microbiota protect humans against pathogens.

A

Covering binding sites usable by pathogens (so bad ones cannot attach), consuming available nutrients (no nutrients left for other pathogens), producing compounds toxic to other microbes (e.g weak organic acids).

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20
Q

Under what conditions might a member of one’s normal microbiota become an opportunistic pathogen?

A

Introduction of normal microbiota into an unusual site: E.coli is a mutualistic intestinal bacterium, but can produce disease (UTI’s) when introduced into the urethra or in the eye (pink eye).

Immune suppression: can be suppressed by disease, malnutrition, stress, age, cancer therapy, immunosuppressive drugs. Immune system normally keeps normal microbiota in check so they don't get out of hand, but if it's preoccupied normal things can grow excessively. AIDs patients often die from opportunistic pathogens. 

Changes in normal microbiota: Some formal microbiota naturally keep other microbes in check. Antibiotics use can kill vaginal bacteria flora, leading to reduced competition and increased Candida albicans growth, causing yeast infections.
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21
Q

What are the three reservoirs of infection?

A

Animal Reservoirs
Human Carriers
Nonliving Reservoirs

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21
Q

Reservoir of infection

A

Any person, animal, plant, soil or substance in which an infectious agent normally lives and multiplies. The reservoir typically harbors the infectious agent without injury to itself and serves as a source from which other individuals can be infected

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22
Q

Animal Reservoirs

A

Many pathogens of non-humans can also infect humans. The greater the physiological similarities the greater the likelihood the pathogens can affect human health.

Humans can be infected via many routes, direct contact, eating animals and their waste, blood-sucking arthropods. 

Difficult to eradicate because extensive animal reservoirs are often involved.
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23
Q

Why are humans generally dead-end zoonotic pathogens?

A

Movement from other animals to humans is favored. Movement from humans to other animals is not favored. Those transmitted via bloodsucking arthropods are the most likely to be transmitted back to non-human animal hosts.

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24
Q

Human Reservoirs

A

Humans with active disease both symptomatic and asymptomatic carriers can be infective. “Typhoid Mary” is a great example. Often infective prior to or following symptoms. Some infected people remain asymptomatic and infectious for years. Kids with chickenpox are infectious prior to symptoms. People with HIV can be asymptomatic but infectious for years.

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25
Q

Nonliving Reservoirs

A

Pathogens can reside in soil, water, and food. Especially if fecally-contaminated (human or animal). E.g Clostridium in soil.

26
Q

What are zoonoses? Give at least two specific examples and describe their means of transmission.

A

Diseases spreading naturally from animal hosts to humans. Malaria, mosquitoes to humans, rabies, animals to humans.

27
Q

When you step on a rusty nail, there is concern that you may have become infected by Clostridium tetani. Where else might you encounter this bacterium?

A

Soil

28
Q

When a microbial contaminant enters the human body, does this automatically constitute an infection? Explain.

A

No, some microbial contaminants become part of the residential microbiota or transient microbiota. Tend to stick where they first come in contact with the body. However some pathogens overcome the body’s external defenses to become established in the body, this is termed an infection but may or may not result in a disease.

29
Q

What are the key portals through which microorganisms typically enter the human body?

A

Skin, mucous membranes, and placenta.

30
Q

Define mucous membranes and their role as a infection portal.

A

Lining all body cavities open to the outside world. Composed of a thin layer of tightly packed cells, moist, thin, and warm.

Respiratory tract is the most frequently used portal of pathogen entry via mouth and mouth. But also the eyes, though eyes washed into the nasal cavity with tears.

Some parasitic protozoa, helminths, bacteria and viruses infect through the gastrointestinal mucus membranes. Have the ability to survive the acidic pH of the stomach and digestive juices of the intestinal tract.

31
Q

What is the major portal for prions?

A

Mucous membranes, specifically oral membranes.

32
Q

Placenta as a portal for microorganisms.

A

Prevents the passage of most microorganisms. In about 2% of pregnancies pathogens pass through potentially causing serious consequences.

33
Q

What features of skin help exclude potential pathogens from the human body?

A

Dead epidermis outer layer is composed of tightly packed, dead, dry cells that acts as an armor protecting the dermis (living tissue).

34
Q

Can pathogens enter the body through undamaged skin?

A

Most pathogens cannot enter the body through undamaged skin but some can. e.g Guinea worm can along with some other parasitic worms and fungi.

35
Q

Compare the structure of skin to the structure of mucous membranes. Which is a more effective barrier to the entry of potential pathogens?

A

The skin is a more effective barrier to potential pathogens. The mucous membranes are thin, moist, and warm which is more hospitable to pathogens than skin.

36
Q

What is the parenteral route of infection?

A

Means by which the portals of entry can be circumvented and pathogens deposited directly into tissues beneath the skin or mucous membrane. e.g. punctures by thorns or nails.

37
Q

List the five stages of disease following exposure and infection, describing each of these stages.

A
  1. Incubation period: time between infection and first signs/symptoms. Some diseases have typical incubation periods while others have considerably variable periods.
  2. Prodromal period: short period of generalized mild symptoms e.g. muscle aches, general discomfort. Precedes illness. Not all infectious diseases have this phase.
  3. Illness: Signs and symptoms peak, most severe stage. Immune system has not yet fully responded. Pathogens are harming the body.
  4. Decline: Immune response and medical treatment defeat the pathogen, but pathogen may not be entirely removed (e.g. chickenpox). The body gradually returns to normal as signs/symptoms subside. Failure to reach this stage is fatal.
  5. Convalescence: Patients recover from the illness. Tissues repaired and returned to normal. Length of period varies. Staphylococcal food poisoning recovery < 1 day while lyme disease can take years.
38
Q

What variables affect incubation period length?

