mm pp 7 Flashcards
Humans provide _________ for microbes
Water, warmth, and food
Virulent Bacteria
Cause disease; grow at the expense of the host
Opportunistic Microbes-
Cause disease if conditions are available for growth and harm
Strict pathogens Examples
Yersinia pestis, Mycobacterium tuberculosis, and salmonella typhi
Infection-
Invasion of host by a pathogen
Disease-
Only if the invading pathogen alters the normal functions of the body. Also called morbidity
Symptoms-
Subjective characteristics of disease felt only by the patient
Signs-
Objective manifestations of disease that can be observed or measured by others
Syndrome-
Group of symptoms and signs that characterize a disease or abnormal condition
Sepsis-
Systemic inflammation
Portals of entry for disease-
Mouth, Scratch, Skin, Anus, alimentary tract, urogenital tract, respiratory tract, conjunctiva
Transmission is limited after _________
death
Virulence genes are often in ________ in the genome
Clusters called pathogenicity islands
Transposons can be expressed in response to changes in ________
Environment
Portal of entry for Cholera-
Fecal Oral Route
Portal of entry for Botulism-
Ingestion
Portal of entry for Tetanus-
Puncture
Portal of entry for pneumococcus
Respiratory
Portal of infection for Staphylococcus–
Ubiquitous
Portal of entry for Yellow Fever-
Vector like Mosquitos
Some microbes lose motility at ________
Particular temperatures (such as 37 degrees celsius)
Yersinia pestis needs ________
Iron so that more diptheria toxin is produced
Cholera toxin is produced ________ at pH 6 than at pH 8.5
more
Adherence factor examples-
Pili and fimbriae- Bind carbs
Degradative enzyme examples-
Callagenase, hyaluronidase, neurominidase, hemolysin
Capsules help to evade ________
Phagocytosis
Antibiotics are not able to pass through __________ which is a virulence factor
Porins
Some wall toxins such as teichoic acid and lipoteichoic acid stimulate __________
Endotoxin-like responses
Toxins-
Bacterial products that cause harm to host
Effects of toxins-
Lyse cells, stimulate release of toxic compounds, increase production of cytokines
Endotoxins activate the __________
Immune response in many ways
Exotoxins-
Secreted preformed toxins that have rapid effects. (Exist in food suuch as S. Aureus, B. Cereus, and Botulinum)
Toxins made during the infection have a _________
Slower effect (Such as anthrax, tetanus, gas gangrene)
Superantigens
Cause Cytokine storm. (Examples include TSST of S. Aureus, Erythrogenic toxin A and C of S. Pyrogenes
AB toxins-
B binds receptor on the cell surface while the A enters the cell and causes toxic effects. Causes protein synthesis of cell to cease.
Anthrax toxin is a toxin from and its source is:
B. anthracis, plasmid
Botullinum toxin is a toxin from and its source is:
C. botulinum; phage
Cholera toxin is a toxin from and its source is:
V. cholerae; chromosomal
Diptheria toxin is a toxin from and its source is:
C. diphtheriae; phage
Enterotoxins is a toxin from and its source is:
E. coli; plasmid
Pertussis toxin is a toxin from and its source is:
B. pertussis; chromosomal
Shiga toxin is a toxin from and its source is:
S. dysenteriae; chromosomal
Shigalike toxin is a toxin from and its source is:
Shigella and E. coli; phage
Tetanus toxin is a toxin from and its source is:
C. tetani; plasmid
Hemolysin is a toxin from and its source is:
E. coli; plasmid
Methods of evasion by Immune Response-
Block chemotaxis, evade phagocytosis by capsules, S. aureus walls off infection
Intracellular Bacterial pathogen that evade the immune response include:
Mycobacterium, Brucella, Rickettsiae, chlamydia, etc
Penecillin was found by ________
Alexander Flemming
Sulfanilimide-
Sulfa based drugs found by domagk
Streptomycin was found by ________
Waksman
Bacteriostatic-
Inhibits bacterial growth
Bactericidal-
Kills bacteria
Antibiotic combinations-
Synergistic and antagonistic effects. Can help to prevent emergence of resistance
Beta Lactam Antibiotics
Bind penecillin-binding proteins such as transpeptidases and carboxypeptidase
Betalactams are bactericidal for most _________
Gram positive and gram negative bacteria
Examples of beta lactams are:
Penecillin, cephalosporin, cephamycin, carbapenem, and monobactram
Different beta lactams differ in ____________
Spectrum, pH stability, absorption, and resistance (different R groups on the lactam ring)
Beta-lactam ring is an analog of _______
D–alanine, D-Alanine bond structure
Natural Penecillin-
Penecillin G, Penecillin V
Penecillin-resistant beta lactams-
Methicillin, oxacillin
Broad spectrum beta lactams-
Ampicillin, amoxicillin
Cephalosporium-
Broader spectrum than penicillins and not effected by penicillinases
Cephalexin (Keflex), cephalothin are used on _____________
Gram Positive E. coli, Klebsiella and proteus mirabilis
Cefactor, Cefuroxime are used on __________
Gram positive enterbacteria, citrobacter, and proteus species
Cefixime, cefotaxime are used on __________
gram positive and good against Ps
Cefepime, cefpirome are used on _______
Gram positive and some gram negative
Carbapenems-
used on aerobic and anaerobic gram positive and some gram negative rods
Monobactams-
Used on gram negative rods and are inneffective against gram positive cocci and anaerobic bacteria
Beta-Lactamases-
200+ enzymes that destroy beta lactam rings
4 classes of beta lactamases
Penicillinases, carbapenemases, cephalosporinases, and penicillinases
Vancomycin-
Inhibits cross-linking by binding D-ala, D-ala
Some strains of bacteria are naturally resistant to _________
Vancomycin (Such as all gram negative bacteria which are too large to pass through porins or bacteria with D-ala, Dlactate bonds)
Vancomycin is the last resort for ________
Gram positive infections like MRSA