Podcast
Questions and Answers
In a symbiotic relationship, which type describes one organism benefiting while the other remains unaffected?
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?
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?
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?
What is microbial antagonism?
What distinguishes an endogenous infection from an exogenous infection?
What distinguishes an endogenous infection from an exogenous infection?
Why is the respiratory tract considered the portal of entry for the greatest number of pathogens?
Why is the respiratory tract considered the portal of entry for the greatest number of pathogens?
Microbes such as the syphilis spirochete can cross the placental barrier. Why is this significant?
Microbes such as the syphilis spirochete can cross the placental barrier. Why is this significant?
What is the significance of the infectious dose (ID) of a microbe?
What is the significance of the infectious dose (ID) of a microbe?
How do capsules enhance a microbe's ability to cause disease?
How do capsules enhance a microbe's ability to cause disease?
What is the role of leukocidins in bacterial pathogenesis?
What is the role of leukocidins in bacterial pathogenesis?
Collagenase is an example of an extracellular enzyme. How does collagenase contribute to a pathogen's virulence?
Collagenase is an example of an extracellular enzyme. How does collagenase contribute to a pathogen's virulence?
Toxigenicity is best defined as:
Toxigenicity is best defined as:
What is the key difference between exotoxins and endotoxins regarding their source and effect?
What is the key difference between exotoxins and endotoxins regarding their source and effect?
How does necrosis contribute to the progression of infectious disease?
How does necrosis contribute to the progression of infectious disease?
What is the prodromal period of infectious disease?
What is the prodromal period of infectious disease?
What distinguishes a sign from a symptom in the context of infectious disease?
What distinguishes a sign from a symptom in the context of infectious disease?
How are leukocytosis and leukopenia defined in the context of infectious diseases?
How are leukocytosis and leukopenia defined in the context of infectious diseases?
What is meant by a latent infection?
What is meant by a latent infection?
What is the most effective method to prevent nosocomial infections?
What is the most effective method to prevent nosocomial infections?
Which term describes the degree to which a microbe can cause disease in another organism?
Which term describes the degree to which a microbe can cause disease in another organism?
Which route of exposure is MOST likely to cause a healthcare-associated infection?
Which route of exposure is MOST likely to cause a healthcare-associated infection?
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?
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?
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?
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?
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?
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?
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?
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?
A patient recovering from influenza develops a secondary bacterial pneumonia. This scenario is the BEST example of which type of infection?
A patient recovering from influenza develops a secondary bacterial pneumonia. This scenario is the BEST example of which type of infection?
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:
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:
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?
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?
A patient is diagnosed with septicemia. What does this condition indicate?
A patient is diagnosed with septicemia. What does this condition indicate?
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:
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:
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?
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?
A patient has an infection caused by an opportunistic pathogen. What does this mean?
A patient has an infection caused by an opportunistic pathogen. What does this mean?
Which portal of entry is most often utilized by pathogens?
Which portal of entry is most often utilized by pathogens?
What is the primary method by which streptococci inhibit Corynebacterium diphtheriae?
What is the primary method by which streptococci inhibit Corynebacterium diphtheriae?
What is the likely outcome if a bacterium loses its ability to produce adhesins?
What is the likely outcome if a bacterium loses its ability to produce adhesins?
What is a key difference between bacteremia and septicemia?
What is a key difference between bacteremia and septicemia?
A patient has a localized skin infection characterized by a raised, pus-filled lesion. This lesion is MOST accurately called a:
A patient has a localized skin infection characterized by a raised, pus-filled lesion. This lesion is MOST accurately called a:
In epidemiology, what is primarily studied regarding a disease?
In epidemiology, what is primarily studied regarding a disease?
What role does a 'reservoir' serve in the context of infectious diseases?
What role does a 'reservoir' serve in the context of infectious diseases?
How does a 'carrier' contribute to the spread of infectious diseases?
How does a 'carrier' contribute to the spread of infectious diseases?
Which scenario exemplifies horizontal transmission of a disease?
Which scenario exemplifies horizontal transmission of a disease?
What is involved in vertical transmission?
What is involved in vertical transmission?
How do fomites facilitate the spread of disease?
How do fomites facilitate the spread of disease?
What role do 'vehicles' play in disease transmission?
What role do 'vehicles' play in disease transmission?
How do mechanical vectors differ from biological vectors in disease transmission?
