influenza Flashcards

1
Q

signs and symptoms

A
  • fever
  • headache
  • muscle aches/pains
  • fatigue
  • sore throat
  • cough
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2
Q

transmitted via

A
  • contact with respiratory droplets
  • airborne via respiraotry droplet nuclei
  • contact with fomites contaminated with respiratory droplets
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3
Q

shape

A

enveloped
(-) ss RNA genome
segmented genome

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4
Q

pathogenesis

A
  • the virus attaches to and infects epithelial cells in the URT
  • replicates inside the cells, damaging the cells
  • spreads to lower respiraotry tract and sometimes secondary bacterial infections occur
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5
Q

virulence factor

A

spikes
* hemagglutinin
* neuraminidase

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6
Q

hemagglutinin

A
  • fililitates viral entry
  • binds to sialic acid on host cells which act as receptors
  • sialic acid is a small sugar that is attached to many different proteins on the cell surface
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7
Q

neuraminidase

A
  • facilitates virion release from the cell by cleaving sialic acid
  • degrades mucin layer of respiraotry tract
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8
Q

antigenic drift

A

MINOR changes caused by genetic mutation
* resulitng from RNA replication errors
* RNA polymerase has low fidelity
* graudal
* occurs with influenza A, B, C

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9
Q

Antigenic shift

A

MAJOR changes caused by genetric reassortment
* adrupt
* occurs with influenza A only

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10
Q

Influenza A

A
  • severe
  • animal reseervoir
  • shift AND drift
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11
Q

influenza B

A
  • moderate
  • epidemic
  • drift
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12
Q

influenza C

A
  • mild
  • sporadic
  • drift
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13
Q

Avian H5N1 (bird flu)

A
  • highly virulent in humans
  • cannot be transmitted human-to-human
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14
Q

treatment

A

infleunza antivirals

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15
Q

NA inhibitor drugs

A

inhibit neuraminidase from unbinding to host cell, stops viral replication

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16
Q

prevention

A

flu vaccines

17
Q

flu vaccines

A
  • contain 3 or 4 different viruses (mix of A subtypes and B strain)
  • greatly reduces the incidence of flu and the severity of flu-related illness
18
Q

2 types of flu vaccines

A

inactivated vaccine (flu shot)
live attenuated vaccine (nasal spray)

19
Q

inactivated influenza vaccine

A

flu shot
TIIV (trivalent inactivated influenza vaccine (3 strains)

20
Q

flu vaccine exceptions

A

egg allergies and preadverse reactions to vaccine