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118 Cards in this Set

  • Front
  • Back
The major difference between prokaryotes and eukaryotes
Prokaryotes lack an organized nucleus.
A client attending a health fair asks how anthrax will be treated in the event of a bioterrorism attack. How should the nurse respond?
Individuals who are exposed will be isolated and given antibiotics.
A client is very much concerned about the harmful effect that all microorganisms may have. The best response by the nurse would be:
“Not all interactions between microorganisms and humans are detrimental.

A Host?

Any organism capable of supporting the nutritional and physical growth requirement of another

Infection?

The presence and multiplication within a host of another living organism

Colonization ?

Act of establishing a presence, a step required in the multifaceted process of infection

Microflora?

Internal and external surfaces of the human body normally and harmlessly inhabited by a multitude of bacteria

Mutualism?

Interaction which the microorganism and host the both derive benefits from the interaction

Parasitic Relationship

Only the infecting organism benefits from the relationship and the host either gains nothing or sustains injury for the interaction

Infectious Disease?

Host sustains injury or pathologic damage in response to a parasitic infection

Virulence

Disease producing potential

Pathogens

Select group of microorganisms that are so virulent that they are rarely found in the absence of disease

Opportunistic pathogens

Capable of producing an infectious disease when the health and immunity of the host have been severely weakened by illness/malnutrition/medical therapy

Viruses?

The smallest obligated intracellular pathogens


Incapable of reproduction outside the cell

Bacteria

Autonomously replicating


Unicellular organism is known as prokaryotes


They lack an organized nucleus.


Has cell wall that protects

Botulism exotoxin
Exotoxins are proteins released from the bacterial cell during growth.



Botulism toxin decreases the release of neurotransmitter from cholinergic neurons, causing flaccid paralysis.

Mycoplasmas



Unicellular prokaryotes are capable of independent replication.




Resistant to cell wall inhibiting antibiotics


(ie PCN and Cephalosporins)

Fungi

Free-living eukaryotic saprophytes found in every habitat on earth




2 groups; Yeast and Mold




Sexual and asexual reproduction

Parasites

Organism that derives benefits from its biologic relationship with another organism



Helminths

Collection of wormlike parasites




Nematodes/ Roundworms


Cestodes/Tapeworms


Trematodes/Flukes




Transmission: ingestion of fertilized eggs

Arthropods

Vectors of infectious Disease and the ectoparasites



Vectors of Infectious Disease

Ticks


Mosquitoes


Biting Flies

Ectoparasites

Mites, Chiggers, Lice and fleas




Infest external body surfaces and cause localized tissue damage or inflammation secondary to bite or burrowing action fo the arthropod

Epidemiology of Infectious Disease

The study of factors, events, and circumstances that influence the transmission of infection disease among humans.

Portal of Entry

The process of a pathogen enters the body, gains access to susceptible tissue and causes disease.




1. Penetration


2. Direct Contact


3. Ingestion


4. Inhalation

Portal of Entry: Penetration

Disruption in the integrity of the body's surface barrier potential site for invasion of microorganisms. (i.e., skin or mucus membranes)

Portal of Entry: Direct Contact

Transmitted directly from infected tissue or secretion to exposed, intact mucous membranes.


(ie STI genital herpes)

Portal of Entry: Ingestion

Entry of pathogenic or toxic products through the oral cavity and GI tract


(ie cholera, typhoid fever, hep A, Food poisoning)

Portal of Entry: Inhalation

Pathogens can invade through the respiratory tract




(ie bacterial pneumonia)

Source

Infectious disease refers to the location, host, object, or substance from which the infectious agent was acquired.

Symptomatology

A collection of signs and symptoms expressed by the host during the disease course.

Disease Course

Any infectious disease can be divided into several distinguishable stages after the point when the potential pathogen enters the host.

Disease Course: Incubation Period

The phase during which the pathogen begins active replication without producing recognizable symptoms in the host.

Disease Course: Prodromal Stage

The initial appearance of symptoms in the host, only a vague sense of malaise, mild fever, headache, and fatigue.

