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203 Cards in this Set

  • Front
  • Back
what can drugs be used for
treating bacterial infection
what is chemotherapy
the use of chemicals/drugs to treat a condition
is chemotherapy only used for cancer
no
what is a chemotherapeutic agent
the chemical/drug that is used to treat a condition
what is an antimicrobial agent
used to treat bacterial infection
what are some antimicrobial agents used for
antibiotics
what is an antibiotic
substance produced by microorganism
what does an antibiotic do
inhibits the growth or kills another microorganism
what does an antimicrobial agent do
inhibits or kills the pathogens
what are antibiotics produced from
molds or bacteria
what antibiotics are produced from molds
penicillin and cephalosporin
what antibiotics are produced from bacteria
bacitracin, erythromycin, and chloramphenicol
what are semisynthetic antibiotics
antibiotics that are chemically modified
- if you're allergic to something in the medicine you can modify it
what is an ideal antimicrobial agent
-kills/inhibits the growth of the pathogen
-causes no damage to the host
-causes no allergic reaction in the host
-is stable when its stored in solid or liquid form
-remains in a specific tissue in the body long enough to be effective (has to be there long enough to do its job)
-kills the pathogen before it mutates and becomes resistant to it (needs to be quick enough)
how does an antimicrobial agent work
-to kill the pathogen and not hurt the host it must inhibit a metabolic process or structure only present in the pathogen
what are the common mechanisms in an antimicrobial agent to kill a pathogen
-inhibition of cell wall synthesis
-damage to cell membranes
-inhibition of nucleic acid synthesis
-inhibition of protein synthesis
-inhibition of enzyme activity
what does sulfanamide do and what are its characteristics
inhibits production of folic acid in bacteria that require p-aminobenzoic acid (PABA)
-sulfanamide cannot be used to make folic acid
-humans do not use PABA
what are sulfa drugs
-competitive inhibitors
type of bacteriostatic drug which inhibit bacterial growth
what is narrow-spectrum
antibiotics that only destroy gram-negative or gram-positive bacteria
what is broad-spectrum
antibiotics that destroy both gram negative and gram positive bacteria
what is bad about broad-spectrum
it'll kill everything because its so bad, including your normal flora which then makes us susceptible to sickness
what does penicillin do
interferes with the synthesis of the cell wall and cross-linking of peptidoglycan
when is penicillin important
in the treatment of gram-positive bacteria
when is penicillin working at its best
when the cells are multiplying before they have their cell wall up
what is penicillin referred to as
B-lactam drugs
what are penicillin's produced by
molds
what does penicillin's molecular structure include
B-lactam ring
what is a bactericidal drug
drug against gram-positive cocci and bacilli, gram-negative cocci, some anaerobic bacteria and some spirochetes
what will some extended-spectrum bactericidal do
increase the ability to kill gram-negative bacilli
what are B-lactam antibiotics
wide variety of drugs that contain a B-lactam ring in their molecular structures
what is cephalorsporin and what does it do
another B-lactam antibiotic and it interferes with the cell wall synthesis
what are some bacteriocidal antibiotics
penicillin and cephalorsporin
how is cephalosporin classified
as 1st 2nd 3rd and 4th generation
what is the 1st generation of cephalosporin
it is against gram-positive
what is the 2nd generation of cephalosporin
it is against gram-negative
what is the 3rd generation of cephalosporin
when it is the best against gram-positive
what is the 4th generation of cephalosporin
when its against both gram-positive and gram-negative
what do we do when some organisms are penicillin resistant
use B-lactase to break down peptoglycan
what is tetracycline
-broad spectrum drug
-bacteriostatic drug
what does tetracycline do
targets bacterial ribosomes
what are bacteriostatic drugs
drugs that only inhibit bacteria and stops it from growing
what is aminoglycoside and what does it do
broad spectrum drug and it inhibits bacterial protein synthesis (inhibits bacteria from making protein)
what is aminoglycoside ineffective against
anaerobes
what do macrolides do
inhibit protein synthesis
-bacterioSTATIC in low doses
-bacteriCIDAL in high doses
