week 4: Ch. 6- Infection Flashcards

1
Q

Pathogens:

A

Disease-causing microbes

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2
Q

Bacteria

Classified as:
Function:
Divide by:
Structure:
Appearance:

A

◦ Classified as prokaryotes
◦ No nuclear membrane—no nucleus
◦ Function metabolically & reproduce
◦ Divide by binary fission
◦ Complex cell wall structure
◦ Do not require living tissues to survive
◦ Vary in size and shape

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3
Q

Bacilli

A

Rod-shaped organisms

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4
Q

Spirochetes

A

Include spiral forms and Vibrio spp.

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5
Q

Cocci

A

Spherical forms
◦ Diplococci
◦ Streptococci
◦ Staphylococci

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6
Q

Two types of bacteria that differ in chemical composition:

A

◦ Gram-positive
◦ Gram-negative

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7
Q

External capsule or slime layer

A

◦ Found in some bacteria
◦ Outside the cell wall
◦ Offers additional protection

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8
Q

Flagellae

A

◦ One or more attached to cell wall
◦ Provide motility for some species

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9
Q

Pili or fimbriae

A

◦ Tiny hairlike structures—found in some bacteria
◦ Assist in attachment to tissue
◦ Transfer of DNA to another bacterium

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10
Q

Cell membrane

A

◦ Inside the bacterial cell wall
◦ Selectively permeable

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11
Q

Cytoplasm contains:

A

◦ Chromosome- One long strand of DNA
◦ Ribosomes and RNA
◦ Plasmids- DNA fragments; nonchromosomal; exchange DNA during conjugation

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12
Q

Exotoxins are usually produced by:

A

gram-positive bacteria

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13
Q

Endotoxins

Present in:
Released:
Can cause:

A

◦ Present in the cell wall of gram-negative bacteria
◦ Released on death of bacterium
◦ Vasoactive compounds that can cause septic shock

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14
Q

Spores

Formed by:
__________ form of bacterium
Can survive:
Highly resistant to:

A

◦ Formed by several species
◦ Dormant-latent form of bacterium
◦ Can survive long periods of time in spore state
◦ Highly resistant to heat and disinfectants

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15
Q

Viruses are small:

A

obligate intercellular parasites

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16
Q

Viruses structure

A

◦ Protein coat or capsid
-protein coat comes in various shapes and sizes

◦ Can change (mutate) quickly

◦ Nucleic acid - DNA or RNA
◦ Classification dependent on nucleic acid present
◦ Some RNA-containing viruses contain reverse transcriptase enzyme to convert RNA to DNA.

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17
Q

Active Viral Infection steps

◦ Virus attaches to ___________
◦ Viral ___________ material enters cell.
◦ Viral _______________ takes control of cell.
◦ Uses host’s cell to synthesize ____________________________________________
◦ New viruses are assembled in cytoplasm of cell.
◦ Viruses released by ____________________________ from host cell membrane

A

◦ Virus attaches to host cell.
◦ Viral genetic material enters cell.
◦ Viral DNA or RNA takes control of cell.
◦ Uses host’s cell to synthesize viral proteins & nucleic acids
◦ New viruses are assembled in cytoplasm of cell.
◦ Viruses released by lysis of host cell or by budding from host cell membrane

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18
Q

Latent Viral Infection steps

◦ Virus enters cell as with active infection.
◦ Viral _________ are produced and Inserted into [may stimulate an immune response and destruction of host cell]

◦ Virus may ____________________________ if immune system is depressed (e.g., herpesviruses)

A

◦ Virus enters cell as with active infection.
◦ Viral proteins are produced and Inserted into [may stimulate an immune response and destruction of host cell]

◦ Virus may reproduce actively if immune system is depressed (e.g., herpesviruses)

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19
Q

Describe characteristics of Chlamydia, Rickettsiae,
Mycoplasmas

A

◦ Obligate intercellular parasites.
◦ Do not grow on artificial media
◦ Some similarities with both bacteria and viruses
◦ Lack some basic components
◦ Classified as bacteria
◦ Replicate by binary fission within host cell

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20
Q

Chlamydia

~cause of? results in?

A

◦ Common cause of sexually transmitted disease
◦ Can result in infertility

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21
Q

Rickettsiae

~Gram? Transmitted by?

A

◦ Gram-negative
◦ Transmitted by insect vectors (lice, ticks)

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22
Q

Mycoplasmas

~Lack? Causes?

