Week 7 - Infection Flashcards

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1
Q

Define infection.

A

Pathogenic micro-organisms penetrate the host defenses, enter the tissues, and multiply

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2
Q

Define infectious disease.

A

Pathologic state that occurs due to the disruption of a tissue or organ caused by microbes or their products

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3
Q

Define pathogen.

A

A microbe whose relationship with its host is parasitic and results in infection and disease

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4
Q

What is the type and severity of infectious disease dependent on?

A

Pathogenicity of the organism and condition of the host

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5
Q

Define pathogenicity.

A

The ability of microbial species to produce disease (true and opportunistic pathogens)

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6
Q

Define virulence.

A

The degree of damage caused by a microbe to its host

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7
Q

Define true pathogen. Give an example.

A

Causes disease in a healthy person with normal immune defenses

Example: mycobacterium tuberculosis

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8
Q

Define opportunistic pathogen.

A

Cause disease in immune compromised host and/or cause disease when access to sterile environment

Example: staphylococcus

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9
Q

What are the 6 types of infections?

A

Primary infection

Reinfection

Superinfection

Secondary infection

Nosocomial infection

Subclinical infection

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10
Q

Define the 6 types of infection.

Primary
Reinfection
Superinfection
Secondary infection
Nosocomial infection
Subclinical infection

A

Primary infection: initial infection with organism in host

Reinfection: subsequent infection by same organism in a host (after recovery)

Superinfection: infection by same organism in a host before recovery

Secondary infection: when in a host whose resistance is lowered by preexisting infectious disease, a new organism may set up in infection

Nosocomial infection: cross infection occurring in hospital

Subclinical infection: it is one where clinical affects are not apparent

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11
Q

What are 7 details about infectious diseases throughout history?

A

Infectious agents have probably always caused disease in humans

Smallpox has been described in ancient Egyptian and Chinese writings and may have been responsible for more deaths than all other infectious diseases combined

There is evidence that malaria and poliomyelitis have existed since ancient times

In the 14th Century, the bubonic plague, or Black Death, killed about 20 million people in Europe alone

In the 20th Century, the 1918 influenza may have killed up to 50 million people worldwide

Close to 20 million people have died of AIDS to date

Potato blight (cause of the Irish Potato Famine)

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12
Q

What are the 3 classifications of infectious disease?

A

Duration, location, and timing

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13
Q

What kinds of diseases are classified by duration?

A

Acute: develops and runs its course quickly
Example: influenza

Chronic: develops more slowly and is usually less severe, but may persist for a long, indefinite period of time
Example: tuberculosis

Latent: characterized by periods of no symptoms between outbreaks of illness
Example: herpes

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14
Q

What kinds of diseases are classified by location?

A

Local: confined to a specific area of the body

Systemic: a generalized illness that infects most of the body with pathogens distributed widely in tissues

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15
Q

What kinds of diseases are classified by timing?

A

Primary: initial infection in a previously healthy person

Secondary: infection that occurs in a person weakened by a primary infection

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16
Q

What are the 6 phases of infectious disease?

A
  1. Exposure
  2. Incubation period: time between infection and appearance of signs and symptoms
  3. Prodromal period: mild, nonspecific symptoms that signal the onset of some diseases
  4. Acute stage: person experiences typical signs and symptoms of disease
  5. Recovery stage: symptoms have disappeared, tissues have healed, and body is slowly recovering strength
  6. Convalescence: clinical symptoms have actually subsided
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17
Q

What 6 elements are needed for the chain of infection?

A
  1. Infectious agent
  2. Reservoir
  3. Portal of exit
  4. Mode of transmission
  5. Portal of entry
  6. Susceptible host
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18
Q

What are 3 details about portals of entry for infectious agents that enter the skin? Give examples of diseases that do this.

