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66 Cards in this Set

  • Front
  • Back

Symbiosis

the relationship between the normal microbiota and the host, where at least on organism is dependent on the other

Microbial Antagonism

competition between microbes

ways Normal Microbiota protect the host

1. Occupying niches that pathogens might occupy




2. Producing acids




3. Producing bacteriocins

Probiotics

live microbes applied to or ingested into the body, intended to exert a beneficial effect


Prebiotics

chemicals that promote beneficial bacteria growth

Opportunistic Microbes

- usually don't cause disease in their normal habitat unless:


1. Host is weakened


2. Microbe is in a diff environment (E. coli in urinary tract)





Polymicrobial diseases

"takes a village to cause a disease"


- synergistic pathogenesis (microbial cooperation)

Symptom

a change in body function that is felt by a patient as a result of a disease (subjective feeeels)

Sign

a change in a body that can be measured or observed as a result of disease (objective, bruises af)



Syndrome

a specific group of signs and symptoms that accompany a disease

Incidence

fraction of a population that contracts a disease during a specific time



Prevalence

fraction of a population having a specific disease at a given time (total over time)




- takes into account both old and new cases

Sporadic Disease

occurs occasionally

Endemic Disease

constantly present in a population

Epidemic

disease acquired by many hosts in a given area in a short time

Pandemic

worldwide epidemic

Herd Immunity

immunity in most of a population

Acute

symptoms develop rapidly




- ie. influenza



Chronic

disease develops slowly, may be less sever but is likely to occur for long periods




- ie. tuberculosis, hep B

Subacute

symptoms between acute and chronic



Latent Disease

causative agent remains inactive for a time but then becomes active to produce symptoms




ie. shingles

Local Infection

pathogens are limited to a small area of the body




ie. gonorrhea, boils

Systemic Infection

an infection throughout the body




ie. measles



Focal Infection

system infection that BEGAN as a local infection




ie. agents of a local infection enter blood of lypmhatic vessels and spread to other parts of the body




ie. tonsils



Bacteremia

bacteria in the blood

Septicemia

growth of bacteria in the blood

Toxemia

toxins in the blood

Viremia

viruses in the blood

Primary Infection

acute infection that causes the initial illness

Secondary Infection

opportunistic infection after a primary (predisposing) infection

Subclinical Disease

no noticeable signs or symptoms (inapparent infection)

Predisposing Factors (those that make the body more susceptible to disease)

- short urethra in females


- inherited traits such as the sickle-cell gene


- climate and weather


- fatigue


- age


- lifestyle


- chemotherapy

Stages of a Disease


Infection enters host body, overcomes host defenses and initiates parasitism



1. Incubation Period


2. Prodromal Period


3. Period of Illness


4. Period of Decline


5. Period of Convalescence

Incubation Period

Interval between initial infection and first signs or symptoms, may vary or be the same depending on:




1. microbe involved


2. virulence (degree of pathogenecity)


3. number of infecting microbes


4. resistance of host




- for many diseases, most contagious period is last half of incubation period and prodromal period

Prodromal Period

appearance of nonspecific symptoms (fever, headache, malaise), hard to diagnose at this point




- for many diseases, most contagious period time is last half of incubation period and prodromal period

Period of Illness

disease is most severe, over signs/ symptoms




ie. chills, muscle pain, sensitivity to light




- if disease is not overcome, patient DIES GATDAM

Period of Decline

signs and symptoms decline, patient vulnerable to secondary infections

Period of Convalescence (Period of Recovery)

regains strength, body returns to prediseased state - recovery has occurred




- can still spread infection during this time, some pathogens remain alive in body


- possibility of relapse (return of symptoms)

Reservoirs of Infections

Human - principal living reservoir




Animal - both wild and domestic


- Zoonoses - disease that occur in primarily in animals and can be transmitted to humans ex. rabies/lyme diease




Nonliving


- Soil


- Water

Transmission of Pathogens

how pathogen is carried to a new host




- point of exit from sick person will usually be same as point of entry for next infected person

