Chapter 14 Flashcards
pathology - also etiology & pathogenesis
scientific study of disease, including etiology (cause), pathogenesis (way a disease develops) and the structural and functional changes and their effects on the body caused by the disease.
etiology
the cause of a disease
pathogenesis
the way a disease develops
pathogen
disease-causing microorganism
infection
invasion and growth of pathogens in the body causing signs of illness, inflammation, and tissue damage
colonization
the presence and growth of microorganisms WITHOUT signs or symptoms
disease
abnormal state in which body is not performing its normal functions
normal microbiota/flora & locations
microorganisms that reside permanently in or on the body but do not cause disease under normal conditions.
LOCATIONS include skin, eyes, nose/throat, mouth, large intestine, urinary and reproductive systems
Normal microbiota: Skin
sweat & oil glands
keratin
moisture content
Most microbes don’t become residents because secretions from sweat & oil glands have antimicrobial properties.
Keratin is also a resistant barrier, and low pH of skin inhibits many microbes.
Also, skin has a relatively low moisture content.
Normal microbiota: Eyes
conjunctiva
tears/blinking
Conjunctiva is the continuation of the skin or mucous membrane, contains the same microbiota found on skin.
Tears and blinking eliminate some microbes or inhibit others from colonizing.
Normal microbiota: Nose/throat
microbial antagonism
nasal secretion
mucus/ciliary action
Although some normal microbiota are potential pathogens, their ability to cause disease is reduced by microbial antagonism.
Nasal secretions kill or inhibit many microbes, and mucus and ciliary action remove many microbes.
Normal microbiota: Mouth
Moisture, warmth, presence of food
biting, chewing, tongue movements, salivary flow
saliva
Moisture, warmth, and constant presence of food make the mouth an ideal environment that supports very large and diverse microbial populations on the tongue, cheeks, teeth and gums.
Biting, chewing, tongue movements, and salivary flow dislodge microbes.
Saliva contains several antimicrobial substances
Normal microbiota: Large intestine
largest
mucus/shedding
mucosa
diarrhea
contains largest # of resident microbiota in the body b/c of available moisture and nutrients.
Mucus & periodic shedding of the lining prevent many microbes from attaching to the lining of the gastrointestinal tract, and mucosa produces several antimicrobial chemicals.
Diarrhea also flushes out some of the normal microbiota.
Normal microbiota: Urinary and Reproductive systems
urethra
vag
mucus/shedding
cilia/mucus
Lower urethra in both sexes has resident population.
Vag has its acid-tolerant population of microbes b/c of the nature of its secretions.
Mucus and periodic shedding of the lining prevent microbes from attaching to the lining; urine flow mechanically removes microbes, and pH of urin and urea are antimicrobial.
Cilia and mucus expel microbes from cervix into the vag, and acidity of the vag inhibits or kills microbes.
transient microbiota
microorganisms that are present in or on the body for a period of time and then disappear
microbial antagonism/competitive exclusion
CCSS
by competing for resources and/or producing bacteriocins, the normal microbiota protect the host by preventing the colonization and overgrowth of harmful microorganisms.
Includes Candida albicans, Salmonella, Shigella, Clostridium difficile
Microbial antagonism: Candida albicans
normal bacterial microbiota of the human vag is ~pH=4.
Presence of the normal bacterial microbiota inhibits growth of Candida albicans, which grows when balance between normal microbiota and pathogens is upset, and when pH is altered.
If population is eliminated by antibiotics, excessive douching, or deodorants, pH of vag reverts to neutral and C. albicans can flourish and become dominant microorganism there, which leads to vaginitis.
Microbial antagonism: E. coli
Produces bacteriocins (inhibits growth of other bacteria of same or related species such as pathogenic Salmonella and Shigella).
Microbial antagonism: Clostridium difficile
Normal microbiota of the large intestine effectively inhibit C. difficile, but if normal microbiota is eliminated (antibiotics), C. difficile can be a problem.
This microbe is responsible for nearly all gastrointestinal infections that follow antibiotic therapy, from mild diarrhea to sever or even fatal colitis (inflammation of colon).
Symbiosis
relationship between 2 organisms in which at least 1 organism is dependent on the other, such as the normal microbiota and the host.
Includes commensalism, mutualism, parasitism
Symbiosis: commensalism
one of the organisms BENEFITS, the other is unaffected.
EX: S. epidermidis on the surface of the skin (only bacteria benefits)
Symbiosis: mutualism
both organisms BENEFIT.
EX: E. coli in the large intestine.
Symbiosis: parasitism
one organism benefits at the expense of the other (many disease causing bacterias)
Opportunistic pathogens
Do not cause disease in their normal habitat in a healthy person; may cause disease IF it gains access to other sites of the body, IF the host is weakened, IF they are present in large #s
List Koch’s postulates
Demonstrate a specific pathogenic microorganism is the cause of a specific disease.
- pathogen must be present in every case of the disease.
- pathogen must be isolated from the disease host and grown in pure culture.
- the cultured pathogen must cause the disease when inoculated into a healthy, susceptible host.
- same pathogen must be isolated from the inoculated host.
symptom
changes in body function; not apparent to an observer
signs
objective changes the physical can observe and measure
syndrome
specific group of symptoms and signs accompany a particular disease
communicable disease
disease that spreads from one host to another, directly or indirectly
contagious diseases
disease that easily spreads from one person to another.
noncommunicable disease
ex
disease that does not spread from one host to another: it is caused by one’s own microbiota (pnemonias), or when external microorganisms are introduced into the body (Clostridium tetani)
common
incidence
probability
- number of NEW cases of a disease in a population during a particular time period;
- indicates how common a disease occurs during the time period;
- indicator of a person’s probability of developing the disease during the time period