INFECTION AND IMMUNITY Flashcards

1
Q

Residents within an on surfaces of
human host

Mostly of “symbiotic relationship

But they can become opportunistic

A

normal microbiota

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2
Q

what is opportunistic infection

A

Infections that take advantage of weakness in immune defenses

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3
Q

when do normal microbiota become opportunistic

A

Their habitat is altered
Compromised host immune system

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4
Q

role of microbiota in host defense

A

Helps develop immunologic competence since they primed the immune system during contact

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4
Q

– inhibit closely related pathogenic
bacteria

A

bacteriocins

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4
Q

Refers to the ability of the organism to produce
disease in an individual

A

pathogenicity

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5
Q

difference of true pathogen and opportunistic pathogen

A

A true pathogen is an infectious agent that causes disease in virtually any susceptible host. Opportunistic pathogens are potentially infectious agents that rarely cause disease in individuals with healthy immune systems.

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5
Q

Results from medical treatment or procedures

A

Iatrogenic infection

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6
Q

Considerations to note when deciding if an isolate is a pathogen or just a contaminant

A

▪ Presence of underlying conditions
▪ Age
▪ Persons receiving transplant or immunosuppressive
therapy (i.e chemotherapy)
▪ Presence of immunosuppressive disease (AIDS)

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7
Q

What is the route of transmission where secretions are aerosolized by coughing, sneezing, and
talking

A

airborne

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7
Q

What is the route of transmission where there is physical contact

A

direct contact

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8
Q

What is the route of transmission where you touch objects, ate contaminated food or water, or got bitten by vectors

A

indirect contact

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8
Q

Differentiate VERTICAL from HORIZONTAL TRANSMISSION

A

In horizontal transmission, viruses are transmitted among individuals of the same generation, while vertical transmission occurs from mothers to their offspring.

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8
Q

Define PARENTERAL TRANSMISSION

A

Parenteral transmission is defined as that which occurs outside of the alimentary tract, such as in subcutaneous, intravenous, intramuscular, and intrasternal injections.

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8
Q

Relative ability to cause disease or the
degree of pathogenicity. Influence by:
▪ Infectious dose
▪ Virulence factors

A

Virulence

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9
Q

What are avirulent organisms?

A

An avirulent disease or organism is not, or is no longer, dangerous, and does not spread

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9
Q

WHAT VIRULENCE FACTOR?
- Presence of bacterial capsules
- Interference by Protein A of staphylococci
- Release of leukoctoxic substances
▪ Haemolysins
▪ Leukocidins (PVL)

A

Phagocyte evasion

9
Q

WHAT VIRULENCE FACTOR?
▪ Main adhesins in bacteria
▪ Once attached, they can resist phagocytosis and can release toxins

A

Adhesion to host cells

9
Q

WHAT VIRULENCE FACTOR?
- Host factors that prevent proliferation
- THIS CAN LEAD TO INVASION OR WORSE, DISSEMINATION

A

Intracellular survival and proliferation

9
Q

WHAT VIRULENCE FACTOR?
- Release of exotoxins and enzymes
- Poisonous substances that interact with host cells, disrupting
normal metabolism
- Produced by both gram + & - bacteria
- Released via secretion or after lysis of the bacterial cell
- Release of endotoxin
- Constituent of the of the LPS of gram negative
bacteria
- It does not have enzymatic activity
- Secreted in small amounts! ☺
- Released in LARGE AMOUNTS when bacterial
cell lyses

A

Production of extracellular enzymes and toxins

10
Q

activates the fever center of the hypothalamus

A

Interleukin 1

10
Q

vasodilator and chemo attractant

A

Tumour Necrosis Factor

10
Q

vasodilator

A

Histamine

10
Q

Interaction of “sentinel” cells with microorganisms
activate them and caused them to secrete
proinflammatory cytokines

A

Inflammation

10
Q

The dilated blood vessels allow the leakage of
plasma components into the tissue which
include:

A

▪ Red blood cells
▪ Platelets
▪ White blood cells
▪ Enzymes and other substances
▪ Plasma

10
Q

Effects of endotoxin

A

▪ Prolonged inflammation and fever
▪ Hypotension
▪ Septic shock
▪ Intravascular coagulation
▪ Severe bleeding

10
Q

In large amounts, it can stimulate production of “proinflammatory” cytokines

A

endotoxin and inflammation

10
Q

antimicrobial sections in the physical barrier

A

Fatty acids in the skin
Stomach acidity
IgA in secretions
Lysozyme
Beta lysin
Interferon

10
Q

hydrolyses peptidoglycan of gram
positive bacteria

A

Lysozyme

11
Q

released by platelets which are lethal to
gram positive bacteria

A

Beta lysin

11
Q

inhibits proliferation of viruses

A

Interferon

11
Q

Migration of neutrophils to the site of injury

▪ Movement from area of low concentration gradient to high concentration gradient of chemo attractants

A

Phagocytosis: chemotaxis

11
Q

Direct physical contact is mediated by:

A

Pathogen Associated Molecular Patterns
Pattern Recognition Receptors

11
Q

indirect physical contact is mediated by:

A

opsonins

11
Q

Phagocyte’s membrane invaginates and surrounds the microorganism

Engulfed microorganism is transported into the cytoplasm and is enclosed in a vacuole called “phagosome”

Phagosome fuses with the lysosomes forming
“phagolysosome”

Lysosomes release lysosomal enzymes which digest the microorganism

A

phagocytosis: ingestion

11
Q

Increase oxygen consumption resulting to the production of toxic O2 metabolites such as:

A

▪ O2- (superoxide anion)
▪ H202 (hydrogen peroxide)
▪ HClO (hypochlorous acid)

11
Q

What stage of infection: No signs or symptoms

A

Incubation stage

11
Q

What stage of infection:- First signs and symptoms, pathogen may be highly communicable

A

Prodromal stage

11
Q

What stage of infection:- Peak of characteristic signs and symptoms of infection or disease

A

Period of illness

11
Q

What stage of infection: Condition of host deteriorates possibly to death or signs and symptoms begin to subside

A

Stage of decline

12
Q

What stage of infection: Full recovery of surviving host or chronic infection develops, or death

A

Convalescent stage