Disease Course: Acute Stage

Host experiences the maximum impact of the infectious process corresponding to rapid proliferation and dissemination of the pathogen

Disease Course: Convalescent period

Containment of infection, progressive elimination of the pathogen, repair of damaged tissue and resolution of associated symptoms

Disease Course: Resolution

Total elimination of a pathogen from the body without residual signs or symptom of the disease.

Site of Infection

Inflammation of an anatomic location is usually designated by adding "itis"

Abscess

Localized pocket of infection composed of devitalized tissue, microorganism, and the host phagocytic white blood cells.

Toxins

Substances the alter or destroy the normal function of the host or host's cells

Exotoxins

Proteins released from the bacterial cell during growth




Variable specificity and may cause fatal effects

Endotoxins

Do not contain protein are not actively released from the bacterium during growth




Lipopolysaccharidesreleased from bacterial cell membranes with cell division or destruction

Adhesion Factors

No interaction between microorganism and human can progress to infection or disease if the pathogen is unable to attach to and colonize the host.

Evasive Factors

Enhance virulence by evading various components of the host's immune system

Invasive Factors

Infectious agents that facilitate the penetration of anatomic barriers and host tissue.

Diagnosis

Two Criteria:




1. Recovery of pathogen or evidence




2. Accurate documentation of clinical signs and symptoms

Culture

Propagation of a microorganism outside of the body on or in artificial growth media

Serology

Measuring serum antibodies in the disease host.


Tentative diagnosis, antibody level called antibody titer.

Antibody Titer: IgM

Rise and fall during the acute phase of the disease




Do not cross the placenta

Antibody Titer: IgG

Increase during the acute phase and remains elevated until or beyond resolution.


Most abundant immunoglobulin


Certain antibodies transferred passively from mother to child.

Antibacterial Agents

Generally called antibiotics.


Bi-products of bacteria and fungi metabolism


Effective only against prokaryotic organism

Antiviral Agents

Almost all compounds are synthetic


Target viral RNA and DNA synthesis

Antifungal Agents

Target yeast or mold



Antiparasitic Agents

Exploiting essential components of the parasite metabolism or cellular anatomy that are not shared by the host.

IgE

Responds to allergic reactions and parasitic infections

IgA

Respond to local infections


Found in saliva tears colostrum bronchial GI prostate and vaginal


Prevents attachment of virus and bacteria to epithelial cells

IgG

Protect against bacteria toxins and viruses and activate the complement system

IgD

Acts like an antigen receptor for initiating B cells

Inate Immunity

First line of defense against microbial invasion and is in place before infection

Cytokines

Activate and regulate b cells cytotoxic t cells nk cells and macrophages and other immune cells

Serology

Samples used to identify infectious organisms by measuring the levels of antibodies

Colonization

Act of establishing a presence a step required in the multifaceted process of infection

Virus

Incapable of replication outside the cell


Penetrate cell and use the biosynthetic structure of cell


Is an agent


Neonates receive what type of antibodies?

IgG


Protection for 3 to 6 months

Spirochetes

Bacteria


Corkscrew


Transmitted by sex broken skin and urine of infected animal

T Lymphocytes

Mature in thymus


Provide cell mediated immunity


Activate other lymphocytes and phagocytes


B lymphocytes

Mature in the bone marrow


Forming antibodies


Humoral immunity

Natural passive immunity

Antibodies are transferred directly to host


Mother to child

What are the category assignment of levels of A B C of potential agents of bioterrorism based on?

Risk of use


Transmissibility


Invasiveness



Mortality Rate

Fomite

Object that carries an infectious organisms

Dermatophytes

Fungi pathogens


Incapable of growing in core body temperature


Ringworm, athletes foot, jock itch (superficial mycoses)

Human Leukocyte Antigen (HLA)

Identify on the surface of WBCs



Major target is organ transplant rejections

Epithelial cells

Lines the body systems


Joined tightly to protect from invasion

Vertical Transmission

Mother to child


Across placenta, during birth

Opsonization

Coating of particles with protein and lectins


Make more attractive for phagocytes to recognize foreign pathogens

Cellular Immunity

Mediated by T Lymphocytes


Defense against intracellular microbes ie viruses

Adaptive immunity

Lymphocytes comprised for Humoral (B cells) and cell mediated (T cells) immune response

Saprophytes

Free-living organisms


Derive energy from Decaying organic matter

Sexually Transmitted Infections are transmitted thru?

