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steps of municipal water purification
water source —> coagulation —> flocculation —> sedimentation —> filtration —> disinfection —> distribution
role of biofilms in waterborne infections
bacteria attach to surfaces and each other, protected by ECM, resistant to disinfectants, can detach and spread infection
vibrio cholerae transmission
fecal-oral
vibrio cholerae environment
replicates in water
vibrio cholerae location in host
extracellular (intestinal lumen)
vibrio cholerae disease
cholera —> severe diarrhea
salmonella typhi transmission
fecal-oral
salmonella typhi environment
does not replicate in water
salmonella typhi location in host
intracellular
salmonella typhi disease
typhoid fever (systemic infection)
vibrio cholerae vs salmonella typhi key difference
v. cholerae is extracellular and causes diarrhea; s. typhi is intracellular and causes systemic diseaseh
how pathogens cause disease (molecular level)
interactions with host cells (toxins, invasion, immune evasion) disrupt normal processes —> symptoms
toxin-coregulated pili (TCP)
allow vibrio cholerae to attach to each other and surfaces; required for biofilm formation and colonization
cholera toxin mechanism
AB toxin: B binds cell, A activates cyclase —> increases cAMP —> ion (Na+, Cl-) and water secretion —> severe diarrhea
non-typhoid salmonella infection
localized infection, causes inflammation and diarrhea to promote spread
salmonella typhi infection
systemic infection, avoids inflammation, spreads to organs and hides in host
salmonella typhi carrier state
lives in gallbladder, forms biofilm, asymptomatic shedding of bacteria, can persist for years
bacterial survival and environment relationship
depends on metabolic, genetic, and structural traits that allow growth in specific conditions
steps of biofilm formation
attachment —> microcolony formation —> early biofilm —> mature biofilm (ECM) —> dispersion
biofilm vs planktonic bacteria
biofilm: attached, ECM present, slow metabolism, antibiotic resistant
planktonic: free-swimming, no ECM, faster growth, more susceptible
quorum sensing in vibrio cholerae
cell density signaling: low density = motile; high density = biofilm formation —> aids survival and infection
effects of mutations in aerobic respiration (v. cholerae)
less ATP production —> slower growth —> less competitive in intestine
why salmonella typhi has many pseudogenes
lost genes unnecessary for human-only lifestyle (i.e., environmental survival, inflammation triggers, chemotaxis)
effects of mutations, HGT, microbials, and immune response on bacteria
mutations alter genes; HGT adds virulence traits; antimicrobials select resistance; immune response selects evasion traits
role of HGT in salmonella typhi evolution
acquires pathogenicity islands, toxin genes, and virulence factors —> enables systemic infection
zoonosis
disease found primarily in animals but transmissible to humans; usually spread by direct contact or respiratory routes
enzootic
disease present endemically in certain animal populations (geographic or seasonal)
epizootic
an epidemic occurring within an animal population
vector (in disease transmission)
a live agent that transmits infectious diseases from an infected host to an uninfected host (i.e., insects, ticks)
common vectors of disease
fleas, mosquitos, ticks
how vectors benefit pathogens
allow pathogens to bypass physical barriers (like skin) and enter directly into the bloodstream
dead end host
a host in which the pathogen cannot replicate or be transmitted further
rickettsial diseases (general characteristics)
caused by obligate intracellular bacteria; transmitted by vectors (often ticks); treated with antibiotics
rickettsial disease examples
rocky mountain spotted fever, typhus, Q fever
rocky mountain spotted fever pathogen
rickettsia rickettsii
rocky mountain spotted fever vector
ticksrocky mountain spotted fever
rocky mountain spotted fever symptoms
fever, headache, severe rash, diarrhea, vomiting
how rickettsia spreads to host
injected into bloodstream —> rapidly disperses to multiple organs
typhus pathogen
rickettsia prowazekii
typhus vector
head lice
typhus reservoir
flying squirrels
why vector control prevents disease
reducing vector populations lowers transmission of vector borne pathogens
lyme disease vector
deer tick
lyme disease pathogen
borrelia burgdoferi
plague vector
fleas
plague pathogen
yersinia pestisp
plague reservoir
wild rodents (especially rats)
how plague spreads to humans
fleas transmit the pathogen from infected rodents to humans
bubonic plague