How do mechanical vectors differ from biological vectors in disease transmission?
Which of the following is a key characteristic of zoonotic diseases?
Which of the following is a key characteristic of zoonotic diseases?
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?
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?
Which scenario represents a noncommunicable disease?
Which scenario represents a noncommunicable disease?
What is the primary significance of determining the 'R naught' (Râ‚€) of a disease?
What is the primary significance of determining the 'R naught' (Râ‚€) of a disease?
What does it indicate if a disease has an Râ‚€ value of less than 1?
What does it indicate if a disease has an Râ‚€ value of less than 1?
How does an 'endemic' disease differ from an 'epidemic'?
How does an 'endemic' disease differ from an 'epidemic'?
In epidemiological terms, what is a 'pandemic'?
In epidemiological terms, what is a 'pandemic'?
What is the focus of epidemiological methods?
What is the focus of epidemiological methods?
How does 'prevalence' differ from 'incidence' in epidemiological statistics?
How does 'prevalence' differ from 'incidence' in epidemiological statistics?
What information is typically included in the Morbidity and Mortality Weekly Report (MMWR)?
What information is typically included in the Morbidity and Mortality Weekly Report (MMWR)?
What is the significance of the 'index case' in epidemiological investigations?
What is the significance of the 'index case' in epidemiological investigations?
How is a 'point-source' epidemic characterized?
How is a 'point-source' epidemic characterized?
What differentiates a 'common-source' epidemic from a 'propagated' epidemic?
What differentiates a 'common-source' epidemic from a 'propagated' epidemic?
How do public health officials use the tracking of infectious diseases to determine the source and extent of an outbreak?
How do public health officials use the tracking of infectious diseases to determine the source and extent of an outbreak?
When analyzing a disease outbreak, what does a short duration typically suggest?
When analyzing a disease outbreak, what does a short duration typically suggest?
Which factor during an outbreak is associated with a propagated spread?
Which factor during an outbreak is associated with a propagated spread?
What role does herd immunity play?
What role does herd immunity play?
Which factor would LEAST likely influence the epidemiology of an infectious disease?
Which factor would LEAST likely influence the epidemiology of an infectious disease?
What characterizes an emerging disease?
What characterizes an emerging disease?
What is the defining characteristic of a reemerging disease?
What is the defining characteristic of a reemerging disease?
How does bioterrorism differ from agroterrorism?
How does bioterrorism differ from agroterrorism?
What is the goal of monitoring patterns of disease incidence in epidemiology?
What is the goal of monitoring patterns of disease incidence in epidemiology?
What is the primary reason for tracking infectious diseases?
What is the primary reason for tracking infectious diseases?
In the context of epidemiology, what is the significance of the attack rate?
In the context of epidemiology, what is the significance of the attack rate?
When a novel virus is discovered in a remote area, what immediate steps are typically taken by epidemiologists?
When a novel virus is discovered in a remote area, what immediate steps are typically taken by epidemiologists?
If a certain percentage of immune individuals exist in a population, how can the disease trajectory be affected?
If a certain percentage of immune individuals exist in a population, how can the disease trajectory be affected?
Under what scenario might it be necessary to focus on the genetic background of a population?
Under what scenario might it be necessary to focus on the genetic background of a population?
How does the presence of resident flora typically impact a host's susceptibility to infection by transient pathogens?
How does the presence of resident flora typically impact a host's susceptibility to infection by transient pathogens?
Which factor primarily determines whether a microorganism will act as an opportunistic rather than a true pathogen?
Which factor primarily determines whether a microorganism will act as an opportunistic rather than a true pathogen?
What distinguishes a localized infection from a systemic infection?
What distinguishes a localized infection from a systemic infection?
What is the relationship between signs, symptoms, and syndromes in diagnosing diseases?
What is the relationship between signs, symptoms, and syndromes in diagnosing diseases?
How do adhesion factors typically contribute to a pathogen's virulence?
How do adhesion factors typically contribute to a pathogen's virulence?
How does the effect of exotoxins differ from the effect of endotoxins on a host organism?
How does the effect of exotoxins differ from the effect of endotoxins on a host organism?
What role do invasive factors play in the pathogenesis of an infection?
What role do invasive factors play in the pathogenesis of an infection?
How might antibiotic use contribute to the development of a disease caused by an opportunistic pathogen?
