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Host
an organism that harbors another organism
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Symbiosis
association between 2 (or more) species (meaning "living together")
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Mutualism
both members of the assocition benefit from the relationship
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Commensalism
one benefits and the other one neither benefits nor is harmed
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Parasitism
parasite benefits from the relationship while the host is harmed by it
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Antagonism
both species harm each other wihout either benifitting
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Opportunism
some species of organisms that do not usually cause disease but do so under certain conditions
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Contamination
microorganisms are present on inaminate objects or on surfaces of the skin or mucous membranes of the host, some with a capacityto invade host tissues
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Infection
multiplication of any parasitic organism within or on the host's body
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Infestation
type of infection that used to refer to presence of large parasites in or on the body
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Disease
occurs when an infection disrupts the normal functioning of the host
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Pathogenicity
- capacity to produce disease
- depends on the ability of the organism to invade a host, multiply in the host, and aoid being damaged by the host's defenses
- the larger the number of pathogens, the greater the chances of causing disease
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Virulence
- refers to intensiyt of the disease (how hard it hits) produced by pathogens, and it varies among different microbial species and even among members of the same species of pathogen
- virulence of a pathogen can increase by animal passage, the rapid transfer of the pathogen through animals of a species susceptible to infection by that pathogen
- can be decreased by attenuation
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Attenuation
can be achieved by repeated subculturing on lab media or by transposal of virulence
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Transposal of virulence
- lab technique in which a pathogen is passed from its normal host to a new host species and then passed sequentially through many individuals of the new species
- eventually the pathogen adapts completely to the new host and is no longer virulent for the original host
- used in mumps, measles vaccin preparation
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Normal microflora
- organisms that live on or in the body but do not cause disease
- also known as microbiota
- most are commensals
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Resident microflora
- comprose of microbes that are always present on or in the human body
- highly adapted to prevailing conditions
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Transient Microflora
- comprise of microbes that can be present under certain conditions in any of the locations where resident microflora are found
- persis for hours to months depending upon the existing conditions (favorable)
- among the residen and transient micrlora, you can find some species that do nt usually cause disease, but can do so under certain conditions (opportunists)
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Koch's postulate
- specific causative agent must be observed
- agent must be isolated and grown in pure culture
- hosts must get the same disease when inoculated
- agent must be re-isolated and show to be the same causative agent
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Latrogenic diseases
- also known as nosocomial infections
- caused by infections acquired at hospital
- staphylococcus aereus infection
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Idiopathic diseases
cause is unknown
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Virulence factors
- structural or physiolgocal characteristics that help organisms cause infection and disease
- pili for adhesion to cells and tissue
- enzymes that eitehr help in evading host defenses or protect the organism from host defenses
- toxins that can directly cause disease
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Biofilms
specialized communities (colonies) of bacteria that utilize mass-produced glycocalyx to adhere to surfaces and bild a hospitable environment
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Growth in the host
- adherence
- host defense evasion
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Capsules
- structures made of glycocalyx that surround the bacterial cell
- hydrophobic nature protect the bacterial cell against harsh environments
- can resist phagocytosis
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Coagulases
- enzymes that clot blood plasma
- can produce favorable environmentfor pathogen
- can hinder mobility of leukocytes
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Hyaluronidase
enzyme taht oxidizes hyaluronic acid, decreasing its viscosity and enabling the pathogen to penetrate deeper into the tissue
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Hemolysins
enzymes that kill RBCs and release Fe2+
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Leukocidins
enzymes that kill leukocytes
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Leukostatins
interfere with the ability of leukocytes to engulf microorganisms that secrete the exotoxin
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Chemokine proteases
enzymes that break down interleukins
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Damage to host cell
- Direct- by release of toxins
- Indirecty
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Endotoxins
- toxins released from the pathogen at death, usually as a result of phagocytosis or degradation
- bacterial endotoxins have nonspecific effects
- can also cause tissue damage
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Mycolic endotoxin
created when acid-fast bacteria are degraded
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O-antigen
endotoxin that is crated when gram-negative bacteria are degraded
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Exotoxins
- powerful toxins deliberately released by living pathogen (almost all gram-positive and some gram-negative), most are polypeptides
- C. difficile's TcdA, B. anthracis' toxin complex, and C. botulinum's Botulinum toxin (bottom)
- many have special attraction for special tissue
- Enterotoxins
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Hyperimmune response
- also known as autoimmune response
- can cause damage to the host by overreaction or missing the target enirely
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Indirect- by release of toxins
- usually by nutrient acquisition by the pathogen
- pathogen out-competes host for nutrition
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Sign
- characteristic of a disease that can be observed by examining a patient
- include such things as swelling, redness, rashes, coughin, pus formation, runny nose, fever, vomiting and diarrhea
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Symptom
- characteristic of a disease that can be felt or experienced only bt the patien
- include such things as pain, shortness of breath, nausea, sore throat, headache and malaise (discomfort)
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Syndrome
Combo of signs and symptoms that occur together and are indicative of a particular disease or abnormal condition
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Sequalae
after effects that some diseases leave even after recover (eg. effects following infection by polio virus)
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Epidemiology
study of factors and mechanisms involved in the frequency and spread of diseases and other health related problems within population of humans, animals or even plants
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Etiology
refers to the causation of a disease
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Incidence of a disease
number of new cases contracted within a set population during a specific period of time
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Prevalence of a disease
total number of people infected withina a population at any time
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Morbidity
rate typically expressed as the number of cases (individuals) per 100k people/year infected by the same disease or pathogen
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Mortality
rate typically expressed in terms of individuals/100k that have been killed by some disease or pathogen
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Endemic
infectious agent is present continually in the population of a particular geographic area, but both the humber of reported cases and the severity of the diesease remain low to constitute public health problem
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Epidemic
- arises when a disease suddenly has a higher-than-normal incidence in a population
- then the moribity rate or motrtality rate of both become high enough to cause public health problem
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Pandemic
occurs when an epidemic spread world wide
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Sporadic disease
occurs in a random, unpredictable manner, involving several isolated cases that pose no great threat to the population as a whole
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Common source outbreak
epidemic that arises from contact with contaminated substances
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Propagated epidemic
- arises from direct person-to-person contacts of horizontal transmission
- pathogen movies from infected to uninfected individual
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Infection reservoirs
- Human
- Animal
- Non-living, soil, and water
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Contact transmission
- Direct contact
- Indirect contact by fomites
- Droplets
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Vehicle transmission
- Waterborne
- Airborne, including dust particles
- Foodborne
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Vector transmission
- mechanical (on insect bodies)
- Biological
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Problems in disease transmission
- disease cycles
- herd immunity
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Controlling disease transmission
- Isolation
- Quarantine
- large-scale immunization
- vector control
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Notifiable diseases
- infectious diseases that are potentially harmful to the public's health
- Nationally Notifiable Infectious Diseases
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Exogenous infections
caused by organisms that enter the patient from the environment
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Endogenous infections
caused by opportunists among the patient's own microflora
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Nosocomial infection risks
- susceptibility
- transmission
- universal precautions
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