Mechanism of Pathogenicity: Chapter 12

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Questions and Answers

In a symbiotic relationship, which type describes one organism benefiting while the other remains unaffected?

  • Mutualism
  • Antagonism
  • Commensalism (correct)
  • Parasitism

How might the normal microbiota provide nutrition to a host?

  • By directly absorbing nutrients from the host's diet
  • By competing with the host for available nutrients
  • By breaking down host tissues for energy
  • By synthesizing vitamins that the host cannot produce (correct)

The Human Microbiome Project revealed that microbes inhabit areas of the body previously thought to be sterile; what else did it reveal?

  • All microbes found in the human body are beneficial
  • The composition of human microbiota remains constant throughout life
  • The number of human genes far exceeds the number of microbial genes
  • Potentially dangerous pathogens exist in low numbers in healthy individuals (correct)

What is microbial antagonism?

<p>The prevention of overgrowth of harmful microorganisms by the host's bacterial biota. (D)</p> Signup and view all the answers

What distinguishes an endogenous infection from an exogenous infection?

<p>Endogenous infections are caused by microbes already present in the body (C)</p> Signup and view all the answers

Why is the respiratory tract considered the portal of entry for the greatest number of pathogens?

<p>It is constantly exposed to the external environment. (B)</p> Signup and view all the answers

Microbes such as the syphilis spirochete can cross the placental barrier. Why is this significant?

<p>It can lead to congenital infections in the developing fetus. (A)</p> Signup and view all the answers

What is the significance of the infectious dose (ID) of a microbe?

<p>It is the minimum number of microbes needed to cause an infection. (C)</p> Signup and view all the answers

How do capsules enhance a microbe's ability to cause disease?

<p>By protecting the microbe from phagocytosis (C)</p> Signup and view all the answers

What is the role of leukocidins in bacterial pathogenesis?

<p>They damage or destroy white blood cells. (B)</p> Signup and view all the answers

Collagenase is an example of an extracellular enzyme. How does collagenase contribute to a pathogen's virulence?

<p>It facilitates the breakdown of collagen in connective tissues, allowing the pathogen to spread. (B)</p> Signup and view all the answers

Toxigenicity is best defined as:

<p>The capacity of a microbe to produce toxins. (B)</p> Signup and view all the answers

What is the key difference between exotoxins and endotoxins regarding their source and effect?

<p>Exotoxins are secreted by live cells, while endotoxins are released upon cell lysis. (C)</p> Signup and view all the answers

How does necrosis contribute to the progression of infectious disease?

<p>It weakens host tissues, facilitating further microbial invasion and damage. (B)</p> Signup and view all the answers

What is the prodromal period of infectious disease?

<p>The period when the earliest notable symptoms of infection appear (C)</p> Signup and view all the answers

What distinguishes a sign from a symptom in the context of infectious disease?

<p>Signs are objective evidence of disease, while symptoms are subjective experiences of the patient. (B)</p> Signup and view all the answers

How are leukocytosis and leukopenia defined in the context of infectious diseases?

<p>Leukocytosis is an increase in white blood cells, while leukopenia is a decrease. (A)</p> Signup and view all the answers

What is meant by a latent infection?

<p>An infection in which the microbe is dormant and may become active later. (D)</p> Signup and view all the answers

What is the most effective method to prevent nosocomial infections?

<p>Frequent hand washing (C)</p> Signup and view all the answers

Which term describes the degree to which a microbe can cause disease in another organism?

<p>Virulence (C)</p> Signup and view all the answers

Which route of exposure is MOST likely to cause a healthcare-associated infection?

<p>Contamination of an intravenous catheter during insertion (D)</p> Signup and view all the answers

A patient develops a urinary tract infection (UTI) after being catheterized in a hospital. Which of the following factors MOST likely contributed to the development of this infection?

<p>The catheter provided a pathway for microbes to enter the bladder, bypassing natural defenses. (A)</p> Signup and view all the answers

A new drug inhibits the production of fimbriae in pathogenic bacteria. How would this drug MOST likely affect the bacteria's ability to cause infection?