Direct contact

Alternative Pathway

Activate on microbial cell surface


No antibodies


Component of the Inate Immunity

Classical Pathway

Activated by antibodies


Humoral immunity

Lectins Pathway

Binds to mannose on microbes


Activates the classical Pathway


No antibodies

Pandemic

Spread of disease beyond continental boundaries

Epidemic

Abrupt and unexpected increase of incidence of the disease over endemic rates

Thymus

Essential to the development of the immune systems


Responsible for the production of mature T Lymphocytes

Active Natural Immunity

Host has an immune response to the antigen


Environment exposure

B lymphocytes

Only cells capable of producing antibodies


Humoral immunity

Transmission of Infections: 6 components

1. Causative agent


2. Reservoir (Source)


3. Portal Of Exit


4. Mode of transmission


5. Portal of Entry


6. Susceptible Host



What is a Causative Agent?
Anymicrobe that can produce disease
Reservoir(Source)?
Theenvironment or object in or on which a microbe can survive and multiply
Portal of Exit?
Pathby which an infectious agent leaves its reservoir



Variesfrom one infectious agent to the next

What is a Modeof Transmission?

The infectious agent passes from the portal of exit to the susceptible host




Four modes: Contact Airborne Enteric Vector-born




Some organisms use more than one mode of transmission and Mode varies

Portalof Entry
Refersto the path by which an infectious agent invades a susceptible host



Penetration*Direct Contact


Ingestion*Inhalation

SusceptibleHost
An organism capable of supporting growth and reproduction of another organism



Individual who lacks resistance to agent

NormalFlora
DoubleBenefit

Microbesdepend on the host’s environment to grow and reproduce BUT


Preventcolonization of other microbes


Microbemay contribute to synthesis of beneficial substances

Opportunistic Infection

Immunity is compromised and Normal flora become pathogenic

Specificity

Range of hosts to which a microbe is attracted

Invasiveness

Sometimes called Infectivity




Microbes' ability to invade and multiply in the host tissues.

Quantity

Refers to the number of microbes that succeed in invading and reproducing in the body

Virulence

Severity of the Disease a pathogen can produce




Varies depending on the host


Antigenicity

Degree to which a pathogen can induce a specific immune response

Viability

The ability of the pathogen to survive outside its host

Viral Infections

1. Tiny intracellular organism


2. Depend upon the living host


3. Intracellular bypass many body defenses mechanims


4. Single strand DNA or RNA, contained within capsid



What are viral particles called?

Virions

The virus is classified according to:

1. Genetic Material


2. Mechanism of Replication


3. Mode of Transmission


4. Type of Disease Produced

Viral Infections Can be:

Local


Systemic


Acute


Chronic

Virus can stimulate antibody production by

Cell mediated immunity


Production of interferon

Viral Infections Diagnostics?

CBC


ELISA (Enzyme-linked immunosorbent assay)


Western Blot



Treatment for Viral infections

Antiviral therapy




Can be difficult to develop

Retrovirus Disease

HIV

Bacteria Classified according to:

1. Shape


2. Need for Oxygen


3. Mobility


4. Protective Capsule or Spores



Bacteria growth depends on:

The body's immune systems




Produce substances that enhance resistance



Bacteria Diagnostics:

WBC


Culture and Sensitivity


Gram Stain

Bacteria Management

1. Antimicrobials


2. Instruct on method to prevent spread of infection

Rickettsial Infections


(Rocky-spotted Mountain Fever)

Reproduce within certain susceptible cells




Transmitted to humans by arthropod vectors


Bites or feces of ticks, Lice or Fleas.

Bactericidal

Irreversible


Kills or cause damage to bacteria pathogens


Target metabolism or bacteria growth

Bacteriostatic

Inhibits growth


Reversible when medication is removed

Pleiotropism

Ability of a cytokines to act on different cell types