A

◦ Lack cell wall
◦ Cause of atypical type pneumonia

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23
Q

___________ (fungus) can cause neurologic disease and can be transmitted to embryo or fetus if mother is infected

A

Histoplasma

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24
Q

Fungi

◦ ________________ organisms (contain nucleus)
◦ Found throughout environment - On animals, plants, humans, food
◦ Fungal or mycotic infection
◦ From single-celled_________ or multicellular molds
◦ Only a few are _________________.
◦ Cause primary infection on skin or mucous membranes but may spread systemically particularly in immunosuppressed individual

A

◦ Eukaryotic organisms (contain nucleus)
◦ Found throughout environment - On animals, plants, humans, food
◦ Fungal or mycotic infection
◦ From single-celled yeast or multicellular molds
◦ Only a few are pathogenic.
◦ Cause primary infection on skin or mucous membranes but may spread systemically particularly in immunosuppressed individual

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25
Q

_______________ (fungus) is AKA athlete’s foot

A

Tinea pedis

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26
Q

Candida (fungus):
usually harmless, but opportunistic
◦ Causative agent of :

A

thrush and vaginitis

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27
Q

Protozoa

A

◦ Eukaryotic forms
◦ Unicellular, lack cell wall
◦ Many live independently, others are obligate parasites
◦ Pathogens are usually parasites.

◦ Examples of protozoal diseases:
-Trichomoniasis
-Malaria
-Amebic dysentery

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28
Q

Helminths (flatworms or roundworms)

A

◦ Are not microorganisms
◦ Parasites
◦ May be small or up to 1 m in length
◦ Life cycle with 3+ stages- Ovum, larva, adult
◦ Enter body through skin or by ingestion
◦ Infections more commonly found in young childs
◦ Infection can be life-threatening in an immunosuppressed client.

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29
Q

___________: ova inhaled in dust in fecally contaminated areas; common in children worldwide

A

Pinworms

30
Q

__________: larvae enter skin from fecally contaminated soil in tropical areas

A

Hookworms

31
Q

________________: most common form transmitted by larvae in undercooked pork

A

Tapeworms

32
Q

___________—giant roundworm: ingested with food that has been grown in feces-contaminated soil or prepared with hands that have been in feces-contaminated soil

A

Ascaris

33
Q

Prions

A

◦ Protein-like agents that change the shape of proteins within host cells
◦ Transmitted by contaminated tissues
~Ingestion of meat/ Infected blood or donor organs
◦ Cause degenerative disease of nervous system

◦ Human prion diseases
~Creutzfeldt-Jacob disease and variant Creutzfeldt-Jacob disease
~Both rapidly progressive and fatal

34
Q

Many areas of the body have a resident population of mixed microorganisms termed ______________________ in the
◦ Skin
◦ Nasal cavity
◦ Mouth
◦ Gut
◦ Vagina
◦ Urethra

A

resident/normal flora.

35
Q

Infection—organism is able to:

A

reproduce in or on body’s tissues

36
Q

◦ Endemic VS
◦ Epidemic VS
◦ Pandemic

A

◦ Endemic: Continuous transmission within a population

◦ Epidemic: Higher than normal transmission or spread to new geographical area

◦ Pandemic: Transmission has occurred on most continents.

37
Q

Reservoir

A

◦ Source of infection
◦ Person with active infection OR
◦ Person who is asymptomatic

◦ Environmental source such as contaminated soil, Infected person or animal

38
Q

Carrier

A

◦ A person may never develop the disease but still is a carrier.
◦ A person with subclinical signs of the disease

39
Q

_______: the microbe causing the infection

A

Agent

40
Q

________ _____ ____: means whereby the agent leaves the reservoir

A

Portal of exit:

41
Q

_________ ___ ______________: method whereby the agent reaches a new susceptible host
◦ Air
◦ Water
◦ Direct contact
◦ Food

A

Mode of transmission

42
Q

________________: access to new host

A

Portal of entry

43
Q

Susceptible host: susceptibility will depend on:

A

◦ Health status
◦ Immunity
◦ Age
◦ Nutrition

44
Q

Transmission could be direct or indirect:

A

Direct contact
◦ No intermediary
◦ Touching infectious lesion, sexual activity
◦ Contact with infected blood or bodily secretions

Indirect contact
◦ Involves intermediary object or organism
◦ Contaminated hand or food
◦ Fomite—inanimate object

45
Q

____________ transmission: Respiratory or salivary secretions are expelled from infected individual

A

Droplet

46
Q

_________ transmission: Involve small particles from the respiratory tract; Suspended in air and can travel farther than droplets

A

Aerosol

47
Q

__________: Insect or animal is an intermediate host

A

Vector-borne

48
Q

Nosocomial Infections

A

◦ Occur in health care facilities- Hospitals, nursing homes, physician’s offices, dental offices

◦ 10% to 15% of patients acquire an infection in the hospital because of:
~Many microbes present
~Patients with undiagnosed infectious disease
~Shared environment
~Treatment that may cause weakened immune system
~Many health care workers and fomites act as reservoirs.