<p>It would impair the bacteria's ability to adhere to host cells. (C)</p> Signup and view all the answers

A researcher is studying a bacterial species that produces a potent neurotoxin. After analyzing the toxin, they find that it is a protein secreted by the bacteria and highly specific to nerve cells. Which type of toxin is MOST likely being studied?

<p>An exotoxin (C)</p> Signup and view all the answers

During an outbreak of food poisoning, investigators discover that the food contained a heat-stable toxin produced by bacteria. Even after the food was thoroughly cooked, it still caused illness. Which type of bacterial toxin is MOST likely responsible for the outbreak?

<p>An endotoxin (D)</p> Signup and view all the answers

A patient recovering from influenza develops a secondary bacterial pneumonia. This scenario is the BEST example of which type of infection?

<p>An opportunistic infection (A)</p> Signup and view all the answers

A patient tests positive for HIV but remains asymptomatic for several years. During this period, the virus is present in the body but not causing overt symptoms. This stage of the disease is BEST described as:

<p>The latent stage (C)</p> Signup and view all the answers

Following surgery, a patient develops a fever, redness, and purulent drainage at the incision site. Which of the following terms BEST describes these objective findings?

<p>Signs (B)</p> Signup and view all the answers

A patient is diagnosed with septicemia. What does this condition indicate?

<p>The presence and multiplication of microorganisms in the bloodstream (B)</p> Signup and view all the answers

Varicella-zoster virus can persist in nerve cells for many years after a chickenpox infection resolves and can then reactivate to cause shingles. This is the BEST example of:

<p>A latent infection (D)</p> Signup and view all the answers

A hospital implements a new protocol to reduce central line-associated bloodstream infections (CLABSIs). Which of the following measures would be MOST effective in preventing these types of infections?

<p>Using strict aseptic technique during central line insertion and maintenance (C)</p> Signup and view all the answers

A patient has an infection caused by an opportunistic pathogen. What does this mean?

<p>The pathogen is only capable of causing disease when the host's defenses are compromised. (B)</p> Signup and view all the answers

Which portal of entry is most often utilized by pathogens?

<p>Respiratory tract (B)</p> Signup and view all the answers

What is the primary method by which streptococci inhibit Corynebacterium diphtheriae?

<p>Production of hydrogen peroxide (H2O2) (D)</p> Signup and view all the answers

What is the likely outcome if a bacterium loses its ability to produce adhesins?

<p>Inability to colonize host tissues (C)</p> Signup and view all the answers

What is a key difference between bacteremia and septicemia?

<p>Septicemia involves active bacterial multiplication in the blood (A)</p> Signup and view all the answers

A patient has a localized skin infection characterized by a raised, pus-filled lesion. This lesion is MOST accurately called a:

<p>Abscess (B)</p> Signup and view all the answers

In epidemiology, what is primarily studied regarding a disease?

<p>The cause, distribution, and frequency of the disease. (C)</p> Signup and view all the answers

What role does a 'reservoir' serve in the context of infectious diseases?

<p>It is a permanent host for an infectious agent. (C)</p> Signup and view all the answers

How does a 'carrier' contribute to the spread of infectious diseases?

<p>By transmitting the pathogen without showing any symptoms. (A)</p> Signup and view all the answers

Which scenario exemplifies horizontal transmission of a disease?

<p>An infection spreading amongst students in a classroom. (C)</p> Signup and view all the answers

What is involved in vertical transmission?

<p>The passing of pathogens from mother to child. (B)</p> Signup and view all the answers

How do fomites facilitate the spread of disease?

<p>By becoming contaminated with pathogens and transferring them to new hosts. (C)</p> Signup and view all the answers

What role do 'vehicles' play in disease transmission?

<p>They are inanimate materials such as water, food, or air that carry pathogens. (A)</p> Signup and view all the answers

How do mechanical vectors differ from biological vectors in disease transmission?

<p>Mechanical vectors are not infected by the pathogen; biological vectors are infected and participate in the pathogen's life cycle. (B)</p> Signup and view all the answers

Which of the following is a key characteristic of zoonotic diseases?

