Exam 3 Flashcards

(58 cards)

1
Q

Asepsis vs sepsis

Aseptic Surgical Technique

A

asepsis: absence of significant contamination
sepsis: microbial contamination

Prevents Microbial contamination in wounds

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2
Q

Sterilization

Commerical sterilization

Disinfection

Antisepsis

A

Removal of all microbial life

Kills C. Botulinum endospores

removal of pathogen

removal of pathogens from living tissue

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3
Q

Degerming

Sanitization

Biocide/Germicide

Bacteriostasis

A

Removal of microbes from a limited area

Lowering the number of micrbial counts on eating utensils

Kills microbes

Inhibits microbes (does not kill)

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4
Q

Microbial control Agent

A

Alters membrane permeability

damages proteins

damages nucleic acids

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5
Q

Heat

Moist heat sterilization

A

Kills by denaturing enzymes and altering structures

Denatures proteins (autoclave: 121C for 15psi)

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6
Q

Pasteurization

A

Reduces spoilage organisms & pathogens
Except: Thermoduric organisms

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7
Q

Hepa vs membrane filtration

A

Hepa removes microbes >0.3um

Membrane filtration removes microbes >0.22um

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8
Q

Radiation

Ionizing

Nonionizing

Microwaves

A

Ionizing radiation: x-ray, gamma rays & electron beams

  • Damages DNA
  • Ionizes water to release OH

Nonionizing radiation: (UV, 260nm)

  • Damges DNA

Microwaves: kills by heat but not really antimicrobial

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9
Q

Phenol & Phenolics

(Carbolic Acid)

A

Disinfectant

Disrupts plasma membranes

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10
Q

Halogens

Iodine

A

Alters protein synthesis & membrane

Iodine

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11
Q

Halogen

Chlorine

A

Oxidizing agents

Bleach

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12
Q

Alcohol

Ethanol & Isopropanol

A

Denatures proteins & dissolves lipids

Needs water

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13
Q

Heavy Metals

Ag, Hu, Cu

A

Ag: Silver nitrate

Hg: Silver sulfadiazine (topical cream on burns)

Cu: Copper sulfate, an algicide

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14
Q

Oligodynamic action

A

Denatures proteins

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15
Q

Denatures proteins

Denatures enzymes

Damages DNA

Disrupt plasma membranes

Alters Protein synthesis/membrane

A

Denatures proteins

  • Oligodynamic action (Heavy Metals)
  • Most heat
  • Alcohol (Ethanol, Isopropanol)

Denatures enzymes

  • Heat

Damages DNA

  • Radiation (Ionizing & nonionizing)

Disrupt plasma membranes

  • Disinfectant (Phenols & Phenolics)

Alters Protein synthesis/membrane

  • Halogen (Iodine & Chlorine)
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16
Q

Alexander Fleming

A

Penicillium notatum

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17
Q

Chemotheraphy

Antimicrobial Drugs

Antibiotic

Selctive Toxicity

A

drug used to treat a disease

Interferes with microbial growth inside a host

Inhibits a microbe using small amount of substance produced by another microbe

Kills harmful microbes without damaging host

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18
Q

Antimicrobial spectrum

A

Broad spectrum - wide range (Gram - & Gram +)

Narrow spectrum - Limited range

Superinfection - Pathogen that has develped resistance to an antimicrobial drug

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19
Q

Bactericidal vs Bacteriostatic

A

Bactericidal kills microbes

Bacteriostatic inhibits micrbial grown

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20
Q

Antimicrobial Drug Actions

A

1) Inhibits cell wall synthesis

  • Penicillion
  • Bacitracin
  • Vancomycin
  • Cephalosporins

2) Inhibits protein synthesis

  • Chloramphenicol
  • Erthromycin
  • Tetracyclines
  • Streptomycin

3) Inhibits Nucleic Acid replication & Transcription

  • Quinolones
  • Rifampin

4) Injurty to plasma membrane
* Polymyxin B
5) Inhibits synthesis of essential metabolites

