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Med. Micro
Duke PA micro
Question | Answer |
---|---|
Do benefits of microbes outweigh risk of disease? | yes - more microorganisms are critical to human survival than human disease |
normal flora | endogenous population of microorganisms that inhabit the internal and external surfaces of healthy humans |
commensal | organism that is part of the normal flora |
sites in body where normal flora is anaerobic | GI tract, vagina, upper respiratory tract and skin |
pathogenicity | the ability to cause disease |
pathogen | any organism capable of causing disease |
strict pathogen | any organism that always causes disease |
virulence | the degree to which an organism can cause disease |
infection | interaction between organism and host that results in disease |
structures | capsule, spores, endotoxin |
antigenic proteins | exotoxins, adhesins, superantigens |
exogenous infection | results from exposure to microbes from external environment |
endogenous infection | results from introduction of normal flora into inappropriate sites |
latent infection | microbe persists in host tissue without evidence of disease |
medical microbiology | the study of interaction between humans and microorganisms especially in regard to disease |
chronic infection | host's immune system fails to completely eradicate microbe - sustained clinical effect |
What are the steps to infection? | acquisition, attachment, invasion, evasion of host's defenses |
What are the steps in acquisition? | transmission, encounter |
proteolytic enzymes | facilitate spread, damage host cells |
non-specific immunity | innate |
non-specific immunity | protect against all micoorganisms, not antigen specific |
specific immunity | acquired |
specific immunity | protect against specific antigens |
non-specific defenses | anatomical, humoral, cellular |
specific defenses | humoral, cellular |
anatomical | physical barriers |
humoral | fluid or semi-fluid |
cellular | leukocytes, neutrophils, macrophages, lymphocytes, dendritic cells |
What is the first line of defense in non-specific anatomical barriers? | skin |
What is the second anatomical line of defense in non-specific immunity? | mucous membranes |
complement cascade | system of plasma proteins that work to resist bacterial infection |
classical pathway | triggered by antigen-antibody complexes |
alternative pathway | triggered by interaction with bacterial cell wall components |
neutrophils | ingest and destroy pathogenic bacteria - "first responders" |
macrophages | ingest and destroy all pathogenic microbes |
natural killer cells | non-phagocytic cells that destroy and kill viruses |
active immunity | "natural" |
passive immunity | "artificial" |
Who | is at risk for the disease? |
Why | is this organism able to cause disease? |
Where | does this organism cause disease? |
When | is isolation of this organism important? |
What | diagnostic tests should be performed? |
How | is this infeciton managed? |
Which | species and genera are important? |