Lecture 4 and Microflora

Lecture 4 and Microflora
89問 • 2年前
  • JULLIANNE DANDAN
  • 通報

    問題一覧

  • 1

    – process by which chemical substances (nutrients) are acquired from the environment and used in cellular activities

    Nutrition

  • 2

    – must be provided to an organism

    Essential nutrients

  • 3

    – required in large quantities; play principal roles in cell structure and metabolism

    Macronutrients

  • 4

    – required in small amounts; involved in enzyme function and maintenance of protein structure

    Micronutrients

  • 5

    – contain carbon and hydrogen atoms and are usually the products of living things

    Organic nutrients

  • 6

    – atom or molecule that contains a combination of atoms other than carbon and hydrogen

    Inorganic nutrients

  • 7

    Chemical Analysis of Cell Contents • __% water • Proteins • __% of cell is composed of _ elements:

    70, 96, 6

  • 8

    – must obtain carbon in an organic form made by other living organisms such as proteins, carbohydrates, lipids, and nucleic acids

    Heterotroph

  • 9

    – an organism that uses CO2, an inorganic gas as its carbon source

    Autotroph

  • 10

    – gain energy from chemical compounds

    Chemotroph

  • 11

    – gain energy through photosynthesis

    Phototrophs

  • 12

    : free-living microorganisms that feed on organic detritus from dead organisms

    Saprobes

  • 13

    : derive nutrients from host

    Parasites

  • 14

    – does not require energy; substances exist in a gradient and move from areas of higher concentration toward areas of lower concentration

    Passive transport

  • 15

    – requires energy and carrier proteins; gradient independent

    Active transport

  • 16

    : bringing substances into the cell through a vesicle or phagosome

    Endocytosis

  • 17

    : totality of adaptations organisms make to their habitat

    Niche

  • 18

    – lowest temperature that permits a microbe’s growth and metabolism

    Minimum temperature

  • 19

    – highest temperature that permits a microbe’s growth and metabolism

    Maximum temperature

  • 20

    – promotes the fastest rate of growth and metabolism

    Optimum temperature

  • 21

    – optimum temperature below 15oC; capable of growth at 0oC

    Psychrophiles

  • 22

    – optimum temperature 20o-40oC; most human pathogens

    Mesophiles

  • 23

    – optimum temperature greater than 45oC

    Thermophiles

  • 24

    – grows best at higher CO2 tensions than normally present in the atmosphere

    Capnophile

  • 25

    Majority of microorganisms grow at a pH between 6 and 8 (neutrophiles)

    Effects of PH

  • 26

    – grow at extreme acid pH

    Acidophiles

  • 27

    – grow at extreme alkaline pH

    Alkalinophiles

  • 28

    • Most microbes exist under hypotonic or isotonic conditions

    Osmotic Pressure

  • 29

    – can survive under extreme pressure and will rupture if exposed to normal atmospheric pressure

    Barophiles

  • 30

    – two organisms live together in a close partnership

    Symbiotic

  • 31

    – obligatory, dependent; both members benefit

    Mutualism

  • 32

    – commensal member benefits, other member neither harmed nor benefited

    Commensalism

  • 33

    – parasite is dependent and benefits; host is harmed

    Parasitism

  • 34

    – organisms are free-living; relationships not required for survival

    Non-symbiotic

  • 35

    – members cooperate to produce a result that none of them could do alone

    Synergism

  • 36

    – actions of one organism affect the success or survival of others in the same community (competition) • Antibiosis

    Antagonism

  • 37

    _____ result when organisms attach to a substrate by some form of extracellular matrix that binds them together in complex organized layers

    Biofilms

  • 38

    Communicate and cooperate in the formation and function of biofilms

    quorum sensing

  • 39

    ________ occurs at two levels: growth at a cellular level with increase in size, and increase in population

    Microbial growth

  • 40

    Time required for a complete fission cycle is called the ________

    generation

  • 41

    – “flat” period of adjustment, enlargement; little growth

    Lag phase

  • 42

    In laboratory studies, populations typically display a predictable pattern over time

    growth curve

  • 43

    – a period of maximum growth will continue as long as cells have adequate nutrients and a favorable environment

    Exponential growth phase

  • 44

    – rate of cell growth equals rate of cell death caused by depleted nutrients and O2, excretion of organic acids and pollutants

    Stationary phase

  • 45

    – as limiting factors intensify, cells die exponentially

    Death phase

  • 46

    – a condition in which pathogenic microbes penetrate host defenses, enter sterile tissues, and multiply.

