Introduction to infection Flashcards

1
Q

Fundamental concept in clinical infection

A

a CLINICAL SYNDROME

caused by PATHOGEN(s)

acquired from SOURCE

by EXPOSURE

with disease resulting from MICROBIAL and/or HOST FACTORS

the patient is INFECTED/INFECTIOUS needing INFECTION CONTROL

a plan of INVESTIGATIONS

appropriate TREATMENT a

nd awareness of the COMPLICATIONS and PROGNOSIS

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2
Q

What are types of pathogen examples?

A

Bacteria • Viruses • Fungi • Protozoa • Helminths • Ectoparasites(fleas - lives outside host) • Spirochetes(gram negative, motile, spiral bacteria) • Mycobacteria(affect mammals) • Atypical bacteria

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3
Q

RESERVIOR

A

can be any person, animal, plant, soil or substance in which an infectious agent normally lives and multiplies

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4
Q

Define ZOONOSIS

Define Human-restricted

A

Zoonosis is a disease transmitted from animal a to human

HUMAN-RESTRICTED pathogens to not have an animal or environmental reservoir and exist in humans only (e.g small pox, measle, rubella, tb, typhoid)

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5
Q

What does this person have?

They have been abroad to India. local pain, local tenderness, stiffness and spasm of the muscles, a cold abscess, gibbus, and a prominent spinal deformity. The cold abscess slowly develops when tuberculous infection extends to adjacent ligaments and soft tissues.

A

TB of spine

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6
Q

this person has this one side of the midline in one dermatome. the person is elderly.

What does this person have?

A

Shingles

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7
Q

this is caused by the HHV-8 and the person has HIV.

They may have odnophagia, loosening of teeth, epistaxis, haemorrhage

A

Karposi sarcoma

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8
Q

LATENCY define

A

LATENCY is the ability for a pathogen to lie dormant a within the body

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9
Q

define NOSOCOMIAL

give examples?

A

means acquired in hospital

c.diff, legionella, mycobacteria chimera

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10
Q

what are the different exposure?

A

PERSON-TO-PERSON by direct physical contact

AEROSOL inhalation

ORAL ingestion

FOMITES are objects or materials

VECTORS are living organisms that can transmit infection

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11
Q

Define INCUBATION PERIOD

Define pathogenicity

A

INCUBATION PERIOD is the time taken from exposure to the development of disease

PATHOGENICITY is the ability of an organism to a CLINICAL SYNDROME cause disease

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12
Q

VIRULENCE FACTORS can increase the degree of pathogenicity

Define the following

Adhesins

Aggressins

Toxins

A

Adhesins help with the adherence to the host

Aggressins help to invade or evade the host

Toxins are harmful substances that damage the host

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13
Q

What are examples of adhesins?

A
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14
Q

what are examples aggressins?

A
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15
Q

What are these vectors and what do they transmit?

A
  1. Anopheles mosquito - Malaria
  2. tiger mosquito - chicken gunya,Eastern Equine Encephalitis (EEE), West Nile virus, and dengue fever
  3. Culex - filiriasis
  4. Dear fly - Loa loa filariasis (skin + eye disease caused by nematode worm)
  5. Onchosochiasis - river blindness
  6. tetse fly - african tripiasomoniasis
  7. Tetse bug - american tripsomoniasis
  8. Ticks - lyme disease
  9. Flea - yersinia pestis (plague
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16
Q

define the following:

incubation period

pathogenecity

A

INCUBATION PERIOD is the time taken from exposure to the development of disease

pathogenecity is the ability of an organism to a cause disease

17
Q

What does 1 and 2 have?

A
  1. Group a strep
  2. Staph A.
18
Q

What is this and what bacteria usually causes it?

A

necrotising fascitis -> Staphylococcus aureus

19
Q

What do they have?

A

Tetanus -> Clostridium tetani

20
Q

what do they have?
They are

Watery diarrhea (sometimes in large volumes)

Rice-water stools (see figure 1)

Fishy odor to stools.

Vomiting.

Rapid heart rate.

Loss of skin elasticity (washer woman hands sign; see figure 2)

Dry mucous membranes (dry mouth)

Low blood pressure.

A

Vibrio cholerea toxin

21
Q

RSV is more common in what age group?

A

Under 6 months highest.

No T cell and no real antibodies due to only maternal antibody given.

22
Q

What is R0

A

R0 it is the basic reproduction number - how infectious something is

23
Q

What investigations can you do for infections?

A

Bacterial (and fungal) cultures

Molecular diagnostics -> PCR - amplify specific

Serology - Antibodies

24
Q

What 3 things do you give to someone with infections

A

• Fluids • Oxygen • Anti-microbials

25
Q

Complication and prognosis depends on

A

Immune suppression Pregnant women Post-exposure prophylaxis Pre-exposure prophylaxis

26
Q

where is malaria high?

Where is HIV high?

where is rubella high

Mortality under 5 high in

Obestiy in children

diabetes high in

water access

absolute poverty

Zimbabwe had high rates of what?

A

malaria - afria - west

HIV prevelance - high in south

Rubella = india high

Obestiy in children - high in china

Mortality under 5 - high in india

Diabetes - south east and eastern asia

water access - africa and india

povery - africa and india

27
Q

old world vs new world trypanosomiasis

A

NEW world • American trypanosomiasis (Chagas disease) • Typanosoma cruzi • Triatome vector • Cardiomyopathy and gastrointestinal disease

OLD world • African trypanosomiasis (Sleeping sickness) • Trypanosoma brucei rhodesiense • Trypanosoma brucei gambiense • Tsetse vector • CNS disease