How might antibiotic use contribute to the development of a disease caused by an opportunistic pathogen?
How does stress or illness influence the composition of a person's resident flora?
How does stress or illness influence the composition of a person's resident flora?
What role does the 'source' play in the chain of infection?
What role does the 'source' play in the chain of infection?
What is the primary difference between a biological vector and a mechanical vector in disease transmission?
What is the primary difference between a biological vector and a mechanical vector in disease transmission?
How does the concept of a 'carrier' relate to the spread of infectious diseases?
How does the concept of a 'carrier' relate to the spread of infectious diseases?
What is the most effective method to reduce the occurrence of nosocomial infections related to catheter use?
What is the most effective method to reduce the occurrence of nosocomial infections related to catheter use?
What is the significance of knowing a pathogen's source and reservoir when addressing an outbreak?
What is the significance of knowing a pathogen's source and reservoir when addressing an outbreak?
How does an endemic disease differ from a sporadic disease in terms of occurrence?
How does an endemic disease differ from a sporadic disease in terms of occurrence?
How does analyzing the incidence of a disease help epidemiologists understand and manage public health crises?
How does analyzing the incidence of a disease help epidemiologists understand and manage public health crises?
Which activity poses the greatest risk for transmitting pathogens via the skin as a portal of entry?
Which activity poses the greatest risk for transmitting pathogens via the skin as a portal of entry?
How does an acidic stomach pH act as a defense mechanism against pathogens?
How does an acidic stomach pH act as a defense mechanism against pathogens?
Which of the following scenarios best illustrates direct contact transmission of an infectious disease?
Which of the following scenarios best illustrates direct contact transmission of an infectious disease?
Following an outbreak of food poisoning linked to a local restaurant, what is the FIRST step epidemiologists should take to identify the source?
Following an outbreak of food poisoning linked to a local restaurant, what is the FIRST step epidemiologists should take to identify the source?
What is the primary focus of infection control measures in healthcare settings designed to prevent nosocomial infections?
What is the primary focus of infection control measures in healthcare settings designed to prevent nosocomial infections?
How does travel influence individual susceptibility to infections from resident flora?
How does travel influence individual susceptibility to infections from resident flora?
What is the role of resident flora in aiding digestion and nutrition?
What is the role of resident flora in aiding digestion and nutrition?
How does the concept of 'etiology' relate to understanding an infectious disease?
How does the concept of 'etiology' relate to understanding an infectious disease?
What is the key difference between a 'true pathogen' and an 'opportunistic pathogen'?
What is the key difference between a 'true pathogen' and an 'opportunistic pathogen'?
According to Koch’s postulates, what is the critical step to establish a causative relationship between a specific microorganism and a disease?
According to Koch’s postulates, what is the critical step to establish a causative relationship between a specific microorganism and a disease?
When a disease outbreak is identified, how does determining the ‘index case’ assist in controlling the spread of the disease?
When a disease outbreak is identified, how does determining the ‘index case’ assist in controlling the spread of the disease?
What is the most important purpose of disease surveillance?
What is the most important purpose of disease surveillance?
How does the prevalence rate of a disease differ from the incidence rate?
How does the prevalence rate of a disease differ from the incidence rate?
If public officials suspect food contamination after the first few cases of an illness, what should they do?
If public officials suspect food contamination after the first few cases of an illness, what should they do?
What is the difference between an intoxication and a toxemia?
What is the difference between an intoxication and a toxemia?
Why are diseases caused by endotoxins more difficult to treat than diseases caused by exotoxins?
Why are diseases caused by endotoxins more difficult to treat than diseases caused by exotoxins?
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?
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?
From where do babies obtain microbiota? How can this impact their health later in life??
From where do babies obtain microbiota? How can this impact their health later in life??
What is an effective way to address a common-source epidemic?
What is an effective way to address a common-source epidemic?
What is the difference between focal infection and systematic infection??
What is the difference between focal infection and systematic infection??
Flashcards
Pathogen
Pathogen
A microbe capable of causing disease in a susceptible individual.
Pathogenicity
Pathogenicity
An organism's potential to cause infection or disease.
Virulence
Virulence
The degree of pathogenicity; how severe is the disease.