what is fluoroquinolones
bactericidal drugs that inhibit DNA synthesis
what is the most common used fluoroquinolones and what is it effective against
ciprofloxacin
-most effective against enterobacteriaceae and P. aeruginosa
what is synergy
when using more than one agent to treat an infection is better than the two agents working independently
what is antagonism
when more than one agent working together is less effective than the agents independently
why is it hard to use antimicrobial agents against fungal and protozoal pathogens
because they're both eukaryotes and so are we, which makes us similar and more susceptible to side effects and makes them more toxic to humans
how do anti fungal and protozoal drugs work
-they bind to cell membrane sterols
-interfere with sterol synthesis
-block mitosis or nucleic acid synthesis
what are antiviral drugs
-newest weapon on the war against pathogens
-first drug against HIV (known as AZT) was created in 1987 (normally distributed as a "cocktail")
why are antiviral drugs so hard to make
because viruses multiply inside a host....we can kill our own cells
what are superbugs
bacteria that are normally resistant to multiple drugs
what are some superbugs
methicillin-resistant S. aureus (MRSA)
-methicillin-resistant S. epidermis (MRSE)
-Vancomycin-resistant enterococcus spp (VRE)- agent of UTI
-B-lactamase-producing stains of S pneumoniae
what is the one thing that MRSA and MRSE are not resistant to most of the time
vancomycin
is bacteria the only thing that is drug resistant
NO
-viruses, fungi, protozoa can be too
what is intrinisic resistance
organism might lack the target of the drug
--Ex: penicillin wont work on an organism that doesn't have a cell wall
--drug may not be good enough to cross the cell membrane or cell wall
what is acquired resistance
-chromosomal mutation of the binding site
-chromosomal mutation of the cell wall or membrane (if it doenst look the same the drug wont bind)
-ability to produce an enzyme that inactivates the drug (resistance factor R-factor) plasmid (extra chromosomal material)
-produce multi-drug resistance pumps (MDR)- pumps drug out before it can do any harm
what are B-lactamases
an enzyme that breaks the B-lactam ring which makes an ineffective antibiotic
what are the two types of B-lactamases and what do some drugs include
1. penicillinases
2. cephalosporinases
-some drugs include B-lactamase inhibitor
how do fight against these microbes
-educate yourself about them
-do not pressure dr. to give you antibiotics
-prescribe narrow-spectrum antibiotics
-take antibiotics for the full time
-dont use antibiotics as a precaution
-practice good prevention methods (aseptic technique)
what is empiric therapy
its an educated guess of the pathogen causing the disease.
-only happens when the patients life is in danger
what are some problems with antimicrobials
-only those susceptible to the drug will die
-ones that are resistant will survive and multiply
-patient may become allergic to drug
-drug may be toxic to humans
-broad-spectrum drug antibiotic used for a long period of time may kill the normal flora and then cause secondary problems
what is ecology
the systematic study of the interrelationships that exist between organisms and their environment
what is microbial ecology
the study of the relationships between microorganisms and the world around them
-their interaction with eachother
-their interaction with the non-living world
is most microorganisms and human interaction beneficial or harmful
beneficial
what is symbiosis
living together or in close association of two dissimilar organisms- normally two different species
-ex: a dog and cat living together
what are symbionts
the organisms themselves in a symbiosis
what is a mutualistic relationship
beneficial to both symbionts
what is a commensalistic relationship
beneficial to only one symbiont
what can happen when there are changes in conditions
there can be changes in relationships.
-opportunistic pathogens
what is indigenous microflora
also known as normal flora
-all the microbes that reside on and within our bodies
--bacteria. fungi. protozoa. viruses
how many cells are in our bodies compared to microbes and how many different species of microbes
10 trillion cells, and 100 trillion microbes
-about 500-1,000 different species
what doesn't have microflora
fetuses and newborns
-they take protection from their mothers
what is transient microflora
microflora that is not present from birth to death.
