OCTC-Micro-Chapter 14 – Flashcards

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What anatomical sites in the body are axenic?
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Heart and circulatory system, Liver, Kidneys and urinary bladder, Lungs, Brain and spinal cord, Muscles, bones, Ovaries and testes, Glands (pancreas, salivary, thyroid),
Sinuses, middle and inner ear, internal eye
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What fluids in the body are axenic?
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Blood, Urine in kidneys, ureters, and bladder, CSF, Saliva prior to entering oral cavity, Semen prior to entering urethra,Amniotic fluid surrounding the embryo and fetus
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Pathogens are:
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-are disease-causing organisms
-are microbes that infect the body and cause disease.
-produce virulence factors (toxins, enzymes) that help invade and damage host cells.
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Pathogens spread by:
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direct or indirect methods
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Pathogens spread by involving:
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Infected people
Carriers
Vectors
Vehicles
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Pathogens may be found residing:
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in humans, animals, food, soil, and water
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Pathology
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in humans, animals, food, soil, and water
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Etiology:
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science that deals with cause of disease
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Pathogenesis:
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Manner in which disease develops
The structural and functional changes brought about by the disease
The final effects on the body
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Infection:
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invasion or colonization of the body (the host) by potentially pathogenic microbes
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Infection multiplication of a parasitic organism or virus in or on the body of the host with or without:
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the production of a disease
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Parasitic organism =
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Pathogen
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Disease:
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Any change from a state of health…
when the body is not properly adjusted or
Capable of performing its normal functions
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Disease results:
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When an adequate number of pathogenic cells enter the body
Through a specific route and grow
Disrupt tissues and cause signs and symptoms
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ID =
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infectious dose
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Mutualistic relationship ex:
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E. coli in intestines
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Commensalism:
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One member benefits w/out significantly affecting the other
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Commensalism ex:
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ex. Staphylococcus epidermidis living on skin
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Three types of Symbiosis:
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1. Mutualism
2. Commensalism
3. Parasitism
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Mutualism = both members benefit from the:
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interaction
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Mutualism Example:
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Bacteria in our colon have warm, moist nutrient rich environment to live in
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When bacteria die, they release vitamins:
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K and B vitamins that we absorb
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Commensalism:
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One member benefits w/out significantly affecting the other
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Commensalism ex. :
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Staphylococcus epidermidis living on skin
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Other Names for Normal Microbiota include:
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Normal microbiota
Normal flora
Normal microbial flora
Indigenous microbiota
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Normal flora =
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population of microbes found on and in the body of healthy peoples
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Resident Flora =
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inhabit body sites for extended periods of time; throughout life
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Transient flora =
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only temporary
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Two types of Normal Microbiota in Human Host:
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1. Resident microbiota
2. Transient microbiota
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Resident Microbiota are a part of the ___________ throughout life.
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normal microbiota
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Resident Microbiota are found on:
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skin, mucous membranes of GI, respiratory tract, urethra, and vagina
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Most resident microbiota are:
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commensal
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Why are Normal Microbiota in Human Host?
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These organisms (bacteria, fungi, protozoa) colonize the body’s surfaces without normally causing disease.
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Most normal Microbiota in Human Host are:
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nonpathogenic
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A few normal Microbiota in Human Host are pathogenic but:
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held in check by antagonism
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Normal microbial flora benefits the human host by:
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Preventing the overgrowth of harmful microorganisms and Stimulating the immune system
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What is Transient Microbiota?
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Remain in the body for only hours, days, or months before disappearing.
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Transient microbiotia may be present for a time then disappear because:
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they cannot compete with resident microbiota
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Transient bacteria are found in the same regions as:
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resident microbiota
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Why can’t Transient Microbiota persist in the body?
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Competition from other microorganisms
Elimination by the body’s defenses cells
Chemical (changes in pH of vagina)
Physical changes (urination, defecation, vomiting) in body that dislodge them
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As we development in the womb, it is free of:
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microbes (axenic)
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Microbiota begins to develop during:
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the birthing process.
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By 12 hours after birth:
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Streptococci
Staphylococci
Lactobacilli have colonized neonate.
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Bottle fed infants acquire:
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coliforms, lactobacilli, enteric streptococci and staphylococci.
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Breast fed acquire:
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Bifidobacterium: Which protects the infant from infection of certain intestinal pathogens.
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Much of one’s resident microbiota is established during:
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the first months of life
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Establishment of normal flora continues with:
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teething and solid food
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Two types of Pathogens:
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1. True Pathogens
2. Opportunistic Pathogens
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A microbe that has a parasitic relationship with host that results in disease is called a:
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pathogen
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True pathogens =
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primary pathogens
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True Pathogens are capable of causing disease in healthy person with:
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normal immune defenses.
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Coronavirus causes:
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common cold
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Influenza virus causes:
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flu
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Malarial protozoan causes:
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malaria
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Opportunist pathogens only cause diseases:
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1. When host’s immune defenses are weakened or host is immunocompromised
2. When introduced into an unusual location
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Opportunist pathogens:
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May be members of the normal flora or common in the environment
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Examples of Opportunist pathogens:
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1. Candida
2. E. coli
3. Pseudomonas = common in environment
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Our normal flora maintain:
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microbial antagonism or microbial competition.
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The nonpathogenic microbes hold:
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the pathogenic microbes in check.
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What are the Three conditions when normal flora become opportunistic pathogens?
