Nature of Infection Flashcards

1
Q

Describe germ theory.

A
  • Proposed criteria to prove microorganisms were responsible for cause of disease
  • Proved by Koch and Pasteur
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2
Q

What are Koch’s postulates?

A
  • Microorganism found in abundance in all organisms suffering from the disease but not found in healthy organisms.
  • Microorganism isolated from a diseased organism and grown in pure culture.
  • Cultured microorganism should cause disease when introduced into a healthy organism.
  • Microorganism re-isolated from the inoculated, diseased experimental host and identified as being identical to the original specific causative agent.
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3
Q

Define vaccination.

A
  • Administration of antigenic material (a vaccine) to stimulate an individual’s immune system to develop adaptive immunity to a pathogen
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4
Q

How does the microbiome develop from birth?

A
  • Until birth, foetus raised in sterile environment
  • Exposed to pathogens from environment once born
  • ‘Flora’ form on surfaces of skin, intestines and GU tract
  • Microbiome - genetic material of all the microbes that live on and inside the human body.
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5
Q

Describe the relationship between the human host and microbes in the microbiome. Explain why.

A

SYMBIOTIC
- Host provides source of nutrients and an area to colonise
- Microbes stimulate innate and regulatory immunity, and provide metabolic functions

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6
Q

Outline what influences the microbiota.

A
  • Microbes encountered during life
  • Food
  • Medicines
  • Personal hygiene
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7
Q

Describe viral structure.

A
  • Smallest infectious particles (18-600 nm)
  • Most are <200 nm - cannot be seen with light microscope
  • Viruses contain either DNA or RNA but not both
  • Some viral-like particles don’t have detectable nucleic acids
  • Parasitic and don’t reproduce independently from host cells
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8
Q

Describe the viral protein shell

A
  • Viral nucleic acids required. for replication enclosed within protein shell
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9
Q

Describe bacterial structure

A
  • Prokaryotic
  • Cell wall is either Gram-positive (thick peptidoglycan layer) or Gram-negative (thin peptidoglycan layer and overlying outer membrane)
  • Some don’t have either of this cell wall and instead survive inside host cells/hypertonic environment
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10
Q

Describe bacterial morphology

A
  • 1 to 20 micrometres or larger
  • Shape varies (e.g spheres, rods, spirals)
  • Spacial arrangement varies ( e.g chains, clusters)
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11
Q

How can bacteria be identified?

A
  • Antibody testing
  • Antigen detection e.g PCR
  • Bacterial growth requirements
  • Shapes
  • Gram test
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12
Q

Describe fungal structure.

A
  • Eukaryotic
  • Exist unicellularly (yeast) that replicates asexually or in a filamentous form (mould) that replicate asexually and sexually
  • Most exist as either yeast or mould but some assume either morphology i.e dimorphic
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13
Q

Describe parasites.

A
  • Complex
  • All classed as eukaryotes but some are unicellular/some are multicellular
  • Range in size from protozoa as small as 4-5 micrometres in diameter to tapeworms that measure up to 10 metres in length
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14
Q

What is infection seen as?

A
  • A balance between host and pathogen
  • Not all bacteria cause disease. Someone with strong immune systems could be ‘infected’ but not suffer from symptoms. Someone with immunosuppressants may suffer
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15
Q

What is disease caused by?

A
  • Damage produced by the bacteria plus the consequences of innate and immune responses to the infection
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16
Q

Define incubation period.

A
  • Time required for the bacteria and/or the host response to cause sufficient damage to initiate discomfort or interfere with essential functions
17
Q

What factors influence frequency with which organisms cause disease?

A
  • Age
  • Epidemiologic factors
  • Underlying disease/medication
18
Q

Briefly describe the three types of bacteria.

A
  • NORMAL FLORA - cause disease on entering sterile sites of body
  • VIRULENT BACTERIA - mechanisms (i.e virulence factors) promote growth in host at expense of host’s tissue/organ function
  • OPPORTUNISTIC BACTERIA - take advantage of conditons e.g immunosuppression to grow
19
Q

Describe virulence factors.

A
  • Enhance ability of bacteria to cause disease
  • Some bacteria release toxins
20
Q

Give examples of virulence factors.

A
  • Adherence
  • Invasion
  • Toxins
  • Degradative enzymes
  • Cytotoxic proteins
  • Induction of excess inflammation
  • Resistance to antibiotics
  • Intracellular growth
  • Superantigens and endotoxins
  • Presence of capsules
21
Q

What is the difference between sterilisation and disinfection?

A
  • Disinfection is the process of eliminating or reducing HARMFUL microorganisms from inanimate objects and surfaces
  • Sterilization is the process of killing ALL microorganisms