S6- infection Flashcards
2 types of infections
- endogenous infection= normal microbial flora on (mucocutaneous surfaces) skin/ gut/ airway/ genital tract gets in wrong place (they vary according to site)
- exogenous/ communicable infection= person to person/ aminals/ enviromnent ie soil
example of endogeneous infections
cystitis (inflammation of bladder)
due to infection of lower urinary tract
caused by bacteria from gut flora (enter urethra and move to bladder)
Symptoms:
lower abdominal pain
urgency
dysuria
frequency
3 routes of transmission of endogeneous infecions
- migration (ie: bowel flora to urethra cause local infection and spread to bladder= UTI)- easier in females
- perforation (lead to disease of bowel colon (cancer) and hole in bowel wall leads to contamination of abdominal cavity with faecal flora= life threatening infection called peritonitis)
- Blood= endocarditis (dental work might cause mouth flora to enter blood stream (streptocicci bacteria) and circulation of blood will allow it to reach the heart and cause invasion to heart valve (especially if abnormal valve tissue due to congenital defect))
7 routes of transmission of exogeneous infections
- contact (direct and indirect)
- injuries (trauma, bites)
- airborne
- Oral (food/ water)
- blood-borne
- Sex
- Mother to baby (vertical)
some infection transmitted more than one way: ie: HIV
- blood borne (injecting drug use)
- vertical (antenatal, perinatal, breast feeding)
- Sexual
some infections require more than one step
Ie: staphylococcus (soft tissue infection)
- colonisation of skin (joins skin flora)
- penetration of skin (spreads and damages)
factors that make an infectiin serious: pathogen
pathogen factors:
1. infectious dose= minimum number of organisms required to produce disease
2. virulence factors (molecules that assists bacterium to colonise)= allow invasion of host
3. toxins= cholera bacterium produce toxin that binds to gut cells= watery diarrhoea causes dehydration and kidney failure and death
4. resistance to antimicrobials/ antibacterial= mutations (advantageous mutation the more antobacterials used= failure of antomicrobial treatment)
factors the make an infection serious:
Host
- environment (geo/ climate/ financial/ public health infrastructure ie sanitation/ distribution of other infection hosts) ie dengue fever= viral infection transmitted by mosquitoes (fever, rash, muscle pain, bleeding, shock and multi organ failure)
- barriers to infection (skin, mucous membranes/ stomach acid/ native bacteria/ immune system/ behaviour)
- genetics
barriers to infection examples
- cuts and wound infections/ corneal abrasions (entry for pathogens/ conjunctivitis)
- stomach acid pH 2= very few organims can survive/ drugs for stomach ulcer increase pH and patients are more susceptible to food poisoning
- normal gut bacteria prevents colonisation by pathogenic bacteria (antibiotic treatments destroys good bacteria too= allow pathogens to cause infection)
- immune system= primary and secondary/ aquired immunodeficiencies
- behaviour= job/ travel/ pets/ sex/ drugs
primary immunodeficiencies are…
genetic variation can…
secondary immunodeficiencies include:…
Rare
protect against infection
treatments that suppress the immune system (chemotherapy for cancer/ suppressors for autoimmune diseases)
HIV= destroys immune cells AIDS
7 types of organisms that cause infection in order of size from biggest to smallest
helminths (ie tapeworms)
insects (fleas)
protozoe (malaria)
fungi (candida)
Bacteria (staphylococci)
viruses (influenza)
Prions (kuru)
all…are parasites (depends on another for survival) but 3 organisms are considered MEDICAL parasites
infections
helminths
insects
protozoe
endoparasites live…
Ectoparasites live…
inside the body (major cause of illness ie: helminths and protozoa)
outside the body (minor symptoms but transmit other infections)
protozoa are..
some have complex lifecyles involving…
unicellular organisms (too small to see by eye)
more than one host
2 examples of protozoa