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Secondary infection
Infection that occurs after the primary infection weakens the body's defenses
Mechanical transmission
Passive transport on body parts
Kinases
Enzymes that break down protein and blood clots
Immune system recognition
Sometimes immune system can recognize capsules and produce antibodies
Pathology
The scientific study of disease
Etiology
Cause of disease
Pathogenesis
The way a disease develops and how it affects the body (structural and functional changes)
Infection
The invasion or colonization of the body by pathogenic microorganisms
Disease
An abnormal state; when an infection results in a change in health
Signs
Objective changes in body function that can be measured, such as fever and lesions
Syndrome
A collective group of signs and/or symptoms that accompany some disease
Infectious
A pathogenic organism capable of producing an infection
Communicable
A disease that can be transmitted from person to person
Noncommunicable
A disease that is not spread between hosts and must be introduced to the body some other way
Fomite
Objects or materials likely to carry infection, such as clothes and doorknobs
Acute disease
Develops rapidly and lasts a short time
Subacute disease
Lasts longer than an acute disease but is not considered chronic
Convalescence
Patient recovers, body returns to its prediseased state
Focal infection
When a local infection spreads but is still confined to specific areas of the body
Viremia
Viruses in the blood
R0 (r-naught)
The average number of people who will contract a disease from one infected individual
Zoonotic disease
A disease that has jumped from a non-human animal to humans
Airborne
Droplets of dust that travel more than 1m circulating in the air
Foodborne
Pathogens transferred from one food to another
Siderophores
Proteins that bind iron better than host cells, allowing pathogenic microbes to deplete host iron
Biofilm enzyme production
Organisms may produce certain enzymes only in specific biofilms
Invasions
Produced by bacteria to control the cytoskeleton and penetrate from cell to cell
Symptoms
Subjective changes in body function experienced by the patient but not directly observable
Contagious
A disease that is transmitted easily from person to person
Chronic disease
Develops slowly and continues or reoccurs for a long period
Latent Disease
Diseases such as varicella zoster and herpes simplex
Incubation Period
Time between initial infection and appearance of signs/symptoms
Prodromal period
Early, mild signs/symptoms as disease develops
Period of illness
Most severe disease transmission can occur
Period of decline
Signs/symptoms diminish
Local infection
Microbes limited to a small area of the body
Systemic infection
Generalized infection where microbes are spread throughout the body
Sepsis
Toxic inflammatory condition that occurs when microbes spread beyond their focus of infection
Septicemia
Pathogens enter the blood and spread throughout the body
Bacteremia
Bacteria in the blood
Toxemia
Toxins produced by pathogens enter the bloodstream
Primary infection
Acute infection, initial illness
Subclinical infection
Infections that don't cause any noticeable illness
Healthcare-Associated Infections (HAIs)
Infections most common in patients undergoing invasive procedures
Epidemiology
The science that studies when and where disease occurs and how they are transmitted in populations
Epidemic
Sudden spreading of a disease over a wide but isolated area
Pandemic
Epidemic that spreads worldwide
Endemic disease
A disease that is consistently present in a particular region
Incidence
Number of new cases of an infection within a specified period
Prevalence
Percentage of total cases of infected individuals within a particular population
Morbidity
Percentage of infected people who die as a result of infection
Case fatality ratio (CFR)
Percentage of people with symptoms who die as a result of infection
Herd Immunity
A point at which a disease has difficulty spreading through a population
Reservoir
The environment or host where a pathogen typically lives and multiplies
Vector
A living organism that carries a disease-causing agent from an infected host to a new host
Vector-borne disease
Disease that is transmitted via a vector
Direct Contact
Transmission from person to person
Congenital
Transmission from mother to fetus/newborn
Indirect Contact
Transmission through fomites
Droplet
Mucus droplets spread through coughing, sneezing, and laughing
Waterborne
Spread by contaminated water
Fecal-oral transmission
Transfer through microbes via waterborne, foodborne, or indirect contact
Biological transmission
Pathogens spread through bites
Pathogenicity
The ability of the microbe to cause disease in a host
Virulence
How severe the disease a microbe can cause
Main Portals
Mucous membranes, skin, and parenteral routes
Virulence factors
Factors affecting bacterial pathogenicity
Adherence
Attachment methods of bacteria and viruses to host cells
Bacteria adherence methods
Pili, fimbriae, glycocalyx, slime layers, and biofilms
Viruses adherence methods
Spike proteins
Adhesins
Surface proteins on bacterial cells that connect to host cell receptors
Ligands
Surface receptors on host tissues that bind to a receptor
Biofilms
Another method of adherence that is resistant to disinfectants and antibiotics
Capsules
Prevent phagocytosis so immune cells struggle to engulf and destroy microbes
Coagulases
Enzymes that form blood clots to camouflage from the immune system
Hyaluronidase
Enzyme that breaks down connective tissue, preventing healing of infected wounds
Collageneae
Enzyme that specifically breaks down collagen
Proteases
Enzymes that can destroy antibodies
Damaging host cells
Penetrating host cells using enzymes or structures for motility
Toxins
Most damage is done by these substances
Iron
The most common nutrient needed by pathogens to survive
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What is the definition of sterilization?
The process of killing or removing all microbes, including endospores.
How does disinfection differ from sterilization?
Disinfection reduces pathogenic organisms to a non-threatening level but does not necessarily kill all microbes or endospores.
What is the primary difference between a disinfectant and an antiseptic?
Disinfectants are for inanimate objects, while antiseptics are safe for use on living tissues.
What is the microbial death curve?
The observation that antimicrobials kill a constant percentage of bacteria over time.
Name three environmental factors that influence the effectiveness of microbial control.
Temperature, pH, and the presence of organic material like dirt or grease.
What are the two primary mechanisms by which microbial control agents kill cells?
Damaging the cell membrane to increase permeability or damaging proteins and nucleic acids.
What is the main advantage of autoclaving over boiling?
Autoclaving uses increased pressure to raise the boiling point, making it effective against endospores.
How does pasteurization affect food products?
It kills most microbes while maintaining the food's nutritional integrity and molecular structure.
What is the primary use of filtration in a laboratory setting?
Sterilizing heat-sensitive liquids and gases by trapping microbes in a membrane.
How does ionizing radiation kill microbes?
It produces hydroxyl radicals that damage DNA and other cellular components.
What is the mechanism of nonionizing radiation (UV light)?
It creates thymine dimers in DNA, causing replication errors.
Why was Triclosan banned from antibacterial soaps?
Its widespread use contributed to increased antibiotic resistance.
What are the limitations of alcohols as disinfectants?
They are not effective against endospores or non-enveloped viruses.
What is the function of quaternary ammonium compounds?
They act as surface-active agents that disrupt plasma membranes, primarily against gram-positive bacteria.
Which liquid chemical agent is capable of true sterilization?
Glutaraldehyde.
What are gaseous chemostrilants used for?
Sterilizing heat-sensitive materials by cross-linking nucleic acids and proteins.
What is plasma in the context of microbial control?
An excited gas state that uses free radicals to destroy microbes on heat-sensitive equipment.
Why are gram-negative bacteria generally more resistant to biocides?
Due to the presence of lipopolysaccharides in their outer membrane.