Unit 4 lecture 16-20 Flashcards
Define infection
person ingests pathogen which enters GI tract and multiplies
- delay in symptoms with fever
4 mechanisms of GI tract illness
- ingestion of food containing preformed toxins
- bacteria enter GI tract and adhere to intestinal epithelial cells
- ingestion of pathogen that adheres to and invades epithelial cells
- Bacteria enter GI tract, pass through intestinal mucosa and become systemic
1.) ingestion of food containing preformed toxins
bacteria involved
- staph aureus
- bacillus cereus
- clostridium botulism
- clostridium perfringes
- (food poisoning)
2.) adhere to epithelial cells
bacteria
- enterobacteriaceae
- vibrionceae
3.) adheres to and invades epithelial cells
bacteria involved
- shigella
- salmonella sps
- Invasive E. coli
4.) pass through intestinal mucosa and become systemic
- salmonella typhi
- listeria monocytocogenes
- yersinia enterocolitica
- yersinia psuedotube
1.) Staph Aureus bacteria
- gram stain
- known for
- s/s
- disease process
- gram + cocci
- most common cause of food poisoning
- resistant to environmental stress
- severe diarrhea, no fever
- produces enterotoxins that are very heat stable
1.) Bacillus cereus bacteria
- gram stain
- known for
- disease process
- s/s
- gram + rods
- spore forming
- food contains endospores- produce 2 enterotoxins
- diarrhea and vomiting
1.) Clostridium Botulinum bacteria
- gram stain
- known for
- disease process
- s/s
- gram + rods
- spire forming
- produce neurotoxins, CNS, Paralysis
- nausea, vomiting, hard to swallow, double vision, paralysis
1.) Clostridium prefringes
- gram stain
- known for
- s/s
- gram + rods
- spore forming
- enterotoxins produced
- a cute abdominal pain, diarrhea, no vomiting
which GI tract bacteria is most common cause of food poisoning
staph aureus
which GI tract bacteria form spores
- bacillus cereus
- clostridium botulinum
- clostridium prefeinges
2.) Enterobacteriaceae family
- gram stain
- antigens
- virulence factors
- bacteria
- gram - rods
- O,H,K antigens
- colonization/adherence, toxins causing fluid loss, invade epithelial cells
- E. coli
O,H,K antigens meaning
- O: outer LPS membrane
- H: flageller antigens
- K: capsular antigens
2.) Vibrionaceae family
- gram stain
- bacteria
- curved gram (-) rods
- vibriochlera
- campylobacter
vibriochlera
transmission
s/s
toxin
- dehydration and loss of electrolytes
- severe watery diarrhea
- decal oral route
- waterborne
- chloragenotoxin
Campylobacter
diarrhea
3.) shigella
- gram stain
- process
- spread
- s/s
- gram - rod
- shiga toxin secreted that inhibits protein synthesis and kills epithelial cells
- contact with infected person
- severe diarrhea with blood and mucus
define dysentery
severe diarrhea with blood and mucus
3.) Salmonella
- gram stain
- process
- s/s
- gram - rod
- bacteria invade intestinal lining
- can become systemic
- headache, abdominal pain, vomiting, diarrhea, fever
3.) Enteroinvasive E.coli
- gram stain
- process
- s/s
- gram - rod
- invade intestinal epithelial cells and produces toxins
- inflammation, fever, diarrhea, abdominal pain, blood, mucus
4.) Salmonella Typhi
gram stain
process
- gram - rod
- enters blood and infects various tissues and organs
4.) Listeria Monocytogebes
gram satin
found
know
- gram + rod
- excreted in animal feces
- dangerous for pregnant women and immunosuppressed
4.) Yersinia
gram stain
s/s
know
- gram - rod
- diarrhea, fever, headache
- lymph node swelling: mocks appendicitis
protozoa: Entamoeba histolyca
- movement
- spread
- process
- s/s
- pseudopods
