Introduction into Medical Microbiology - Lecture 1 Flashcards

(39 cards)

1
Q

What is the definition of medical microbiology?

A

A branch of microbiology concerned mainly with the prevention, diagnosis and treatment of infectious disease in humans

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2
Q

What are the 4 groups of pathogens?

A
  1. Fungus
  2. Bacteria
  3. Virus
  4. Parasites
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3
Q

What is a pathogen?

A

A biological agent capable of causing disease

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4
Q

What is a pandemic?

A

A widespread occurrence of an infectious disease over a whole country or the world at a particular time

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5
Q

What is an epidemic?

A

A widespread occurrence of an infectious disease in a community at a particular time

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6
Q

What are some examples of pandemics in the past?

A
  1. Plague
  2. Cholera
  3. Influenza
  4. COVID-19
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7
Q

What is the Latin name for bubonic plague?

A

Yersinia pestis

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8
Q

How was the bubonic plague spread?

A
  • Spread from rodents to humans via a Rat flea vector
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9
Q

What are the two types of plague

A
  1. Bubonic plague
  2. Pneumonic plague
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10
Q

What is one major difference between bubonic plague and pneumonic plague?

A

Pneumonic plague has a 100% mortality rate without treatment

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11
Q

What are the characteristics of Y.pestis (bubonic plague bacteria)?

A
  • Gram-negative
  • Rod shaped
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12
Q

What is the bubonic plague mortality rates when treated and untreated?

A
  • Treated = 1-15% mortality rate
  • Untreated = 40-100% mortality rate
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13
Q

What are the 3 pandemics of the plague?

A
  1. Plague of Justinian
  2. Black death
  3. Modern plague
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14
Q

Common facts of Plague of Justinian

A
  • Affected the Middle East from 541
  • Caused massive depopulation around the Mediterranean - around 50% of the population was killed
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15
Q

Common facts of the black death

A
  • Began in 1347
  • Spread from the Caspian sea throughout Europe
  • Killed approximately 1/3 of Europe’s population
  • The plague entered England in 1348 - there was an estimated 1.5 million deaths recorded in 1349
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16
Q

Common facts of the modern plague

A
  • It originated in China in the late 19th century
  • It spread from China to Hong Kong then to India
  • An estimated 12.5 million people were killed
  • It ended in 1959
17
Q

What were some remedies used for the black death?

A
  1. Plague Doctors:
    • Wore a mask with a beak filled with scents and garlic to ‘protect’ them from the plague
  2. Whips:
    • People would whip themselves because they believed they had the plague because God was upset with them. The whipping was classed as a punishment
18
Q

Why were the remedies for the black death so bad?

A
  • They were based on superstition and not evidence-based science
  • They often did more harm than good
19
Q

Examples of bacterial diseases that developed countries are most familiar with

A
  1. Tooth decay
  2. Gastroenteritis - AKA food poisoning
20
Q

How many people die from bacterial diseases per year?

A

Approximately 5 million

21
Q

What did Greenwood et al. say in his medical microbiology book about infections in hospitals?

A

Around 1 in 190 patients acquire infections while in hospital, sometimes with multiple antibiotic resistant organisms

22
Q

Why has there been a decline in infection since the early 1900s?

A
  • Antibiotic development
  • Vaccinations
  • Hygiene standards
  • Better general health (diet and lifestyle)
  • Better workplace conditions
  • Better healthcare services
23
Q

How does improved nutrition aid the decline of infection?

A
  • Better nutrition allowed people to avoid contracting disease
  • It also allowed people to withstand disease once contracted
24
Q

How does public health aid the decline in infection?

A
  • Information on washing hands and overall hygiene reduces spread of disease
25
Why did the mortality rate of tuberculosis drastically decline in the 1940s?
Streptomycin was introduced
26
Why did the mortality rate increase in the west during the 1980s-1990s?
- Mainly due to the emergence of HIV and AIDS among people 25+ - Partly due to pneumonia and influenza deaths among the elderly
27
Give some reasons why infectious disease might re-emerge and cause an increase in deaths?
- Increase in antibiotic resistant bacteria - Emerging and re-emerging diseases such as COVID-19 and Ebola - Creation of new environments like hospitals where infection can flourish - International travel and migration - Weakened immune systems in the ageing population - Anti-Vaccination movements
28
Define emerging infectious disease
A disease whose incidence has increased in a defined period of time and location
29
What is the pathogen for a lot of emerging infectious diseases and why?
Viruses - they have a fast evolution
30
Examples of emerging diseases within the last 50 years
- E.coli O157:H7 - Lyme disease - Bird flu (influenza) - Hepatitis C (HCV) - AIDS - Ebola - Zika virus - COVID-19
31
How does evolution in pathogens affect emerging disease?
- Mutations lead to different strains of viruses (e.g. COVID-19) - Genetic re-assortment/recombination leads to different genomes in pathogens (e.g influenza A)
32
How does changes in environment affect emerging diseases?
Climate change: - more than 50% of known human infectious diseases could be aggravated by climate change
33
How can changes in society affect emerging diseases?
1. Urbanisation - more people, polluted air, more bacteria and viruses 2. War - Bad conditions for soldiers and the public, leads to more pathogenic tendencies
34
Give an example of how globalisation has affected emerging diseases
- In 1957, the Hong Kong flu took 4 months to spread from the far east - In 2003, SARS was distributed worldwide from Hong Kong in a few weeks
35
What are the leading causes of death in children worldwide?
1. Acute respiratory infections (pneumonia) 2. Diarrhoeal disease 3. Prematurity and low birth weight 4. Neonatal infections (sepsis) 5. Birth asphyxia and trauma 6. Malaria - over 50% of all child death is infectious disease
36
What are some common facts about tuberculosis?
- Caused by Mycobacterium tuberculosis - Responsible for at least 2 million deaths annually - The leading cause of death from a single infectious agent
37
What disease has been eradicated by vaccinations?
Small pox (Variola virus)
38
Which disease have nearly been eradicated or eliminated?
- Poliomyelitis (poliovirus) - Neonatal Tetanus (Clostridium tetani) - Leprosy (mycobacterium leprae)
39
Which diseases have been greatly reduced by vaccination, sanitation and antibiotics?
- Diphtheria - Typhoid fever - Tuberculosis - Whopping cough - COVID