    Infection

  • 47

    – infectious agent

    Pathogen

  • 48

    – an infection that causes damage or disruption to tissues and organs

    Infectious disease

  • 49

    • Most areas of the body in contact with the outside environment harbor resident microbes e.g: ear, eyes, GIT

    Resident Flora

  • 50

    – microbes that occupy the body for only short periods

    Transients

  • 51

    – microbes that become established

    Residents

  • 52

    Bacterial flora benefit host by preventing overgrowth of harmful microbes

    microbial antagonism

  • 53

    – occur when normal flora is introduced to a site that was previously sterile

    Endogenous infections

  • 54

    • Skin is the largest and most accessible organ • Norma flora lives in/or on dead cell layers, follicles and glands

    Flora of the Human Skin

  • 55

    • GI tract is a long hollow tube, bounded by mucous membranes – Tube is exposed to the environment • Variations in flora distribution are due to shifting conditions (pH, oxygen tension, anatomy) • Oral cavity, large intestine, and rectum harbor appreciable flora • The esophagus contains extremely light flora • Stomach acid inhibits most microbes- Lactobacilli and Helicobacter

    Flora of the Gastrointestinal Tract

  • 56

    • Harbors the most abundant, diverse and unique flora of the body • Numerous adaptive niches Cheek epithelium, gingiva, tongue, Mouth floor and tooth enamel • Saliva is sterile until it enters the oral cavity. • Bacterial count of saliva (5 x 109 cells per milliliter). Human bite is dangerous!

    Flora of the Mouth

  • 57

    • Has complex and profound interactions with host • The cecum and colon harbors 108-1011 microbes per gram of feces (very abundant!- 30% of fecal volume) • Intestinal environment favors anaerobic bacteria(Bacteriodes, Bifidobacterium, Fusobacterium and Clostridium, E. coli) • Ferments waste materials, generates vitamins- B12, K, Pyridoxine, riboflavin and thiamine; acids- acetiC, butyric and propionic • Intestinal bacteria contribute to intestinal odor by producing skatole–a chemical that gives feces their stench. • They also produce flatus- intestinal gas (flatulence)

    Large Intestine

  • 58

    Respiratory Tract • Oral streptococci, first organisms to colonize • Nasal entrance, nasal vestibule, anterior nasopharynx – S. aureus • Mucous membranes of nasopharynx – Neisseria • Tonsils and lower pharynx – Haemophilus

    Respiratory Tract

  • 59

    • Sites that harbor microflora – Females – Vagina and outer opening of urethra – Males – Anterior urethra Streptococci, staphylococci, corynebacteria, coliforms sometimes • Changes in physiology influence the composition of the normal flora – E.g. Vagina (estrogen, glycogen fermented by Lactobacilli pH)

    Genitourinary Tract

  • 60

    Maintenance of the Normal Resident Flora

    • Normal flora is essential to the health of humans • Flora create an environment that may prevent infections and can enhance host defenses • Broad spectrum antibiotics, dietary changes, and disease may alter flora • Probiotics– introducing pure cultures of known microbes back into the body through injection or inoculation

  • 61

    – introducing pure cultures of known microbes back into the body through injection or inoculation

    Probiotics

  • 62

    – capable of causing disease in healthy persons with normal immune defenses – Influenza virus, plague bacillus, malarial protozoan

    True pathogens

  • 63

    – cause disease when the host’s defenses are compromised or when they grow in part of the body that is not natural to them

    Opportunistic pathogens

  • 64

    – characteristic route a microbe follows to enter the tissues of the body

    Portals of entry

  • 65

    agents originate from source outside the body

    Exogenous

  • 66

    - agents already exist on or in the body (normal flora)

    Endogenous

  • 67

    - Syphilis, Toxoplasmosis, Other diseases (hepatitis B, AIDS and chlamydia), Rubella, Cytomegalovirus and Herpes simplex virus

    STORCH

  • 68

    – microbes gain a stable foothold at the portal of entry; dependent on binding between specific molecules on host and pathogen

    Adhesion

  • 69

    – used to avoid phagocytosis.

