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Questions and Answers

What are the main characteristics of normal microbial flora in the mouth?

Millions of bacteria present in 1 mL of saliva.

What is the bacterial concentration in the large intestine?

100 billion bacteria per gram of feces, making up 40% of fecal mass.

Which of these factors can make normal flora pathogenic? (Select all that apply)

  • Balanced diet
  • Host is immunocompromised (correct)
  • Healthy immune system
  • Chronic antibiotic use (correct)
  • What are the advantages of normal residential flora? (Select all that apply)

    <p>Production of vitamin K (A), Competition for nutrients with pathogenic bacteria (B), Release of organic acids to aid digestion (C)</p> Signup and view all the answers

    Which of the following are predisposing factors for diarrheal diseases? (Select all that apply)

    <p>Extremes of age (B), Recent travel (C), Unsafe water (D)</p> Signup and view all the answers

    The term _______________ refers to inflammation of the intestines with severe abdominal cramps and frequent low-volume stools.

    <p>Dysentery</p> Signup and view all the answers

    What is an enterotoxin?

    <p>An exotoxin with enteric activity affecting the intestinal tract.</p> Signup and view all the answers

    The presence of gut flora does not contribute to the immune system.

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

    What characterizes bacillary dysentery?

    <p>Caused by bacterial infection with invasion of host cells and/or production of exotoxins.</p> Signup and view all the answers

    Which of the following can be considered a mechanical barrier in gastrointestinal defenses?

    <p>Tight junctions between epithelial cells (C)</p> Signup and view all the answers

    Flashcards

    Normal Gut Flora

    Microbial community residing in the gastrointestinal tract, consisting mainly of bacteria, includes Lactobacillus, Bacteroides, Enterobacter, E. coli, and Proteus spp.

    Pathogenic Bacteria

    Microbes that cause disease by producing toxins or invading tissues.

    Enterotoxin

    A toxin that affects the intestines.

    Bacillary Dysentery

    Dysentery caused by bacterial invasion of intestinal tissues and toxin production.

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    Dysentery

    Inflammation of the intestines with severe symptoms like abdominal cramps, straining to defecate, and bloody/mucus stools.

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    Diarrhea

    Loose, watery stools.

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    Gastroenteritis

    Inflammation of the stomach and intestinal lining.

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    Enteroinvasive

    Describes pathogens that invade intestinal tissues.

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    Mechanical Barriers (GI)

    Physical structures preventing pathogen entry into tissues, like tight junctions between cells.

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    Immunocompromised

    Having a weakened immune system, making the person more susceptible to infections.

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    Antibiotic Use (prolonged)

    Extended use of antibiotics, leading to a disruption of normal gut flora.

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    O Antigen

    Part of the bacterial cell wall made of lipopolysaccharide.

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    Enterobacteriaceae

    Family of gram-negative bacteria commonly found in the large intestine, causing diarrhea.

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    GI Defenses

    Physical and biological systems that protect the gastrointestinal tract from pathogens.

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    Pre-formed Toxin

    A toxin that is produced and released by bacteria prior pathogen ingestion.

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    Toxigenic

    Describes bacteria causing disease symptoms by producing toxins.

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    Study Notes

    Oral Microbial Flora Characteristics

    • Oral flora is diverse and includes numerous types of bacteria, including aerobic and anaerobic species.
    • The composition of oral flora is influenced by factors such as age, diet, and oral hygiene practices.
    • Some bacteria in oral flora contribute to dental plaque formation, which can lead to tooth decay and gum disease.
    • Key fact: Oral flora plays a crucial role in maintaining oral health, and imbalances in its composition can compromise oral health.

    Bacterial Concentration in the Large Intestine

    • Key fact: The large intestine harbors a high concentration of bacteria, estimated to be around 10^11 to 10^12 bacteria per gram of feces.

    Factors that Can Make Normal Flora Pathogenic

    • Compromised host defenses: Weakened immune systems can allow opportunistic pathogens to proliferate.
    • Introduction of new strains: Changes in the normal flora, such as antibiotic use, can create opportunities for new, potentially pathogenic strains to establish themselves.
    • Changes in the host environment: Factors like pH imbalances or changes in the composition of the gut microbiota can favor the growth of pathogenic bacteria.

    Advantages of Normal Residential Flora

    • Competition with pathogens: Normal flora occupies niches and competes with pathogens for resources, inhibiting their growth.
    • Production of antimicrobial substances: Certain bacteria in normal flora produce substances that inhibit the growth of other bacteria, including pathogens.
    • Stimulation of the immune system: The presence of diverse bacteria in normal flora helps to train and strengthen the immune system.

    Predisposing Factors for Diarrheal Diseases

    • Infections: Viral, bacterial, and parasitic infections can lead to diarrhea by causing intestinal inflammation, damage, or fluid imbalance.
    • Food poisoning: Ingestion of contaminated food containing toxins or bacteria can trigger diarrheal symptoms.
    • Malabsorption: Disorders that impair nutrient absorption in the intestines can lead to diarrhea, often accompanied by other symptoms.
    • Certain medications: Some medications, such as antibiotics, can disrupt the balance of gut bacteria and contribute to diarrhea.

    Inflammation of the Intestines

    • Key fact: The term enteritis refers to the inflammation of the intestines, characterized by severe abdominal cramps and frequent low-volume stools.

    Enterotoxin

    • Key fact: An enterotoxin is a type of toxin produced by certain bacteria that specifically affects the intestines, causing gastrointestinal distress.

    Gut Flora and Immune System

    • Key fact: The presence of gut flora plays a significant role in the development and function of the immune system, and its absence can lead to a weakened immune response.

    Bacillary Dysentery

    • Key fact: Bacillary dysentery is characterized by intestinal inflammation and bloody diarrhea caused by bacteria such as Shigella.

    Mechanical Barrier in Gastrointestinal Defenses

    • Key fact: The lining of the gastrointestinal tract, including the mucous membrane and tight junctions between cells, acts as a physical barrier, preventing the entry of pathogens into the bloodstream.

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