Infection Flashcards

1
Q

What are the components of the national immunisation program for children in Australia and New Zealand?

A

Diphtheria/tetanus/pertussis/polio/hepatitis B/Haemophilus influenzae type b (1 injection), Pneumococcal (1 injection), and Rotavirus (1 oral vaccine).

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2
Q

How does the mRNA COVID-19 vaccine work?

A

It uses mRNA to encode viral spike proteins, stimulating immune response through antibody production by B cells.

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3
Q

Define the term “antimicrobial” and explain how antimicrobials work.

A

Agents that kill or inhibit the growth of microorganisms, including bacteria, viruses, fungi, and parasites. They work by targeting specific features of microorganisms, such as bacterial cell walls, protein synthesis machinery, or DNA replication processes.

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4
Q

What is a vaccine?

A

A biological preparation that provides active acquired immunity to a particular infectious disease. It contains an agent that resembles a disease-causing microorganism, often made from weakened or killed forms of the microbe, its toxins, or one of its surface proteins.

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5
Q

What is the primary cause of the common cold?

A

The common cold is primarily caused by a variety of viruses, including rhinovirus, coronavirus, parainfluenza virus, respiratory syncytial virus (RSV), and adenovirus.

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6
Q

How is Helicobacter pylori infection diagnosed?

A

Helicobacter pylori infection can be diagnosed using endoscopic biopsy or a non-invasive test that measures urease in an individual’s breath.

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7
Q

What are healthcare-acquired infections (HAIs), and what are their main sources?

A

HAIs are infections that patients acquire during the course of receiving healthcare treatment for other conditions. They can be caused by bacteria, fungi, viruses, or other pathogens present in the healthcare environment.

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8
Q

What are some of the standard precautions for infection control in healthcare settings?

A

Standard precautions include appropriate hand hygiene, use of gloves, use of aprons or gowns, safe handling of sharps, and regular cleaning of surfaces and equipment.

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9
Q

Describe the characteristics of methicillin-resistant Staphylococcus aureus (MRSA).

A

A type of Staphylococcus aureus bacteria that is resistant to methicillin and other common antibiotics. Beta-lactamase producing gram-positive cocci.

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10
Q

What is antimicrobial resistance, and how does it occur?

A

Antimicrobial resistance occurs when microorganisms develop the ability to defeat the drugs designed to kill them. This can happen through genetic mutations that allow the microorganisms to inactivate the drug, alter their membrane to prevent drug uptake, or expel the drug from their cells.

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11
Q

Why is overuse of antibiotics problematic?

A

Overuse of antibiotics can lead to the destruction of normal flora, promoting the overgrowth of antibiotic-resistant strains or pathogens. It can also contribute to the rapid emergence of multiple-antibiotic-resistant bacteria.

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12
Q

What is the role of B cells in the immune response generated by mRNA vaccines?

A

B cells are stimulated by the viral antigen displayed on macrophages, which leads them to produce antibodies against the viral protein, thereby generating an immune response.

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13
Q

Explain how a urinary tract infection (UTI) occurs. What is the most common cause?

A

A UTI occurs when bacteria enter and multiply in the urinary tract, causing infection. The most common causative agent is Escherichia coli, which can enter the urethra due to its proximity to the anus.

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14
Q

What are the main clinical symptoms of a urinary tract infection?

A

Symptoms of a UTI include dysuria (painful urination), urinary urgency and frequency, fever, haematuria (blood in urine), and smelly, cloudy urine.

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15
Q

How does diabetes complicate recovery from infections?

A

Diabetes can impair immune function, reduce blood flow, and increase the risk of infections, complicating recovery due to slower healing and increased susceptibility to further infections.

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16
Q

Describe the steps involved in a gram stain.

A

The steps in a gram stain include: application of a primary stain (crystal violet), addition of a mordant (iodine), decolorization with alcohol or acetone, and counterstaining with safranin. Gram-positive bacteria retain the crystal violet stain, appearing purple, while gram-negative bacteria do not, appearing red or pink.

