Unit 1 Flashcards
three factors that drive whether or not a pathologic agent will cause disease
- susceptible host - conducive environment - pathogen
____ is the ability of an organism to cause disease
pathogenicity
____ is the degree of pathology caused by the organism (and is dependent on conditions)
virulence
what variety of organism only invades host cells when they can gain a selective advantage in the host
facultative intracellular pathogens
list some ways pathogens can be transmitted
- animal vectors - direct contact - fomites - droplets - airborne - fecal-oral
list the general immune responses to infection in the order that a pathogen meets them
physical barriers innate immunity adaptive immunity (humoral and cellular)
____ is the ecological community of commensal, symbiotic, and pathogenic microorganisms found in and on all multicellular organisms
microbiota
what is the function of flagella and another name for them
- motility - H Antigen
what is the function of Pili/fimbriae and another name for them
- adhesion - F Antigen
Capsules
composition?
function?
composition: polysaccharide and water function: antiphagocytic and protects against complement
what is the key ingredient in bacterial cell walls
peptidoglycan cross-linked with NAM and NAG
what is the cell wall composition for gram positive bacteria
very thick peptidoglycan layer and a thin inner plasma membrane
____ and ____ guide the immune response for gram positive bacteria
teichoic and lipoteichoic acids
what is the cell wall composition for gram negative bacteria
a sandwich of outer membrane, peptidoglycan, and plasma membrane
what induces inflammation/immune response in gram negative bacteria
the Lipid A portion of Lipopolysaccharide
why are gram negative bacteria more prone to a toxic immune response
the Lipid A portion of Lipopolysaccharide isn’t “visible” until the cell lyses, and then acts as an endotoxin and triggers a cytokine storm
what is a virulence factor
any bacterial factor that enhances a bacterium’s ability to colonize, invade, replicate within, and/or damage the host
what is Koch’s postulate
that virulence factors are encoded by genes and if these genes are inactivated then the pathogen is less virulent
what process does pili/fimbriae
adhesion (enhances it)
what process do toxins and exoenzymes affect
invasion of tissues (break down barriers that hold host cells together)
what process do capsules affect
immune invasion
____ are proteins produced and secreted by bacteria with a specific activity
exotoxins
____ are part of the bacterial cell wall that is usually released when the bacterium is lysed (Lipopolysaccharide in gram negatives)
endotoxins
four ways that exotoxins can act as super antigens to cause sepsis and shock
- damage cell membrane - disrupt signaling pathways - act of extracellular tissue - cause constant immune stimulation
a ____ is an organism that grows on and derives nourishment from dead or decaying organic matter (soil)
saprophyte
fungi are known as ____ because they require external carbon
heterotrophs
what makes up a mold
mycelium made of hyphae
molds that have hyphae with septa are:
septate
molds that have hyphae without septa are:
coenocytic
molds that are pigmented are:
dematiaceous
molds that aren’t pigmented are:
hyaline
a fungi (usually pathogenic) that is a mold at room temperature and yeast at body temperature is known as a:
dimorphic
three components found in the fungal cell wall
chitin, glucans, and mannoproteins
two components of the fungal cell membrane
- phospolipid bilayer
- sterols such as ergosterol, zymosterol (not cholesterol)
spores are fungal reproductive structures that germinate and yield a new ___
mycelium
what fungal spore structure is shown?
a sporangium filled with sporangiospores
what fungal spore structure is shown?
arthrospores
what fungal spore structure is shown?
a: macroconidia
b: microconidia
what fungal spore structure is shown?
blastospores
what fungal spore structure is shown?
chlamydospores
what fungal spore structure is shown?
zygospore
list some predisposing factors to fungal invasion
- immunosuppression (stress, steroids, diabetes, autoimmune)
- prolonged antibiotic therapy
- immune defects
- immaturity, aging, malnutrition
- heavy exposure to spores
- compromized tissues
- persistently moist skin
what is the function of the polyene Amphotericin B
kills fungi by binding both ergosterol and cholesterol
can cause nephrotoxicity
what is the mechanism of action of the antifungal class: azoles
inhibit synthesis of ergosterol, which disrupts the cell membrane
fungistatic (not fungicidal) so it takes prolonged treatment because several generations have to pass
what is the mechanism of action of the antifungal class: allylamines
inhibit
allylamines are especially good for treating _____
dermatophytes
what drug would you use to treat Candida or Cryptococcus
Flucytosine
an _____ is a naturally occuring chemical, whereas an ______ is a naturally occuring or manmade chemical
an antibiotic is a naturally occuring chemical, whereas an antimicrobialis a naturally occuring or manmade chemical
four mechanisms of action of antimicrobials
1: affect cell wall/membrane integrity
2: interfere with protein synthesis
3: impede DNA repair and replication
4: block metabolic pathways
what is the mechanism of action of β-Lactams
they inhibit cell wall synthesis by binding to the enzymes involved in the production or cross-linking of peptidoglycan
three main classes of β-Lactams
- penicillins
- cephalosporins
- carbapenems
how often are carbapenems used
not often. theyre saved as the last resort antibiotics
which class of β-Lactams is known for being more resistant to β-Lactamases
cephalosporins
what is the mechanism of action of glycopeptides
inhibit cell wall synthesis (different class than beta lactams though)
what is the mechanism of action of Polymyxins
disrupt cell membrane phospholipids by binding the Lipid A region of LPS
what formulation are polymyxins usually given in and why
mostly topicals because the systemic form causes nephrotoxicity and neurotoxicity
what are some examples of drug classes that inhibit protein synthesis
- tetracyclines
- macrolides
- lincosamides
- aminoglycosides
- phenicols
three classes of drugs that affect nucleic acids
fluoroquinolones
nitroimidazoles
nitrofurans
two classes of drugs that disrupt the folic acid pathway
sulfonamides
trimethoprim
what are some good antibacterials for anaerobes
nitroimidazoles
beta-lactams
macrolides
tetracyclines
what are some bad antibacterials for anaerobes
aminoglycosides
fluoroquinolones
what would be a good antibacterial for a mycoplasma (no cell wall)
tetracyclines
macrolides
lincosamides
what is a good choice of antibacterial for intracellular bacterial
tetracyclines
phenicols
macrolides
lincosamides
what drugs would you administer to cover a four-quadrant approach
beta-lactam with metranidazole
what is a “four quadrant approach” and when is it important
a four quadrant approach affects gram positives, gram negatives, aerobic, and anaerobic organisms
important is critical situations where you cant wait for a culture result
what is intrinsic resistance
an innate ability to resist through structural or functional characteristics and not through genomic changes (these organisms have never been susceptible)