-its not part of your normal flora.
where are transient microflora attracted to and why is it transient
moist warm places and transient because
-can be washed away from external places
-may not be able to compete with flora thats always there
-may not survive the pH of the environment
-killed by products made by normal flora
-flushed from body by secretion
what is skin microflora, and where does it reside
mostly bacteria and fungi
-about 300 different species
-many that live on skin are anaerobes and reside in the deeper layers of the skin, hair follicles, sweat and sebaceous glands
what is the most common skin microflora
staphlococcus and corynebacterium
describe the middle and inner ear microflora
middle and inner ear are normally sterile
-middle ear can get infection organisms enter when sneeze or blow your nose.
describe the outer ear and eye microflora
outer ear and auditory canal can have the same organisms that skin have
-external eye is lubricated, cleansed and protected by tears, mucus and sebum
where is lysozyme found
in tears
what is the respiratory microflora divided into
upper and lower tract
what is the upper tract consist of
nasal passages and the throat
-most microorganisms found here are harmless
-opportunistic microorganisms are present
-may have pathogenic microorganisms (carrier) you're immune but it can somebody else sick
what does the lower tract consist of
larynx, trachea, bronchi, bronchioles and lungs
-no microbes are present here (sterile)
describe mouth microflora
-both anaerobes and aerobic organisms found here
-left over food is a great source of nutrient for bacteria
what is the most common bacteria found in the mouth
a-hemolytic streptococci (creates plaque)
whats included in the gastrointestinal microflora
esophagus, stomach, small intestine, large intestine and anus
-most microbes dont survive the low pH in the stomach
what causes ulcers in the stomach
helicobacter pylori
what inhibits microbes from growing in the duodenum
bile
what contains the highest number and variety of microorganisms
the colon
describe the colon microflora
anaerobic environment
obligate, facultative anaerobes as well as aerotolerant
-contains bacteria, fungi, protozoa and viruses
-many are opportunistic
what can happen if E. coli's environment is shifted in the colon
can cause a UTI
how much of fecal mass is bacteria
50%
what is the genitourinary tract microflora
consists of the urinary tract and the reproductive system
-kidney, uterus and bladder are sterile
describe the urethra
contains microbes
-they dont infect the bladder because its constantly flushed
describe the reproductive system
normally sterile
-vaginal microflora differs through the stages of sexual development
what do humans gain from microorganisms
vitamin K and B12, pantothenic acid, pyridoxine and biotin
what do microorganisms do to the immune system
they're irritants to it so the immune system is never dormant, its always fighting something
what is microbial antagonism
microbes vs. microbes (normal flora is fighting pathogens)
-our microbes take up space and nutrients so other microbes cant
what else can microbes produce
antibiotics and bacteriocins
-ex: Colicin is a bacteriocin produced by E. coli
most of our normal flora is what?