Pathogenesis
Pathogenesis
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Commensalism
Commensalism
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Mutualism
Mutualism
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Parasitism
Parasitism
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Normal Microbiota
Normal Microbiota
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Resident Microbes
Resident Microbes
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Transient Microbes
Transient Microbes
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Opportunists
Opportunists
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Endogenous Infections
Endogenous Infections
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Birth Canal Microbiota
Birth Canal Microbiota
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How bacterial biota prevent the overgrowth of harmful microorganisms
How bacterial biota prevent the overgrowth of harmful microorganisms
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Portals of Entry
Portals of Entry
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Exogenous Source
Exogenous Source
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Digestive Enzymes / Bites
Digestive Enzymes / Bites
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STDs (Urogenital)
STDs (Urogenital)
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Examples of STDs
Examples of STDs
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Transplacental Infection
Transplacental Infection
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Size of Inoculum
Size of Inoculum
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Adhesion
Adhesion
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Examples of Adhesion
Examples of Adhesion
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Phagocytes
Phagocytes
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Antiphagocytic Factors
Antiphagocytic Factors
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Extracellular Enzymes
Extracellular Enzymes
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Bacterial Toxins
Bacterial Toxins
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Toxigenicity
Toxigenicity
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Toxemias
Toxemias
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Toxinoses
Toxinoses
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Intoxications
Intoxications
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Exotoxins
Exotoxins
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Endotoxin
Endotoxin
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Necrosis
Necrosis
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Sign
Sign
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Symptom
Symptom
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Latency
Latency
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Nosocomial Infections
Nosocomial Infections
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Virulence Factors
Virulence Factors
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Control of Nosocomial Infections
Control of Nosocomial Infections
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Epidemiology
Epidemiology
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Reservoir
Reservoir
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Living Reservoirs
Living Reservoirs
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Asymptomatic Carrier
Asymptomatic Carrier
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Incubating Carriers
Incubating Carriers
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Convalescent Carrier
Convalescent Carrier
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Chronic Carriers
Chronic Carriers
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Passive Carriers
Passive Carriers
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Source
Source
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Carrier
Carrier
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Horizontal Transmission
Horizontal Transmission
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Vertical Transmission
Vertical Transmission
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Fomites
Fomites
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Vehicles
Vehicles
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Oral-Fecal Route
Oral-Fecal Route
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Air Transmission
Air Transmission
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Aerosols
Aerosols
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Droplet Nuclei
Droplet Nuclei
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Vectors
Vectors
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Mechanical vector
Mechanical vector
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Biological vector
Biological vector
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Prenatal Vertical Transmission
Prenatal Vertical Transmission
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Perinatal Transmisison
Perinatal Transmisison
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Zoonosis
Zoonosis
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Etiologic Agent
Etiologic Agent
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Robert Koch
Robert Koch
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Koch's First Postulate
Koch's First Postulate
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Koch's Second Postulate
Koch's Second Postulate
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Koch's Third Postulate
Koch's Third Postulate
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Koch's Fourth Postulate
Koch's Fourth Postulate
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Communicable Disease
Communicable Disease
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Contagious Agent
Contagious Agent
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Noncommunicable Disease
Noncommunicable Disease
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R naught (R0)
R naught (R0)
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Epidemic
Epidemic
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Pandemic
Pandemic
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Endemic
Endemic
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Incidence Rate
Incidence Rate
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Prevalence Rate
Prevalence Rate
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Sporadic Disease
Sporadic Disease
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Point-Source Epidemic
Point-Source Epidemic
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Continuous Common Source Spread
Continuous Common Source Spread
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Propagated Epidemic
Propagated Epidemic
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Emerging Disease
Emerging Disease
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Reemerging disease
Reemerging disease
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Resident Flora
Resident Flora
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Infection
Infection
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Transient Flora
Transient Flora
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Microbial Antagonism
Microbial Antagonism
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Systemic Infection
Systemic Infection
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Syndrome
Syndrome
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Localized Infection
Localized Infection
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True Pathogen
True Pathogen
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Opportunistic Pathogen
Opportunistic Pathogen
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Etiology
Etiology
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Incidence
Incidence
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Mortality Rate
Mortality Rate
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Morbidity Rate
Morbidity Rate
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Adhesion Factors
Adhesion Factors
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Invasive Factors
Invasive Factors
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Toxins
Toxins
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ID50
ID50
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Leukocidins
Leukocidins
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Localized Infection
Localized Infection
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Focal Infection
Focal Infection
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Systemic Infection
Systemic Infection
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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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