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47 Cards in this Set

  • Front
  • Back

infection

condition in which pathogenic microbes infiltrate host defenses, enters tissues, and multiply

Pathogen

infectious agent

infectious disease

condition that causes damage or disruption to tissues and/or organs

residents

microbes that become established; less influenced by hygiene

transients

microbes present for only a short period; more influenced by hygiene

microbial antagonism

normal flora benefit host by preventing overgrowth of harmful strains

endogenous infection

occurs when normal flora enter a site that was previously sterile

breaking of fetal membrane

introduce what will be normal flora through feeding and handling

variations in GI flora

due to shifting conditions in: oxygen tension, pH, anatomy

flora of the mouth

most unique and diverse flora of the body


-numerous adaptive niches


-bacterial count of saliva: 5x10^9

flora of the large intestine

large and profound effect on host


- intestinal environment prefers anaerobic bacteria

flora of the respiratory tract

oral streptococci: first bacteria to colonize



factors altering flora

antibiotics, diet, disease

major factors in development of infection

1) portal of entry


2) attaching firmly via fimbriae, hooks, etc.


3) avoiding host defenses (phagocytosis, immune system etc.


4) damage and disease (direct: toxins/lysis; indirect: immune response is excessive)


5) exit via anus, skin, respiratory tract, etc)

true pathogens

capable of causing infection in healthy people with normal immune response


-influenza, plague bacillus, malarial protozoan

opportunistic pathogens

cause disease when immune defenses are compromised or they grow in non indigenous areas


- pseudomonas sp, Candida albicans

virulence factor

characteristic or structure that contributes to the ability of a microbe to cause disease

Pathogens that infect during pregnancy

Syphilis


Toxoplasmosis


Other diseases (hepatitis, AIDs etc)


Rubella


Cytomegalovirus


Herpes simplex virus

phagocytosis

initial response of immune system against infection

leukocidins

produces by Staph and Strep species - toxic to white blood cells, inhibit phagocytosis

exoenzymes

dissolve extracellular barriers and penetrate through or between cells

toxigenicity

capacity to produce toxin at the site of multiplication

endotoxin

type of toxin that is not secreted, but is pleased after the cell is damaged


-composed of LPS, part of gram negative membrane

exotoxin

type of toxin that is secreted from bacterial cell into tissue


-hemolysins, A-B toxins

incubation period

time from initial contact with the infectious agent to first appearance of symptoms; hours to years

prodromal stage

vague feeling of discomfort; nonspecific complaints

period of invasion

multiplies at high levels, becomes established - more specific symptoms

convalescent period

as person begins to respond to the infection, symptoms decline

systemic/local/focal infections

systemic - infections spreads to several sites and tissue fluids, usually in the blood stream


local - confined to one site


focal - infection breaks free from local site and spreads to other tissues

patterns of infection

primary - initial infection


mixed - several microbes grow simultaneously at the site of the infection


secondary - another infection by a different microbe

signs of inflammation

edema - accumulation of fluid


granulomas and abscesses - walled off collections of inflammatory cells


lymphadenitis - swollen lymph nodes

leukocytosis

sign of infection in bloodstream


- increase in white blood cells

leukopenia

sign of infection in bloodstream


- decrease in white blood cells

septicemia

sign of infection in bloodstream


- large numbers of bacteria are present and multiplying


- bacteremia: small number present in blood


- viremia: small number of viruses present

chronic carrier

person with latent infection who sheds the infectious agent

sequelae

long term or permanent damage to tissues or organs

reservoir


primary environment of pathogen in natural world - humans, animals, soil, water, plants

source

individual or object from which an infection is actually acquired

passive carrier

contaminated healthcare worker picks up pathogens and transfers them to other patients

communicable disease

when an infected host can transmit an infectious agent to another host and cause infection


- highly communicable = contagious

non-communicable

infectious disease that does transmit from living host to living host


- occurs primarily when normal flora overgrow


- also via contact with organism in non living reservoir

patterns of transmission

direct: aerosol droplets or physical contact




indirect: vehicles, inanimate material, food etc.



epidemiology

the study of the frequency and spread of distribution of disease and health related factors in the human population

prevalence

total number of existing cases with respect to the entire population, usually represented as a percentage of the popultion

incidence

frequency of cases over a certain time period compared to general healthy population

morbidly rate

number of people afflicted with a certain disease

koch's postulates (determining causative agent)

1) identify particular microbe in every case of a disease


2) isolate microbe from subject in a laboratory


3) inoculate healthy patient with isolated subject and observe resultant disease


4) re-isolate subject from patient