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Patho Ch.14 epidemiology- portal of entry
pg. 308-9
13
Nursing
Undergraduate 1
01/14/2012

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Term
Penetration
Definition
Any disruption in the integrity of the body's surface barrier-kin or mucous membranes-is a potential site for invasion of microorganisms.
Term
Direct contact
Definition
Pathogens transmitted directly from infected tissue or secretions to exposed, intact mucous membranes. Ex: STI's such as gonorrhea, syphilis, chlamydia, and genital herpes.
Term
Vertical Transmission
Definition
When a mother passes the disease to her child by the placenta or during child birth.
Term
Congenital infection
Definition
When an ID is transmitted from mother to child during gestation or birth.
Term
Ingestion
Definition
The entry of pathogens via the oral cavity and GI tract. (one of the more efficient means of disease transmission in humans).
Term
Inhalation
Definition
Pathogens that invade the body through the respiratory tract. Defective pulmonary function or mucociliary clearance caused by cystic fibrosis, emphysema, or smoking increase the risk of inhalation-aquired diseases.
Term
Source
Definition
The source of an infectious disease refers to the location, host, object, or substance from which the infectious agent was acquired.
Term
Toxins
Definition
Substances that alter or destroy the normal function of the host or host's cells. Bacteria mainly produce toxins (endotoxins and exotoxins)
Term
Bacterial endotoxins
Definition
a lipopolysaccharide (LSP)found in the cell wall of gram-negative bacteria.
Term
Exotoxins
Definition
proteins released from the bacterial cell during cell growth, they enzymatically inactivate/modify cellular constituents, leading to cell death/dysfunction.
Term
Virulence factors
Definition
substances/products generated by infectious agents that enhance their ability to cause disease. 4 categories: toxins, adhesion factors, evasive factors, invasive factors.
Term
Enterotoxins
Definition
bacterial exotoxins that produce vomiting and diarrhea.
Term
Adhesion factors
Definition
the pathogen must attach to and colonize the host, can be site specific (mucous membranes, skin), cell specific (T lymphocytes, respiratory or intestinal epithelium), or nonspecific (moist areas, charged surfaces).
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