A

Virulence of pathogen
Infectious dose
Health of host
Nature of pathogen
Site of infection

39
Q

What variables affect convalescence length?

A

Amount of damage
Nature of pathogen
Infection site
Patient health

40
Q

When are patients most infectious?

A

Patients are typically infectious during all stages. Infection is often spread during incubation and convalescence. Not when the patient is most infectious however the patient is generally asymptomatic so more likely to unknowingly spread disease.

41
Q

List the various portals through which pathogens exit the human body and compare them to the portals of entry you described earlier.

A

Ear- earwax
Eyes- tears
Broken skin-blood
Mouth- saliva
Urethra- urine
Anus-feces

42
Q

What are the three general mechanisms by which a pathogen is transmitted to a host’s portal of entry?

A

Contact transmission: from one host to another by direct contact, indirect contact, and respiratory contacts.

Vehicle transmission: airborne, waterborne, foodborne, and bodily fluid. 

Vector transmission: biological or mechanical, something that facilitates the transition of pathogens from one host to another.
43
Q

Direct contact pathogen transmission

A

Includes person to person and zoonotic. Typically involves body contact between hosts but can involve transmission within a single host. E.g transfer of fecal pathogens to other portal of entry such as urethra or mouth.

44
Q

Indirect contact pathogen transmission

A

involves the spread from one host to another through inanimate objects termed fomites. e.g needles, toothbrushes, money, drinking glasses.

45
Q

Respiratory droplet pathogen transmission

A

exit the body via breathing, coughing, and sneezing. Typically limited to about 1-1.5 meters. Droplets deposited on items can result in fomite transmission. Airborne diseases can transmit pathogens over greater distances.

46
Q

Fomite

A

Inanimate object that acts as a surface for pathogens to transfer by.

47
Q

Compare pathogen transmission through respiratory droplets to airborne transmission. How are they the same and how are they different?

A

Airborne transmission is able to travel further than respiratory droplets. Are similar in that they both can be expelled from the mouth.

48
Q

Describe how mask can reduce droplet, fomite, and aerosol transmission.

A

Masks prevent respiratory droplets from spreading out of the mouth of the individual wearing it. Masks also prevent the wearer from inhaling respiratory droplets from others around them. Masks are very effective in preventing fomite. The effectiveness of masks against aerosol transmission greatly depends on the quality of masks being worn.

49
Q

Airborne Transmission

A

Spread of pathogens via an aerosol. Smaller than droplets and solid particles suspended in air. Spread beyond one meter to respiratory mucus membranes. Pathogens may be on dust or inside droplets. Generated by sneezing, coughing, air condition systems, sweeping etc. Some pathogens can be transmitted on dust while others need an airobion droplet.

50
Q

Waterborne Transmission

A

Acts as both a reservoir and a chemical of infection. Important in the spread of many gastrointestinal diseases e.g giardia dysentery, cholera. fecal-oral infection is a major part of waterborne diseases.

51
Q

Foodborne Transmission

A

Pathogens transmitted in or on contaminated foods. Normal microbiota, zoonotic pathogens, etc. Result of inadequate processing, undercooking, improper refrigeration . Fecal-oral infection through contaminated food, transfer through unpasteurized milk.

52
Q

Bodily Fluid Transmission

A

Transfer of pathogens via various body fluids via direct or indirect contact. Applies to both humans and animals.

53
Q

With what modes of vehicle transmission is fecal-oral infection important?

A

waterborne transmission

54
Q

List at least four different body fluids capable of transmitting pathogens.

A

Blood, urine, saliva, semon.

55
Q

Describe and compare biological vectors and mechanical vectors, and their relevance to the transmission of pathogens.

A

Biological vectors serve as hosts during some stage of the pathogen’s life, it lives within the host’s body, commonly biting arthropods. Mechanical vectors are not required as hosts by the transmitted pathogens, the pathogens are only passively carried to the new hosts. e.g houseflies, rodents, cockroaches.

56
Q

List at least three important groups of biological vectors.

A

Mosquitoes, ticks, fleas, lice.

57
Q

List at least three important examples of mechanical vectors.

A

Houseflies, rodents, cockroaches.

58
Q

Microbiome

A

Microorganisms colonizing the body surface without normally causing diseases.

59
Q

Opportunistic pathogen

A

Normal microbiota do not normally cause disease but may become harmful under certain conditions.

60
Q

Parasite-host coevolution

A

consists of adaptation by hosts, to avoid or tolerate infection, and reciprocal counter-adaptation by parasites, attempting to evade or overcome host defenses. Parasites that allow their hosts to survive are more likely to spread resulting in parasites becoming less pathogenic. Hosts are able to tolerate a parasite and are more likely to reproduce thus host populations become more resistant.

61
Q

Compare and contrast Mutualism, commercialism, parasitism and symbiosis.

A

Symbiosis= at least one of the species has lost its ability to survive without the other.

mutualism= both benefit

parasitism= one benefits and one harmed

commensalism=one benefits and the other is not significantly impacted.

62
Q

Compare and contrast resident microbiota and transient microbiota

A

Resident microbiota are established early and life and remain through life while transient microbiota remain on the body for short periods of time.

63
Q
A