    Antiphagocytic

  • 70

    – traits used to invade and establish themselves in the host, also determine the degree of tissue damage that occurs – severity of disease

    Virulence factors

  • 71

    – dissolve extracellular barriers and penetrate through or between cells. E.g: mucinase, keratinase, collagenase and hyaluronidase, coagulase.

    Exoenzymes

  • 72

    – capacity to produce toxins at the site of multiplication.

    Toxigenicity

  • 73

    : Any disease or lesion caused by the action of a toxin.

    Toxinoses

  • 74

    toxinoses in which the toxin is spread by blood from the site of infection (e.g. tetanus)

    Toxemias:

  • 75

    (e.g. botulism) are caused by ingestion of toxins.

    Intoxications

  • 76

    – toxin that is not secreted but is released after the cell is damaged

    Endotoxin

  • 77

    – toxin molecule secreted by a living bacterial cell into the infected tissue

    Exotoxin

  • 78

    – time from initial contact with the infectious agent to the appearance of first symptoms; agent is multiplying but damage is insufficient to cause symptoms;

    Incubation period

  • 79

    – vague feelings of discomfort; nonspecific complaints

    Prodromal stage

  • 80

    – multiplies at high levels, becom

    Period of invasion

  • 81

    as person begins to respond to the infection, symptoms decline

    Convalescent period–

  • 82

    – microbes enter the body and remains confined to a specific tissue- boils, warts, fungal skin infection

    Localized infectio

  • 83

    – infection spreads to several sites and tissue fluids usually in the bloodstream- viral diseases, bacteri syphilis

    Systemic infection

  • 84

    – when infectious agent breaks loose from a local infection and is carried to other tissues- streptococcal pharyngitis gives rise to scarlet fever

    Focal infection

  • 85

    – several microbes grow simultaneously at the infection site - polymicrobial

    Mixed infection

  • 86

    – initial infection

    Primary infection

  • 87

    – another infection by a different microbe

    Secondary infection

  • 88

    – comes on rapidly, with severe but short-lived effects

    Acute infection

  • 89

    – progress and persist over a long period of time

    Chronic infection

  • Latin Abbreviations

    Latin Abbreviations

    JULLIANNE DANDAN · 43問 · 2年前

    Latin Abbreviations

    Latin Abbreviations

    43問 • 2年前
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    History Taking

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    Skin Assessment

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    Positioning the Patient for different Examinations

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    32問 • 2年前
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    Body Mechanics

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    22問 • 2年前
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    Moving and Transferring Patient

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    Self Efficacy Theory

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    Preceed Proceed Model

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    The Communication Process

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    OVERVIEW OF THE CODE OF ETHICS FOR NURSES

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    Bed Bath

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    Gastrointestinal

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    Cardio

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    COMMUNICATION

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    COMMUNICATION

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    COMMON COMMUNICATION STRATEGIES/TECHNIQUES (Therapeutic Communication Techniques)

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    MAN

    MAN

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    MAN

    MAN

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    PRE-NATAL CARE AND ASSESSMENT

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    DRUG ADMINISTRATION

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    Antepartum / Prenatal Assessment

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    Diagnostic and Laboratory Tests in Pregnancy

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    Labor

    Labor

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    Labor

    Labor

    73問 • 1年前
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    Carbohydrate

    Carbohydrate

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    Carbohydrate

    Carbohydrate

    26問 • 1年前
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    FATS

    FATS

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    FATS

    FATS

    26問 • 1年前
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    Vitamins and Minerals

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    JULLIANNE DANDAN · 32問 · 1年前

    Vitamins and Minerals

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    32問 • 1年前
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    Nutrition and Diet

