Principles 1-1 Flashcards
what are parasitic organisms
symbionts that harm or live at the expense of their host
what are commensal organisms
normal microbiota- microbes frequently found on or within the bodies of healthy persons
what is infection
growth and multiplication of parasite on or within host
what is infectious disease
disease resulting from infection
what is a pathogen
- any parasitic organism that causes infectious disease
what is a primary pathogen and what is another name for it
causes disease by direct interaction with host
- frank
what is an opportunistic pathogen
causes disease only under certain circumstances
what is pathogenicity
ability of parasite to cause disease
what is virulence factor
any component of a pathogenic microbe that is required for or that potentiates its ability to cause disease
what are the steps in an infectious disease
-encounter
- entry
- spread
- multiplication
- damage
- outcome
what are the types of encounters in infectious disease
exogenous, endogenous, congenital
what are examples of endogenous sources of micro organisms
- impaired natural protection/clearance system allows increased colonization of nasopharynx
- colonized oropharynx and gastric fluid pool along tube in neonates
- colonized tracheal secretions
what is the mechanism for pneumonia
-aspiration of colonized fluids from any of the above sources into the lungs can result in pneumonia
- a hematogenous source seeding the lungs may rarely cause pneumonia
what are the manifestations of a congenital infection
-growth retardation
- congenital malformation
- fetal loss
what are the types of entry and define both
- ingress: inhalation, ingestion
- penetration: microbes pass through epithelia directly, insect bites, cuts and wounds, organ transplants, and blood transfusions
what are the types of ways an infectious disease can spread
lateral propogation vs dissemination
what is spread determined by
anatomical factors
what is multiplication determined by
environmental factors
what are the results of damage
-direct damage
- immune response
what are the different possible outcomes
microbe wins, host wins or they learn to coexist
where is normal microbiota found
microbes frequently found on or within the bodies of healthy persons- commensal organisms
when does colonization of normal microbiota begin
rapidly after birth
what organisms make up the human microbiome
eukaryotes, archaea, bacteria and viruses
bacteria in an average human body number _____ times more than human cells
ten
bacteria contain about ____ more genes than are present in the human genome
1000
how much do bacteria make up the human body
1-3% of our body mass
what are the functions of good bacteria in the human microbiome
- produce vitamins we cant make ourselves
- break down our food to extract nutrients
- teach our immune system how to recognize invaders
- produce helpful anti inflammatory compounds that fight off other disease causing microbes
- occupy space to crowd out disease causing microbes
- detoxification of carcinogens but sometimes are the source of carcinogen production
what are the locations in the body with the largest amount of bacteria
- skin
- respiratory tract: nose and oropharynx
- digestive tract: mouth and large intestine
- urinary tract: anterior parts of urethra
- genital system : vagina
what are the locations in the body with the smallest amount of bacteria
remainder of respiratory and digestive tracts
what body locations are sterile
- blood
-CSF - synovial fluid
- deep tissues
what do pathogenicity/virulence depend on
the host
what is periodontitis
overgrowth of particular bacteria in gingival crevices
what are examples where normal flora are source of infection
-periodontitis
- pneumonia
- catheter- associated infections
what happens in a pneumonia infection
defenses lowered and microaspirations of pneumococci
what organism causes catheter associated infections
staphylococci
what does oral flora include
- bacteria and archeae
- fungia
- protozoa - eukaryotes
- viruses
how many different species of bacteria are in the oral cavity
about 700
what are parts of the oral ecosystem
- buccal mucosa
- dorsum of tongue
- tooth surfaces
- crevicular epithelium
- dental appliances
what are issues for microbial cells
- nutritional fluxes
- maintaining occupancy
- resistance to damage
what are factors that modulate oral microbial growth
- anatomical features that create areas that are difficult to clean
- saliva
- GCF
- microbial factors
- local pH
- redox potential
- antimicrobial therapy
- diet
- iatrogenic factors
what are the anatomical features in teeth that modulate microbial growth
- shape and topography of teeth
- malalignment of teeth
- poor quality of restorations
- non keratinized sulcular epithelium
what makes up saliva that controls microbial growth
-inorganic ions
- organic constituents
- proteins
- glycoproteins
what does saliva do
- promotes adhesion of bacteria on tooth surfaces through organic components that form a coating on tooth surfaces called a salivary pellicle
- source of food
- promotes aggregation of bacteria, facilitating their clearance from mouth
- inhibits growth of micorbes by non specific defense factors
- maintains pH
what does GCF do
- flushing microbes out of crevice
- source of nutrients for microbes
- maintains pH
- specific and non specific defense facotrs
- phagocytosis
what is the main phagocyte in GCF
neutrophils
what do microbial factors do
- competition for adhesion receptors
- toxin production
- metabolic end products
- coaggregation
what does local pH vary based on
diet as a result of bacterial metabolism
what is redox potention
a measure of oxygen levels in locality