Lesson 13 Flashcards
The study of diesease
Pathology
The study of the cause of the diesease
Etiology
The development of diesease
Pathogenesis
Colonization of the body by pathogens
Infection
Abnormal state in which the body is not functioning normally
Disease
Microorganism benefits while host
is not harmed
Commensalism
Microorganism and Host benefit from one another
Mutualism
Microorganism benefits while the host is harmed
Parasitism
Microorganisms commonly found on or in healthy persons
Indigenous Flora
Microorganisms that colonize
an area for months or years
Resident Flora
Microorganisms temporarily
colonizing a host
Transient Flora
Condition of hosts capable of
transmitting the infection
Carrier State
Generally superficial organisms
Skin Microbiota
■ Colonize skin surface
■ Prevent pathogens from colonizing
Normal Flora
– Low Oxidation Reduction Potential
(Anaerobes grow)
– Buccal mucosa and tooth surface
■ Production of Acids by Microorganisms
(Tooth Decay)
– Bacterial plaque may develop on teeth
Mouth Microbiota
Sterile Genitourinary Sites
Kidneys
Bladders
Fallopian Tubes
Non-sterile Genitourinary Tract Sites
Vagina
Distal centimeter of the Urethra
– Cause disease when habitat is changed
– May occur due to weakened immune system
Opportunistic Infection
– Chemotherapy
– Immunosuppressive Drugs
– Radiation
– Immune defects
Immunosuppression
Competition between
microbes.
Microbial Antagonism
Live microbes applied to or ingested
into the body, intended to exert a beneficial effect.
Probiotics
Microbial flora block colonization of
extraneous pathogens
Microenvironment
Ability of an organism to produce disease
Pathogenicity
– Usually do not cause infection
– special circumstances
Opportunistic Pathogens
– Organisms that cause disease in healthy hosts
True Pathogens
– Occur from medical treatment or procedures
Iatrogenic Infection
Ability to penetrate and grow in
tissues
Invasion
A disease that is not
transmitted from one host to another
Noncommunicable disease
A change in body function that is felt by a patient as a result of disease
Symptom
A change in a body that can be measured or observed
as a result of disease.
Sign
A specific group of signs and symptoms that accompany a disease
Syndrome
A disease that is spread from one
host to another.
Communicable Disease
A disease that is easily spread from
one host to another
Contagious Disease
Major role in clearing bacterial infection
Phagocytosis
Traits that determine pathogenicity and virulence
Virulence Factor
Poisonous substances secreted by organisms
Toxins
Secreted by the organism into extracellular environment or are released on lysis of the organism
Exotoxins
Composed of LPS portion of the outer membrane of G- bacteria
Endotoxins
Engulfing cells
Neutrophils
Macrophages
– Chemical caused
movement to a location
– Necessary to mobilize
phagocytes to infection
Chemotaxis
Movement from blood vessels to tissues
Diapedesis
Preferred systemic response to bacterial infection
■ Elevated body temperature induced either by pathogen molecules or by body molecules produced
in response to pathogen molecules
■ Results in temperatures that inhibit microbes while enhancing body defenses
Fever
– Complex mechanism that allows the
body to protect itself from foreign
invaders
– The mechanism is the Immune
system
Immunity
– Natural or nonspecific immunity
■
Physical barriers
■
Chemical barriers
■
Phagocytosis
■
Complement
Innate Immunity
– Antibodies
– Lymphocytes
■
B cells
■
T cells
–
T helper
–
Cytotoxic
Adaptive or Specific Immunity
Molecules that are potentially recognized
by adaptive immune system molecules
■ Recognition: Binding between the antigen
and the immune system molecule (Like
Immunogen and an Antibody)
■ Antigen within its “self” environment will
not normally elicit an immune response
Antigens
Antigens found in “non-self” environment:
Immunogen
■
Aided by T Helper cells
■
Plasma cells: Secrete Antibodies
B Cells
- Monomer (70%-75%)
–
Opsonizing antibody, crosses
placenta
IgG
– Pentamer (10%-15%)
–
Complement fixation
–
First antibody produced
IgM
– Dimer (15%-20%)
–
Secreted at mucous membranes
IgA
- receptor bound (Very low
concentration)
–
Role in clearance of parasites and
allergies
IgE
- surface bound (Very low
concentration)
–
Role in signaling of B cell receptors
IgD
– Rapid appearance of IgM
– Peak in 1-2 weeks followed by
gradual decline
■ Gradual change over to IgG or IgA
antibodies
■ IgG levels remain elevated for
months, then slowly decline (often
remains low but detectable for
years)
Primary Antibody Response
– Rapid increase in IgG antibodies
■ Higher levels of IgG with prolonged
elevation (More gradual decline)
■ Higher specificity
– Somatic hypermutation
■ IgM plays a minor role
Secondary Antibody Response
Secondary Antibody Response is also known as?
