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Infectious Disease
A clinically evident illness caused by the invasion and multiplication of pathogenic microorganisms (such as bacteria, viruses, fungi or parasites) in a host
Infection
The entry, establishment, and multiplication of microorganisms in the tissues of a host, which may or may not lead to disease
Asymptomatic Infection
An infection in which the host harbors a pathogen but shows no clinical signs or symptoms, although they may still transmit the organism
Colonization
The presence and growth of microorganisms on body surfaces (such as skin or mucosa) without causing tissue invasion or symptoms
One step in biofilm formation, possible virulence factor (E. coli)
Opportunistic Pathogen
A microorganism that usually does not cause disease in a health host but can cause infection when host defenses are compromised or normal flora is disrupted
Obligate Pathogen
A microorganism that almost always causes disease when it is present and cannot persist for long in the host or environment without causing pathology
Obligate Intracellular Pathogen
A pathogen that must live and replicate inside host cells because it cannot reproduce or carry out essential metabolic processes outside them
Viruses
Facultative Intracellular Pathogen
A bacterium that can survive and replicate both inside host cells and in the extracellular environment
The bacterium can hide from immune response inside host cells
Virulence Factor
Any microbial component or strategy (such as toxins, enzymes, adhesins or capsules) that contribute to the ability of a pathogen to cause disease
Localized Infection
An infection limited to one specific site or tissue in the body, without systemic spread
Systemic Infection
An infection that spreads through the bloodstream or lymphatics to multiple organs or tissues in the body
Nosocomial Infection
An infection acquired in a hospital or other healthcare facility that was not present or incubating at the time of admission
Acute Infectious Disease
An infection with a rapid onset of symptoms and a relatively short clinical course
Chronic Infectious Disease
An infection that develops more slowly and persists for months or years, often with periods of remission and relapse
Ex: HVS
Latent Infection
An infection in which the pathogen persists in the host in a dormant state with no symptoms, but can reactivate later to cause disease
Factors that reactivate it are stress, UV, antibiotics
Ex: Varicella-Zoster virus
Persistent Infection
A long-lasting infection in which the pathogen is continuously present in the host, sometimes at low levels, with or without ongoing symptoms
Typical in hospitals, immunocompromised patients
Incubation Period
Time between exposure to a pathogen and the onset of the first signs or symptoms
During this phase, the pathogen is multiplying and the host’s innate and adaptive immune responses are being activated but there is still no clinical disease
Prodromal Period
Early phase of an illness with nonspecific, mild symptoms (ex: malaise, low-grade fever) that appear as the immune response starts to intensify and tissue damage begins
Symptoms are often vague and diagnosis may be uncertain
Acute Phase
Period during which signs and symptoms are most intense and the pathogen load and inflammatory response are at their peak
Clinical manifestations are fully developed and the effect of antimicrobial or supportive treatment is usually most evident in reducing symptoms and pathogen burden
Convalescence Period
Recovery phase after the acute illness during which pathogen levels fall, the immune response contracts, and damaged tissues are repaired
Symptoms gradually resolve and the host returns to normal health, although some patients may still be infectious or feel residual fatigue
Clinical Cure
Resolution of the signs and symptoms of an infection as judged by the patient and clinician
Microbiological Cure
Eradication of the causative pathogen from the body, confirmed by negative microbiological tests
Symptom
A subjective complaint reported by the patient
Specific Symptom
A symptom that strongly suggests a particular disease
Ex: bloody diarrhea in Shigellosis
Nonspecific Symptom
A symptom that occurs in many different conditions
Ex: Fever, low-grade fever
Syndrome
A set or pattern of signs and symptoms that tend to occur together and characterize a particular disease or condition
Active Carrier
An infected individual who shows clinical signs and symptoms of disease and can transmit the pathogen to others, typically because they are shedding large numbers of microorganisms (Ex: in respiratory secretions, stools, or lesions)
Healthy Carrier
An individual who harbors a pathogen and can transmit it to others but has no clinical signs or symptoms
Infection is often controlled by the immune system, so the person feels well but still sheds the microorganism (Ex: in stool, saliva, or nasal secretions)
Chronic Carrier
A person who continues to harbor and shed a pathogen for months or years after apparent recovery from the acute infection
Focus (Source, Reservoir)
The site or environment where a pathogen normally lives, multiples and from which it can spread to susceptible hosts
Reservoirs can be human, animal or environmental
Biological Vector
An arthropod or other living organism that not only transports a pathogen but also supports part of its life cycle or replication before transmitting it to a new host
Vehicle
A non-living medium (food, water, or blood products) that passively carries pathogens from one host to another
Fomite
An inanimate object or surface that can become contaminated and serve as a source of indirect transmission of pathogens
Horizontal Transmission
Transmission of a pathogen between individuals of the same generation
Ex: Direct contact, droplets, sexual contact, vectors, or contaminated objects
Vertical Transmission
Transmission of a pathogen from parent to offspring, typically from mother to child, before, during, or shortly after birth
Congenital Transmission
Vertical transmission of a pathogen from mother to fetus across the placenta during pregnancy, leading to infection present at birth
Perinatal Transmission
Transmission of a pathogen from mother to child shortly before, during, or immediately after delivery (ex: during passage through the birth canal)
Postnatal Transmission
Transmission of a pathogen from mother or environment to the newborn after birth, for example through breast milk, close contact or respiratory droplets
Zoonosis
An infectious disease that is naturally transmitted between animals and humans
Immunization
Process of inducing or boosting protective immunity against a specific pathogen, usually by vaccination
Vaccination
Act of administering a vaccine containing antigens or attenuated/inactivated organisms to induce immunity
Antimicrobial Treatment
The use of drugs such as antibiotics, antivirals, antifungals, or antiparasitics to prevent or treat infections caused by microorganisms
Prophylaxis
Any intervention, such as vaccines or antimicrobial drugs, given to prevent infection or disease before exposure or early after exposure
Pathogenesis
The mechanisms and processes by which a pathogen cause disease in the host, from initial entry to tissue damage and clinical manifestations
Virulence
The relative ability of a microorganism to cause disease, often reflected in the severity of the infection it produces
Mechanism of Pathogenicity
The specific strategies and steps used by a microorganism to invade the host, evade defenses, damage tissues, and produce disease
Epidemiology
The study of the distribution, determinants, and control of health-related events, including infectious disease in populations
Incidence
The number of new cases of a disease that occur in a defined population during a specified period of time
Prevalence
The total number of cases of a disease (new and pre-existing) present in a defined population at a given point in time or over a specified period
Epidemic
An occurrence of disease cases in a community or region that is clearly in excess of the expected baseline level
Endemic
The constant presence or usual baseline level of a disease or infectious agent in a particular geographic area or population
Ex: Malaria in Africa
Pandemic
An epidemic that has spread over several countries or continents, usually affecting a large number of people
Ex: Covid-19 in 2020
Outbreak
A sudden increase in the number of cases of a disease in a particular time and place, often limited in scale but above the expected level
Ex: Adenovirus infection in one school