Chapter 10_1 flashcards

(48 cards)

1
Q

Host (Infection Context)

A

Human or animal colonized by a pathogen. [cite: 2]

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2
Q

Pathogen: Definition

A

Microorganisms capable of causing infectious disease. [cite: 2]

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3
Q

Colonization: Definition

A

Pathogen living in/on a host; does not necessarily mean infection exists. [cite: 2]

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4
Q

Infection: Definition

A

The invasion, colonization, and multiplication of pathogens within the host, often leading to host symptoms. [cite: 2]

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5
Q

Virulence: Definition & Factors

A

Ability of a pathogen to produce disease. [cite: 3] Virulence factors enhance infectivity (e.g., toxins, adhesion factors, evasive factors). [Text]

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6
Q

Reservoir (Infection Context)

A

Source of a pathogenic organism; may or may not be suffering from the disease (e.g., person, animal, fomite like an inanimate object). [cite: 3]

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7
Q

Vector (Infection Context)

A

A living being that can carry a pathogen from a reservoir to a host (e.g., mosquito, tick, flea); not considered infected itself. [cite: 3]

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8
Q

Epidemiology: Definition

A

The study of disease distributions in human populations. [cite: 4]

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9
Q

Incidence vs. Prevalence (Epidemiology)

A

Incidence: Number of NEW cases of infection within a population. [cite: 4] Prevalence: Number of active ONGOING cases of infection at any given time. [cite: 4]

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10
Q

Endemic vs. Epidemic vs. Pandemic

A

Endemic: Incidence and prevalence of a disease are relatively stable in a region. [cite: 4] Epidemic: Abrupt increase in the incidence of disease within a geographic region. [cite: 4] Pandemic: Global spread of a specific disease. [cite: 4]

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11
Q

Normal Microbial Flora: Definition & Functions

A

Organisms that live in or on the human body (e.g., skin, GI tract, vagina) and perform advantageous functions like secreting nutrients and competitively inhibiting harmful pathogens. [cite: 5] Do not cause disease within their normal niche. [cite: 5]

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12
Q

Carriers (Infectious Disease)

A

Individuals who harbor specific microbes that do not cause disease for them but can be transmitted to and cause infection in susceptible individuals. [Text]

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13
Q

Immunocompetence vs. Immunosuppression

A

Immunocompetence: Individual’s ability to protect oneself from infectious agents due to a strong immune system. [cite: 6] Immunosuppression: A defective immune system placing a person at risk for infections. [cite: 6]

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14
Q

Opportunistic Infection: Definition

A

An infection caused by a microorganism that flourishes because of a host’s deficient immune system or compromise of physical barriers. [cite: 6]

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15
Q

Hospital-Acquired / Health Care-Acquired Infection (Nosocomial Infection)

A

An infection caused by microorganisms that originated within the clinical environment. Often difficult to treat due to antibiotic-resistant bacteria. [cite: 6]

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16
Q

Bacteria: General Characteristics

A

Unicellular prokaryotes. [cite: 7] Categorized based on shape (cocci, bacilli, spirochetes), aerobic/anaerobic capabilities, and laboratory staining (Gram stain). [cite: 7] Named by Genus species (e.g., Neisseria gonorrhoeae). [cite: 7]

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17
Q

Gram Stain: Purpose & Differentiation

A

Most common clinical microbiology stain used to identify bacteria based on cell wall composition. [cite: 8] Gram-positive: Thick peptidoglycan cell wall, stains purple. [cite: 8] Gram-negative: Thin cell wall, stains pink. [cite: 8]

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18
Q

Viruses: General Characteristics

A

Acellular microorganisms that depend on a host cell’s metabolic processes for their life cycle. [cite: 9] Consist of DNA or RNA genome surrounded by a protein coat. [cite: 9] Can cause acute, chronic, or latent infections, and sometimes cancer cell growth. [cite: 9]

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19
Q

Fungi: General Characteristics & Types of Infections

A

Mold-like organisms. [cite: 11] Fungal infections are called mycoses. [cite: 11] Dermatophytes (e.g., tinea/ringworm) cause superficial infections (skin, hair, nails). [cite: 11] Invasive/systemic mycoses (e.g., Candida albicans) common in immunocompromised. [cite: 11]

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20
Q

Parasites: Main Categories & Examples

A

Protists: Unicellular eukaryotes like protozoa (cause giardiasis, malaria). [cite: 12] Helminths: Worms that cause infection (pinworms, tapeworms). [cite: 12] Insects: Can directly cause disease or serve as vectors (e.g., ticks transmitting Lyme disease bacteria). [cite: 12]

21
Q

Prions: Definition & Mechanism

A

Proteinaceous infectious agents capable of causing brain diseases. [cite: 13] They convert existing host proteins into abnormal, resistant prion-type proteins, which accumulate and cause spongiform encephalopathy. [cite: 13]

22
Q

Two Primary Levels of Immunity

A
  1. Innate Immunity: Nonspecific, first level of defense. [cite: 14] 2. Adaptive Immunity: Specific, second line of defense, involves memory. [cite: 14]
23
Q

Innate Immunity: Components

A

Anatomical barriers (skin, mucous membranes, cilia), antipathogenic chemicals (stomach acid, low skin pH, tears, interferon), acute inflammatory reaction, WBCs (macrophages, neutrophils etc.), the complement system, coagulation system, and cytokines. [cite: 14, 24]

24
Q

Adaptive Immunity: Characteristics & Cells

A

Slower to respond than innate immunity. [cite: 25] Characterized by specificity and memory for specific pathogens. [cite: 14] Main cells: T lymphocytes (CD4+ helper cells, CD8+ cytotoxic cells) and B lymphocytes (produce antibodies/immunoglobulins). [cite: 25]