<p>They originate in animals but can be naturally transmitted to humans. (C)</p> Signup and view all the answers

According to Koch's postulates, what is the next essential step after isolating a microbe from a diseased animal and growing it in pure culture?

<p>Inoculate the isolated microbe into a healthy, susceptible animal and observe if the disease occurs. (A)</p> Signup and view all the answers

Which scenario represents a noncommunicable disease?

<p>Tetanus contracted from a soilborne bacterium entering a wound. (A)</p> Signup and view all the answers

What is the primary significance of determining the 'R naught' (Râ‚€) of a disease?

<p>To predict how contagious an infectious disease is. (D)</p> Signup and view all the answers

What does it indicate if a disease has an Râ‚€ value of less than 1?

<p>The disease will decline and eventually die out. (D)</p> Signup and view all the answers

How does an 'endemic' disease differ from an 'epidemic'?

<p>An endemic has a long history in the population, whereas an epidemic is a sudden acute outbreak. (D)</p> Signup and view all the answers

In epidemiological terms, what is a 'pandemic'?

<p>An epidemic that has spread across multiple countries or continents. (A)</p> Signup and view all the answers

What is the focus of epidemiological methods?

<p>Analyzing public records, surveys, and hospital records to gather information. (B)</p> Signup and view all the answers

How does 'prevalence' differ from 'incidence' in epidemiological statistics?

<p>Prevalence measures the total number of existing cases; incidence measures the number of new cases over a certain period. (D)</p> Signup and view all the answers

What information is typically included in the Morbidity and Mortality Weekly Report (MMWR)?

<p>Reports of notifiable diseases. (B)</p> Signup and view all the answers

What is the significance of the 'index case' in epidemiological investigations?

<p>It is the first case identified in an epidemiological investigation. (B)</p> Signup and view all the answers

How is a 'point-source' epidemic characterized?

<p>By infectious agents coming from a single source. (A)</p> Signup and view all the answers

What differentiates a 'common-source' epidemic from a 'propagated' epidemic?

<p>Common-source epidemics originate from a single point; propagated epidemics result from person-to-person transmission. (D)</p> Signup and view all the answers

How do public health officials use the tracking of infectious diseases to determine the source and extent of an outbreak?

<p>By tracing transmission pathways to implement relevant control measures. (C)</p> Signup and view all the answers

When analyzing a disease outbreak, what does a short duration typically suggest?

<p>A point source of infection that is easily controlled. (D)</p> Signup and view all the answers

Which factor during an outbreak is associated with a propagated spread?

<p>Continued and sustained spread of the infection. (C)</p> Signup and view all the answers

What role does herd immunity play?

<p>It buffers susceptible subpopulations from diseases. (B)</p> Signup and view all the answers

Which factor would LEAST likely influence the epidemiology of an infectious disease?

<p>Prevailing political ideology of the affected region. (C)</p> Signup and view all the answers

What characterizes an emerging disease?

<p>A new or increasing disease in prevalence. (C)</p> Signup and view all the answers

What is the defining characteristic of a reemerging disease?

<p>A disease increasing in frequency after a period of decline. (E)</p> Signup and view all the answers

How does bioterrorism differ from agroterrorism?

<p>Bioterrorism targets only humans, while agroterrorism targets only crops and livestock. (B)</p> Signup and view all the answers

What is the goal of monitoring patterns of disease incidence in epidemiology?

<p>To trace the transmission pathways of a disease and target interventions effectively. (A)</p> Signup and view all the answers

What is the primary reason for tracking infectious diseases?

<p>To trace transmission pathways so relevant control measures can be strategically implemented. (D)</p> Signup and view all the answers

In the context of epidemiology, what is the significance of the attack rate?

<p>It provides evidence concerning whether a food or water source caused a contained disease cluster. (D)</p> Signup and view all the answers

When a novel virus is discovered in a remote area, what immediate steps are typically taken by epidemiologists?

