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When are we first introduced to microbes?
AT BIRTH we are STERILE until BIRTH
What are the 3 Microorganism relationships?
Commensalism
Parasitism
Mutualism
What happens in Commensalism?
Bacteria BENEFITS + human is UNHARMED
What happens in Parasitism?
Bacteria BENEFITS + human is HARMED
What happens in Mutualism?
Bacteria BENEFITS + Human BENEFITS
What are RESIDENT Flora?
Microorganisms colonizing FOR MONTHS OR YEARS
What are TRANSIENT flora?
TEMPORARY colonization
its just passing by
What is CARRIER STATE flora?
Microorganisms that are on host THAT CAN BE PASSED ON
What does the Composition of microbial flora depend on?
CONDITION of the body site
Nutrition, antibacterial substances, pH, moisture
What are the 5 sites where we have MICROBIAL FLORA?
Skin
Mouth
Respiratory Tract
GI tract
Genitourinary tract
How can normal flora on the skin become opportunistic?
When they are introduced to the STERILE SITES
What does the normal skin microbiota help to do?
PROTECTS the skin and prevent colonization of other microorganisms
What is the PREDOMENANT GENUS in the MOUTH?
Streptococcus
What can the normal flora in the mouth cause?
PLAQUE which is a BIOFILM
Which part of the Respiratory Tract should we expect to be colonized?
UPPER respiratory tract
Mouth, nasopharynx, larynx, oropharynx
Which part of the respiratory tract is STERILE?
LOWER respiratory tract
which is why we have to draw a DEEP COUGH to show status of lower resp tract
Which site of the GI tract is typically STERILE due to its acidic environment?
Stomach
Where are most microbes in the GI tract found?
INTESTINES FURTHER INTO THE GI TRACT
Which sites of the Genitourinary tract should be sterile/relatively sterile?
UPPER, the kidney, bladder, fallopian tubes etc
Which lower Genitourinary sites are expected to have NORMAL FLORA?
Vagina
Bacteria in the presence of what sites is an indicator of INFECTION?
STERILE sites
ALWAYS indicates an infection
What are examples of STERILE SITES?
Brain/CSF
BLOOD
Lower respiratory tract/ fluid associated with longs
Upper genitourinary tract
When do normal flora cause OPPORTUNISTIC INFECTION?
When introduced to a DIFFERENT SITE or IMMUNE COMPROMISATION
Skin flora → blood = infection
What are the 4 ways that normal flora protect the host?
Prevent COLONIZATION
Compete for NUTRIENTS
Produce inhibitory substances
Maintain local pH and other conditions