Intro to Bacteriology: Flora and Pathogenesis Flashcards

1
Q

Initial Colonization of Host

Wjere do microbes come from in the womb?

A
  • Uterus is usually sterile
  • Fetal membranes break, and fetus is exposed to vaginal flora during birth
  • 8-10 hours after deliver, newborn is colonized by many microbes
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2
Q

Indigenous Flora Characteristics

Two types of flora

A

Microbes commonly found on or in the body of a healthy person
Resident flora: colonize the site for months/years
Transient flora: temporary colonizers, which are eliminated

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3
Q

Human Microbiota

A

3 times more bacterial cells than human cells
Microbiota includes viruses, fungi, archaea, single-celled eukaryotes.

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4
Q

Gut Microbiome and Health and Disease

A

Host-microbial interactions maintain health, if disrupted > illness

Gut microbiome changes induced by diet, antibiotics, immune, genetics

Dysbiosis: influence bioavailabilty/efficacy of therapeutic drugs

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5
Q

What Influences Microbiota Type and Number on the Body

6 things

A
  • Oxygen availability
  • Receptor sites for attachment
  • pH
  • Nutrient availability
  • Influence of other microbes at thte site
  • Immunological response of host to the microbe
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6
Q

Role of Normal Flora

3 things

A
  • Immune stimulation
  • Keep out invaders
  • Human nutrition/metabolism (gut flora)
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7
Q

How Gut Flora Benefit Human Hosts

5 ways

A
  1. Synthesize essential metabolites
  2. Break down plant fibers
  3. Inactivate toxic substances in food or made by pathogens
  4. Prevent pathogens from benefiting from the resources of the human gut
  5. Interact with epithelium to trigger development of secondary lymphoid tissue
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8
Q

Koch’s Postulates

A

Diseased organism can be cultured, and that culture can be inoculated into a healthy organism, and that organism will get the disease

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9
Q

Course of Infectious Disease

5 steps

A

Incubation: time from eposure to onset of symptoms, dependent on infection
Prodromal: incubation period and before the characteristic symptoms of infection, can transmit to other people, mild and nonspecific response
Illness: displaying symptoms of infection, dependent of type, dose, and host immune response
Decline: immune system successfully defends, symptoms improve, secondary infections may occur
Convalescence: symptoms resolve, normal functions or damage

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10
Q

True Pathogen

A

Primary pathogen
Causes disease in a healthy person

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11
Q

Opportunistic Pathogen

A

Typically part of normal flora
Causes disease when:
- Immune system weakened
- New microbe introduced and disrupts flora
- Breakdown of defense barriers (catheters)

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12
Q

Timing of Infections

3 timings

A

Acute infections: develop quickly
Subacute: more suddenly than chronic but less than acute
Chronic: insidious onset, maybe even years, lasts a long time
Latent: silent or dormant stage, go from symptomatic to asymptomatic back to symptomatic

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13
Q

How Infectious Diseases Take Place

Four steps

A

Encounter/acquisition: agent meets and colonizes host surface
Attachment: agent multiplies and breaches defenses
Dissemination: agent penetrates deeper and comes in contact with immune response
Outcome: agent or host wins during infection, or coexist

Outcome depends on host health or pathogenicity of agent

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14
Q

Types of Acquisition

2 types

A

Endogenous: caused by agents in or on the body
Exogenous: agents in the environment

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15
Q

Contact Transmission

A

Direct skin to skin, mucous membrane to mucous membrane, fecal-oral, transfusion

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16
Q

Airborne Transmission

What is it also affected by?

A

Carried on air currents in droplet nuclei, can tavel longer distances

Affected by
- microbial load in particles
- stability of microbe in the aerosol
- infectious dose

17
Q

Droplet Transmission

A

Larger particles, usually stay within 3 feet of inected person

18
Q

Vector Transmission

A

Arthropod, blood meal, biting

19
Q

Vehicular Transmission

A

Food, water, fomites

20
Q

Infectiousness

Depends on?

A

Depends on infectious agent, individual characteristics, duration of infectiousness, virulence of microbe, infectious dose

21
Q

Virulence Factor: Exo/Endotoxins

A

Exotoxins: gram positive microbes, secreted by living cell
- subunit for binding and subunit with toxicity
- toxins kill host cell or destroy intracellular activity
Endotoxins: gram negative, lipopolysaccharides, released upon cell lysis/death
- disrupts clotting, causes fever and activates immune system
- hypotension, shock, death

22
Q

Host Factors of Infection

A

Age: change in immune status, flora
Sex: anatomic structures
Stress: excess cortisone, suppresses inflammatory process
Diet: obese or lacking vitamins/proteins more susceptible
Disease or trauma: other diseases, smoking, burns
Therapy for other diseases: change immune status

23
Q

Infection Outcome

Dependent on? Possible outcomes?

A

Dependent on: host health, diagnosis and treatment, virulence of pathogen
Outcomes:
- restore complete health
- restore health, residual effects
- survive, severely compromised
- death

24
Q

Healthcare Associated Infection Types

A

Pneumonia - ventilators
Bloodstream - central lines
Surgical site infections
UTI - catheters

25
Q

Causes of Healthcare Associated Infections

A

Staphylococcus aureus: surgical wounds, respir. tract, bloodstream
Enterococci: surgical wound, urinary tract, bloodstream
Enterobacterales (E. coli, K. pneumoniae): urinary tract, surgical wound, bloodstream
Non fermenting GNR: urinary tract, surgical wound, respir. tract
Clostridiodes difficile

Many are antibiotic resistant strains

26
Q

Infection Control: Types of Precautions

A

Airborne or contact precautions

Droplet or standard precautions

Enhanced contact isolation