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17
Q

What are the main differences between bacteria and viruses?

A

Bacteria are single-celled organisms with a cell wall and can reproduce independently. Viruses are simpler structures, consisting of genetic material enclosed in a protein coat, and require a host cell to replicate.

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18
Q

What are the three shapes of bacteria?

A

Bacteria can be shaped as cocci (spheres), bacilli (rods), and spirochetes (spirals).

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19
Q

What are endotoxins and why are they harmful?

A

Endotoxins are components of the outer membrane of gram-negative bacteria that are released when the bacteria die and disintegrate. They can cause severe inflammatory responses and symptoms such as fever, shock, and multiple organ failure.

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20
Q

How do vaccines induce long-lasting protective immune responses?

A

Vaccines introduce antigens that stimulate the immune system to produce memory cells and antibodies specific to the pathogen, providing long-term immunity.

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21
Q

Explain the role of personal protective equipment (PPE) in preventing healthcare-acquired infections.

A

PPE, such as gloves, gowns, and masks, provides a barrier between healthcare workers and infectious agents, reducing the risk of transmission and infection.

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22
Q

What factors have contributed to the decline in infectious diseases in Australia and New Zealand?

A

Improved infection control measures, vaccination programs, better hygiene, and advanced medical treatments have contributed to the decline in infectious diseases.

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23
Q

What is septicaemia, and why is it life-threatening?

A

Septicaemia, or blood poisoning, is the presence of pathogenic microorganisms in the blood. It can trigger widespread inflammation, leading to septic shock, multiple organ failure, and death if not treated promptly.

24
Q

Describe the implications of a healthcare-acquired MRSA infection for a patient’s hospital stay and costs.

A

MRSA infections can lead to longer hospital stays, increased healthcare costs, more intensive treatments, and potentially worse outcomes for the patient.

25
Q

How is methicillin-resistant Staphylococcus aureus (MRSA) typically treated?

A

MRSA infections are commonly treated with antibiotics such as vancomycin or linezolid, which are effective against resistant strains.
1st line for wound infection in Canterbury is co-trimoxazole

26
Q

What are some common sources of infection in healthcare settings?

A

Common sources of infection include contaminated medical equipment, healthcare personnel, the hospital environment, and other patients.

27
Q

How does the enzyme β-lactamase contribute to antibiotic resistance?

A

β-lactamase is an enzyme produced by some bacteria that breaks down β-lactam antibiotics (primarily penicillins, cephalosporins, and carbapenems), rendering them ineffective.

28
Q

What strategies can help reduce the development of antimicrobial resistance?

A

Strategies include better surveillance of antimicrobial resistance, reducing the use of antimicrobials in animal husbandry, improving infection control and vaccination, and promoting rational use of antimicrobials through regulations and education.

29
Q

What are normal flora, and why are they important?

A

Normal flora are microorganisms that reside on or in the human body without causing harm. They are important for preventing colonization by pathogenic organisms and contributing to immune system function.

30
Q

How does the body’s inflammatory response contribute to the symptoms of an infection?

A

The inflammatory response to infection causes symptoms such as redness, heat, swelling, pain, and loss of function as the body attempts to eliminate the pathogen and repair tissue damage.

31
Q

Why is appropriate hand hygiene crucial in preventing the spread of infections in healthcare settings?

A

Hand hygiene removes potentially harmful pathogens from the hands of healthcare workers, reducing the risk of transmission to patients and preventing healthcare-acquired infections.

32
Q

Describe how the overuse of antibiotics in animal husbandry can lead to antimicrobial resistance.

A

Overuse of antibiotics in animal husbandry can promote the development of antibiotic-resistant bacteria, which can be transmitted to humans through direct contact or consumption of animal products.

33
Q

What are the clinical implications of H. pylori infection?

A

Can lead to chronic gastritis, peptic ulcers, and increase the risk of gastric adenocarcinoma.

34
Q

What are the common clinical signs of Helicobacter pylori infection?