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    Nutrition and Diet

    Nutrition and Diet

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    WEEK 2

    WEEK 2

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    WEEK 2

    WEEK 2

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    Week 3

    Week 3

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    Week 3

    Week 3

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    Week 5

    Week 5

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    Week 5

    Week 5

    8問 • 1年前
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    Chapter 1

    Chapter 1

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    Chapter 1

    Chapter 1

    18問 • 1年前
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    Chapter 2

    Chapter 2

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    Chapter 2

    Chapter 2

    11問 • 1年前
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    Week 7

    Week 7

    JULLIANNE DANDAN · 35問 · 1年前

    Week 7

    Week 7

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    NUTRITION-AND-THE-LIFE-CYCLE-LEC-AND-LAB

    NUTRITION-AND-THE-LIFE-CYCLE-LEC-AND-LAB

    JULLIANNE DANDAN · 56問 · 1年前

    NUTRITION-AND-THE-LIFE-CYCLE-LEC-AND-LAB

    NUTRITION-AND-THE-LIFE-CYCLE-LEC-AND-LAB

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    THERAPEUTIC DIET

    THERAPEUTIC DIET

    JULLIANNE DANDAN · 21問 · 1年前

    THERAPEUTIC DIET

    THERAPEUTIC DIET

    21問 • 1年前
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    VITAMINS AND MINERALS

    VITAMINS AND MINERALS

    JULLIANNE DANDAN · 31問 · 1年前

    VITAMINS AND MINERALS

    VITAMINS AND MINERALS

    31問 • 1年前
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    Week 7

    Week 7

    JULLIANNE DANDAN · 30問 · 1年前

    Week 7

    Week 7

    30問 • 1年前
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    Week 8 and 9

    Week 8 and 9

    JULLIANNE DANDAN · 86問 · 1年前

    Week 8 and 9

    Week 8 and 9

    86問 • 1年前
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    Week 10

    Week 10

    JULLIANNE DANDAN · 17問 · 1年前

    Week 10

    Week 10

    17問 • 1年前
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    Drug study

    Drug study

    JULLIANNE DANDAN · 16問 · 1年前

    Drug study

    Drug study

    16問 • 1年前
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    Abbreviations

    Abbreviations

    JULLIANNE DANDAN · 13問 · 1年前

    Abbreviations

    Abbreviations

    13問 • 1年前
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    問題一覧

  • 1

    – process by which chemical substances (nutrients) are acquired from the environment and used in cellular activities

    Nutrition

  • 2

    – must be provided to an organism

    Essential nutrients

  • 3

    – required in large quantities; play principal roles in cell structure and metabolism

    Macronutrients

  • 4

    – required in small amounts; involved in enzyme function and maintenance of protein structure

    Micronutrients

  • 5

    – contain carbon and hydrogen atoms and are usually the products of living things

    Organic nutrients

  • 6

    – atom or molecule that contains a combination of atoms other than carbon and hydrogen

    Inorganic nutrients

  • 7

    Chemical Analysis of Cell Contents • __% water • Proteins • __% of cell is composed of _ elements:

    70, 96, 6

  • 8

    – must obtain carbon in an organic form made by other living organisms such as proteins, carbohydrates, lipids, and nucleic acids

    Heterotroph

  • 9

    – an organism that uses CO2, an inorganic gas as its carbon source

    Autotroph

  • 10

    – gain energy from chemical compounds

    Chemotroph

  • 11

    – gain energy through photosynthesis

    Phototrophs

  • 12

    : free-living microorganisms that feed on organic detritus from dead organisms

    Saprobes

  • 13

    : derive nutrients from host

    Parasites

  • 14

    – does not require energy; substances exist in a gradient and move from areas of higher concentration toward areas of lower concentration

