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antigen
Molecule capable of inducing an immune response; stimulates antibody production.
antibody
Protein made by plasma cells that binds/neutralizes pathogens.
agglutination
Clumping of cells when specific antibodies bind particulate antigens.
Agglutination Example
Bacterial cells + antibodies → identification of strain
bacterial antigens
cell wall, flagella, capsules
hemagglutination
Agglutination of RBCs when antibodies bind RBC antigens.
antiserum
Serum containing polyclonal antibodies; used for detection/passive immunity.
RBCs
Carry oxygen
WBCs
Fight infection
platelets
Blood clotting
plasma
Liquid portion of blood; contains fibrinogen
serum
Liquid after blood clots; NO fibrinogen
fibrinogen
Clot-forming precursor protein
What is the universal donor?
O
What is the universal recipient?
AB
Hemagglutination
clumping of red blood cells (RBCs) when antibodies bind to matching antigens
If the antibody matches the antigen what occurs?
clumping
If the antibody doesn't match the antigen or vice versa there is
NO reaction
What is the most important Rh antigen?
D antigen
What RBCs HAVE the D antigen?
Rh+
What RBCs do NOT have the D antigen?
Rh-
How do you detect Rh type?
Mix RBCs with anti-D antiserum
What does it mean when the RBCs and anti-D antiserum clump?
D antigen is present --> Rh+
If there is no clumping when RBCs and anti-D antiserum are mixed then it is
Rh-
If baby's Rh+ blood enters mom's bloodstream it can lead to
birth, trauma, miscarriage
When mom recognizes D antigen as foreign and makes anti-D antibodies this is known as
sensitization
Hemolysis
RBC destruction
What does RBC destruction result in?
high bilirubin, jaundice, hemolytic anemia
RhoGAM
injection of anti-D antibodies; given to Rh- mothers during pregnancy, after birth, miscarriage, trauma
How does RhoGAM work?
destroys Rh+ fetal RBCs before the mom's immune system sees them; prevents mom from developing anti-D antibodies; protects future pregnancies; prevents sensitization
Rh+ can receive
Rh+ or Rh-
Rh- can receive
ONLY Rh-
Skin is inhospitable because
sebum inhibits growth; salt-->hypertonic-->shrivels bacteria; dry keratin layers
What are normal skin microbiota traits?
salt-tolerant, dry-tolerant, more in moist areas (axilla, nose)
Transient microbiota
temporary; from environment, hands
Propionibacterium
use sebum in hair follicles; produce propionic acid-->lowers pH-->microbial antagonism; linked to acne
catalase
breaks toxic oxygen byproducts
coagulase
clots fibrin-->immune evasion-->abscess formation
staphylococcus epidermis
white, tiny colonies; coagulase-; cannot ferment mannitol
staphylococcus aureus
golden colonies; coagulase+; ferments mannitol
MSA result
mannitol ferment --> yellow halo (pH decreases)
How is MRSA detected?
Kirby-Bauer test --> resistant; PCR --> gene mutation
What bacteria is coagulase+?
S. aureus
What bacteria is coagulase-?
S. epidermidis