Unit 1 - Determinants of Pathogenicity Flashcards
Define Pathogen
Organisms that cause disease in their host
What are 4 examples of pathogens?
- Multicellular parasites
- Single celled parasites
- Bacteria
- Viruses
True or False:
We rely on microbes to protect us everyday
True
- they create a biofilm on our skin
Define vertical transmission
Transmission of infectious disease from mother to embryo, fetus or baby during pregnancy or childbirth
Define horizontal transmission
Transmission of infectious disease after birth or from another source
True or False:
Transmission of infectious disease can be by direct contact or indirect
True
What is a vehicle?
A NON-living medium that can spread disease (water)
What is a vector?
A LIVING medium that can spread disease (mosquito)
True or False:
Vectors TEND to be indirect transmission
Vehicles TEND to be direct transmission
False
- Vectors tend to be direct
- Vehicles tend to be indirect
True or False:
Animal feces are vehicles, not vectors
True
- this is b/c animal feces are not living things
- they are an animal product
True or False:
The uterus is always germ-free
False
- uterus is germ-free until birth
What protects the uterus from vaginal microbes?
Fetal membrane
When does a baby first come into contact with microbes?
During delivery
When does colonization (of microbes) of a baby occur?
Within 8 - 12 hours after birth
What bacteria is contained within mother’s milk (when breastfeeding)?
Bifidobacterium (primarily)
- this bacteria has adapted along with us
True or False:
Bottle fed babies are exposed to more bacteria in bottled milk compared to breast fed babies in mother’s milk
True
- bottle fed = coliforms, lactobacilli, enteric streptococci, staphylococci
- breast fed = bifidobacterium
What percentage of microbes make up the human body?
90%
Define niche
A compartment with unique properties
temperature, pH, nutrients, etc
What are some examples of tissues that harbour resident microbes?
- skin
- upper respiratory tract
- GI tract
- vagina
- Urethra (outer opening only)
- External ear and canal
What are some example of tissues/organs that are germ-free?
- Brain
- Muscles
- Blood
- Lower respiratory tract
- Kidneys and bladder
- Bones
- Ovaries/testes
What is mutualism?
Two organisms cooperate to BOTH benefit
What is commensalim?
One organism benefits WITHOUT harm to the other
What is parasitism?
One organism benefits WHILE harming the other (or at the expense of)
What is a reservoir?
The source of the disease/pathogen
- where the disease comes from or where the disease is hiding
Why do we NOT want everything to be sterile?
Because if we get exposed to bacteria/pathogens
- we won’t have “good” bacteria to protect us
- not all microbes are bad
What must pathogens do first before they can infect an individual?
Adhere
- attach to the host
True or False:
Communal microbes have adapted to penetrate follicular canals on the skin
True
True or False:
After hand washing communal microbes will grow back
True
- because they have adapted to living in the follicular canals on the skin
What happens to communal microbes on the skin if you use anti-microbial soaps or alcohols?
They are all killed
- you then leave it up to chance with what you are colonized with next (whatever is in the environment)
Why is the epidermis part of the immune system?
Because it acts as a barrier
- skin is constantly falling off, and taking pathogens with it
Where do transient (temporary) microbes reside?
Colonize on the epidermis (surface)
Where do resident microbes reside (in relation to the skin)?
Penetrate into the deeper layers of the epidermis
What does it mean for microbes to be endogenous?
They are “within” the body
What does it mean for microbes to be exogenous?
They are “from an outside source”
What do sight, respiration, digestions, glandular secretion, birth, and urination - all have in common?
All require temporary exposure of internal tissues
Despite the hostile condition of the GI tract, why is it commonly colonized with microbes?
It is RICH in nutrients!
Approximately how many species makes up the biofilm of the mouth?
More than 600 bacterial species
What percentage of fecal volume do microbes make up?
Approx 10 - 30% volume
What does information the coliform count tell us?
Indicator of unsanitary conditions
Which bacteria in the large intestine provide vitamins to us?
E. coli
- they ferment waste and produce B12 and Thiamine
True or False:
The upper respiratory tract is germ-free
False
- the upper resp is rich in microbes
- the lower resp is germ-free
What is the suspected function of the tonsils and the appendix?
Sites where microbes are cultured
- grown on purpose and released when necessary
Describe what microbial antagonism is
Resident microbes protect against other potentially harmful pathogens
What is the female vagina usually inhabited with and why?
Lactobacillus
- when they eat the glycogen produced by the estrogen, it produces an acidic environment (pH 4.5) that prevents the growth of other microbes
What happens to the Lactobacillus in the female vagina if the patient takes a broad spectrum antibiotic?
Kills off good and bad bacteria
True or False:
Humans have been infected by retroviruses throughout our evolution
True
What is a distinctive feature of retroviruses?
Have the ability to integrate their DNA INTO the human (or other) genome
- virus DNA becomes part of the human genome
What happens to retroviruses once they integrate into your genome?
They become attenuated (less pathogenic)
- b/c they don’t want to kill you, they want the host alive
What retrovirus makes up 8 - 10% of the human genome?
HERV
- human endogenous retrovirus
Define biofilm
Multiple species of microbes grow together and cooperate
Define microbial antagonism
Good bacteria impairing the colonization of pathogens
What are probiotics?
Commensal organisms believed to support human health
What do broad-spectrum antibiotics do?
Kill off “good” and “bad” microbes
How do exogenous microbes enter the body?
Through portals of entry
Define infection
Invasion of microbes into germ-free tissue
What is the virulence factor?
A characteristic of a microbe that increases its capacity to cause HARM
What are the 7 steps of the infection process?
- Portal of entry
- Adhesion
- Invasion
- Multiplication
- Infection of target
- Disease
- Portal of exit
What does it mean if a pathogen has “infectivity” characteristics?
Capacity to invade and replicate in host tissue
If a microbe is pathogenic, how could you describe its virulence?
A quantitative measure of the pathology that results from infection
What is the infectious dose (ID)?
Minimum number of microbes to cause infection (morbidity)
What is the lethal dose (LD)?
Minimum number of microbes to cause death (mortality)
True or False:
A toxin can cause infection
False
- a toxin can be lethal, but they do not infect you
Define prevalence
Number of people in a population that are infected
Define incidence
Number of new cases (new infections) in a population
What does ID50 mean?
Minimum number of microbes to cause infection in 50% of the population
What does LD50 mean?
Minimum number of microbes to cause death in 50% of the population
True or False:
A microbe with a HIGH LD is more deadly than a microbe with a LOW LD
False
- a high LD means that you need a large number of the microbe in order to cause death
- a low LD means that you need very few microbes in order to cause death
Where is E. coli typically found?
In the lower intestine of warm-blooded animals
- produces toxins that break down the gut lining
Where is Vibrio Cholera found and what does it do?
Found in the small intestine of people and some aquatic habitats
- produces cholera toxin: draws salts and water into the intestion
- results in severe diarrhea