  • Sulfanilamide
  • Trimethoprim
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21
Q

Antibiotic Drug Actions

A

Inhibits Protein synthesis

Chloramphenicol: Inhibits formation of peptide bond (50s)

Streptomycin: Changes shape of 30s and reads mRNA code incorrectly

Tetracycline: Interferes with tRNA & mRNA attachment - ribosme complex

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22
Q

Penicillin

A

Prevents cross linking of peptidogycan (mostly Gram +)

Natural

Semisynthetic

Extended spectrum

Penicillin G (requires injection)

Penicillin V (requires Oral)

B-Lactam Ring: Common nucleus

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23
Q

Cell Wall synthesis inhibitors

A

Antimycobacterial antibiotics

  • Isoniazid (INH): inhibits mycolic acid synthesis

Ethambutol

  • Inhibits incorporation mycolic acid
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24
Q

Protein synthesis inhibitors

A

Aminoglycosides

  • Changes 30s subunit shape (Broad spectrum)
  • Streptomycin
  • Neomycin
  • Gentamyci
25
Competitive Inhibitors
Sulfonamides * Inhibits Folic acid synthesis * Broad Spectrum Action of Enzymes inhibited
26
Antiviral Drugs
Protease inhibitor * Indinavir (HIV) Integrase Inhibitor: (HIV) Attachment inhibition * Zanamivir (Influenza) * Block CCR5 (HIV) Uncoating inhibition * Amatadine (Influenza)
27
Antibiotic Resistance
1) Blocks entry 2) Inactivates enzymes 3) Alters target molecule 4) Ejects antibiotic
28
Pathogenicity Virulence Portals of Entry
Ability to cause disease Extent or degree of pathogenicity MM, Skin, Parenteral route
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Portals of Entry
MM * Respiratory Tract: measles & Small pox * GI Tract: Hep A, Poliomyelitis, Typhoid fever, Amoebic dysentery, Cholera * Genitourinary Tract: HIV, warts, herpes * Conjunctiva: Trachoma
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Dose Dependent Onset
ID 50 (Infectious Dose) - causes disease in 50% of pop. LD 50  (Lethal Dose) - Lethal dose in 50% of pop.
31
Microbial Attachment (Adherence)
Adhesin aka Ligand binds to specific surface receptor of host tissue
32
Capsule
increases virulence and inhibits phagocytosis Streptococcus pneumoniae Klebsiella pneumoniae Haemophilus influenza Anthracis Yersinia Pestis (Plague)
33
Virulent vs Avirulent
Encapsulated vs unencapsulated strains
34
M Protein
Another virulent factor Heat & Acid resistant protein on cell surface and Fimbriae (Streptococcus pyogenes) Attaches to epithelial cells and resists phagocytosis
35
Opa protein Waxy Lipids
Outer membrane of Neisseria gonorrhoeae Bacteria fimbriae attaches to host Mycolic acid (mycobacterium tuberculosis) Resistant to phagocyte digestion and can multiply inside
36
Enzymes
Production of extracellular enzymes = Exoenzymes digest materials b/t cell and formed blood clot digest blood clots Hyaluronidase * Exoenzyme that hydrolyzes hyaluronic acid. * Assist in spreading * Blackenng of infected wounds * Clostrida = gas gangrene Collagenase * Exoenzyme that breaks down protein collagen (forms connective tissues) * Clostridium assists in spread of gas gangrene Kinase * Breaks down fibrin and digest clots that isolates the infection * (Streptococcus pyogenes) * (Staphyloccus aureus) - breaks down clot in heart attacks
37
Coagulase
Bacterial Enzyme that coagulates fibrinogen in blood Clot protects bacteria by isolating from host defenses (Staphylococci)
38
IgA Protease
Exoenzyme, breaks down immunoglobulin A (IgA) found in mucosal membrane surface IgA, Prevents adherence of pathogen N. Gonorrhoeae & N. meningitidis produces IgA protease
39
Antigenic Variation
Pathogens that can alter surface antigens and evades adaptive immune system Pathogen is unaffected by antibodies Influenzavirus N. Gonorrhoeae Trypanosoma brucei (african sleeping sickness) Leishmania donovani
40
Toxins
