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the study of disease
pathology
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the study of the cause of disease
eitology
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development of disease
pathogenesis
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colonization of the body by pathogens
infection
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abnormal state in which your body isn't functioning normally
disease
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microbes that grow in "optimum growth" (37 degrees C)
mesophiles
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microbes that like the cold
phychrophiles
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microbes that like it hot
thermophiles
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microbes that like it REALLY hot
extremophiles
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microbes that like salt (15%)
halophiles
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microbes that survive in the presence of oxygen (use oxygen in ETS)
obligate aerobes
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microbes tha cannot survive in oxygen
obligate anaerobes
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microbes that can live in presence or absence of oxygen
facultative anaerobes
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microbes that require oxygen, but in low concentrations
microanerophiles
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The destruction of vegetative pathogens but not bacterial endospores.
disinfection (usually used only on inanimate objects)
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The complete removal or destruction of all viable microorganisms.
sterilization (used on inanimate objects)
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Chemicals applied to body surfaces to destroy or inhibit vegetative pathogens.
Antisepsis
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Chemical and physical methods that reduce the microbial load on skin.
Degermation
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Destruction of all forms of microbial life.
sterilization
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Lowers the microbial counts on eating and drinking utensils to safe public levels.
santitation
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inhibits the growth (certain antibiotics)
bacteristatic
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kills the microorganisms (certain antibiotics)
bacteriocidal
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bacterial contamination vs. free of pathogens
sepsis vs. antisepsis
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steam under pressure or sterilizing gas such as ethylene oxide
autoclave (15psi at 121C)
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kills vegetative bacterial and fungal pathogens; most virus within 10 min (for dishes, etc & equipment)
boiling or flowing steam
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Heat treatment for milk 72C for 15 sec; doesn't kill all bacteria but kills pathogens and most nonpathogens
pasteurization
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removes organisms bigger than .22um; for liquids that could be destroyed by heat
filtration
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used in surgical hand scrubs; kills vegetative cells and viruses with an envelope
biguanides
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organism that must obtain carbon in organic form
heterotroph
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organism that uses CO2 as carbon source
autotroph
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organisms that use light and CO2 as energy/carbon source
photoautotrophs
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organisms that use light and organic substances to obtain energy/carbon
photoheterotrophs
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organisms that use inorganic compounds (H2, NH3, etc) and few bacteria for energy/carbon source
chemoautotrophs (or lithotrophs)
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organisms that use organic compounds and most bacteria at energy/carbon source
chemoheterotrophs (or heterotrophs)
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Effective dry heat temp and time
120C for >2 hrs
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bacteriostatic effect; decreased chemical reaction
cold-refrigeration
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the most effective form of incineration/oxidation
lyophilization/dessication
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drugs against parasitic worms
antihelminths
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natural products of fungi, actinomycetes, and bacteria which inhibit growth of microbes
antibiotics
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way of classifying organisms; kills organisms
bactericidal
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way of classifying organisms; prevents organisms from increasing
bacteriostatic
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range of activity that covers one group (gram +)
narrow spectrum
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range of activity that cover gram + and systemic, enteric (gram neg rods), and urinary tract gram neg
moderate spectrum
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range of activity that covers gram + and gram neg
narrow/moderate spectrum
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range of activity that covers everything except mycobacteria (waxy) and pseudomonas (gamma proteobacteria)
broad spectrum
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range of activity that covers mycobacteria (i.e. TB)
anti-mycobacterial
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one drug counters the effect of the other
antagonistic
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2 drugs working together have a better effect than each by themselves
synergistic
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2 drugs is equal to sum of drugs taken separately
additive
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symbiosis in which both organisms benefit
mutualism
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symbiosis in which one organism benefits and the other is harmed
parasitism
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symbiosis in which one organism benefits and nothing happens to the other
commensalism
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a change in body function that is felt by a patient as a result of a disease
symptom
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a change in a body that can be measured or observed as a result of disease
sign
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a specific group of signs tans symptoms that accompany a disease
syndrome
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a disease that is easily spread from one host to another
communicable
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fraction of a population that contracts a disease during a specific time
incidence
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fraction of population having a specific disease at a given time
prevalence
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disease that occurs occasionally in a population
sporadic disease
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disease constantly present in a population
endemic disease
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disease acquired by many hosts in a given area in a short time
epidemic
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disease acquired by many hosts worldwide in a short time
pandemic disease
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immunity in most of a population
herd immunity
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disease in which symptoms develop rapidly
acute disease
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disease that develops slowly
chronic disease
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disease that shows symptoms between acute and chronic
subacute
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disease with a period of no symptoms when the patient is inactive
latent disease
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they are capable of causing disease in healthy persons with normals immune defenses
true pathogens
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they 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
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toxins in the blood
toxemia
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viruses in the blood
viremia
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acute infection that causes initial illness
primary infection
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opportunistic infection after a primary (predisposing) infection
secondary infection
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no noticeable signs or symptoms (inapparent infection)
subclinical disease
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when pathogens are limited to a small area of the body
local infection
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when an infection is throughout the body, usually through bloodstream
systemic infection
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systemic infection that began as a local infection
focal infection
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growth of bacteria in the blood (multiplying)
septicemia
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presence of bacteria in the blood
bacteremia