<p>Establish quarantine zones to focus on monitoring individuals potentially exposed. (D)</p> Signup and view all the answers

If a certain percentage of immune individuals exist in a population, how can the disease trajectory be affected?

<p>The disease is unable to spread in the buffered subpopulation, and susceptible individuals are decreased. (D)</p> Signup and view all the answers

Under what scenario might it be necessary to focus on the genetic background of a population?

<p>To examine potential reasons for different levels of resistance to a particular pathogen among distinct sub-groups. (A)</p> Signup and view all the answers

How does the presence of resident flora typically impact a host's susceptibility to infection by transient pathogens?

<p>Resident flora can inhibit the growth of transient pathogens through microbial antagonism. (B)</p> Signup and view all the answers

Which factor primarily determines whether a microorganism will act as an opportunistic rather than a true pathogen?

<p>The health and immune status of the host. (C)</p> Signup and view all the answers

What distinguishes a localized infection from a systemic infection?

<p>Localized infections are confined to a specific area, whereas systemic infections spread throughout the body. (D)</p> Signup and view all the answers

What is the relationship between signs, symptoms, and syndromes in diagnosing diseases?

<p>Symptoms are subjective experiences reported by the patient, signs are objective measures observed by a clinician, and a syndrome is a specific group of signs and symptoms characteristic of a particular disease. (B)</p> Signup and view all the answers

How do adhesion factors typically contribute to a pathogen's virulence?

<p>By facilitating the pathogen's initial attachment to host tissues. (C)</p> Signup and view all the answers

How does the effect of exotoxins differ from the effect of endotoxins on a host organism?

<p>Exotoxins cause damage dependent on specific targeted cells; endotoxins cause general symptoms of inflammation and fever. (D)</p> Signup and view all the answers

What role do invasive factors play in the pathogenesis of an infection?

<p>Aiding the pathogen is spreading within the host's tissues. (A)</p> Signup and view all the answers

How might antibiotic use contribute to the development of a disease caused by an opportunistic pathogen?

<p>Antibiotics eliminate beneficial flora, creating an opportunity for opportunistic pathogens to thrive. (D)</p> Signup and view all the answers

How does stress or illness influence the composition of a person's resident flora?

<p>Stress and illness can weaken the immune system, potentially leading to an imbalance in the resident flora. (A)</p> Signup and view all the answers

What role does the 'source' play in the chain of infection?

<p>The place or thing from which a pathogen is transmitted to a host. (D)</p> Signup and view all the answers

What is the primary difference between a biological vector and a mechanical vector in disease transmission?

<p>Biological vectors have the pathogen living inside of them and can transmit through bites or fluids, while mechanical vectors only carry the pathogen on their surface. (C)</p> Signup and view all the answers

How does the concept of a 'carrier' relate to the spread of infectious diseases?

<p>Carriers harbor and spread a pathogen without showing symptoms, complicating disease control efforts. (D)</p> Signup and view all the answers

What is the most effective method to reduce the occurrence of nosocomial infections related to catheter use?

<p>Using proper aseptic techniques during catheter insertion and maintenance. (D)</p> Signup and view all the answers

What is the significance of knowing a pathogen's source and reservoir when addressing an outbreak?

<p>The source and reservoir aid in designing and implementing prevention and control strategies. (B)</p> Signup and view all the answers

How does an endemic disease differ from a sporadic disease in terms of occurrence?

<p>Endemic disease is constantly present in a population at a steady rate; sporadic cases occur occasionally and irregularly. (D)</p> Signup and view all the answers

How does analyzing the incidence of a disease help epidemiologists understand and manage public health crises?

<p>Incidence data provides insights into the rate of new infections, aiding in evaluating the effectiveness of control measures. (D)</p> Signup and view all the answers

Which activity poses the greatest risk for transmitting pathogens via the skin as a portal of entry?

<p>Experiencing a puncture wound from stepping on a nail. (B)</p> Signup and view all the answers

How does an acidic stomach pH act as a defense mechanism against pathogens?

<p>By killing many ingested pathogens. (C)</p> Signup and view all the answers

Which of the following scenarios best illustrates direct contact transmission of an infectious disease?

