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Infectious processes
Patho Test 2
25
Pathology
Undergraduate 1
02/20/2012

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Cards

Term
Chain of infection transmission
Definition

o   Reservoir

§  Human, insect, animal, soil

o   Portal of exit

§  Nasal mucosa, oral mucosa

o   Mode of transmission

§  Insect bite, droplet, semen

o   Portal of entry

§  Nasal/oral mucosa, puncture, absorption

o   Susceptible victim

§  Malnurioused, unimmunized, immuno comprimised

Term
Direct transmission
Definition

o   transmission of disease with direct contact between reservoirs

Term
Indirect transmission
Definition
transmission of disease through inanimate object or fomite (table surface) 
Term
Principles of infection control
Definition

o   Destroying reservoir:

§  Mosquito eradication

§  Garbage disposal

§  Sewage treatment

o   Blocking portal of exit:

§  Gloves

§  Mask

§  Condom

§  isolation

o   Blocking mode of transmission:

§  Cooking foods

§  BSI

§  Sterile technique

§  Hand washing

o   Blocking portal of entry:

§  Mask

§  Gloves

§  Condom

o   Reducing susceptible victim:

§  Optimal nutrition

§  Optimal rest

§  Vaccination 

Term
Epithelial barriers: How invasion is prevented?
Definition

o   Multilayer of skin

o   Dry environment does not aid in bacterial growth

o   Sloughing (shedding) of skin

o   Skin has higher fat content that prevents microbial growth

Term
pH of skin, characteristics of saliva, mucous (anti invasion principles)
Definition

o   pH of skin is acidic inhibiting growth

o   Mucous/saliva/tears/sweat contain a bactericidal enzyme

o   Sebaceous glands of skin secretions are anti-fungal 

Term
Herd immunity
Definition

o   If a higher % of population is immune the chances of non-immune individuals are low

Term
Host-microbial balance: when does imbalance occur?
Definition

o   Host and normal microbes work together or are tolerant of each other, if there is compromise in host’s system then microbes can become opportunistic 

Term
What facilitates microbial adherence?
Definition

o    The abitlity of a microorganism to gain entrance and penetrate host

§  Direct penetration

§  Sticks to skin surface

§  Slime layer (glycocalyx) aids adherence

§  Adhesion molecules

Term
Bacterial enzymes
Definition

§  aid in spread or invasion of tissue 

Term
Encapsulation
Definition

§  Prevents opsonization by antibodies

·         Opsonization = binding and recognition

§  Prevents phagocytosis 

Term
Endospores
Definition

§  Allows organism to survive under harsh conditions

§  Like laying an egg

§  Protects DNA and cytoplasm

§  Strictly gram+  bacteria

§  Reactivates when conditions are again favorable for growth 

Term
Flagella
Definition

§  Structural characteristic of bacteria that allows for movement

§  Usually drawn towards sugar and amino acid environments

Term
Principles of antibiotic resistance
Definition

o   Caused by over prescription of antibiotics and pt not taking the full prescribed dose

o   Allows for low-dose resistance

o   Resistant form may be transferred to another person

o   Major threat to successful management of bacterial infections

Term
Exotoxins
Definition

§  Gram positive bacteria

§  Polypeptides produced and released by organism

§  Antigenic, toxic, unstable when exposed to heat

§  Binds to receptors in target organs, interferes with metabolic activities

§  Example: Tetanus

Term
Endotoxins
Definition

§  Gram negative bacteria

§  Immunogenic part of lipopolysaccharide bacterial cell wall that triggers a massive immune response when bacterium lyses

§  Immune response lease to cell shock and multiple organ failure

§  Example: enterobacteria

Term
Physical characteristics of bacteria
Definition

o   Single-celled organisms that have no internal organelles

o   Prokaryotes (no nucleus)

§  Has DNA in one chromosome; “nucleoid” center

o   Rigid peptidoglycan cell wall prevents osmotic lysis

o   Degrade and break down dead tissue for other organisms

Term
Gram+: stain reaction, structure, toxin formed
Definition

§  Stain reaction: appear dark purple under miscroscope

§  Thick, multi-layer cell walls with teichoic acids

§  Exotoxin forming

Term
Gram-: stain reaction, structure, toxin
Definition

§  Stain reaction: don’t retain crystal violet dye, appear pink

§  Lipid walls (lipoproteins, lipopolysaccharides)

§  Endotoxin forming

Term
Characteristics of Retroviruses
Definition

o   Contains encoding information for reverse transcriptase enzyme to create mRNA and DNA from own genome

o   DNA replicates when host cell replicates

o   Example: HIV 

Term
Fomite
Definition
Inanimate object that can cause indirect infection transmission (i.e. table surface
Term
Lactoferrin
Definition

o   Antimicrobial protein found mainly in mucous (also found in other secretions of the body; milk, tears, sweat) binds to invading microbe and forces it to undergo lysis

Term
Colonization
Definition

o   Harmless inhabitation of the skin or mucous membranes by microorganisms 

Term
Virulence
Definition

o   Ability to cause disease

o   Microorganism consistently causes disease in all infected hosts

o   Interaction between host/pathogen harms host

Term
Reverse transcriptase
Definition

o   An enzyme that allows retroviruses to crate both mRNA and DNA from their own genome. The viral DNA is incorporated into the host cell’s DNA and is replicated during host cell replication

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