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What are the two main types of body defenses?
Physical barriers and cellular defenses
What is a key physical barrier of the body?
Skin (keratin layers)
What structures act as mucous membrane barriers?
Nose and GI tract
What is phagocytosis?
Process where immune cells engulf and destroy pathogens
Which cells perform phagocytosis?
Neutrophils, monocytes/macrophages, NK cells, eosinophils, cytotoxic T cells
What initiates and sustains inflammation?
Inflammatory mediators
What are interferons and interleukins?
Immunogenic proteins (cytokines) secreted by WBCs
What is the function of cytokines?
Propagate immune response
What is the specific immune response characterized by?
Memory B and T cells
What causes fever during infection?
Pyrogen-activated rise in body temperature
Which WBC makes up up to 70% of total WBCs?
Neutrophils
Which WBC arrives first at tissue damage?
Neutrophils
What is the lifespan of neutrophils?
Up to 1 week
What are immature neutrophils called?
Band cells
What are the 3 types of lymphocytes?
NK cells, B cells, T cells
Where are monocytes found?
In blood
What do monocytes become in tissues?
Macrophages
What are Kupffer cells?
Liver macrophages
What are eosinophils primarily involved in?
Allergy response
What do eosinophils secrete?
Cytokines, leukotrienes, platelet activating factor
What are basophils responsible for?
Allergy response
What do basophils release?
Cytokines and histamine
What anticoagulant do basophils secrete?
Heparin
What type of immunity do immunizations create?
Active immunity
What do booster immunizations do?
Strengthen immune memory
What happens when an antigen is recognized by B cells?
B cells clone into plasma cells
What do plasma cells produce?
Antibodies (immunoglobulins)
What is the most common immunoglobulin?
IgG
How fast can antibodies be produced?
About 2000 per second
What is the function of antibodies?
Neutralize or mark pathogens for destruction
What do memory B cells do?
Remember antigen for faster future response
What do T helper cells do?
Activate B cells and secrete cytokines
What do cytotoxic T cells do?
Destroy infected cells
What do T memory cells do?
Recognize antigen quickly upon re-exposure
What causes decreased WBCs?
Autoimmune diseases, drugs, chronic infection, cancer, malnutrition
How do glucocorticoids affect immunity?
Immunosuppress immune function
What is an example of an immunosuppressive drug?
Infliximab
How do chronic infections affect WBCs?
Deplete due to prolonged immune demand
What congenital condition affects immunity?
DiGeorge syndrome
How does cancer affect WBCs?
Interferes with production and maturation
What 3 factors are required for infection?
Host susceptibility, pathogen, transmission
What is pathogenicity?
Ability of organism to overcome defenses
What are the 2 mechanisms of pathogenicity?
Strength in numbers and toxin production
What is virulence?
Power to produce disease
What is an example of a toxin?
Shiga toxin from E. coli
What is a port of exit?
Pathway pathogen leaves host (e.g. respiratory, GI)
What is a port of entry?
Pathway pathogen enters host
What is the most common infection transmission method?
Hands
How long should hands be washed?
15–20 seconds
What is Clostridium botulinum?
Gram positive anaerobic bacteria producing neurotoxin
What does botulinum toxin do?
Blocks acetylcholine
What is the treatment for botulism?
Antitoxin (HBAT)
How is botulism prevented?
Nitrates/nitrites in preserved foods
What is direct contact transmission?
Physical contact with infected host
Give examples of direct contact infections
STIs, chickenpox
What is airborne transmission?
Inhalation of pathogens
Give examples of airborne infections
Cold, meningitis, measles
What is ingestion transmission?
Consumption of contaminated food
Give examples of ingestion infections
Food poisoning, Hepatitis A
What is nosocomial infection?
Hospital-acquired infection
What is community-acquired infection?
Infection acquired outside hospital
What is microflora?
Normal microorganisms in body
What is commensalism?
Host unaffected
What is mutualism?
Both host and bacteria benefit
Example of beneficial bacteria function
E. coli produces vitamin K2
What is parasitism?
Host is harmed
What is an opportunistic infection?
Infection when opportunity arises (e.g. immunocompromised)
What are the 3 types of parasites?
Protozoa, helminths, arthropods
Example of protozoa
Malaria
Example of helminth
Tapeworm
Example of arthropod
Lice, ticks, mites
What are fungi?
Eukaryotic organisms
What environments do fungi prefer?
Dark, moist environments
What are the 2 types of fungi?
Yeast and mold
Example of fungal infection
Candida albicans
What is superficial fungal infection?
Ringworm, thrush
What is systemic fungal infection?
Lung or GI infection
What are viruses made of?
Protein coat and nucleic acid
What do viruses require to survive?
Host cell
What can viruses do to host cells?
Alter or lyse them
Are viruses more or less contagious than bacteria?
More contagious
Examples of viral infections
COVID-19, influenza, cold
How are viral infections treated
Symptom management and antivirals
How are viral infections prevented
Immunizations
What are bacteria?
Prokaryotic organisms
What are plasmids?
Small DNA bodies involved in resistance
What are biofilms?
Bacterial colonies
What do bacteria often produce?
Toxins
What are bacteria classified by?
Gram staining
Examples of gram-negative bacteria
E. coli, Salmonella
Examples of gram-positive bacteria
Staphylococci, Streptococci
What is the suffix for inflammation?
-itis
Example of -itis
Appendicitis
What is the suffix for pathogens in blood?
-emia
Example of -emia
Bacteremia
What is incubation period?
Pathogen present, no symptoms
What is prodromal stage
Early nonspecific symptoms
What is acute stage
Maximum symptoms and pathogen load
What is convalescent stage
Recovery and repair
What is the first step in diagnosing infection
Determine location of illness