opportunistic pathogens
-Ex: E. coli is found in the intestinal tract but can lead to serious problems in the blood or urinary tract
what are biotherapeutic agents
aka: probiotics
-they restore balance to your normal flora when it is upset by antibiotics or change in pH. - organisms can then take over in areas they shouldn't be in
-you can be given bacteria or yeast (known as biotherapeutic agents)
what is biofilm
aka: microbial community
-complex and persistent community of different microbes
-hard to find a place with only one type of microbe
what protects biofilms from antibiotics
a slime layer made of polysaccharides, proteins, and nucleic acid
why do bacteria grow in microcolonies with water
so water will bring them nutrients and take waste away
where are biofilms found
on bones, heart valves, tissue, and inanimate objects
what can biofilms cause
endocardits, cystic fibrosis, middle ear infection, kidney stones, peridontal disease and prostate infection
-cause of about 60% of human infections
what causes cavities
the waste products from biofilms
what are biofilms resistant to
antibiotics, disinfectants, and other mechanisms of defense
what is biofilm protection
layers of different organisms can protect each other
-waste products from one species can be a nutrient for a different species
-bacteria can secrete different proteins as well that another species can use
what is frustrated phagocytosis
when macrophages get so mad they can't engulf biofilm that they release toxic material that harms the host tissue
what are synergistic infections
when microorganisms work together to produce an infection that neither one of them could do alone
what is an example of synergistic infection
oral bacteria work together to cause acute necrotizing ulcerative gingivitis
what is agricultural microbiology
-important in genetic engineering--> plants (making them bigger, stronger and taste better)
-microorganisms can be used instead of pesticides
-microorganisms play a role in elemental cycles
describe the elemental cycles
bacteria are adaptable and versatile
-CHONPS cycles are important in nature
-some N fixing bacteria lives as small clumps of matter in plants
what are endosymbionts
bacteria that live inside other microorganisms
what are saprophytes
bacteria and fungi cycling back into the soil nutrients from dead animals and plants
what is biochemical cycling
the process of saprophytes decomposing material
what are soil microorganisms
bacteria, fungi, algae, protozoa, viruses and viroids
-many are decomposers
-others are pathogens
what is a pathogenic soil microorganism
clostridium spp.
what can be present in soil for many years
spores
what are farm animal diseases
can be a problem to the health and economically
-vaccines are present to prevent many diseases
what causes most plant diseases
fungi, viruses, viroids, and bacteria
-huge economic loss
what are the 3 infamous plant diseases
1. dutch elm disease
2. late blight of potatoes
3. wheat rust
what is biotechnology
any technological application that uses biological systems, living organisms or derivatives
-not all areas of biotechnology include microbes, some are made from what the microbes made
what are some examples of biotechnology
production of therapeutic proteins like insulin, hormones, interferon and vaccines
-production of DNA vaccines- pathogenic gene is made so our bodies can make Ab against it
what vitamins can bacteria make
B2, B7, B9, B12, and K2
microbial metabolites as antimicrobial agents
penicillins and cephalosporin are produced by fungi

and erythromycin and streptomycin are produced by bacteria
what are agricultural applications of microbial biotechnology
-microbicidal activity
-plasmids add genes to plants
what is food technology
bread butter, cocoa and coffee
-alcoholic beverages and cheese
-production of amino acids
what are production of chemicals
acetic acid, acetone, butanol, citric acid, glycerol
what is biomining
arsenic, cadmium, cobalt and other metals
what is bioremediation
using microorganisms to clean up waste
what is the study of disease
pathology and epidemiology
what are pathologists
studies the structure and function manifestation of the disease
-diagnoses the disease
what are epidemiologists
studies the factors that determine the frequency, distribution and determinants of the disease
-Ex: is the population susceptible to the disease?
-who what where when and why
what are communicable diseases
if the infectious disease is passed between human
-HIV- human to human
-not as easily transmitted
contagious disease
communicable disease that is easily transmitted
Ex: the flu
what is zoonotic disease
infectious disease that humans get from an animal source
what is incidence
the number of new cases of the disease in a population in a specific time period
what is morbidity rate
number of new cases in a specific time per a specifically defined population
-amount of people that get sick in a defined population
what is the prevalence period
number of cases in a population within a given time
what is the prevalence point
number of cases in a population at a particular moment
what is mortality/death rate
ratio of number of people who died during a specific time in a population
what is a sporadic disease
disease occurs only occasionally within the population
-not constant
what is an endemic disease
disease that is always present within the population of the area
-never goes away
what are some endemic diseases
Tb, staph, strep, and STD's
what is an epidemic/outbreak
due to a greater number than normal of the disease
-usually in a short period of time
Ex: people getting sick after a picnic
widespread occurrence of an infectious disease at a period of time
-usually follow a pattern
can endemic diseases turn into epidemics?
