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63 Cards in this Set

  • Front
  • Back

Reservoirs of infection

sites in which viable infectiousorganisms persist and from which human infections can arise.

Human reservoirs

acute carriers or chronic carriers

Animal reservoirs

about 150 pathogenic micoorganims can infectboth humans and some other animals.

Zoonoses

can be spread from animal to humans

Nonliving reservoirs

soil, water, food.

Modes of transmission

how disease is spread in population

Vectors are

Living agents that transmit disease, they can bepassively in disease transmission or could be part of the pathogens life cycle

Mechanical transmission

When a vector has no participation with thedisease, it transfers it from point A to B

Biological transmission

When a vector has the organism causing thedisease living inside of it for a period of time.

Vehicletransmission

Inanimate objects, and transmission of pathogensby things such as


o Water, air, food, blood and other fluids inhospitals, drugs, etc

Contacttransmission

can be direct or indirect


direct contact transmission person to personcontact


indirect contact transmission occurs throughfomites.

Tissue Tropism

To effect a certain tissue, often referred to asthe target site.

Spread of infection

Refers to how diseases differ in how they spreadthrough the body


-localized


-toxigenic bacteria


-invasive

Localized spread of infection

remains in one area, typically site of infection

Toxigenic bacteria spread of infection

remains localized but secretes toxins that canspread through the body

Invasive spread of infection

agent doesn’t remain in one area but spreadsthrough the body, normally through bloodstream

Pathogen

organism that causes disease

Opportunist pathogen

thesedon’t normally cause disease in a healthy hose, but they do infect immune compromisedhost,

True pathogen

pathogen that causes disease in healthy host

Polymicrobial

multiple species, and typically are mouthinfectious, wounds

Virulence

degree of pathogenicity, it involves both theinfective of the agent and severity of the disease it causes

Virulence factors

factors that increase the pathogenicity. examples are attachment, immune evasions, spreading factors, invasions of host cell, toxins, iron acquisition

Attachment

A virulence factor. helps attach!


-capsule and glycocalx allows formation of biofilm


-pili have adhesion in their tip


-surface protein- functions as adhesions


-adhesins- molecules on pathogens that allow them to attach to host

· Immuneevasions

A virulence factor.


-Capsule- prevents phsogcytosis, and antibodybinding. BIOFILM FORMATION


-Coagulase


- hemolysins


-IgA proteases

Coagulase

makesblood clot that the bacteria grow inside. Immune cells cannot enter. It is madein a fibrin

Staphylokinase

is later made that breaks the fibrin blood clot around bacteria

Streptokinase

works same as staphylokinase but is used to treat strokes

hemolysins

lyse redand white blood cells. Attacks the host cell membrane.

Leukocidins

destroy white blood cells

Antibody proteases

cleave the antibody/ Renders in ineffective

IgA proteases

they are in two parts. The part bound to thecell and the part that flag the immune system. So bacteria is covered with IgAbut the host doesn’t know it is there.

Antigenic variation

change the surface antigens that mosteffectively mediate clearance of microorganism. Some times antigen can bechanged on the outside (DIFF STRAINS, DIFF GENE)

Phase variation

turningoff then turning on the gene. It’s the same strain

· Spreadingfactors

A virulence factor. helps break things down, and movement


-collagenase


-hyalurodiase


-flagella


-toxins

Collagenase

breaks down collagen, a connective tissue

Hyalurodiase

breaks down a component of extracellular matrix

Flagella

lets bacteria swim

Invasion to hide

invade the host and rest there. Some will invadeand grow slowly but not intracellular

Invasion to invade the host tissue

some bacteria want to go to the cell to get intounderlying tissue

Invasion of non-immune cells

invadethe host cell and grow in their endosome or grow in cytoplasm after lysing theendosome

Invasion of immune cells

occasionaly happens, but takes skilled bacteria

Invasins

bacterial surface proteins that promotephagocytosis of bacteria. It is needed to induce significant rearrangement ofthe cytoskeleton of the cell to induce phagocytosis

Exotoxins

soluble proteins which cause distant effects:


cytotoxins, neurotoxins, entrotoxins.




gram positive, gram negative

Cytotoxin

have toxic effect on cells they come in contactwith

Neurotoxins

interfere with neurological signal transmissions

Enterotoxins

soluble proteins which cause diarrhea

Endotoxin

lipid A, a component of LPS that stimulates theimmune system




gram negative

Anthrax toxin

killshost macrophages and causes death of the host

Diphtheria toxin

inhibits protein synthesis, kills host cell

Botulinum toxin

neurotoxin that prevents nerve signalingblocking muscle contraction

Tetanus toxin

neurotoxin that locks nerve cell signaling

Cholera toxin

enterotoxin causing tremendous diarrhea.

Iron acquisition

o Most bacteria need iron from electron transportpathways. They have three basic strategies


§ Steal from the host


§ Siderophore- make iron binding proteins


§ Blow up host cell and release intracellular iron

In order forinfection to be maintained.

immune evasion, proliferation, penetration

Incidence

is the number of new cases in a population in aspecific period of time

Prevalence

total number of people infected at anyone time

Morbidty

incidence of disease in population in aspecified time period

Mortaltiy

number of deaths in a population in a time period

Endemic

constantly present in population.

Epidemic

occurs when a disease has high incidence in apopulation

Pandemic

world wide epidemic (flu 1918, cholera 1961-71)

Sporadic

small number of isolated cases

Immunecompromised

Neutropenia, organ transplantation, burn patients, nonsociomial infections (occur in the hospital)