A

Nicks, abrasions, and punctures

Intact skin is very tough; few microbes can penetrate

Some create their own passageways using digestive enzymes

Examples:

Staphylococcus aureus
Streptococcus pyogenes
Haemophilus aegyptius
Chalmydia trachomatis
Neisseria gonorrhoeae

19
Q

What are 2 details about infectious diseases that use the gastrointestinal tract as a portal? Give examples of diseases that do this.

A

Pathogens contained in food, drink, and other ingested substances

Adapted to survive digestive enzymes and pH changes

Examples:

Salmonella
Shigella
Vibrio
Certain strains of Escherichia coli
Poliovirus
Hepatitis A virus
Echovirus
Rotavirus
Entamoeba hitolytica
Giardia lamblia

20
Q

What is 1 detail about infectious diseases that use the respiratory portal of entry? Give examples of diseases that use this.

A

The portal of entry for the greatest number of pathogens

Examples:
Streptococcal sore throat
Meningitis
Diphtheria
Whooping cough
Influenza
Measles
Mumps
Rubella
Chickenpox
Common cold
Bacteria and fungi causing pneumonia

21
Q

What are 3 details about diseases that use urogenital portals of entry? Gives examples of diseases that do this.

A

Sexually transmitted diseases (STDs)

Enter skin or mucosa of penis, external genitalia, vagina, cervix, and urethra

Some can penetrate an unbroken surface

Examples
Syphilis (treponema)
Gonorrhea (Nisseria)
Genital warts (Human papilloma virus)
Chlamydiosis (Chlamydia)

22
Q

What are 2 details about pathogens that infect during pregnancy and birth? Give examples of diseases that do this.

A

Some microbes can cross the placenta (ex. the syphilis spirochete, rubella)

Other infections occur prenatally when the child is contaminated by the birth canal

Examples:
Toxoplasmosis
Other diseases
Rubella
Cytomegalovirus
Herpes simplex

23
Q

What are 4 examples of exit portals?

A

Respiratory and salivary portals: coughing and sneezing, talking and laughing

Fecal Exit

Urogenital Tract

Removal of Blood or Bleeding

24
Q

What are the 5 methods of transmission of infection? Give examples of diseases for each transmission.

A

Contact (sexual intercourse):
syphilis, gonorrhea

Inhalation: influenza,
tuberculosis, smallpox, measles,
mumps, etc.

Ingestion: cholera (water), food
poisoning (food) and dysentery

Inoculation: tetanus (infection),
rabies (dog), serum hepatitis, i.e.
Hepatitis B (infection)

Congenital: syphilis, rubella, toxoplasmosis, cytomegaloviruses

25
Q

What is 1 detail about insects as a method of transmission?

A

Insects act as mechanical vector (dysentery and typhoid by housefly) or biological vector (malaria) of infectious disease

26
Q

Define reservoir.

A

The primary habitat in the natural world from which a pathogen originates

27
Q

Define a carrier. Give examples.

A

An individual who inconspicuously shelters a pathogen and spreads it to others without any notice

Examples:
Asymptomatic carriers: “Typhoid Mary”
Incubation carriers
Convalescent carriers

28
Q

Define a vector and give 2 details.

A

A live animal that transmits an infectious agent from one host to another

Majority are arthropods

Larger animals can also be vectors

29
Q

What 5 factors influence microbial growth?

A

Temperature

pH, or the values used in
chemistry to express the
degrees of acidity or
alkalinity of a substance

Food

Moisture

Oxygen

30
Q

What are 4 categories of risk factors for infections that someone cannot typically control?

A

Heredity

Aging

Environmental conditions

Organism virulence and resistance

31
Q

What are 7 risk factors someone can control?

A

Stress

Nutrition

Sleep

Drug use

Personal hygiene

High-risk behaviors

Exposure to products and services that increase risk

32
Q

Define emerging diseases.

A

Emerging diseases are those that have recently appeared within a population, or whose incidence or geographic range
is increasing rapidly

33
Q

What 5 things affect disease emergence or re-emergence?