49
Q

Factors That Decrease Host
Resistance

A

◦ Age (infants and older adults)
◦ Pregnancy
◦ Genetic susceptibility
◦ Immunodeficiency
◦ Malnutrition
◦ Chronic disease
◦ Severe physical or emotional stress
◦ Inflammation or trauma
◦ Impaired inflammatory responses

50
Q

Pathogenicity:

A

capability of a microbe to cause disease

51
Q

Virulence

A

◦ Degree of pathogenicity
◦ Invasive qualities (e.g., motility or enzymes)
◦ Toxins
◦ Adherence to tissue by pili, fimbriae, specific receptor sites
◦ Ability to avoid host defenses

52
Q

Infection control requires two approaches:

A

◦ Standard Precautions used in all settings with all clients when body fluids may be exchanged.

◦ Specific Precautions in clients diagnosed with a particular infection—these are used in addition to standard precautions.

53
Q

Incubation period

A

◦ Time between entry of organism into the body and appearance of clinical signs of disease
◦ Vary considerable with different organisms

54
Q

Prodromal period

A

◦ Fatigue, loss of appetite, headache
◦ Nonspecific—“coming down with something”
◦ More evident in some infections than others

55
Q

Acute period

A

Infectious disease develops fully

56
Q

Sterilization of equipment by:

A

◦ Chemicals
◦ Heat in an autoclave

◦ NOTE: Equipment must be cleaned prior to sterilization or it will remain contaminated!

57
Q

Use of chemicals:

A

◦ Antiseptics are used on the skin and tissues.
◦ Disinfectants are used on surfaces or objects.

58
Q

Local VS system signs of inflammation

A

Local
◦ Pain, swelling, redness, warmth
◦ If bacterial—purulent exudate
◦ If viral—serous, clear exudate

Systemic
◦ Fever may be present.
◦ Fatigue and weakness
◦ Headache
◦ Nausea

59
Q

Methods of Diagnosis

A

◦ Culture and staining techniques

◦ Blood tests
[Leukocytosis—bacterial infection]
[Leukopenia—viral infection]
~Differential count
~C-reactive protein
~Erythrocyte sedimentation rate (ESR)

◦ Immunological testing of body fluids
~Antigen identification/titer

60
Q

If drug resistance is known to occur with infection, use:

A

multidrug therapy.

61
Q

Antibiotic- Drugs derived from :

A

organisms

62
Q

Bactericidal- drugs destroy :

A

organism

63
Q

Bacteriostatic- decrease rate of :

A

reproduction

64
Q

Broad VS narrow spectrum antimicrobials

A

broad spectrum- Effective against both gram-positive and gram-negative organisms

narrow spectrum- Effective against either gram-positive or gram-negative organisms

65
Q

First- VS second-generation drugs

A

◦ 1st gen—original drug class

◦ 2nd gen—later version, which may be more effective, more tolerable/ easily administered

66
Q

Mode of Actions of antibiotics with an example of each

A

◦ Interfere with bacterial cell wall synthesis- penicillin

◦ Increase permeability of bacterial cell membrane- polymyxin

◦ Interfere with protein synthesis- tetracycline

◦ Interfere with synthesis of essential metabolites- sulfonamides

67
Q

Mode of Actions of Antivirals (3)

A

◦ Blocking entry into host cell
◦ Inhibiting gene expression
◦ Inhibiting assembly of the virus

68
Q

Antifungal Agents

◦ May interfere with___________ in fungi
◦ May increase fungal membrane __________
◦ Most antifungal agents administered topically to skin or mucous membranes
◦ Fungi are eukaryotic cells and are therefore often toxic to animal and human cells.
~Treatment requires strict medical supervision

A

◦ May interfere with mitosis in fungi
◦ May increase fungal membrane permeability
◦ Most antifungal agents administered topically to skin or mucous membranes
◦ Fungi are eukaryotic cells and are therefore often toxic to animal and human cells.
~Treatment requires strict medical supervision

69
Q

Antiprotozoal agents

A

◦ Similar characteristics to antifungal agents
◦ Protozoans are eukaryotic cells.
◦ Many pathogenic protozoa have several stages in their life cycles.
◦ Require treatment with different agents at different stages of the cycles

70
Q

-Trichomoniasis
-Malaria
-Amebic dysentery

are all

A

protozoal diseases