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equilibrium
the human body exists in a state of dynamic
biofilms
many interaction between human body and microorganisms involve the development of
“give and take”
colonization of the body involves a constant
microbes
provide a protective and stabilization effect on body surfaces; are involved in maturation of host defenses and development; can invade and grow in sterile tissues, causing disease
infection
pathogenic microorganisms penetrate the host defenses, enter the tissues and multiply
disease
the pathologic state that results when something damages or disrupts tissues and organs
infectious disease
the disruption of a tissue or organ caused by microbes or their products
resident biota
the human as a habitat
normal (resident) biota
microbes that engage in mutual or commensal associations with humans
normal (resident) biota
microflora, indigenous flora, microbiota
metagenomics
being used to identify the microbial profile inside and on humans; human microbiome project
host
any organism that harbors another organism
symbiosis
an association between 2 or more species
mutualism
both members of the association living together benefit for the relationship
commensalism
two species live together in a relationship such that one and the other one neither benefits nor is harmed
parasitism
one organism , the parasite benefits from the relationship, whereas the other organism, the host, is harmed
microbe-free
internal organs, tissue, and fluids are
resident microbes
most areas of the body in contact with the outside environment harbor
transients
microbes that occupy the body for only short periods
residents
microbes that become established
health, age, diet, hygiene, hormones, drug therapy
biota can fluctuate with
microbial antagonism
many times bacterial biota benefit the human host by preventing the overgrowth of harmful microorganism
compromised immune systems
hosts with ____ could be infected. by their own biota
endogenous infections
caused by biota that are already present in the body
microbe-free
internal organs and tissues and fluids are
just before birth when mucus plug come out
uterus and contents are normally sterile and remain so until
pathogen
a microbe whose relationship with its host is parasitic and results in infection and disease
pathogenicity
type and severity of infection depend on___of the organism and the condition of the host; an organism’s potential to cause infection
true parthogens
capable of causing disease in healthy persons with normal immune defenses
true pathogens
influenza virus, plague bacillus, malarial protozoan
opportunistic pathogens
cause disease when the host’s defenses are compromised or when they grow in part of the body that is not natural to them
opportunistic pathogens
pseudomonas sp and Candida albicans
skin
largest and most accessible organ
transients
cling to the surface but do not grow there; influenced by hygiene- multiply on top epidermis layer of the skin
residents
stable, predictable, less influenced by hygiene primarily bacteria and yeasts- multiply on the deep layer of the epidermis
dermis layer of the skin
no microbes should be present in the
GI tract
is a long hollow tube, bounded by mucous membranes; receives, moves, digest, and absorbs food and removes waste
oral cavity, esophagus, stomach, small intestine, large intestine, rectum and anus
GI tract includes
variations in flora distribution
due to shifting conditions like pH, oxygen tension and anatomy
cheek epithelium, gingiva, tongue, floor of mouth, tooth enamel
most diverse and unique flora of the body
S. sanguis, S. salivarius, S. mitis
the most common residents are aerobic streptococcus species
teeth eruption
establishes anaerobic habitat in the gingival crevice favoring colonization by anaerobic bacteria
fermentation of waste material in the feces
generates vitamins (B12, K, pyridoxine, riboflavin, and thiamine) and acids( acetic, butyric and propionic)
bacterial digestive enzymes
convert disaccharides to monosaccharides or steroid metabolism
skatole, amines and gases
contribute to intestinal odor
oral streptococci
first organisms to colonize
staphylococcus aureus
nasal entrance, nasal vestibule, anterior nasopharynx
neisseria species
mucous membranes of nasopharynx
assorted streptococci and haemophilus
tonsils ans lower pharynx
vagina and outer opening of uretha
sites that harbor microflora in females
anterior uretha
sites that harbor microflora in males
urine
kidney, urether, bladder and upper uretha kept sterile by
composition of normal flora
changes in physiology influence
normal flora
is essential to the health of humans; create an environment that may prevent infections and can enhance host
antibiotics, dietary changes, disease
may alter flora
probiotics
introducing known microbes back into the body
avoiding phagocytosis
avoiding death inside phagocyte
evading actions of the immune system
surviving host defenses
direct damage
toxins, enzymes, lysis
indirect damage
host response is inappropriate and excessive
virulence of the pathogen
severity of the disease depends on the
virulence factor
characteristic or structure that contributes to the ability of a microbe to cause disease; pathogenicity is dependent on this
portals of entry
characteristic route a microbe follows to enter the tissues of the body
exogenous agents
originate from source outside the body
endogenous agents
already exists on or in the body(normal flora)
portals of entry in skin
nicks, abrasions , punctures, incisions
portals on entry in GI tract
contaminated food, drink and other ingested materials
portals of entry in respiratory tract
oral and nasal cavities
portals of entry in the urogenital tract
sexual, displaced organisms
infectious dose(ID)
minimum number of microbes required for infection to proceed
greater virulence
microbes with small IDs have
infection
lack of ID will not result in
adhesion
microbes gain a stable foothold at the portal of entry; dependent on binding between specific molecules on host and pathogen
neisseria gonorrhoeae
gonorrhea; Type IV pili attach to genital epithelium.
escherichia coli
diarrhea; Well-developed fimbriae adhere to intestinal cells.
shigella and salmonella
gastroenteritis; Fimbriae attach to intestinal epithelium.
vibrio cholerae
cholera; Glycocalyx anchors to intestinal epithelium.
infleunza virus
influenza; Viral spikes dock to respiratory receptors.
HIV
AIDS; Viral spikes adhere to white blood cell receptors.
exoenzymes
bacteria produce extracellular enzymes that dissolve and penetrate through or between cells to invade underlying tissues
toxins
secreted by bacteria damage target cells, which die and begin to slough off
blocked phagocytic response
bacteria have a property that enables them to escape phagocytosis and continue to grow and cause further infections
toxin
specific chemical product of microbes, plants, and some animals that has poisonous effects on other organ
toxinoses
adverse effects of toxins
toxemias
when the toxin is spread by the blood from the site of infection (tetanus, diphtheria)
intoxications
caused by ingestion of toxins (botulism
endotoxins
not secreted, but released after the host cell is damaged- top of outer membrane of gram negative cells (LPS)
exotoxins
secreted by a living bacterial cell into the infected tissue; Strong specificity for a target cell, disrupting its membrane
hemolysis
disrupt membrane of red blood cells
A-B toxins
A-active ,B-binding
physiological effects of exotoxins and endotoxins
fever, malaise, aches, shock- released after cell is damaged, not specific
toxoid
is an inactivated toxin used in vaccines.
antitoxin
is an antibody that reacts specifically with a toxin.
incubation period
time from initial contact with the infectious agent to the appearance of first symptoms; agent is multiplying but damage is insufficient to cause symptoms; several hours to several years
prodromal stage
vague feelings of discomfort; nonspecific complaints- headaches, muscle aches, stomach aches
period of invasion
multiplies at high levels, becomes well-established; more specific signs and symptoms- greatest toxicity, greater symptoms
convalescent period
as person begins to respond to the infection, symptoms decline- going back to homeostasis/ normal. Getting better. If someone dies then its called terminal illness
localized infection
microbes enter the body and remains confined to a specific tissue- warts
systemic infection
infection spreads to several sites and tissue fluids usually in the bloodstream- chicken pox, measles, syphillis
focal infection
when infectious agent breaks loose from a local infection and is carried to other tissues- tuberculosis
mixed infection
several microbes grow simultaneously at the infection site -polymicrobial