A

Appearance of a previously unknown agent

Evolution of a new infectious agent

Spread of an infectious agent to a new host

Spread of an infectious agent to new locations

Acquisition of resistance to anti-microbial drugs

34
Q

What 2 events must occur for a disease to become established?

A
  1. The infectious agent must be introduced into a vulnerable population
  2. The agent must have the ability to spread readily from person to person, cause disease, and sustain itself within the population
35
Q

What are 5 ways to reduce the spread of infectious diseases?

A

Vaccines

Antimicrobial drugs

Good personal hygiene and sanitation

Protection against mosquitoes

Quarantine

36
Q

What are 5 details about vaccines?

A

The most effective method of stemming the spread of infectious disease is through vaccination

Vaccines consist of weakened or killed microbes, or just components of a pathogen, and stimulate the body’s natural defenses—the
immune system—to combat infections

Vaccination has eliminated smallpox, nearly eradicated poliovirus from much of the world, and drastically reduced
the incidence of childhood infections, such as measles, mumps, and whooping
cough, at least in the developed world

Influenza vaccines are available to reduce the occurrence of seasonal flu, although the shot must be given yearly
due to the extreme variance of the influenza virus from season to season

Vaccines for other infectious diseases, especially HIV, still are being sought

37
Q

What are 4 details about antimicrobials?

A

Antibiotics are effective for many types of bacterial infections (although they
are entirely useless against viruses)

But increasingly, bacteria are becoming resistant to the arsenal of antibiotics at our disposal

Very few drugs work well against viruses

Anti-fungal drugs exist, but their use is limited

38
Q

What are 2 details about protection against mosquitos (and other insect vectors/parasites)?

A

There are no vaccines against protozoan parasites, and other medications against them are becoming ineffective

Therefore, protection from insect vectors such as mosquitoes and control of mosquito populations are crucial
strategies in containing the spread of insect-borne diseases, such as malaria

39
Q

What is 1 detail about sanitation?

A

Good sanitation, water purification, hand washing, and proper cooking and storage of foods all help to reduce the prevalence of infectious disease

40
Q

What are 2 details about quarantine?

A

In cases of highly contagious, often fatal diseases, quarantine is employed as a means of preventing the spread of disease through a community

However, regardless of the disease, it is wise to limit contact with other individuals when ill

41
Q

What are the 3 overarching elements of the CDC’s ID framework?

A

Element 1: strengthen public health fundamentals, including infectious disease surveillance, laboratory
detection, and epidemiologic
investigation

Element 2: identify and implement high‐impact public health interventions to reduce infectious diseases

Element 3: develop and advance policies to prevent, detect, and control infectious
disease

42
Q

What are the 4 priorities for Element 1 of the CDC’s ID framework?

Element 1: strengthen public health fundamentals, including infectious disease surveillance, laboratory
detection, and epidemiologic
investigation

A

Modernize infectious disease surveillance to drive public health action

Expand the role of public health and clinical laboratories in disease control and prevention

Improve capacity for epidemiologic investigations and public health response

Advance workforce development and training to sustain and strengthen public health practice

43
Q

What are the 2 priorities for Element 3 of the CDC’s ID framework? Give examples of infectious disease issues of special concern.

Element 3: develop and advance policies to prevent, detect, and control infectious
disease

A

Identify and validate high‐impact tools for disease reduction

Use proven tools and interventions to reduce high‐burden infectious diseases

Examples:
Antimicrobial resistance
Chronic viral hepatitis
Food safety
Healthcare-associated infections
HIV/AIDS
Respiratory infections
Safe water
Vaccine-preventable diseases
Zoonotic and vectorborne diseases

44
Q

What are the 2 priorities for Element 2 of the CDC’s ID framework?

Element 2: identify and implement high‐impact public health interventions to reduce infectious diseases

A

Ensure the availability of sound scientific data to support the development of evidence‐based and cost‐effective policies

Activities that help make disease prevention a standardized, routine part of healthcare