microorganisms in disease and infection Flashcards
define pathogenicity
the capacity of a micro-organism to cause an infection
what are the main characteristics which an organism must show to be pathogenic
transmissibility
establisment in or on a host
Harmful effects
Persistence
what are the stages in the chain of infection
pathogenic organism- in adequate numbers.
reservoir or source that allows the organism to survive and multiply.
mode of exit from the source
mode of transmission from the source to the host
Portal of entry through which the pathogen can enter the host
Suceptible host
define virulence
the degree to which a microorganism is able to cause disease.
what are the main routes of transmission for infection
faecal oral
blood borne
respiratory
direct contact- hand to hand to mucous membrane.
define LD50- Lethal dose
lethal dose- dose of organism which causes death in 50% of the exposed population.
define ID50- Infection dose
ID50-dose or organism which causes infection in 50% of the organism exposed.
how do pathogens colonise ( attachment to to what on surface of host cell)
Ligands in the organism binds to receptors on the surface of the host cell
Complementary ligand- receptor interaction.
define infectivity
The ability of a microorganism to become established in/on a host.
Examples of ligand receptor interactions
E. coli P fimbriae: glycolipids on human uroepithelial cells
S. pyogenes protein-F: fibronectin (Large multifunctional glycoprotein)
Influenza haemagglutinin: respiratory epithelial sialic acid receptors
what are the virulence mechanisms
adhesion, toxic affect, tissue damage, interference with host defence mechanisms, facilitation of invasion
modulation of host cytokine response.
what is a important toxin produced by the gram -ve bacterial cell wall and name infections where endotoxins are used
endotoxin
E.coli
Neisseria meningitidis.
In which layer of the gram -ve bacterial wall in endotoxin an active part of
active component of the liposaccaride membrane
when is an endotoxin released
released from damaged or dead cells.
what is a lipopolysaccharide made from
Lipid A, polysaccaride and a specific O antigen.
what is the host response to an endotoxin
uncontrollable T lymphocyte response- cytokine release, shock and cardiac and renal failure.
uncontrollable clotting cascade activation- DIC, depletion of clotting factors and a tendency to bleed.
uncontrollable complement activation.