<p>Developing a skin infection after shaking hands with an infected person. (C)</p> Signup and view all the answers

Following an outbreak of food poisoning linked to a local restaurant, what is the FIRST step epidemiologists should take to identify the source?

<p>Interview affected individuals about consumed food. (A)</p> Signup and view all the answers

What is the primary focus of infection control measures in healthcare settings designed to prevent nosocomial infections?

<p>Preventing transmission of pathogens within the healthcare environment. (A)</p> Signup and view all the answers

How does travel influence individual susceptibility to infections from resident flora?

<p>Travel increases the risk of being infected by a new environment’ flora. (B)</p> Signup and view all the answers

What is the role of resident flora in aiding digestion and nutrition?

<p>Resident flora synthesizes vitamins beneficial for digestion. (D)</p> Signup and view all the answers

How does the concept of 'etiology' relate to understanding an infectious disease?

<p>The cause or origin of the disease. (C)</p> Signup and view all the answers

What is the key difference between a 'true pathogen' and an 'opportunistic pathogen'?

<p>A true pathogen is dangerous to a healthy individual, while opportunistic pathogens affect someone already weakened. (D)</p> Signup and view all the answers

According to Koch’s postulates, what is the critical step to establish a causative relationship between a specific microorganism and a disease?

<p>Demonstrating that the same disease always results when the isolated microbe is introduced into a healthy host. (C)</p> Signup and view all the answers

When a disease outbreak is identified, how does determining the ‘index case’ assist in controlling the spread of the disease?

<p>The 'index case' helps trace the source and pattern of transmission. (D)</p> Signup and view all the answers

What is the most important purpose of disease surveillance?

<p>To prevent the spread of disease. (B)</p> Signup and view all the answers

How does the prevalence rate of a disease differ from the incidence rate?

<p>The prevalence rate measures the total number of existing cases; the incidence rate deals only with new cases in a time period. (B)</p> Signup and view all the answers

If public officials suspect food contamination after the first few cases of an illness, what should they do?

<p>Alert the public, gather data, and trace all food sources to find a common one. (E)</p> Signup and view all the answers

What is the difference between an intoxication and a toxemia?

<p>An intoxication is when illness results from ingesting toxins, and a toxemia is when toxins spread in the blood. (D)</p> Signup and view all the answers

Why are diseases caused by endotoxins more difficult to treat than diseases caused by exotoxins?

<p>Endotoxins are heat-stable. (A)</p> Signup and view all the answers

Consider an outbreak of a new respiratory illness where the number of cases doubles every few days. Which pattern of epidemic spread does this MOST likely represent?

<p>A propogated epidemic, resulting from direct or indirect transmission of a pathogen. (A)</p> Signup and view all the answers

From where do babies obtain microbiota? How can this impact their health later in life??

<p>Babies obtain microbiota from their mother during birth, which can affect their health later. (B)</p> Signup and view all the answers

What is an effective way to address a common-source epidemic?

<p>Immediately quarantine the source of the infection. (B)</p> Signup and view all the answers

What is the difference between focal infection and systematic infection??

<p>Focal Infection: An infection that starts in one place but spreads to another; Systemic Infection: An infection that spreads throughout the body via the bloodstream. (B)</p> Signup and view all the answers

Flashcards

Pathogen

A microbe capable of causing disease in a susceptible individual.

Pathogenicity

An organism's potential to cause infection or disease.

Virulence

The degree of pathogenicity; how severe is the disease.

Pathogenesis

The development of a disease

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Commensalism

One organism benefits, and the other is unaffected.

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Mutualism

A relationship where both organisms benefit.

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Parasitism

One organism benefits at the expense of the other.

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Normal Microbiota

Microorganisms normally present in and on the body.

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Resident Microbes

Microbes that establish more permanently.

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Transient Microbes

Microbes that pass through the body

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Opportunists

Microbes that cause disease when given the opportunity.

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Endogenous Infections

Infections caused by biota already present in the body.

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Birth Canal Microbiota

Acquiring microbiota from the birth canal.

