microbiology test 4

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mapitts  on April 8, 2012

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microbiology test 4

Pathology
study of disease
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Terms

Definitions

Pathology study of disease
Etiology cause of a disease
infection colonization of the body by pathogens
disease an abnormal state in which the body is not functioning normally
Normal Flora permanently colonize the host
Transient Flora may be present for days, weeks, or months
Microbial Antagonism competition between microbes:
Herd immunity immunity in most of a population
Predisposing Factors make the body more susceptible to disease
ex:
gender - short urethra in females
inherited traits - sickle cell gene
climate, fatigue, age, lifestyle, immunosuppression
Reservoirs of Infection **Human — AIDS, gonorrhea - Carriers may have inapparent infections or latent diseases

**Animal — Rabies, Lyme disease - Some zoonoses (animal diseases) may be transmitted to humans

**Nonliving — Botulism, Tetanus - Soil
Stages of a Disease
Systemic Infection Infection throughout the whole body
Toxemia Toxins in the blood
types of contact transmission direct: requires close association between infected person and susceptible host

indirect: spread by fomites (nonliving objects involved in spread of an infection) example: sheets, towels, doorknobs, toys

droplet: transmission via airborne dorplets (<1 meter)
types of vehicle transmission transmission by an inadequate reservoir
-food, water, air and blood
types of vector transmission mechanical feet - Arthropod carries pathogen on
biological - Pathogen reproduces in arthropod vector
Sign A change in a body that can be measured or observed as a result of disease (e.g. fever, swelling)
Symptom A change in body function that is felt by a patient as a result of disease (e.g. tiredness, pain)
Syndrome A specific group of signs and symptoms that accompany a disease.
Acute Disease symptoms develop rapidly, usually short-lived
Chronic disease disease develops slowly, longer-lasting
Nosocomial Disease Are acquired as a result of a hospital stay
*hand-washing is the most important means of preventing the spread of infection
portals of entry for a pathogen -mucous membranes (respiratory tract, GI tract)
-skin (hair follicles, sweat glands)
-Parenteral route (deposited directly under skin - cuts, bites, injections, surgery)
-preferred
-multiple
ID 50: Infectious dose for 50% of the test population; measures virulence
LD 50: Lethal dose (of a toxin) for 50% of the test population
Coagulase Coagulates blood
(fibrinogen -> fibrin clots)
Kinases Digest fibrin clots
Antigenic Variation Alteration of cell-surface molecules to avoid host's immune system
Siderophores Remove iron from host's iron-binding proteins
portals of exit for a pathogen *Respiratory tract-Coughing, sneezing
*Gastrointestinal tract-Feces, saliva
*Genitourinary tract-Urine, vaginal secretions
*Skin
*Blood-Biting arthropods, syringe needles
host defenses
Complement System a group of serum proteins that act in a cascade to destroy invading microbes; these function to keep blood sterile.
Differential White Cell Count Percentage of each type of white cell in a sample of 100 white blood cells
phagocytosis Ingestion of microbes or particles by a cell, performed by phagocytes.
Inflammation 1. vasodilation
2. Margination and emigration of WBCs
3.Tissue repair
Innate immunity Non-specific defenses against any pathogen
Acquired (Adaptive) Immunity **Naturally acquired active immunity: Resulting from infection
**Naturally acquired passive immunity: Transplacental or via colostrum
**Artificially acquired active immunity: Injection of Ag (vaccination)
**Artificially acquired passive immunity: Injection of Ab
Humoral immunity Involves Ab production by B cells; mostly against bacteria, toxins, and viruses
Cell-mediated immunity Involves T cells; response is against intracellular pathogens and transplanted tissue
Haptens Too small to act as antigen alone
Apoptosis (programmed cell death)- very clean; phagocytes destroy unused B and T cells
Necrosis violent and messy cell death; leads to an inflammatory response
B Cells produce antibodies
Antigen-Antibody Binding -antibodies protect the host by binding to foreign molecules and tagging them for destruction by phagocytosis or by the complement system
Affinity strength of bond between Ag and Ab
Specificity Ab recognizes a specific epitope
Cytotoxic T Cells CD8 destroy target cells with perforin
Helper T Cell CD4 TH1: activate cells related to cell-mediated immunity
TH2: activate B cells to produce antibodies
vaccine a suspension of organisms or fractions of organisms used to induce immunity
Inactivated (dead) vaccine injection of dead virulent form of pathogen
examples: IPV, rabies, flu shot
Conjugated Vaccines capsular polysaccharide combined with a protien to make it effective for infants. examples: Hib vaccine to prevent meningitis
Toxoid vaccines injection of inactivated toxins
examples: tetanus toxoid, diphtheria toxoid
indicator of ELISA peroxidase enzyme
direct ELISA detects antigens
indirect ELISA detects antibodies
Type I (Anaphylactic) Reactions -Involve IgE antibodies (IgE was made instead of IgG in a previous exposure).
-Localized: Hives or asthma from contact or inhaled antigens.
-Systemic: Shock from ingested or injected antigens.
Type II (Cytotoxic) Reactions -AB reacts to AG on a person's cells
-Involve IgG or IgM antibodies and complement activation
-Complement activation causes cell lysis (by MAC's) or damage by macrophages that get attracted to the area
Type III (Immune Complex) Reactions IgG antibodies and antigens form complexes that lodge in basement membranes.
Type IV (Cell-Mediated) Reactions -Delayed-type hypersensitivities due to T-cells.
-Cytokines attract macrophages and initiate tissue damage.
-Contact dermatitis, transplant rejection
Autoimmune Diseases Type I — Cross-reactions with antibodies made against pathogens (Rheumatic fever - anti-Strep-AB's attack heart muscle)
Type II — Antibodies react with cell-surface antigens (Myasthenia Gravis - AB's bind at nerve- muscle junction & muscles become progressively weaker)
Type III - AB-AG-Complement immune complexes deposit in tissues (Rheumatoid Arthritis -- complexes settle out in joints)
Type IV — Mediated by T cells (Multiple Sclerosis -- T-cells attack the myelin sheath)

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