    Passive transport

  • 15

    – requires energy and carrier proteins; gradient independent

    Active transport

  • 16

    : bringing substances into the cell through a vesicle or phagosome

    Endocytosis

  • 17

    : totality of adaptations organisms make to their habitat

    Niche

  • 18

    – lowest temperature that permits a microbe’s growth and metabolism

    Minimum temperature

  • 19

    – highest temperature that permits a microbe’s growth and metabolism

    Maximum temperature

  • 20

    – promotes the fastest rate of growth and metabolism

    Optimum temperature

  • 21

    – optimum temperature below 15oC; capable of growth at 0oC

    Psychrophiles

  • 22

    – optimum temperature 20o-40oC; most human pathogens

    Mesophiles

  • 23

    – optimum temperature greater than 45oC

    Thermophiles

  • 24

    – grows best at higher CO2 tensions than normally present in the atmosphere

    Capnophile

  • 25

    Majority of microorganisms grow at a pH between 6 and 8 (neutrophiles)

    Effects of PH

  • 26

    – grow at extreme acid pH

    Acidophiles

  • 27

    – grow at extreme alkaline pH

    Alkalinophiles

  • 28

    • Most microbes exist under hypotonic or isotonic conditions

    Osmotic Pressure

  • 29

    – can survive under extreme pressure and will rupture if exposed to normal atmospheric pressure

    Barophiles

  • 30

    – two organisms live together in a close partnership

    Symbiotic

  • 31

    – obligatory, dependent; both members benefit

    Mutualism

  • 32

    – commensal member benefits, other member neither harmed nor benefited

    Commensalism

  • 33

    – parasite is dependent and benefits; host is harmed

    Parasitism

  • 34

    – organisms are free-living; relationships not required for survival

    Non-symbiotic

  • 35

    – members cooperate to produce a result that none of them could do alone

    Synergism

  • 36

    – actions of one organism affect the success or survival of others in the same community (competition) • Antibiosis

    Antagonism

  • 37

    _____ result when organisms attach to a substrate by some form of extracellular matrix that binds them together in complex organized layers

    Biofilms

  • 38

    Communicate and cooperate in the formation and function of biofilms

    quorum sensing

  • 39

    ________ occurs at two levels: growth at a cellular level with increase in size, and increase in population

    Microbial growth

  • 40

    Time required for a complete fission cycle is called the ________

    generation

  • 41

    – “flat” period of adjustment, enlargement; little growth

    Lag phase

  • 42

    In laboratory studies, populations typically display a predictable pattern over time

    growth curve

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    – a period of maximum growth will continue as long as cells have adequate nutrients and a favorable environment

    Exponential growth phase

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    – rate of cell growth equals rate of cell death caused by depleted nutrients and O2, excretion of organic acids and pollutants

    Stationary phase

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    – as limiting factors intensify, cells die exponentially

    Death phase

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    – a condition in which pathogenic microbes penetrate host defenses, enter sterile tissues, and multiply.

    Infection

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    – infectious agent

    Pathogen

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    – an infection that causes damage or disruption to tissues and organs

    Infectious disease

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    • Most areas of the body in contact with the outside environment harbor resident microbes e.g: ear, eyes, GIT

    Resident Flora

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    – microbes that occupy the body for only short periods

    Transients

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    – microbes that become established

    Residents

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    Bacterial flora benefit host by preventing overgrowth of harmful microbes

    microbial antagonism

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    – occur when normal flora is introduced to a site that was previously sterile

    Endogenous infections

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    • Skin is the largest and most accessible organ • Norma flora lives in/or on dead cell layers, follicles and glands

    Flora of the Human Skin

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    • GI tract is a long hollow tube, bounded by mucous membranes – Tube is exposed to the environment • Variations in flora distribution are due to shifting conditions (pH, oxygen tension, anatomy) • Oral cavity, large intestine, and rectum harbor appreciable flora • The esophagus contains extremely light flora • Stomach acid inhibits most microbes- Lactobacilli and Helicobacter

    Flora of the Gastrointestinal Tract

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    • Harbors the most abundant, diverse and unique flora of the body • Numerous adaptive niches Cheek epithelium, gingiva, tongue, Mouth floor and tooth enamel • Saliva is sterile until it enters the oral cavity. • Bacterial count of saliva (5 x 109 cells per milliliter). Human bite is dangerous!