Posionous substance produced by microbes * Transported by blood and Lymph * (Fever, Diarrhea, Shock) * Inhibits protein synthesis * Destroys blood cells/vessels * disrupt nervous system
41
Exotoxin
Exotoxins - toxins are produced inside bacteria cell and is secreted out * Gram - & Gram + * Protein but acts as enzyme * Destroys particular host cell * inhibit certain metabolic functions * highly specific * extremely lethal * soluble * Botulism - by ingesting exotoxin * Most are A-B toxins _A-B Exotoxin_ * A: enzyme aka active, inhibits protein synthesis in host cell * B: binding _Types_ Membrane disrupting toxin * lysis host cell by forming protein channels in plasma membrane * Others disrupt phospholipid * Leukocidin (Staph & Strep) * Hemolysin (Staphy & Strep) * Streptolysin (Strep) Superantigens * Provoke intense immune response * Stimulates T-cell and releases cytokines (fever, nausea, vomit, diarrhea, shock, death) * Staph cause food poisoning & TSS
42
Endotoxin
Endotoxins - outer membrane is the toxin that breaks apart * Gram - (Lipid A) * Lipoplysaccharides (exo are protein) * released when bacteria dies * Stimulates macrophages to release high concentrated cytokines (toxic) * Activates blood clotting protein which leads to necrosis of tissues (DIC) * Chills, fever, weakness, aches, shock, death, miscarriages * Pyrogenic response by producing prostaglandins from hypothalamus
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Pathology Etiology Pathogenesis Infection Disease
Study of disease study of cause of disease development of disease colonization of pathogens abnormal state where body is not functionally normal
44
Vaginal lactobacilli
Rapid multiplication just before birth Normal Microbiota The first microorganism newborns come in contact with
45
Transient microbiota Normal microbiota Symbiosis
Presents temporarily, days, weeks, months Permanet colonization Relationship b/t normal microbiota & host
46
Commensalism Symbiosis Mutualism Symbiosis Parasitism Symbiosis
One organism benefits/other is unaffected both benefits One benefits at the expense of other
47
Normal Microbiota
Distribution & Compostion dependent on * Nutrients * Physical/Chemical/Mechanical factors * Host defenses
48
Koch's Postulates
Same pathogen must be present in every disease Must be isolated from diseased host and grown in pure culture Must cause same disease when inoculated to another animal Must be isolated again and show its the same disease from original animal
49
Symptom Signs Syndrome
Change in body function felt by patient. Non measurable change in body that is measured or observed as a result of disease Specific group of signs & symptom that accompies a disease
50
Communicable Disease Contagious disease Noncommunicable disease
Spreads from one host to another easily spread from one host to another non transmitted disease
51
Incidence Prevalence Sporadic disease
Fraction of pop. contracts disease during specific time Fraction of pop. having specific disease at a given time Disease occuring occasionally in population
52
Endemic Disease Epidemic disease Pandemic disease Herd immunity
constantly present disease acquired by many host in a short time worldwide epidemic immunity in most population
53
Acute Chronic Subacute Latent
Symptoms develop rapidly disease develops slowly b/t acute and chronic period of no symptom or inactive
54
Local infection Systemic infection Focal infection
Limited to a small area of body throughout the body System that began as local infection
55
Sepsis Bacteremia Septcemia
Toxic inflammation arising from spread of microbes. Bacteria in blood Growth of bacteria in blood
56
Toxemia Viremia
Toxin in blood Virues in blood
57
Primary infection Secondary infection Subclinical disease
Acute infection with inital illness Opportunistic infection after primary infection No noticeable signs or symptoms
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Incubation period Prodromal period Convalescence period
no sign mild symptom Recovery