Orthomyxovirus Flashcards

(73 cards)

1
Q

Epidemics

Human virus

A

Influenza B

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2
Q

Mild respiratory tract infection

A

Influenza C

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3
Q

Morphology

A

Segmented
SS genome
Helical nucleocapsid
Lipoprotein envelope

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4
Q

Morphology 2

A

Envelope contain 2 spikes
Hemagglutinin
Neuramidase
Internal antigens

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5
Q

Morphology 3

A
HA- hemagglutinin
NA- neuramidase
Helical nucleocapsid
Lipid bilayer membrane
Polymerase (3proteins)
M1 protein
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6
Q

Influenza

Commonly called

A

The flu

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7
Q

Influenza

Incubation period

A

1-4 days average of 2 days

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8
Q

Influenza

Adult infectious

A

Day before symptom begins till 5days after onset

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9
Q

Influenza

Children infectious

A

> 10 days

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10
Q

Influenza

Young children infectious

A
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11
Q

Influenza

Immunocompromised persons can shed virus for

A

Weeks or months

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12
Q

Influenza infection has also been associated with

A
Encephalopathy
Transverse myelitis
Reye syndrome
Myositis
Myocarditis
Pericarditis
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13
Q

Population at risk for complications, hospitalization and deaths

A

> 65 years old
Young children
Cardio, metabolic and pulmonary problems
Receiving long term ASA

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14
Q

In colder countries flu is largely seen during

A

Colder months and they vaccinate prior to this season (October)

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15
Q

In tropical countries flu is seen

A

All year round

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16
Q

Type of influenza that may cause epidemic

A

A and B

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17
Q

Type of influenza that may cause pandemics

A

A

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18
Q

Getting flu shot can prevent illness from

A

A and B

But not for C

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19
Q

Cause mild respiratory illness

Not thought to cause epidemics

A

Influenza type C

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20
Q

Influenza

Genome

A

Segmented

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21
Q

Influenza virus divided into subtypes based on

A

HA and N proteins

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22
Q

Nomenclature based on

A

Site of origin
Isolate number
Year of isolation

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23
Q

Small changes in the virus that happen continually ( Aand B)

A

Antigenic drift

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24
Q

Abrupt, major change in the influenza A viruses, resulting in new H and or new H and N proteins that infect the humans (A only)

A

Antigenic shift

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25
Current subtypes of influenza A viruses found in people are
A(H1N1) | A (H3N2)
26
Not divided into subtypes
Influenza B virus
27
Included in each years influenza vaccine
A(H1N1 A(H3N2) Influenza B
28
Current flu pandemic: novel A (H1N1) Quadruple reassortant:
2 NA bird flu genes 1 swine flu Human flu
29
Current flu pandemic: novel A (H1N1) Characteristics
Lower respi More contagious More common than seasonal flu
30
Current flu pandemic: novel A (H1N1) Resistant to
Amantadine | Rimantadine
31
Avian influenza Caused by how many subtypes of influenza A virus,
15
32
Avian influenza Extremely contagious in
Birds
33
Avian influenza Almost 100% in a few days
Rapidly fatal | High mortality
34
Avian influenza Most recent
H5N1
35
Domestic ducks
H7N3 virus
36
Wild birds
H7N9
37
Domestic poultry
Multiple H 9N2
38
Treatment for influenza Adamantanes
Amantadine | Rimantadine
39
Treatment for influenza Neuraminidase inhibitors
Zanamivir | Oseltamivir
40
Treatment for influenza Antiviral treatment lasts for
5 days and must be started within
41
Inactivated/split type of vaccine
Trivalent or quadrivalent
42
Vaccines
Live attenuated vaccine Cold adapted Intranasal
43
Vaccine dose by age group 6-35months
.25ml 1or2 dose IM
44
Vaccine dose by age group 3-8years
.5ml 1or2 doses IM
45
Vaccine dose by age group >9 years
.5 ml 1 dose IM
46
Properties of orthomyxovirus and paramyxovirus
Nasa powerpoint, table.
47
Orthomyxovirus
Negative Single stranded RNA
48
A and B segments
8
49
C segments
7
50
Enveloped with glycoprotein spikes
H- hemagglutinin | N- neuraminidase
51
Surface antigen Binds with the host cell receptor
H Ag
52
Surface antigen Can neutralize the virus
H antibodies
53
Surface antigen Can agglutinate RBC of various animals
H Ag
54
Surface antigen Receptor destroying the enzyme Promotes spread of the virus to the lower part of the respiratory tract
N Ag
55
Nomenclature
Influenza Ao (HoN1)
56
Major change | Undergoes genetic re-assortment due to the segmented nature of the genome
Antigenic shift
57
Antigenic shift Responsible for
Pandemics and epidemics
58
Antigenic shift Cyclic after every
10 years
59
A minor change | Results from a change in the amino acid sequence of H Ag but H remains basically the same protein.
Antigenic drift
60
Influenza A virus involed in Pandemics and epidemics
Memorize mo, nasa manual
61
Emerging and re emerging influenza A viruses
Memorize mo din nasa manual
62
Complication
Primary influenza pneumonia Secondary bacteria pneumonia Reye's syndrome (B) Guillain-Barré syndrome
63
Diagnosis Isolation
Monkey kidney tissue culture | Madin Darby canine kidney
64
Diagnosis Isolation Does not produce
Cytophatic effect
65
Diagnosis Presence of the virus detected by RBC will adhere to the tissue culture
Hemadsorption technique
66
Diagnosis Virus agglutinates RBC
Hemagglutination test
67
Diagnosis Respiratory secretions
Fluorescent Ab technique
68
Diagnosis CF Ab and HI Ab
Serology
69
Effective against A
Amantadine Rimantdine Target M2 protein Effective when given in early stage
70
Effective against A and B
Oswltamivir | Zanamivir
71
Inactivated virus vaccine
Vaccine
72
Nasal spray
Love attenuated | Cold adapted
73
Pandemics and epidemics humans and animals
Influenza A