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14 Cards in this Set

  • Front
  • Back
variolation
Inoculation with smallpox.
scratch pus from smallpox lesion into skin
ground dried smallpox scabs

vaccination: Inoculation of cowpox into skin

vaccines confer artificial active immunity
Inactivated and Attenuated Whole Agent Vaccines
wild-type (virulent) strain … must be killed (inactivated if virus)
or
attenuated (weakened) strain …is usually live (infectious if virus)

inactivated poliovirus (Salk)
infectious poliovirus (Sabine)

killed Yershinia pestis (plague)
live Mycobacterium tuberculosis

infectious measles, mumps, rubella (MMR)
infectious varicella virus (chickenpox)
infectious vaccinia virus (smallpox)

inactivated rabies virus
inactivated hepatitis A virus
Infectious (live) verses Inactivated (killed)
organisms multiply (simulate natural infection with WT)
increase dose
spread to other people
stimulate both AMI and CMI
back mutation to virulence
Toxoids
inactivated toxins

DTaP
diphtheria: purified diphtheria toxoid
pertussis: acellular fragments of B. pertussis
tetanus: purified tetanus toxoid
3 disease vaccine
Subunit Vaccines
immunize verses one antigen of agent that causes disease or can prevent disease

EX

Meningococcal meningitis
purified polysaccharide from N. meningitidis

Haemophilus influenzae type b meningitis -polysaccharides conjugated with protein

Pneumococcal conjugate vaccine-Streptococcus. pneumoniae antigens conjugated with protein

Influenza-Purified envelope spikes HA and HN
recombinant vaccines
Hepatitis B

HepB surface antigen HBsAg
Gene inserted in diploid cell line
Safe compared to inactivated virus from patient serum
Immunization Schedule
Person acquires artificial active immunity
herd immunity results when most of a population is immune to a disease.
Antibody Titer
the concentration of antibodies against a particular antigen

determine level of antibody in patients serum

acute vs convalescent stage
Precipitation Reactions
soluble antigens (solution)
ID antigen
ID antibody
Viral Hemagglutination
Viral hemagglutination : agglutination of RBCs.
ID viruses that agglutinate RBCs

Influenza virus agglutinates chicken red blood cells
Hemagglutination is a positive test for virus
Viral Hemagglutination Inhibition
tests for antibodies in patient serum
antibody prevent virus from agglutinating RBCs

No hemagglutination is a positive test for antibody
Toxin Neutralization
Complement fixation test
Fluorescent Antibody Techniques (Direct and Indirect)