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How bacterial biota prevent the overgrowth of harmful microorganisms

Microbial antagonism

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Portals of Entry

Sites where microbes enter the body.

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Exogenous Source

Infectious agent source from outside the body.

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Digestive Enzymes / Bites

Damages tissues for microbial passage.

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STDs (Urogenital)

Sexually Transmitted Diseases

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Examples of STDs

Syphilis, Gonorrhea, Chlamydia, Herpes

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Transplacental Infection

Microbes cross the placenta.

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Size of Inoculum

Quantity affects infection likelihood.

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Adhesion

How microbes attach to host cells.

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Examples of Adhesion

Fimbriae, Capsules, Spikes

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Phagocytes

White blood cells that engulf and destroy pathogens

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Antiphagocytic Factors

Factors used to evade engulfment.

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Extracellular Enzymes

damaging tissues or dissolving the host's defenses

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Bacterial Toxins

Specific poisonous chemical products produced by organisms

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Toxigenicity

The power to produce toxins

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Toxemias

toxinoses in which the toxin is spread by the blood from the site of infection

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Toxinoses

a variety of diseases caused by toxigenicity

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Intoxications

toxinoses caused by ingestion of toxins

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Exotoxins

Act on specific cell types

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Endotoxin

Lipopolysaccharide of cell wall

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Necrosis

Accumulated damage leads to cell and tissue death

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Sign

Objective evidence of disease.

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Symptom

Subjective evidence of disease.

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Latency

A dormant state

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Nosocomial Infections

infectious diseases that are acquired or develop during a hospital stay

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Virulence Factors

Microbial components that contribute to the ability to cause disease in a susceptible host

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Control of Nosocomial Infections

Precautions that reduce the factors that result in disease

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Epidemiology

The study of the cause, distribution, and frequency of disease in a population.

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Reservoir

A permanent place for an infectious agent to reside.

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Living Reservoirs

Living organisms, including humans or animals, that harbor an infectious agent.

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Asymptomatic Carrier

Infected but show no symptoms of disease.

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Incubating Carriers

Spread the infectious agent during the incubation period.

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Convalescent Carrier

Recuperating patients without symptoms, shedding viable microbes.

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Chronic Carriers

Individuals who shelter the infectious agent for a long period after recovery.

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Passive Carriers

Medical personnel accidentally transferring pathogens.

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Source

The individual or object from which an infection is actually acquired

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Carrier

An individual who can transmit the pathogen without displaying symptoms

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Horizontal Transmission

Spread of disease through a population from one infected host to another

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Vertical Transmission

Passed from mother to child during pregnancy, birth, or breastfeeding.

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Fomites

inanimate objects that become contaminated by pathogens

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Vehicles

transmission of pathogens through water, food, soil or air

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Oral-Fecal Route

Fecal carrier with inadequate personal hygiene contaminates food.

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Air Transmission

Can suspend and disperse pathogens via droplet nuclei and aerosols

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Aerosols

Fine dust and particles float in the air

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Droplet Nuclei

Microscopic pellets of mucus & saliva ejected from the mouth

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Vectors

Animals that transmit infectious agents (not humans).

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Mechanical vector

animal carries the pathogen, but is not infected by it

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Biological vector

Actively participates in a pathogen's life cycle

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Prenatal Vertical Transmission

Across the placenta

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Perinatal Transmisison

During or shortly after birth.

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Zoonosis

an infection indigenous to animals but naturally transmissible to humans

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Etiologic Agent

the causative agent

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Robert Koch

Developed a standard for determining causation.

