Week 8 Flashcards
Transmission modes?
- Contact
- Vehicle
- Vector
Types of contact?
- Direct contact: Kissing, touching, sex, mother to fetus
- Indirect contact: Fomites
- Droplets: Mucus droplets less than 1 meter (exhaling, sneezing coughing)
Vehicle transmission types (Air, water, food, fluids from body)
- Airborne (Aerosols): Dust or droplet goes father than a meter
- Waterborne
- Foodborne
Vector types (Arthrpods, insects)
- Active transmitter
- Passive transmitter
Aerosols
Major vehicles for person to person transmission of resp diseases
- sneezing
- coughing
- talking
- breathing
How do aerosols spread?
Person to person (direct)
Contaminated objects (indirect)
Microorganisms found in air are derived from:
Soil
water
plants
animals
people
surfaces
other sources
How are airborne pathogens effectively transmitted?
between people over short distances
What pathogens survive well in dust or on fomites?
- Gram positive bacteria: due to thick cells walls
- Waxy layer of mycobacterium cell walls resists drying and promotes pathogen survival
How big are infectious droplets?
About 10um in diameter
What is the speed of a droplet?
100m/s in a violent sneeze
15 to 20m/s during coughing or sneezing
number of bacteria in a single sneeze
10 to the 4 to 10 to the 6
How does air move in the lower respiratory tract?
Moves slowly, and particles stop moving and settle (large particles first then smaller)
Upper respiratory tract infections
acute and non-life threatening
Lower respiratory infections
Often chronic and can be quite serious, especially in elderly or immunocompromised individuals such as bacterial or viral pneumonia
Secondary infection
Death of an elderly person from pneumonia following a severe case of influenza
what are some illnesses transferred by direct contact
strep, cold virus, influenza
Upper resp tract airborne pathogens?
Staphylococcus aureus
Neisseria meningitis
streptococcus pyogenes
corynebacterium diphtheria
common cold
Lower tract pathogens
influenza
TB
immitis
pertussis
strep pneumonia
pneumonia viruses
Burnetil
chamydophila pneumonia
Streptococcal diseases transmitted by:
Airborne droplets
direct contact
Most important human respiratory pathogens:
Streptococcus pyogenes: elongated chains, as do many other species of the genus.
Streptococcys pneumoniae: grow in pairs or short chains
* virulent strains produce an extensive polysaccharide capsule
Types of streptococci infections
Group A
Group B
Group C/G
Group A streptococcus (GAS)
Tends to affect the throat and the skin. (βhemolysis)
Group B streptococcus (GBS)
Can cause illness in people of all ages, though it can be particularly
severe in newborns, most commonly causing sepsis, pneumonia,
and meningitis. (αhemolysis)
Group C and G streptococcus
Most commonly live in animals such as horses and cattle and can
spread to humans through raw milk or contact with these animals.
What is Hemolysin
are lipids and proteins that
cause the lysis of red blood cells and liberate hemoglobin by
disrupting the cell membrane.
Streptococcus pyogenes
The major species in the group A streptococci
* Upper respiratory tract microbe of
healthy adults
* A few serious infections are possible if
host defenses are weakened or a new,
highly virulent strain is encountered.
S pyogenes is the cause of:
streptococcal pharyngitis (strep throat)
* infections of the middle ear (otitis media)
* infection of mammary glands (mastitis)
* infections of the superficial layers of the skin called
impetigo
* streptococcal skin infection called erysipelas
* and other conditions linked to the aftereffects of
streptococcal infections.
Strep throat symptoms
severe sore throat, enlarged tonsils , red spots on the soft palate,
tender cervical lymph nodes, a mild fever, general malaise
Untreated group A streptococcal infections can lead to serious
secondary diseases such as
scarlet fever
* rheumatic fever
* acute glomerulonephritis
* streptococcal toxic shock syndrome
Clinical tools for quickly diagnosing strep throat include
Rapid antigen detection systems that contain antibodies specific for cell
surface proteins of S. pyogenes
* obtaining an actual culture of S. pyogenes from the throat or other
suspected lesion on a blood agar plate.
* results of a throat culture may take up to 48 h to process, and such a
delay in treatment can have adverse effects.