yes
what are some epidemics
1976 legionnaire's disease in philly
-1992/1993 contaiminated hamburger meat at jack in the box
-1993 HPS at the four corners region
-1993 cryptosporidiosis in Wisconsin
-2002 west nile virus
what causes waterborne diseases
bacteria, virus, parasites
what causes foodborne diseases
virus, bacteria, parasites, prions, or toxins
when do epidemics usually occur
in a population of people who have not been exposed to the disease previously
what is the deal with flu epidemics
flu epidemics happen every year because there is enough mutation that our bodies don't recognize the virus
-ebola virus causes many epidemics in africa
what are pandemic diseases
a disease that is occurring in epidemic proportions in many countries at the same time
whats an example of a pandemic
1918 spanish flu is the biggest catastrophe
-almost every nation in the world was affected
what is infectious disease responsible for
about 50% of the deaths in developing countries
-HIV, TB, and malaria
when was the first HIV/AIDS infection and when did the epidemic start in the US
first infection can be traced to african serum sample collected in 1959
-epidemic started in the US around 1979
-not detected until 1981
-virus was discovered in 1983
-believed the virus was transferred from primates to humans
describe Tuberculosis
there are many strains of Mycobacterium Tuberculosis that are antibiotic resistant
multidrug-resistant tuberculosis (MDR-TB)
-some strains are resistant to every drug and combination used
what country has the highest occurrence of MDR-TB
china and ex-USSR
what number killer is TB in the world and how much of the world is infected
2 leading killer in the world
-1/3 of the world has TB
what is malaria
most important tropical killer in the world
-kills more people than any other communicable disease behind TB
what are most cases of malaria caused by
plasmodium falciparum
-most cases in the US are acquired outside the country and brought in by tourists
what are the factors that depend on whether or not an infection will occur
-the pathogen, virulence, how does the pathogen get in, how many pathogens are entering
-factors pertaining to the host- health status, nutritional status, age, sex etc
-factors pertaining to the environment- geographic location, climate, sanitary and housing conditions, availability of drinking water, availability of the reservoir
what are the 6 components of the chain of infection
1. a pathogen must be present
2. source of pathogen (tick or human)
3. portal of exit (where are they coming from)
4. mode of transmission
5. portal of entry (do you have a cut)
6. a susceptible host must be present (are you really healthy)
what are the goals of breaking the chain
1. eliminate or contain the reservoirs of pathogen (isolate the problem)
2. prevent contact with infectious substance (if you're coughing then wear a mask)
3. eliminate means of transmission
4. block exposure to entry pathway (if you have an open wound cover it)
5. reduce or eliminate the susceptibility of potential host (make everyone healthy)
what are the methods of breaking the chain
1. effective hand hygiene
2. good nutrition and rest
3. obtain immunization
4. patient isolation
5. decontaminate surfaces and instruments
6. use gloves, gowns, respirators etc
what is a reservoir of an infection
the site where the pathogen can multiply or survive until its transferred to a host
-microbial source can vary
-a reservoir source can be a living host or an inanimate object
what are living reservoirs
humans, household pets, farm animals, certain insects, and arachnoids
what is a carrier
person who has the pathogen but isnt currently sick but can still pass it on
what is a passive carrier
has the pathogen but is never sick
what is an incubator carrier
can pass it on while in the incubation stage of the disease (you don't even know you're sick yet)
what is a convalescent carrier
can transmit the pathogen while recovering from the disease
what is an active carrier
have recovered from the disease but will have the pathogen forever
how can you get zoonotic diseases
from direct contact with the animal, injection of the pathogen by a arthropod, inhalation or ingestion
-Ex: rabies is transmitted into humans through the saliva of a rabid animal
Ex: toxoplasma gondii can be inhaled and lead to fatal death
what are arthropods
many are reservoirs for infection
-insects and arachnids
whats a vector
when an arthropod is involved in disease transmission
how do arthropods transmit infection
may take blood meal from person/animal infected