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a parasite that causes disease
pathogen
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a departure from the normals stage of health due to the presence or growth of a microorganism
infectious disease
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the ability to cause disease
virulence
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ability of the pathogen to spread to adjacent or other tissues
invasiveness
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the ability of an organism to establish a focal point of infection
infectivity
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the pathogen's ability to produce toxins
toxigenicity
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transmission of a disease by an inanimate reservoir
vehicle
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transmission of disease by arthropods (through stinging, biting, etc)
vector
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transmission of disease by arthropods that carries pathogen on feet
mechanical
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transmission in which the pathogen reproduces in vector
biological
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the study of where and when diseases occur
epidemiology
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the incidence of specific notifiable disease
morbidity
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deaths from notifiable diseases
mortality
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number of people affected/total population in a given time period
morbidity rate
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number of deaths from a disease/total population in a given time
mortality rate
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virulence factor that digest epithelial tissues and permit invasion of pathogens
exoenzymes
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virulence factors that have capacity to produce toxins at the site of muliplication
toxigenicity
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help to kill or avoid phagocytes, include leukocidins and capsules
antiphagocytic
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substances that contribute to pathogenicity
toxin
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ability to produce a toxin
toxigenicty
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presence of toxin in the host's blood
toxemia
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inactivated toxin used in a vaccine
toxoid
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antibodies against a specific toxin
antitoxin
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a specific reaction to foreign substances, including microbes and macromolecules
immunity
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the cells and molecules responsible for immunity and their cooperative and coordinated responses to the introduction of foreign substances
immune system
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B cells that have been stimulated by antigen to mature and produce antibody
plasma cells
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a molecule recognized by the immune system
antigen
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produced by liver and secreted into the blood stream during infections
acute phase proteins
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a series of 20 serum proteins which act to bind to foreign particles and cause cell lysis
complement
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a cytokine produces by myeloid cells (leukocytes) which is induced by bacterial endotoxin
tumor necrosis factor
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low molecular weight glycoproteins that function in cell to cell communication and regulation of the development of immune responses and other body systems
cytokines
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chief stimulator of acute phase proteins
interleukin-6
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secrete by TH cells and activates both B and TH1 cells
interleukin-2
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the body's reaction to injury which acts to direct the immune response to the site of injury
inflammation
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migration of cells out of blood vessels into the tissues
diapedesis
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migration in response to specific chemicals at the site of injury or infection
chemotaxis
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mediated by antibodies that are secreted into the blood that are responsible for specific recognition and elimination of foreign substances
humoral immunity
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T cells that assist other T and B cells, conductor of immune response
TH cells
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T cells that destroy foreign or abnormal cells by secreting perforins (type of protein) that lyse cells.
Tc Cells
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T cells that are responsible for allergies occurring several hours or days after contact
TD cells
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T cells the limit the actions of other T cells and B cells
Ts cells
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Immune system that consists of aggregates of lymphocytes, plasma cells and macrophages located in intestine, lymphoid follicles in the appendix, tonsils, and respiratory tract.
mucosal immune system
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Immune response geared towards tolerance and dampening.
intestinal mucosal
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The immune system that consists of intraepidermal lymphocytes and accessory cells known as Langerhans cells; the site on immune response to topically applied antigens
cutaneous immune system
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The antibody that is the predominant immunoglobulin in blood, lymph, CSF, and peritoneal fluid and passes into placenta; small and highest in amount
IgG
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The antibody that is the first immunoglobulin produced in an immune repsonse; very large molecule in blood stream, too large to go somewhere else
IgM
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The antibody that is present in mucous secretions of the respiratory, GI, and urinary tract; small amount; related to breast milk, protection
IgA
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The antibody that protects from parasitic infections; especially reactive in individuals who are allergic; binds to mast cells and causes release of histamine and other granuals
IgE
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The antibody related to cell surface molecules
IgD
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an exaggerated response; related to allergies, autoimmune disease, rejecting organ transplant
overreactive
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related to cancers and immunodeficiencies
underreactive
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proteins that are soluble and get through mucosal layer, permeability due to enzymes
allergen
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in the test tube
in vitro
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aka runny nose
allergic rhinitis
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when an inhaled antigen activates mast cells and the TH2 cells in the airway; inflammation occurs
asthma
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atom or molecule that contains a combination of atoms other than carbon or hydrogen
inorganic molecules
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molecule that contains carbon and hydrogen atoms and are usually the products of living thing
organic nutrients
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organisms that live in an aqueous environment experience ____
osmotic pressure
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food preservative by causing loss of water and leads to plasmolysis
addition of salts or sugars
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to exploit differences in structure and metabolism of pathogens and host cells (to kill organisms not man!)
selective toxicity
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target enzyme or other sites may be altered--lower affinity for antibacterial but target can still function adequately
altered target
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by increasing impermeability of cell wass (loss of bacterial proteins--porins) or by pumping drug out of cell (efflux)
altered uptake
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production of enzymes which modify or destroy the antibacterial agent
drug inactivation
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smallest concentration of drug that visibly inhibits growth
minimum inhibitory concentration (MIC)
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the ratio of the dose of the drug that is toxic to humans as compared to its minimum effective dose
therapeutic index
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contact that requires close association between infected and susceptible host
direct contact
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contact spread by fomites (any inanimate object or substance capable of carrying infectious organisms)
indirect contact
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transmission via airborne droplets (coughing, sneezing, etc)
droplet transmission
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