introduction to infection Flashcards

1
Q

what is an infection

A

invasion of host tissue by microorganisms

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2
Q

what are disease symptoms caused by

A

toxins, microbial multiplication and hosts response to invasion

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3
Q

environmental sources of infection

A

ingestion of contaminated food/water, inhalation of contaminated air and contact with contaminated surfaced e.g medical devices

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4
Q

transferability of microbes

A

physical contact e.g STI, airborne e.g chicken pox, vector e.g malaria

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5
Q

how patients are a source of infection

A

always have lots of microbes on our skin = microbiota, but not harmful. however harmful when transferred to other sites e.g UTI

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6
Q

what is zoonosis

A

how animals act as a source of disease to humans

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7
Q

how infections are transferred

A
horizontal; 
connect- direct, indirect and vectors.
inhalation- droplets (drop down and aerosols (stay in air as cloud) 
ingestion 
vertical;
mother to child before of after birth
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8
Q

how microbes infect us

A

we are exposed to them and then they adhere to us by binding to specific receptors. they then invade host cells and multiply leading to disease symptoms

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9
Q

what are the virulent factors

A

exotoxins- molecules related to increase survivability of microbe in host e.g cytolytic, toxins, super antigens or enzymes
endotoxins - molecules naturally related which host can recognise and produce a immune response against

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10
Q

how can microbes cause the host damage

A

directly- because body only responds after the microbe has damaged the body
indirectly- microbe causes such an inflammatory response that it causes damage to the host

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11
Q

how patient determines disease

A

may have 1 part of body which is more susceptible to disease than another or may have comorbities

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12
Q

how pathogen determines disease

A

virulence factors, inoculum size and whether it has antimicrobial resistance

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13
Q

how do we know if a patient has an infection

A

take a history - symptoms, and potential exposures
examination - check for organ disfunction
investigations - specific and supportive

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14
Q

name an couple of specific investigations

A

bacteriology- take a swab and check for organism growth and check if sensitive to antibiotics. also detect specific antigens or nucleic acids.
virology- e.g HIV detect viral nucleic acids or antibodies

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15
Q

name a couple of supportive investigations

A

blood count, histopathology, CPR (C protein), imaging e.g xray or chemical test e.g kidney function

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16
Q

what is cellulitis

A

severe inflammation of dermal and subcutaneous layers of the skin

17
Q

features of a full blood count

A

white blood cell count - increased in inflammation e.c.t
white blood cell differential - types of white blood cell present
RBC count
haemoglobin - amount of oxygen carrying proteins present
haematocrit - spare RBC take up blood space
mean corpuscular volume (MCV) - measurement of RBC average size

18
Q

what is the platelet count

A

number of platelets in blood

19
Q

what are agar plates

A

used for culture of bacterium, is a polysaccharide from seaweed. resists digestion by bacterial enzymes, doesnt melt and often have blood in them to provide nutrients for bacteria (some bacteria inhibited by this)

20
Q

what is chocolate agar

A

some bacteria only grow if red blood cells have been lysed related intracellular nutrients. is darker because have been lysed

21
Q

how to carry out a gram stain

A
  1. prepare slide
  2. add crystal violet stain onto culture and then wash with water - these adhere to lipopolysacheride and peptidoglcyan walls or both + and - bacteria
  3. add iodine and then wash off. this will fix crystal violet on gram + bacteria
  4. drop alcohol to dissolve lipopolysacheride membrane and expose thin peptidoglycan wall underneath
  5. drop counterstain (saffron) then wash. stains gram - bacteria pink/red and is unable to bind to gram+ due to iodine meaning retains purple stain