    Flora of the Mouth

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    • Has complex and profound interactions with host • The cecum and colon harbors 108-1011 microbes per gram of feces (very abundant!- 30% of fecal volume) • Intestinal environment favors anaerobic bacteria(Bacteriodes, Bifidobacterium, Fusobacterium and Clostridium, E. coli) • Ferments waste materials, generates vitamins- B12, K, Pyridoxine, riboflavin and thiamine; acids- acetiC, butyric and propionic • Intestinal bacteria contribute to intestinal odor by producing skatole–a chemical that gives feces their stench. • They also produce flatus- intestinal gas (flatulence)

    Large Intestine

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    Respiratory Tract • Oral streptococci, first organisms to colonize • Nasal entrance, nasal vestibule, anterior nasopharynx – S. aureus • Mucous membranes of nasopharynx – Neisseria • Tonsils and lower pharynx – Haemophilus

    Respiratory Tract

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    • Sites that harbor microflora – Females – Vagina and outer opening of urethra – Males – Anterior urethra Streptococci, staphylococci, corynebacteria, coliforms sometimes • Changes in physiology influence the composition of the normal flora – E.g. Vagina (estrogen, glycogen fermented by Lactobacilli pH)

    Genitourinary Tract

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    Maintenance of the Normal Resident Flora

    • Normal flora is essential to the health of humans • Flora create an environment that may prevent infections and can enhance host defenses • Broad spectrum antibiotics, dietary changes, and disease may alter flora • Probiotics– introducing pure cultures of known microbes back into the body through injection or inoculation

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    – introducing pure cultures of known microbes back into the body through injection or inoculation

    Probiotics

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    – capable of causing disease in healthy persons with normal immune defenses – Influenza virus, plague bacillus, malarial protozoan

    True pathogens

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    – cause disease when the host’s defenses are compromised or when they grow in part of the body that is not natural to them

    Opportunistic pathogens

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    – characteristic route a microbe follows to enter the tissues of the body

    Portals of entry

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    agents originate from source outside the body

    Exogenous

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    - agents already exist on or in the body (normal flora)

    Endogenous

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    - Syphilis, Toxoplasmosis, Other diseases (hepatitis B, AIDS and chlamydia), Rubella, Cytomegalovirus and Herpes simplex virus

    STORCH

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    – microbes gain a stable foothold at the portal of entry; dependent on binding between specific molecules on host and pathogen

    Adhesion

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    – used to avoid phagocytosis.

    Antiphagocytic

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    – traits used to invade and establish themselves in the host, also determine the degree of tissue damage that occurs – severity of disease

    Virulence factors

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    – dissolve extracellular barriers and penetrate through or between cells. E.g: mucinase, keratinase, collagenase and hyaluronidase, coagulase.

    Exoenzymes

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    – capacity to produce toxins at the site of multiplication.

    Toxigenicity

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    : Any disease or lesion caused by the action of a toxin.

    Toxinoses

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    toxinoses in which the toxin is spread by blood from the site of infection (e.g. tetanus)

    Toxemias:

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    (e.g. botulism) are caused by ingestion of toxins.

    Intoxications

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    – toxin that is not secreted but is released after the cell is damaged

    Endotoxin

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    – toxin molecule secreted by a living bacterial cell into the infected tissue

    Exotoxin

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    – time from initial contact with the infectious agent to the appearance of first symptoms; agent is multiplying but damage is insufficient to cause symptoms;

    Incubation period

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    – vague feelings of discomfort; nonspecific complaints

    Prodromal stage

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    – multiplies at high levels, becom

    Period of invasion

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    as person begins to respond to the infection, symptoms decline

    Convalescent period–

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    – microbes enter the body and remains confined to a specific tissue- boils, warts, fungal skin infection

    Localized infectio

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    – infection spreads to several sites and tissue fluids usually in the bloodstream- viral diseases, bacteri syphilis

    Systemic infection

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    – when infectious agent breaks loose from a local infection and is carried to other tissues- streptococcal pharyngitis gives rise to scarlet fever

    Focal infection

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    – several microbes grow simultaneously at the infection site - polymicrobial

    Mixed infection

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    – initial infection

    Primary infection

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    – another infection by a different microbe

    Secondary infection

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    – comes on rapidly, with severe but short-lived effects

    Acute infection

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    – progress and persist over a long period of time

    Chronic infection