A

Gastric pain, nausea, vomiting, and sometimes bleeding or anemia.

35
Q

How does HIV evade the immune system?

A

By attacking CD4+ T cells, critical for immune response, and mutating rapidly to resist antiviral drugs.

36
Q

Discuss the role of antibiotics in managing bacterial infections.

A

They inhibit bacterial growth or kill bacteria by targeting specific cellular processes, aiding in infection resolution.

37
Q

What is the significance of antibiotic stewardship programs?

A

They promote appropriate antibiotic use, reduce resistance development, and improve patient outcomes.

38
Q

How does multi-drug resistant tuberculosis develop?

A

Due to improper antibiotic use and non-adherence to treatment regimens, allowing resistant strains to survive and spread.

39
Q

Describe the mechanism of action of proton pump inhibitors.

A

They inhibit gastric acid production by irreversibly blocking the hydrogen/potassium adenosine triphosphatase enzyme system.

40
Q

What are the risk factors for healthcare-acquired infections?

A

Prolonged hospital stays, invasive procedures, immunocompromised status, and inadequate infection control measures.

41
Q

Describe the transmission routes of viral infections.

A

Direct contact, respiratory droplets, fecal-oral route, and vector-borne transmission depending on the virus.

42
Q

What are the clinical manifestations of deep fungal infections?

A

Systemic symptoms like fever, malaise, and organ-specific symptoms depending on the fungal species and host immune status.

43
Q

Explain the concept of antibiotic resistance genes.

A

They encode enzymes that inactivate antibiotics or alter bacterial cell structures to prevent antibiotic entry or binding.

44
Q

Describe the clinical implications of urinary tract infections in older adults.

A

Often asymptomatic, leading to delayed diagnosis and increased risk of systemic infection and sepsis.

45
Q

What is the role of biofilms in healthcare-acquired infections?

A

They protect bacteria from antibiotics and host immune responses, contributing to persistent infections.

46
Q

How does infection with C. difficile occur in hospital settings?

A

Due to disruption of normal gut flora by antibiotics, allowing C. difficile overgrowth and toxin production.

47
Q

Discuss the epidemiology of tuberculosis in Australia and New Zealand.

A

Mostly due to imported cases, with increasing rates of drug-resistant strains in specific populations.

48
Q

What are the clinical manifestations of Clostridioides difficile infection?

A

Severe diarrhea, abdominal pain, fever, and potential complications like pseudomembranous colitis and toxic megacolon.

49
Q

How does antibiotic stewardship reduce antimicrobial resistance?

A

By promoting appropriate antibiotic use through guidelines, education, and monitoring, minimizing unnecessary prescriptions.

50
Q

What are the clinical manifestations of respiratory syncytial virus (RSV) infection?

A

Mild cold-like symptoms in healthy adults, but severe lower respiratory tract infection in infants and immunocompromised adult

51
Q

How does HIV infection progress to AIDS?

A

By depleting CD4+ T cells, compromising immune responses, and allowing opportunistic infections and malignancies to develop.

52
Q

What are the challenges in treating deep fungal infections?

A

Limited antifungal options due to toxicity and interactions with host cells, necessitating careful management.

53
Q

What are the clinical implications of viral infections in immunocompromised patients?

A

Severe and prolonged infections due to impaired immune responses, requiring specialized antiviral therapies.

54
Q

Discuss the role of vaccines in preventing infectious diseases.

A

They induce specific immune responses, including antibody production and memory cell formation, conferring long-term protection.

55
Q

How does antibiotic resistance impact treatment outcomes?

A

It limits treatment options, prolongs illness duration, and increases healthcare costs and mortality rates.

56
Q

Describe the mechanisms of action of proton pump inhibitors in treating H. pylori infection.

A

They inhibit gastric acid production, creating an environment inhospitable to H. pylori survival and reducing inflammation.

57
Q

What are the challenges in diagnosing and treating methicillin-resistant Staphylococcus aureus infections?

A

Limited treatment options due to resistance, requiring alternative antibiotics and aggressive infection control measures.