- fecal/oral: ingest contaminated food or water
- cyst-trophozoite- toxins kill epithelial cells
- lesions and severe dysentery
Cyst vs trophozoite form
protozoa: Balantidium coli
movement
shape
spread
s/s
- large, oval
- cilia
- fecal/oral: swine pigs
- bloody diarrhea
protozoa: Giardia Lambila
- movement
causes
spread
s/s
know
- flagella
- frequent cause of waterborne diarrhea
- ingest fecally contaminated food to water
- abdominal pain, gas, nausea, diarrhea
- resistant to chlorination
protozoa: toxoplasma gondii
movement
spread
know
- non motile
- undercooked meats and cats
- dangerous for pregnant and immunosuppressed
protozoa: Cyrptosporidium parvum
movement
know
spread
- non motile
- not recognized until aids
- dangerous for immunosuppressed
- resistant to normal chlorination
- ingest fecally contaminated food or water
- lakes and streams commonly contaminated
Protozoas of GI
- entamoeba hsitolyca
- balantidium coli
- giardia lambilla
- toxoplasma gondii
- cryptosporidium parvam
viruses of GI
- local intestinal: norwalk and rotavirus
- enter GI and become Systemic
(enteroviruses) - polio
- coxsackie
- echovirus
- Hep A, B, C, D, E
local: Norwalk like
- dna or rna
- s/s
- also known as
- SsRNA
- sudden severe nausea and vomiting
- winter vomiting disease
local: Rotavirus
- dna or rna
- s/s
- know
- RNA
- fever, diarrhea, vomiting
- can be fatal for infants bc of loss of fluids/shock
systemic: Enteroviruses
- fecal oral route
- human only host
- common in warm weather
- 30 mil non polio cases/year
Systemic: Polio
dna or rna
child v adult
severe consequence
spread
vaccine
- RNA
- mild in children, severe as adult
- paralysis 0.1%
- fecal oral route: human-human
- salk: formalin killed
- sabin: live attenuated
disease process of polio
- ingested
- infects GI tract
- invade tonsils/lymph nodes
- invade blood then meninges
- CNS
systemic: Coxsackie
dna or rna
also known as
vaccine
- RNA
- hand/foot/mouth disease
- no vaccine or medications
systemic: Echovirus
dna or rna
also known as
- RNA
- Croup
systemic: Hep A
dna or rna
spread
chronic carriers
incubation
vaccine
- RNA, non envelopes
- fecal oral from infected person or infected waters
- shell fish
- no chronic carriers
- 15-40 days: most infectious
- inactivated whole virus
Systemic Hep B
- dna or rna
- spread
- incubation
- chronic carriers
- vaccine
- linked to
- DNA
- blood, bodily fluids
- 50-180 days
- 10% chronic carriers
- recombinant HBsAG(genetic engineering)
- liver cancer
what is dane particle
complete HBV particle
Systemic Hep C
- rna or dna
- spread
- incubation
- chronic carriers
- linked to
- RNA
- blood, bodily fluids: STD
- 14-150 days
- yes chronic carriers
- chronic liver disease and liver cancer
systemic Hep D
- rna or dna
- spread
- chronic carriers
- linked to
- RNA
- Blood and bodily fluids
- chronic carriers
- always occurs with HBV
- higher mortality rate and liver damage with both HBV and HDV
systemic: Hep E
- rna or dna
- spread
- chronic carriers
- incubation
- bad for
- RNA
- fecal oral route
- no chronic carriers
- few weeks duration
- 20% mortality rate in pregnant women
HEP A AND E
- no chronic carriers
- short incubation
- fecal oral
HEP B,C,D
- chronic carriers
- blood/bodily fluids
- long incubation except D
Oral Tract Bacteria
- streptococcus
- dental carrie
- periodontal disease
bacteria: streptococcus
gram stain
hemolysis
potential consequences
- gram + cocci
- alpha hemolytic
- subcutaneous bacterial endocarditis if enters blood stream
bacteria: dental carrie
- cavities
- sugar + s mutans + host habits