Principles of infectious diseases and epidemiology Flashcards

(47 cards)

1
Q

Human genome project

A

(set out to map all the microorganisms in the body)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Symbiosis

A

Interactions bw different species within a community
At least one is dependent upon the other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Commensalism

A

One population benefitted, the other is not affected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ciliary escalator

A

Cilia in nsal cavity and resp tract tht moves trapped bacteria towards the outside

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

E.coli: Mutualism:

A

Produce usuefyl vitamins, and outcompete pathogens and hosts provide E.cole with nutrients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Microbial antagonism

A

Competition bw microbes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Opportunistic pathogens:

A

Normal microbiota that can be pathogenistic under certain circumstances
I.e E.coli, staphylococcus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Koch Postulates

A

Establishing causal relationship bw pathogen and infectious disease
Same pathogen is present in every case of disease
Pathogen must be isolated from diseased host and grown in pure culture
Pathogen from pure culture must cause disease in healthy lab animal
Pathofen must be isolated from inoculated animal and shown to be the original pathogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Exceptions to Koch’s postulates

A

Some disease can be caused by multiple pathogens
I.e pneumonia
Dysbiosis disease - Diseases caused by disturbance of normal flora
I.e. Yeast infection (When lactobacillus are low, yeast organism conc. increase)
One organism ca ncause several disease conditions
I.e. Scarlet fever is the same organism that causes the flesh eating disease, Streptococcus pyogenes
Same agents are not culturalble in the lab
Some pathogens only cause disease in humans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Role of epidemiology

A

to learn how to treat and prevent the spread of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Epidemic vs pandemic

A

Significant more than usual occurrence of a disease in an area (continent)

Pandemic is a significant over occurrence of a given disease on multiple continents at once

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Most common type of nosocomial infection

A

UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Passive transfer of a vector of disease

A

The spread of disease by a fly walking over food

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Classifying infectious. disease

A

Acute infection: Immediate affect, no long term effect

Acute infection (late compilcation): Immediate affect, long term effect later on

Latent infection: Immediate affect, later recurrence (acute)

Chronic infection: Once effected, continous level of infection

Chronic infection (late comlication): ONce effected, continues constant until infection hits crisis point

Slow infection: No accute stage until right at the end (prions)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Systemic infection

A

Affecting multiple organs and spread via blood and or lymph (shock infections, fungal infections)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Focal infection

A

Agent travels through blood or lymph, cause disease, one site/organ (infectious endocarditis after oral surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Subclinical disease

A

No noticeale signs or sypmtoms (Potential carriers of the disease
I.e. H.pylori, germs on hands, staphaureus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bacteremia

A

Bacteria in the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Viremia

A

Viruses in the blood

18
Q

Toxemia

A

Toxins in the blood

19
Q

Speticemia

A

Multiplication of pathogen in blood (Blood poisoning), can lead to sepsis (gneerlizaed inflammation of the blood vesesl

20
Q

5 Stages of disease

A

Incubation: Before and signs or symptoms (Very few microbes)

Prodromal: Early mild symptoms of disease

Illness: Most sever disease signs/sypmtoms

Decline: Fewer signs /symptoms

Concalescence: Patient regains strength (Body returns to predeceased state)

21
Q

At which stage in the disease are you contagious

22
Q

Reservoirs of infection

A

Allow pathogens to survive, replicate and transmit to others
Human - human infectious disease depend oup on human reservoirs
Humans
Animals: diseases transmitted from animals to humans are called zoonoses
Non-living - soil , water, food etc.

23
5 forms pf disease transmission
direct contact indirect contact droplet transmission vehicle transmission Vector transmission (insects)
24
Direct contact
(horizontal - physical contact; vertical, mother to fetus/newborn)
25
Indirect contact
(Fomites - inanimate object that facilitae spread of a pathogen)
26
Droplet transmission:
Short range droplet nuclei
27
Vehicle transmission
Foodborne Waterborne Airborne: Small droplets that remain airborne for extended periods of time (aerosolized) can travel more than 1 m from host
28
Vector transmission (insects)
Mechanical: Passive transport of pathogen Biological: BIting/feeding on the host
29
WHy should we expect increased incidents of emerging infectious diseases?
Increased population: Increasing habitat, therefore encountering new pathogens Travel means microorganisms can travel Climate change: Mosquitoes tend to carry diseases in tropical areas, but with increased temperature, pathogens can survive in larger areas Grwoing immunocompromised population Decreased herd immunity (majority vaccination protects those who are not) Antibiotic resistant organisms
30
Nosocomial infections
HAI
31
Epidemiology
Study of the causes, distribution and control of disease in human populaitons
32
What does epidemiology attempt. to determine
Causitive agent Source/reservoir of agent Mechanism of transmission Host and environmental factors that facilitate development of disease Best control measures
33
Communicable disease
Diseases that can spread from one host to another
34
Contagious diseaes
Diseasess that EASILY spread from one host to another
35
Noncommunicable disease
Disease that are not transmitted from one host to anther Botulism and tetanus: BC they’re caused by toxins in the bacteria, NOT the bacteria itself
36
Descriptive epidimeiology (restrospective study)
Collection and analysis of data caoncerning disease (i.e. individuals affected, place, period etc.) John Snow
37
Analytical (case control study)
Comparison of diseased group and healthy group to determine its probable cause Florence Nightingale
38
Experimental (cohort study, randomized control study)
Begin with a hypothesis and use controlled experiments to test the hypothesis with a group of people Ignaz Semiwels: Mothers giving birth by help of physicians would die more often than those being helped by midwives Many mothers died from infections spread by docters lack of cleanliness
39
Epidemic
Outbreaks that affect an entire region in a country or group of countries
40
Pandemic
Outbreak on global scale
41
Endemic
Disease that normally occurs in a particular geographic area (among particular population) When disease comes under control, certain number of people in population ALWAYS affected (even if it is a small number of individuals, it can never be completely eradicated)
42
*400 new AIDS cases in 2004 (_______) compared to 9000 total cases living with AIDS in 2004 (________)
Incidence Prevalence
43
Why investigate disease outbreaks
Prevent additonal cases Prevent future outbreaks Increase our understanding of the disease Eva,uate prevention strategies Legal, finanial and ethical responsibilibies Public reassurance Reduce socio-economic impacts
44
Incidence
Fraction of population that ocntracts a disease during a specific time
45
Prevalence
Fraction of population having a specific disease at a given time (regardless of when it first appeared; include old and new cases) `