Pathogenesis and Host Resistance Flashcards
Define pathogen.
Organism that typically causes disease.
Define opportunistic pathogen.
Organism that typically causes disease in immunocompromised people.
Define nonpathogen.
Organism that typically does not cause disease.
Define avirulent organism.
Organism that does not cause disease.
Define virulence.
Quantitative measure of pathogenicity.
What does ID50 mean in terms of virulence? What is the amount needed for shigella? For salmonella?
The number of organisms needed to infect 50% of hosts
Shigella <100; Salmonella~10^5
Define infection.
Pathogenic organism present and multiplying in host.
Define infectious disease.
Pathogenic organism causes damage to host or host tissues.
What’s the difference between a communicable disease and a contagious disease?
Communicable disease is transmissible by infection directly or through the agency of a vector while a contagious disease is a very communicable disease (spreads directly or indirectly).
What outweighs what in a host when infectious diseases occur?
When the infectious organism outweighs the host defenses
Dose, Virulence > Innate, Acquired defenses
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What’s the difference between local infection and systemic infection?
Local occurs in a certain area of the host, while systemic occurs across all organs/systems of the host.
What’s the difference between acute and chronic infections?
Acute is abrupt and short lived; chronic is long lived.
What’s the difference between subclinical infections and asymptomatic infections?
Subclinical infections are not apparent by clinical examinations. Asymptomatic Infections do not show any symptoms.
Define latent infections.
An asymptomatic infection capable of manifesting symptoms under particular circumstances or if activated.
What are the stages of pathogenesis?
- Transmission
- Evasion of primary host defenses
- Adherence/Colonization
- Disease symptoms caused by invasion or toxin production
- Host response (during 3 & 4)
- Progression or resolution of infection
What’s the difference between an exogenous infection and an endogenous infection?
Exogenous is transmitted by an external source. Endogenous is transmitted by one’s own normal flora.
What are 3 ways for exogenous infections for humans?
From other humans, animals and organisms in the environment.
Soil – Clostridium
Water – Legionella
What is the term for new infections often found in patients after being admitted to hospitals?
Nosocomial infections.
What are a few ways for direct human to human infections?
Sexual contact (HIV, syphilis)
Skin/urine/blood
Tranplacental (rubella, cytomegalovirus)
At birth (Hep. B, HIV)
How about indirect human to human infections?
Airborne respiratory droplets.
Fecal contamination of food/water.
Vectors.
Define reservoir.
Host/carrier that harbors pathogenic organisms without injury to self and serves as a source from which others can be infected.
Define vector.
The mechanism that transmits pathogenic organisms FROM reservoir TO source.
In Malaria (indirect human to human) what is the vector and what is the reservoir?
Humans are the reservoir.
Mosquitos are the vectors.
In what way is infection directly transmitted from animal to humans?
Biting.
In what way is infection indirectly transmitted from animal to humans?
Airborne respiratory droplets.
Fecal contamination of food/water.
Vectors.