Contact (with infected host)

1. Direct Contact - touching, direct physical contact between source and susceptible host


ie. kissing, sex (rabies/anthrax)




2. Indirect Contact - via fomites (contaminated inanimate objects)


ie. contaminated syringes (AIDS and HEP B)




3. Droplet Infection - saliva or respiratory discharges traveling through air for less than one meter



ie. coughing, laughing, sneezing (influenza, pneumonia)

Vehicle Transmission

transmission by an inanimate reservoir (food, water)


1. Waterborne - contaminated water/untreated or poorly treated sewage (leptospirosis)


2. Foodborne - incompletely cooked, poorly refrigerated, prepared under unsanitary conditions (food poisoning/tapeworm)


3.. Airborne pathogen carried by air for more than one meter


ie. measles virus, fungus spores

Vectors

Arthropods, especially fleas, ticks, and mosquitoes




Mechanical Vector Transmission: feet of insects touch you, etc




Biological Vector Transmission: pathogen reproduces in vector and poop on your/trade blood/BITE THAT FOO

Healthcare-Associated Infections (HAIS)




or




Nosocomial (Hospital-Acquired) Infections

microbes in the hospital, acquired as a result of a hospital stay, 5-15% of all hospital patients acquire nosocomial infections

Emerging Infectious Diseases (EIDs)

diseases that are new, increasing in incidence or showing a potential to increase in the near future

Contributing Factors to Emerging Infectious Diseases

1. Genetic recombination


2. Evolution of new strains


3. Inappropriate use of antibiotics and pesticides


4. changes in weather patterns


5. Modern transportation


6. Ecological disaster, war, and expanding human settlement


7. Animal control measures


8. Public Health failure

Epidemiology

study of where and when diseases occur and how they are transmitted in populations

Centers for Disease Control and Prevention, Atlanta, GA

CDC, collects and analyzes epidemiological information in the US




- publishes Morbidity and Morality Weekly Report (MMWR)




Morbidity - incidence of specific notable disease


Mortality - # of deaths for these diseases

Transient Microbiota

microbiota that disappears after days, weeks, or months

Commensalism

- one organism benefits, the other unaffected

Mutualism

- both organisms benefit

Paratism

- one organism derives nutrients at the expense of the other

Communicable Disease

an infected transmits an infectious agent, directly/indirectly to another person who also becomes infected

Contagious

easily communicable and rapid spreading disease

Non-Communicable Disease

not spread from host to another, spread by a microorganism entering the body (tetanus) or by a normal microorganism in the body that only occassionaly produces disease

Sepsis

a toxic inflammatory condition arising from the spread of microbes from a focus infection




- may damage organs and cause them to fail

Fomite

any nonliving inanimate object involved in the spread of infection




-ie. tissues, towels, bedding

Compromised Host

one whose resistant to infection is impaired by disease, therapy, or burns



2 Principal Conditions


1. broken skin or mucuous membranes


2. suppressed immune system

Descriptive Epidemiology

collecting all data that describe the occurrence of the disease under study




- retrospective (looking back)



Analytical Epidemiology

analyzes a particular disease to determine probable cause




1. case control method - factors that preceded a disease




2. cohort method - two populations

Experimental Epidemiology

Hypothesis --> Experiment

How can opportunistic pathogens cause infections?

Opportunistic pathogens can cause infection because they are present in/on the body.They are called opportunistic because they usually do not cause healthy hosts harm but may cause disease to a host that is weakened, compromised by infection, has broken skin, or mucuous membranes. Opportunistic pathogens are more successful in environment such as hospitals due to the number of compromised hosts.

Categorize disease according to frequency of occurrence

Sporadic


Endemic


Epidemic


Pandemic

Categorize diseases according to severity or duration

Acute


Subacute


Chronic


Latent Disease

Stages of Illness

1. Incubation Period


2. Prodromal Period


3. Period of Illness


4. Period of Decline


5. Period of Convalescence

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