affects lymph nodes; flu-like symptoms after 3-7 days; high mortality if untreated
pneumonic plague
infects lungs; spread by inhalation or progression from other forms
septicemic plague
bacteria spread in bloodstream; rapid onset and often fatal before diagnosis
tetanus pathogen
clostridium tetani
clostridium tetani characteristics
strict anaerobe, spore-forming bacterium found in soil
tetanus reservoir
soil (anaerobic environments)h
how tetanus infection occurs
spores enter deep puncture wounds —> germinate in low-oxygen conditions
tetanus disease mechanism
production of tetanus toxin —> causes spastic paralysis
tetanus prevention
toxoid vaccine
common infection sites of s. aureus
skin (SSTIs), blood (bacteremia/sepsis), bone/joint (osteomyelitis, septic arthritis), ear (otitis media), wounds (localized infections)
hemolysins (staphylococcus virulence factor)
cytolytic toxins that lyse RBCs
leukocidins (staphylococcus virulence factor)
kill WBCs —> helps bacteria evade immune system
coagulase (staphylococcus virulence factor)
forms fibrin clot around bacteria —> hides from immune system
capsule (staphylococcus virulence factor)
prevents phagocytosis by immune cells
protein A (staphylococcus virulence factor)
interferes with antibodies
catalase (staphylococcus virulence factor)
breaks down hydrogen peroxide —> helps bacterial survival
toxic shock syndrome
caused by a superantigen toxin leading to massive immune activation, widespread inflammation, and life-threatening effects
gram stain of s. aureus
gram positive bacteria in chains
STDs
infections spread through direct sexual contact (gonorrhea, syphillis)
syphilis pathogen
treponema pallidum (spirochete)
gonorrhea pathogen
neisseria gonorrhoeae (gram negative diplococcus)
how gonorrhea escapes adaptive immunity
antigenic variation (changes pili), high mutation rate, HGT —> immune system cannot recognize it —> reinfection possible
primary syphilis
painless chancre (sore) at entry site; appears 2 weeks-2 months after infection
secondary syphilis
rash and systemic spread; may enter latent phase
tertiary syphilis
long term damage to skin, bones, and nervous system; can cause blindness and disfigurement
food preservation - refrigeration
slows enzyme activity and metabolism —> slows bacterial growth
food preservation - acidity
low pH disrupts enzymes and cell processes
food preservation - drying
removes water needed for growth
food preservation - salt/preservatives
causes osmotic stress or chemical damage
food preservation - radiation
damages dna
food preservation - heat (pasteurization/canning)
denatures proteins and kills bacteria
food preservation - fermentation
produces acids —> inhibits microbial growth
listeria monocytogenes - food industry threat
can grow in the fridge, has a 20-40% fatality rate, and causes systemic infection
temperature range of growth
determines if bacteria can grow during storage
DRT
time to kill 90% of bacteria at a given temp; longer DRT = more heat resistant
oxygen requirements
facultative anaerobes survive in more environments —> higher risk
sanitization resistance
biofilm-forming bacteria persist on surfaces —> harder to remove
pH tolerance
wider tolerance = can survive in more food types
foodborne intoxication
disease from preformed toxin in food; bacteria may be dead; fast symptoms
foodborne infection
disease from live bacteria growing in host; slower onset
cooking + infection vs intoxication
cooking kills bacteria and prevents infection; heat-stable toxins remain and intoxication still occurs
gene expression adaptation - foodborne
bacteria adjust to gene expression to survive in new environments (food —> host)
SEA (staphylococcal enterotoxin A)
heat stable toxin made in food; superantigen —> inflammation —> intoxication
shiga toxin
AB toxin made in host; inhibits protein synthesis —> cell death —> infection
SEA vs shiga (key difference)
SEA = preformed, heat stable, intoxication
shiga = produced in host, requires live bacteria
ETEC (enterotoxigenic E. coli)
extracellular intestinal pathogen; toxin-mediated diarrhea; usually mild
listeria monocytogenes (pathogenesis)
intracellular systemic pathogen; no toxin; immune response causes damage
listeriolysin O (LLO)
breaks phagosome —> allows listeria to enter cytosol and replicate
intoxication vs infection (data clues)
intoxication = rapid, toxin present, bacteria absent
infection = delayed, bacteria present, growth required
serotype
classification based on surface antigens
serotype vs genotype
serotypes reflect underlying genetic differences
pulsed field gel electrophoresis
separates large dna fragments —> creates band patternd