-then bites the next victim and transmits the blood and now they're infected
whats an example of an arthropod transmitted virus
lyme disease
-most common in the US
-caused by borrelia burgdorgeri; tick bites infected deer or mouse, then tick bites human
what are non-living reservoirs
are, soil, dust, food, milk, water and fomties
how can air be contaminated
by dust, or particles
-virus, bacteria, spores and even fungi
how is milk and food contaminated
by improper handling, and processing
-amebiasis, botulism, cholera, hepatitis etc
what are formites
inanimate objects capable of transmitting pathogens
-equipment, bedding, gloves
what are the 5 principle modes of transmission for reservoirs
1. contact- direct or indirect
2. droplet (particle > 5 um)
3. airborne (particle < 5 um)
4. vehicular (inanimate objects)
5. vector (biting insects)
what are the 7 transmissions of communicable diseases
1. direct skin to skin contact- hand shakes
2. direct mucous membrane to mucous membrane contact- kissing or sexual intercourse
3. indirect contact via airborne droplets of respiratory secretions- sneezing or coughing
4. indirect contact via food/water- fecal matter
5. indirect contact via arthropod vector- ticks
6. indirect contact via fomites (inanimate objects)
7. indirect contact via transfusion or other blood products
what do public health agencies do
strive to prevent epidemics
-also identify and eliminate those that occur
-educate the public, collect information
what is WHO
"world health organization"
-part of the United Nations (UN) est 1948
-cooperation among nations
-helped eliminate smallpox and many other diseases
-trying to eradicate polio
what is CDC
"center for Disease Control"
-administered by the federal agency- US department of health and human services
what does CDC do and where is it located
assists state and local health departments with epidemiology
-located in atlanta GA est 1946
publishes MMWR
-nationally notifiable diseases must be reported
what is bioterrorism
biological warfare (BW) uses biological warfare for harm includes
- B. anthracis, C. botulinum, Variola major, Y. pestis
what is anthrax
spore forming, gram-positive bacillus
-leads to cutaneous, inhalation or gastrointestinal anthrax
- hemorrhaging and serious effusion in various organs
what is botulism
a part of bioterrorism
spore forming, gram-positive bacillus
-causes nerve damage, visual difficulty, respiratory failure, flaccid paraylysis and brain damage
-added to food or water supply
what is smallpox
viral disease, last case in the world was recorded in 1977 in somalia
-no natural reservoir, no more vaccines are given
what is the plague
gram-negative coccobacillus
-zoonosis that can be transferred by flea bites
-leads to plague- the swelling of lymph nodes
what do water pollutants include
chemical- industrial waste products
biological- human waste products
waterborne epidemics are more common in third-world countries
what is the cryptosporidiosis epidemic
largest waterborne epidemic in the US
-diarrheal disease
400,000+ people affected in Milwaukee Wisconsin
-cysts in cow poop- cysts ran into lake michigan- people who drank the water got infected
100 deaths
what is water contamination
rainwater carries soil contaminants into rivers and lakes
-downstream towns can be infected with sewage from upstream towns
-groundwater can be contaminated if not deep enough
how do you treat water
1. water filtered of large debris
2. water then held into tank allowing other debris to settle to the bottom (sedimentation/settling step)
3. aluminum potassium sulfate is added to coagulate smaller debris (coagulation/flocculation)
4. water then filtered through sand/diatomaceous
-remove bacteria, protozoa, oocytes
5. addition of chlorine gas to kill any bacteria left
what is fecal contamination
tested in labs for coliforms
-includes E. coli and other lactose fermenting members of the Enterobacteriaceae family
-these organisms live in the intestines
-water is suitable for drinking if theres 1 or fewer coliforms per 100ml of water
what is raw sewage
mainly water, fecal matter, garbage and bacteria
what is the primary sewage treatment
large debris is removed (screening) then sedimentation (primary sludge)
what is secondary sewage treatment
liquid (primary effluent) is aerated, allowing the oxidation of dissolved organic matter, settling occurs again and the secondary effluent is filtered
what is the tertiary sewage treatment
in very dry cities, the water undergoes this treatment so it can be portable again