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38 Cards in this Set

  • Front
  • Back
epidemiology
how diseases spread
etiology
causes and origins of disease
endemic
always present, but not public health concern
epidemic
spike in occurrence, public health concern
pandemic
global increase in number, public health concern
Vibrio cholerae
toxin alters sodium pump in intestinal cells = fluid loss, entry is oral, colonizes in small intestine, John Snow and pump handle
index case
first person to become ill
defenses against microbes
chemical barriers (lysozyme in sweat and tears), skin, immune response
What microbe does really well in colonizing the gut?
E. coli
commensals
organisms that are benign, don't cause disease, part of the defense system, sometimes symbiotic
pathogen
cause disease, needs to penetrate host defenses to cause disease, some can infect host but not cause disease
describe the general mechanism pathogens taken to cause disease
exposure to pathogen --> adherence to skin, mucous membranes --> invasion, penetration through epithelium --> colonization and growth--> toxicity OR invasiveness (some start locally and eventually invade further parts) --> disease
T/F: path to cause disease is the same among all organisms
false
infection
pathogen that enters and begins growth; not disease
disease
any deviation from normal health; due to damage of host
primary pathogen
cause disease in normally healthy human
opportunistic pathogen
not problem to healthy host, but if host compromised, immune system can't protect itself and becomes susceptible for attack
example of opportunistic pathogen
AIDS virus
pathogenicity
organisms ability to cause disease
ex: easy to get the cold but not the chicken pox
infectivity
how easily it causes disease
infectious dose
minimal number of organisms to cause disease; cholera = millions of bacteria; typhoid = hundreds of bacteria
why difference in infectious dose?
ability of organism to colonize host; cholera sensitive to stomach acid, so needs millions to successfully colonize whereas typhoid is resistant to acid so doesn't need as much
Hep A virus
causes irritation, fever, fatigue, common in low sanitation; transmitted via fecal matter, low infectious dose
why ok to eat fish but not shellfish
shellfish are filterfeeders, so will get accumulation of Hep. A
virulence
how severe a disease is; measured by mortality
lethal dose
number of organisms to kill 50% of test population
virulence of common cold
low virulence, high infectivity
virulence of ebola
high virulence, high infectivity
portal of entrance of Clostridium tetani
breaks skin, enters wound, produces spores, (can be facultative or strict anaerobes), spores germinate in anaerobic condition
how to differentiate e. coli from gut and pathogenic e. coli
virulence factors
virulence factors
toxins, attachment (pili or other proteins), capsules, invasins (help colonization), proteins that invade immune system
pathogenicity islands
chromosomes or plasmid
pathogen mode of transfer to other cells
horizontal gene transfer such as conjugation, transduction
uniqueness of pathogenicity islands
different GC/AT ratios than rest of genome, groups of genes bordered by unique sequences that seem foreign
adhesins
attachment dealing with virulence factors; bind to specific target sites
pili or fimbriae
adhesins, used for attachment; very specific to particular pathogen; type I binds to mannose host, type III binds to red blood cells, type IV attaches and does twitch motility; composed of repeating subunits
Neisseria gonorrheae
invades host, attachment, retraction of pilus
spreading factors of invasins and function
hyaluronidase (holds cell together by depolymerizing hyaluronic acid), collagenase (breaks down collagen), streptokinase (converts plasmonogen to plasmin)