Anamnestic Immune Response
Mechanisms by which microbes may overcome the host defenses
■ Induce immune tolerance
– Not recognized as foreign
■ Immune suppression
– Actively destroy, inactivate, or limit the effect of the immune response
■ Antigenic variation
■ Intracellular “hiding
Routes of Transmission and Exit
– Airborne
– Transmission by food
and water
– Close contact
■ Direct contact
– Cuts and bites (nonarthropod)
■ Wounds
– Arthropods
■ Bites of insects
– Zoonoses
■ Contact with
animals
Infection where the disease is transmissible from vertebrate animals to humans
Zoonosis
Dead end host of organism
Humans
Fraction of a population that contracts a disease during a specific time
Incidence
Fraction of a population having a specific disease at a given time
Prevalence
Disease that occurs occasionally in a population
Sporadic Disease
Disease constantly present in a population
Endemic Disease
Disease acquired by many hosts in each area in a short time
Epidemic Disease
Worldwide epidemic
Pandemic
Immunity in most of a population.
Herd Immunity
Occurs when the infection does not arise by transmission from host
to host
– You cannot catch the disease from an infected person.
– Examples:
■ Staphylococcus food poisoning, Clostridium botulinum food poisoning
■ Normal Flora (E.g., Staphylococcus aureus wound infection
■ Environmental Sources (Legionella, Clostridium tetani)
Non-communicable Disease
Disease with a period of no symptoms when the patient is inactive
Latent Disease
Symptoms between acute and chronic
Subacute Disease
Symptoms develop rapidly
Acute Disease
Symptoms develop slowly
Chronic Disease
Pathogens are limited to a small area of the body.
Local Infection
An infection throughout the body
Systemic Infection
Systemic infection that began as a local infection
Focal Infection
Bacteria in the blood
Bacteremia
Growth of bacteria in the blood
Septicemia
Viruses in the blood
Viremia
Toxins in the blood
Toxemia
No noticeable signs or symptoms (inapparent infection
Subclinical Disease
Acute infection that causes the initial illness
Primary Infection
Opportunistic infection after a primary (predisposing) infection.
Secondary Infection
■ Make the body more susceptible to disease
Predisposing Factors
Natural location of the organism. Can be animate or inanimate location
Reservoir
Immediate location from which the
infecting organism has been transmitted.
Source
Hosts that harbor a pathogen without clinical symptoms and transmit the infection, often unknowingly
Carriers
Two types of Transmission
Vertical and Horizontal
Direct personal contact is a major transmission route for the spread of
infections in hospitals and other health care facilities
–
Nosocomial infections: Noso (disease), komeion (To take care of)
–
Other forms of direct contact:
■
Sexual Transmission (Herpes, Syphilis, HIV)
■
Skin to Skin Transmission (Scabies, staphylococci)
Horizontal
■
From mother to child in utero or in breast milk
Vertical
– Sneezing and Coughing à fine spray from one host to the respiratory passages of a second host
– Occur when microorganisms remain suspended in air or dust particles, carried by air currents
– Occur in crowded rooms (Tuberculosis, Influenza)
Airborne
– Source projects particle droplets containing infectious agents, from coughing, sneezing, or respiratory equipment.
– Occurs in the same room, a short distance
from the source directly to the new host
Droplet
Transmission by an inanimate reservoir (food, water)
– Contaminated showers, baths, pools, medications
(Pseudomonas, Legionella)
– Food (Salmonella, E. coli O157:H7)
– Water (Cholera, Cryptosporidium, Polio)
Vehicle Transmission
Arthropods, especially fleas, ticks, and mosquitoes
– Biological/Inanimate source that aids in the
transmission of infection from one host to another
– Mediated by a variety of invertebrate and vertebrate
sources
Vectors
Pathogen reproduces in vector
Biological
Arthropod carries pathogen on feet
Mechanical
Incidence of a specific notifiable disease
Morbidity
Deaths from notifiable diseases
Mortality
Number of people affected in relation to the total population in each time period
Morbidity Rate
Number of deaths from a disease in relation to the population in each time
Mortality Rate
■ Nosocomial
(Hospitalacquired)
Infections
– Acquired as
a result of a
hospital
stay
– 5-15% of
all hospital
patients
acquire
nosocomial
infections
Horizontal