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1. Immune suppression
2. Changes in normal microbial flora
3. Normal flora in unusual area
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Immune suppression includes:
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Disease, malnutrition, emotional, physical stress
Very old or very young
Radiation, chemotherapy
Immunosuppressive drugs in transplant patients
HIV virus
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Immune suppression can enable opportunist pathogens to:
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become pathogens
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Changes in the normal microbiota:
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Normal microbiota
Use nutrients
Take up space
Release toxic waste
That usually out compete pathogens
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Changes in the normal microbiota: This is called:
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Microbial antagonism
Microbial competition
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Changes in relative abundance of normal microbiota may allow some members of the normal microbiota to become:
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an opportunist pathogen
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ex. Long term use of antibiotic :
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C. difficile
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Killed off sensitive non pathogenic flora, now C. difficile has:
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nutrients and room to multiply and cause a disease
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Introduction of normal microbiota into unusual site in the body Example:
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E. coli or Enterococcus feacalis
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E. coli or Enterococcus feacalis are mutualistic:
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in colon
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But if E. coli or Enterococcus feacalis enter urethra then bladder:
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They becomes parasitic and may cause UTI
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Contamination:
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Mere presence of microbes in/on body
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Contaminants reach body in:
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Food, drink, air, via wounds, arthropod bites, sexual intercourse
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What is the outcome of the Contaminants?
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1. Become part of the normal flora
2. Remain in body a short period of time as part of transient microbiota
3. Overcome body’s external defenses, multiply, become established in the body
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The successful invasion of the body by a microbial contaminant is called an:
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infection.
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The infection may or may not:
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result in disease (which has signs and symptoms).
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Portals of Entry =
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getting in, sites where pathogens enter the body, usually the same regions that support normal microbial flora.
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Attaching to the Host =
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staying in
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Surviving Host Defenses =
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defeat host’s defenses
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Causing the Disease =
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damage the host
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Portals of Exit =
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getting out, transmitted to another host
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What are Four major sites of Portals of Entry
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1. Skin
2. Mucous membranes
3. Placenta
4. Parenteral route
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Stratum corneum : Outer layer of packed, dead, skin cells usually acts as:
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a barrier to pathogens
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Some pathogens can enter through openings or:
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cuts, nicks, abrasions.
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Some pathogens can enter through:
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hair follicles and sweat glands.
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Larvae of some parasitic worms create their own portal using:
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digestive enzymes and burrow into skin to reach the deeper tissues
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Insect bites, tick and spider bites use their:
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probiscus to pierce through the epidermis
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Some fungi can digest:
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the keratin in the outer layers of skin to reach the deeper, moister dermis
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Mucous membranes line:
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GI, respiratory, urinary, reproductive tracts and conjunctiva
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Mucous membranes are ____________ and provide a _____________ that is an easier portal of entry
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thinner than skin; moist, warm environment
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Respiratory tract:
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Most commonly used site of entry
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Bacteria, viruses, fungi, and protozoa:
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Enter nose, mouth in air, on dust, in drops of moisture
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Cold, influenza viruses can enter:
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eye first, then respiratory tract
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Some protozoa, helminths, bacteria, and viruses are able to survive:
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the acidic pH of the stomach
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Some protozoa, helminths, bacteria, and viruses may use the gastrointestinal tract as:
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a route of entry
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Pathogens that enter via GI tract are adapted to survive:
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Digestive enzymes and changes in pH
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Enteric bacteria:
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Salmonella, Shigella, Vibrio, and E. coli (gastroenteritis)
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Enteric Viruses:
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poliovirus, hepatitis A virus, echovirus, and rotavirus (rotavirus = gastroenteritis)
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Enteric Protozoans:
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Entamoeba histolytica and Giardia intestinalis (gastroenteritis)
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Respiratory tract portal of entry for:
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greatest number of pathogens
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Microbes are transferred from:
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upper respiratory tract, to sinuses, to auditory tube then middle ear
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Portal of entry for greatest number of pathogens is:
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Respiratory tract.
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Bacteria, Fungi, Protozoa, Viruses can enter through:
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respiratory tract
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Bacterial, fungal, and viral:
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Pneumonia
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Bacterial diseases:
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strep throat, pneumococcal pneumonia, anthrax, diphtheria, TB, bronchitis, whooping cough
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Fungal diseases:
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blastomycosis, coccidioidomycosis, histoplasmosis, pneumocystis pneumonia
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Viral diseases:
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common cold, SARS, mumps, influenza, respiratory syncytial disease
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STDs enter skin or mucosa of:
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penis, external genitalia, vagina, cervix, or urethra.
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Syphilis/gonorrhea were once:
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the prominent STDs.
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Now ____________ lead the list.
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genital warts, chlamydia, herpes, HIV, Hepatitis B, Trichomoniasis
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Some yeast infections caused by:
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Candida albicans
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Some not all Candida albicans are considered:
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STDs
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NOT All urogenital infections are STDs, some are:
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UTI and yeast infections
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The placenta is usually an effective barrier against microbes in the:
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maternal circulation.
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Some microbes can cross the placenta cause:
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Spontaneous abortion (miscarriage), Congenital abnormalities, Brain, damage, Premature birth, Stillbirths
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STORCH:
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Syphilis
Toxoplasmosis
Other = Chlamydia, Hepatitis B, HIV
Rubella
Cytomegalovirus
Herpes simplex (Hepatitis B, HIV)
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Parenteral Route not a true portal of entry but a means by which:
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portals can be circumvented
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To enter the Parenteral Route:
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Pathogens are deposited directly into tissues beneath the skin or mucous membranes by:
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Pathogens are deposited directly into tissues beneath the skin or mucous membranes by:
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Nail, Thorn, Hypodermic needle, Bites, Stab wounds, Surgery
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After entering the body, microbes must __________ in order to establish _______.
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adhere to host cells ; colonies
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