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11 Cards in this Set

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List and discuss the five fundamental requirements for a pathogen to successfully infect a host.
1. Enter the host (portal of entry)
2. Establishment (sticking)
3. Avoid, evade, or compromise, the host's defenses
4. Damage the host (virulence factors)
5. Exit the host (portal of exit)
Identify and describe the portals through which pathogens invade the body
Skin - Large surface area *populated (hair follicle, duct, break in skin)
Mucous Membrane - Respiratory tract, favorable route, aerosol droplets, dust particles (cold, influenza, TB, whooping cough, pneumonia) gastrointestinal tract, **fecal-oral route of contamination (most common mode of transport)**, food and beverage, genitourinary tract, UTI (most common in nurses), STI (Genital warts chlamydia, gonorrhea, genital herpes, syphilis, HIV)
Placenta
Parenteral Route - mechanism by which a pathogen is deposited into tissues beneath skin or mucus membranes, punctures, bites, stab wounds, cuts, surgery.
Identify and describe the portals of exit that pathogens take from the hosts body.
Secretions - eyes, ears, nose, mouth
Skin - flakes or blood
Blood - needles, bites, wounds
Vaginal secretions/semen
Excreted body wastes
Urine, feces, sweat
Explain how microbes adhere to host cells and why this is important to pathogenicity
It is important to be able to stick to a host and stay on the host long enough to do damage
List the types of adhesion factors and the roles they play in infection.
Glycocalyx, flagella, fimbrae these all have a sticky outer coat that allow for sticking onto the host. Attachment proteins. Viruses & Bacteria
Define ID50 and LD50 and describe their role in the virulence of pathogens.
ID50 - Infectious dose, how small or large of a dose that infects 50% of the population. (The number of organisms required for 50% of population to show signs of infection)

LD50 - Lethal dose. The number of organisms required to kill 50% of the population.
**Pathogens having the lowest LD50 and ID50 values are more virulent.
Describe the different strategies pathogens employ to avoid, evade, or compromise host defense systems.
Some bacteria have ways to prevent phagocytosis or even lead to partial phagocytosis.
Explain how capsules and cell wall components contribute to pathogenicity.
Capsules and cell walls camouflage the disease so she WBC is checking for disease or foreign objects, it goes unnoticed and is able o break out later. Are able to grow and pultiply and become stronger. p. 87
Describe the role of enzymes (leukocidins, hemolysis, coagulase, kinases, hysaluronidase, and collagenase) in a pathogen's virulence.
Leukocidins - chemicals that kill WBC
Hemolysins - Enzymes that break down RBC
Hyaluronidase - Breaks down connective tissue and collagen in host, which allows for infection to spread.
Collagenase is the same as hyaluronidase.
Compare and contrast the nature and effects of exotoxins and endotoxins.
Exotoxins - toxins that are produced by pathogens and then leave the pathogen cells and enter host cells. MOST LETHAL SUBSTANCE KNOWN.
Potent, protein (1. cytotoxins - kill cells that they come in contact with, anthrax toxin and dipitheria toxin. 2. Neurotoxins - interfere with neurological signal transmission. Tetanus & Botulinum. 3. Enterotoxins - affect lining of digestive system. Digestive tract/diarrhea. Vibrio toxin
- Antitoxins - chemicals that break down and destroy

Endotoxins - bacterial toxins that are part of the cell wall of Gram-negative bacteria. Only active when the bacteria that was carrying them was killed. Not as potent as Exotoxins. Lipid A (Gram-positive), Chills, fever, muscle weakness, aches. Disseminated intravascular clotting (can be treated with IV)
Basics of Chapter 5
CONTAMINATION --> Port of Entry --> adhere (stick/stay ex. glycocalyx) --> avoid host defenses (avoiding phagocytosis) --> virulence factors (what makes a pathogen) --> INFECTION --> DISEASE