Microbiology- Exam #3

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pb0121  on May 15, 2012

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Microbiology

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May 16, 2012

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Microbiology- Exam #3

Antifungals
-Nystatin
-Griseofulvin
-Amphotericin B
-Miconazole (very common- used in Micatin & Monistat)
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Antifungals -Nystatin
-Griseofulvin
-Amphotericin B
-Miconazole (very common- used in Micatin & Monistat)
Antivirals -Attack replication cycle
-Acyclovir
-Azidothymidine (AZT)
Infection Relationship between host & parsite, and the ensuing struggle for supremacy
-If host loses = disease
Normal Flora Infection that does NOT cause disease
-It is a symbiotic association (Mutualism, Commensalism; Thus, no harm to the host)
Pathogenicity Ability of a parasite to enter host tissue and/or cells --> physiological change --> disease
Opportunist Organism that is normally a commesal
-Due to circumstances that debilitate host defenses, organism invades & causes disease
Virulence Degree of pathogenicity
Stages of Disease 1.) Incubation Period
2.) Prodromal Period
3.) Period of Acme
4.) Period of Decline
5.) Period of Convalescence
Organism Establishes Infection: 1.) Travel to an area where it can divide
2.) Has to find a way around the immune response
Period of Incubation -No signs or symptoms
-Amount of time that elapses between entry of organism & appearance of symptoms
Period of Prodomal Symptoms -Mild signs or symptoms
-Period characterized by general symptoms, i.e. nausea, fever, etc.
Period of Acme -Most severe signs of symptoms
-Acute stage of disease, characterized by specific symptoms, i.e. skin rash, jaundice, etc.
Period of Decline -Signs & symptoms
-Symptoms begin to subside
-May be preceded by "crisis" period, then rapid recovery
Period of Convalescence Important due to carrier status
Modes of Transmission 1.) Direct contact
2.) Indirect contact
Direct Contact Close or personal contact with individual who has disease, shaking hands, kissing, etc.
Indirect Contact By consumption of contaminated food or water, contact with fomites (contaminated inanimate objects, i.e. towels)
Vectors Organisms carry pass disease agents from one host to another, i.e. arthropods
Communicable Diseases that can be passed from host to host
Contagious Passed easily
Non-Communicable Singular events whereby agent is acquired directly from environment, and NOT transmitted to a new host
Outbreak of Disease 1.) Endemic
2.) Epidemic
3.) Pandemic
Endemic Disease occurs at a low level in a certain geographic area
Epidemic Outbreak of disease in great numbers within a population
Pandemic Worldwide outbreak of disease
Acute Disease Disease develops rapidly with severe symptoms, then fades quickly
Chronic Disease -Disease develops slowly
-No real crisis is reached
-Convalescence may last for months
Bacteremia Presence of bacteria in bloodstream
Septicemia Bacterium in bloodstream is the cause of the disease
Portal of Entry Site at which pathogenic organism enters host
Infectious Dose Number of pathogens that must enter host to establish disease
Invasiveness Ability of a pathogen to penetrate tissues of the host
Virulence Factors -Substances or structures that allow a pathogen to generate disease in the host
1.) Enzymes
2.) Toxins
3.) Capsules
Enzymes -Coagulase
-Streptokinase
-Hyaluronidase
- Leukocidins & Hemolysins
Coagulase Clot fibrinogen proteins around organism
Streptokinase Dissolves clots
Hyaluronidase Digest hyaluronic acid (ground substance of tissue)
Leukocidins & Hemolysins -Destroy blood cells
-Hemolysin
-Hemolysis
Hemolysin Enzyme that produces lysis
Hemolysis Actual rupture of red blood cells
Toxins -Exotoxin
-Endotoxin
Exotoxins -Produced by Gram +'s
-Released from cell
-Very specific effects
Endotoxins -Part of Gram - cell wall
-Released only when cell disintegrates
Natural Defense Mechanisms 1.) Skin
2.) Mucous membranes
3.) Ciliated epithelium
4.) Various enzymes
5.) Other proteins
6.) pH
7.) Inflammatory response
8.) Phagocytosis
Skin -Desquamation
-Sweat, sebaceous secretions
Mucous Membranes Mucus
Various Enzymes -Proteolytic enzymes
-Lysozyme
Other Proteins -Complement system
-Interferon
pH -Fatty acids
-Stomach
Inflammatory Response 1.) Capillary Dilation
2.) Cells escape capillary bed
-Edema (Fluid escape= swelling)
-Redness (RBC's escaping)
1.) Neutrophil
2.) Macrophage
3.) Lymphocytes
Chemotaxis Movement along a chemical gradient
Phagocytosis -Neutrophil- blood
-Macrophage- tissues
Defenses 1.) Non-specific
2.) Specific
Non-Specific Innate
Specific -Generated to respond to a particular parasite
-Directed solely at that parasite
-Expandable
-"Memory"
Antigen (Aspect of Specific Responses) Foreign substance that stimulates the generation of an immune response, "Non-Self vs. Self"
Lymphatic System Second circulatory system
Circulatory & Lymphatic Meet At: Thoracic duct & right lymphatic duct (Dumps back into blood)
Cells of Immunity 1.) Lymphocytes
2.) Macrophages
Lymphocytes -Have very specific surface receptors for antigen
-All look alike, but actually 2 major types
T-lymphocytes (T-cells) Develop in thymus
B-lymphocyte (B-cells) Develop in Bone Marrow compartment
Macrophages -Found in tissues & organs
-Plays major role in immunity
-Phagocytose antigen
-Degrade it ("processed antigen")
-Redisplay processed antigen on surface
-Transport processed antigen to lymphoid tissue where T- and B-cells are waiting
Endocytosis Taking things in
Exocytosis Releasing material to the outside
Phagosome & Lysosome Phagolysosome (Phagocytosis)
Two Divisions of Immune Response: 1.) Antibody-Mediated Immunity (Humoral)
2.) Cell-Mediated Immunity
Antibody-Mediated Immunity (Humoral) Defense processes that are mediated by antibodies
Cell-Mediated Immunity Defense mechanisms that are mediated by T-cells and:
-Eukaryotic Pathogen
-"Antigen-marked" cell i.e. cell modified by viral infection, cancer or mutation
-Foreign transplants
-Delayed-type hypersensitivity
TH Cell T helper cell (CD4+ cell)
-Chief regulatory cell of immune response
TC Cell T cytotoxic cell (CD8+ cell)
-Precursor to the CTL "killer" cell
CTL- Cytotoxic T Lymphocyte The end-stage cell that has the ability to actively destory non-self cells
B Cell Line of lymphocytes that produce antibodies
-End-stage cell= plasma cell
Apoptosis Programmed cell death
MHC - Major Histocompatibility Complex A cassette of genes that controls all of adaptive immunity
MHC I Genes that control ability to generate cell-mediated functions
MHC II Genes that control the activation of TH cells
MHC III Genes that are involved in the production of components of the complement system
Interleukins Small peptides that allow immune cells to communicate with each other
Five Classes of Antibodies 1.) IgM
2.) IgG
3.) IgA
4.) IgE
5.) IgD
IgM -First to appear following stimulation
-Very large pentameter
IgG -Longest lasting
-Most abundant
-Principle antibody in "memory" response
-Only class to cross placenta = passive immunity
IgA -Serum IgA - monomer in blood
-Secretory IgA- polymer in secretions
-GI tract
-Respiratory tree
-Passive transfer in mother's milk
-Colostrum
IgE Major role in dangerous allergic reactions

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