25
Toll-Like Receptors (TLRs)
Proteins on surface of many innate immune cells that detect specific pathogens and play a critical role in stimulating the adaptive immune response. [cite: 25]
26
Immunoglobulins (Igs): IgM vs. IgG in Infection Staging
IgM: Earliest specific Ig to appear in response to antigen exposure; indicates early/acute infection. [Text, Table 10-5] IgG: Develops later in infection, predominates for years, confers long-term immunity; indicates past exposure or later stage of infection. [Text, Table 10-5]
27
Portal of Entry: Skin
Natural barrier (thickness, low pH). [cite: 15] Harbors normal flora. [cite: 15] Breaches (trauma, burns, dermatoses) make it vulnerable. [Text]
28
Portal of Entry: Respiratory Tract
Entry for viruses, bacteria, fungi via droplet infection. [cite: 15] Defenses: Mucociliary apparatus (mucus, cilia), sneezing/coughing, alveolar macrophages, interferon, IgA, lymph nodes. [Text]
29
Portal of Entry: Gastrointestinal (GI) Tract
Pathogens often via contaminated food/drink (fecal-oral route). [cite: 18] Defenses: Acidic stomach pH, mucus lining, pancreatic enzymes, bile, normal flora, IgA. [Text]
30
Portal of Entry: Genitourinary (GU) Tract
Urethra common route. [cite: 18] Defenses: Urine outflow, low vaginal pH (from lactobacilli). [cite: 18] Females at greater risk of UTIs. [cite: 18] Semen/vaginal secretions transmit STIs. [Text]
31
Portal of Entry: Blood-Blood Transmission
Via blood transfusions, sharing needles, needlestick/sharp injuries, or through mucous membranes/eyes/skin (hence universal precautions). [cite: 19] Common pathogens: Hepatitis B, Hepatitis C, HIV. [Text]
32
Portal of Entry: Maternal-Fetal Transmission (Congenital Infection)
Pathogens cross placental barrier or transmitted during childbirth from infected vaginal secretions. [cite: 20] Examples: CMV, rubella, herpes simplex virus, syphilis, toxoplasmosis, HIV. [cite: 20]
33
Stages of Infection: Incubation Period
Microorganism begins active replication without identifiable symptoms. Host is often contagious. Duration varies (e.g., 24h for rhinovirus, 1-3 months for Hepatitis B). [cite: 21]
34
Stages of Infection: Prodromal Stage
Initial appearance of vague, general symptoms (malaise, myalgias, headache, fatigue). Host is highly contagious. [cite: 21]
35
Stages of Infection: Acute Stage
Host experiences full infectious disease with rapid pathogen proliferation. Symptoms heightened and more specific. Immune system fully engaged. Patient remains contagious. [cite: 22]
36
Stages of Infection: Convalescent Stage
Body contains the infection and progressively eliminates the pathogen. Resolution of symptoms begins. Duration varies. [cite: 23]
37
Stages of Infection: Resolution Phase
Total elimination of the pathogen from the body without residual signs or symptoms. [cite: 23]
38
Diagnosis of Infection: Laboratory Staining & Culture
Staining (e.g., Gram stain) identifies bacterial organisms. [cite: 26] Culture grows microbes on specific media for identification and antibiotic susceptibility testing. [cite: 26]
39
Diagnosis of Infection: Biopsy & Histological Examination
Tissue biopsy examined under microscope for signs of inflammation, infection, pathogenic organisms, or characteristic cell changes. [cite: 26]
40
Diagnosis of Infection: Serological Testing (Antibodies)
Studies blood serum for antibodies to a microorganism. [cite: 26] Antibody titer (level of antibodies) usually corresponds to exposure level. IgM (early infection) vs. IgG (later/past infection) helps stage infection. [cite: 26]
41
Diagnosis of Infection: Direct Antigen Identification
Combines culture/microscopy; infectious agent fused with fluorescently labeled antibodies, allowing identification under microscope. [cite: 26]
42
Diagnosis of Infection: Polymerase Chain Reaction (PCR)
Detects microorganism’s genetic material (DNA or RNA). Can detect very low levels of pathogen. Example: HIV RNA assay. [cite: 26]
43
Treatment of Infection: General Approaches
Many are self-limiting. Options: Antimicrobial agents (antibacterial, antiviral, antifungal, etc.), immunological boosting agents, surgical removal of infected tissues. [cite: 27]
44
Prevention of Infection: Immunization (Vaccines)
Most efficient method of controlling contagious disease. Provides long-term immunity (may need boosters). Based on protecting public health by decreasing susceptible persons. [cite: 27]
45
Emerging Infectious Diseases: Definition
Diseases newly appeared in a population or rapidly increasing in incidence or geographic range. May be due to new agent, recognition of undetected infection, or established disease found to have infectious origin. [cite: 28]
46
Reemerging Infectious Diseases: Definition & Causes
Infections that had declined but are now reappearing at higher levels (e.g., malaria, tuberculosis). [cite: 29] Causes: Development of drug resistance (e.g., MRSA, VRSA) or breakdown of preventive measures (e.g., reduced vaccination rates). [cite: 29]
47
Zoonotic Infections (Zoonoses)
Infectious diseases passed from animals to humans. Increased risk as human population expands into new geographical regions. [cite: 29]
48
Bioterrorism Infectious Agents: Definition & Examples
Infectious agents used as weapons due to ease of dissemination, public health impact, and preparedness requirements. [cite: 29] Examples: *Bacillus anthracis* (anthrax), *Yersinia pestis* (plague), *Variola major* (smallpox). [cite: 29]