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Koch's First Postulate

Find evidence of microbe in every case of disease

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Koch's Second Postulate

Isolate microbe from infected subject and cultivate it

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Koch's Third Postulate

Inoculate healthy subject and observe the same disease

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Koch's Fourth Postulate

Reisolate the agent from this subject

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Communicable Disease

when an infected host can transmit the infectious agent to another host

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Contagious Agent

agent that is highly communicable

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Noncommunicable Disease

does not arise through transmission of the infectious agent from host to host

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R naught (R0)

the average number of people who will contract a contagious disease from one person

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Epidemic

Sudden acute disease outbreak affecting many people

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Pandemic

A worldwide epidemic (across geopolitical boundaries)

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Endemic

Chronic occurrence in a geographical region

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Incidence Rate

Incidence rate

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Prevalence Rate

total number of existing cases

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Sporadic Disease

occasional cases are reported at irregular intervals in random locales

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Point-Source Epidemic

in which the infectious agents came from a single source

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Continuous Common Source Spread

Outbreak from common exposure to a single source of infection

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Propagated Epidemic

Results from an infectious agent that is communicable from person to person

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Emerging Disease

new or shown an increase in prevalence

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Reemerging disease

disease that is increasing in frequency after a previous period of decline

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Resident Flora

Helpful microbes naturally living in/on the body without causing harm.

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Infection

Successful colonization of a host leading to disease.

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Transient Flora

Temporary microbes on the body removable by washing.

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Microbial Antagonism

Good microbes stopping harmful ones from growing.

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Systemic Infection

Infection disseminated throughout the body.

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Syndrome

Specific group of signs and symptoms characterizing a condition.

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Localized Infection

Infection confined to a small area of the body.

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True Pathogen

Germ causing disease in healthy people.

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Opportunistic Pathogen

Bacteria pathogenic under certain conditions.

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Etiology

Cause or origin of a disease.

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Incidence

Number of new cases of a disease in a period.

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Mortality Rate

Number of deaths caused by a disease.

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Morbidity Rate

Number of people affected by a disease.

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Adhesion Factors

Help bacteria stick to the body.

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Invasive Factors

Help bacteria spread inside the body.

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Toxins

Harm the body by damaging cells.

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ID50

Infectious Dose: Organisms needed for infection in 50% of people

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Leukocidins

Toxins that kill white blood cells.

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Localized Infection

Infection that stays in one specific area.

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Focal Infection

Infection from one place spreading to another.

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Systemic Infection

Infection spreading throughout body via bloodstream.

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Study Notes

  • Chapter 12 discusses Microbial Mechanisms of Pathogenicity

Key Definitions

  • Resident flora are helpful microbes that live in and on the body without causing harm
  • Pathogens are harmful microbes that cause disease
  • Pathogenicity: A microbial agent's ability to cause disease
  • Virulence: The degree to which an organism is pathogenic
  • Infection: A successful colonization of a host by a pathogenic microorganism which can lead to a decease
  • Transient flora are temporary microbes on the body that can be removed by washing
  • Microbial antagonism is when good microbes stop harmful ones from growing
  • Systemic infection happens when an infection becomes disseminated throughout the body
  • A localized infection remains confined to a small area of the body, typically near the entry point
  • Zoonosis is a disease that is transferred from vertebrate animals to humans
  • True pathogens are germs that cause disease in healthy people
  • Opportunistic pathogens are nonpathogenic bacteria under normal conditions but can become pathogenic in new environments or when normal environments change
  • A reservoir is where a pathogen lives and multiplies
  • A source is the place or thing from which a pathogen is transmitted to a host
  • A carrier is a person or animal that carries and spreads a disease without showing symptoms
  • Nosocomial infections are those acquired in a hospital or healthcare setting
  • Epidemiology is the study of how diseases spread and affect populations
  • Etiology is the cause or origin of a disease
  • Symptoms are felt or experienced by a patient (e.g., nausea, loss of appetite, chills, pain)
  • Signs can be observed by a clinician or through lab tests (e.g., changes in temperature, heart rate, breathing, blood pressure, and white blood cell count)
  • Syndrome is a specific group of signs and symptoms characteristic of a particular disease

Transmission dynamics

  • Propagated epidemics spread from person to person over time (e.g., the flu)
  • Point-source epidemics come from a single source and affect many people at once (e.g., food poisoning)

Factors and Mechanisms of Disease

  • Toxemias occur when toxins spread in the blood, causing disease
  • Intoxications are illnesses caused by ingesting toxins, not the bacteria themselves
  • Virulence factors are traits that help pathogens cause disease which affects how serious an infection is and how fast it spreads
  • Adhesion factors help bacteria stick to the body
  • Invasive factors help bacteria spread inside the body
  • Toxins damage cells in the body

Terms to Define

  • ID50: Infectious dose, or the number of organisms it would take to cause an infection in 50% of people
  • Phagocytes: White blood cells that destroy germs
  • Antiphagocytic factors: Tricks bacteria use to avoid being destroyed
  • Leukocidins: Toxins that kill white blood cells
  • Toxogenicity: A germ's ability to produce toxins
  • Toxinoses: Diseases caused by bacterial toxins
  • Primary infections: The initial infection that occurs before any other infections develop
  • Focal infections: Infections that start in one place but spread to another
  • Systematic Infections: Infections that spreads throughout the body via the bloodstream.
  • Mixed Infections: An infection caused by multiple types of microbes at the same time.

The Stages of Infection

  • Incubation period
  • Prodromal period
  • Period of illness
  • Period of decline
  • Period of convalescence

Exotoxins vs. Endotoxins

  • Exotoxins
  • Can be converted to toxoid
  • Toxic in minimal amounts
  • Specific damage to cells
  • Protein composition
  • Mostly heat-liable
  • Stimulates antitoxins
  • Usually not fever
  • Secreted from live cells
  • Gram+ (primarily)
  • Gram -
  • Endotoxins
  • Toxic in large amounts
  • General systemic symptoms
  • Lipid A component of LPS
  • Heat-stable
  • Cannot be converted to toxoid
  • Does not slim antitoxins
  • Yes fever
  • Released during shedding/lysis
  • Gram -

Conditions for Normal Microbiota to Cause Disease

  • Weak immune system
  • Injury or surgery
  • Antibiotic use
  • Flora imbalance

Beneficial Effects of Normal Microbiota

  • Prevents infections
  • Aids digestion
  • Supports immunity

Factors That Change a Resident Flora

  • Antibiotics
  • Diet
  • Stress or illness
  • Hygiene
  • Travel

Koch’s postulates

  • Used to establish a causal relationship between pathogen and disease:
  • Find candidate bacterium in every case of disease
  • Isolate bacterium form host grow in pure culture
  • Show that cultured bacteria causes the same disease in healthy subject
  • Isolate bacterium from experimental subjects.

Examples of Transmission in certain situations

  • Foodborne Transmission is an example of indirect transmission
  • Zoonotic Transmission is an example of Biological Vector for transmission
  • Airborne Transmission is and example of direct transmission
  • Air is contaminated and inhaled to cause infection

Types of Infections

  • Hepatitis B infection
  • Pathogen: True pathogen
  • Infection Type: Exogenous, primary
  • Portal of Entry: Blood
  • Source: Contaminated needle
  • Candida lung
  • Pathogen: Opportunistic pathogen
  • Infection Type: Endogenous, secondary
  • Portal of Entry: Lungs
  • Source: Patient's own bacteria
  • Rabies
  • Pathogen: True pathogen
  • Infection Type: Exogenous, primary
  • Portal of Entry: Bite
  • Source: Infected bat
  • Hantavirus
  • Pathogen: True pathogen
  • Infection Type: Exogenous, primary
  • Portal of Entry: Breathing in infected dust
  • Source: Infected rodents
  • Salmonella
  • Pathogen: True pathogen
  • Infection Type: Exogenous, primary
  • Portal of Entry: Digestive system
  • Source: Contaminated food
  • Neonatal gonorrhea
  • Pathogen: True pathogen
  • Infection Type: Exogenous, primary
  • Portal of Entry: Eyes during childbirth
  • Source: Infected mother
  • Staphylococcus tonsillitis
  • Pathogen: Opportunistic pathogen
  • Infection Type: Endogenous, secondary
  • Portal of Entry: Throat
  • Source: Patient's own bacteria
  • Chlamydia
  • Pathogen: True pathogen
  • Infection Type: Exogenous, primary
  • Portal of Entry: Genitals
  • Source: Infected partner

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