Principles of diseases chapter 14 – Flashcards
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Unlock answersHost
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is an organism that shelters and supports the growth of pathogens |
Disease
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A normal state in which part or all of the body is not properly adjusted or is incapable of performing normal functions |
Pathogens
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Disease causing microorganisms
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Infection
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the invasion and growth of pathogens in the body
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Pathology
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the scientific study of disease
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PATHOLOGY is concerned with
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eitiology (cause), pathogens (development) and effects of disease.
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Animals including humans
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are usually germfree in utero
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Microorganisms begin colonization
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in and on the surface of the body soon after birth
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Transmission of formites |
involve close physical contact between the host and source of the disease |
Transient Microbiota |
are microbes that are present for various periods and then disappear |
The phenomenom called
Microbial antagonism
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is where Normal microbiota can prevent pathogens from causing and infection |
Symbiosis |
Normal Microbiota and the host living together
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what are the three types of Symbiosis |
commensalism (one organism benefits and the other is unaffected)
mutualism (both organisms benefit)
Parasitism (one organism benefits and one is harmed)
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Oppurtunistic Pathogens |
Do not cause disease under normal conditions but can cause disease under special conditions |
Cooperation amoung microorganisms |
In some situations,
one microorganism makes it possible for another to
cause a disease or produce more severe symptoms |
What are Koch's postulates? |
; are criteria for establishing that specific microbes cause specific diseases. |
; ; what are the 4 requirements under Koch's postulates? |
1. the same pathogen must be present in every case of the disease.
2. the pathogen must be isolated in pure culture.
3. the pathogen isolated from pure culture must cause the same diseasein healthy, susceptible laboratory animal
4. The pathogen must be reisolated from the inoculated laboratory animal.
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What are the 5 exceptions to Koch's Postulates? |
; 1.; modified to establish etiologies of diseases caused by viruses and some bacteria, which cannot be grown on artificial media ; 2.; Some diseases, such as tetanus, have unequivocal signs and symptoms. ; 3.; Some diseases, such as pneumonia and nephritis, may be caused by a variety of microbes ; 4.; Some pathogens, such as S. pyogenes, cause several different diseases. ; 5.; Certain pathofens, such as HIV, cause disease in humans only |
; ; Symptoms |
; ; A patient exhibiting subjective changes in body functions |
; ; Signs |
; Measurable changes in a patients body functions |
; ; Diagnosis |
; ; Identification of the disease ; made by a physician |
; ; Syndrome |
; ; A group of symptoms or signs ; that always accompanies a specific disease |
; ; Communicable ; diseases |
; ; Are transmitted directly or indirectly ; from ; one host to another |
; ; A ; Contagious Disease |
; ; is one that is easily spread ; from ; one person to another |
; ; Noncommunicable ; Diseases |
; Are cause; by microorganisms that normally grow outside ; the human body ; and are not transmitted ; from one host to another. |
; ; Disease occurence is reported by |
; incidence (number of people contracting the disease) ; and ; prevalence (number of cases at a particular time) |
; ; ; Diseases are classified by ; 4 types of ; frequency occurence |
1.; sporadic (disease occurs occasionally i.e. typhoid fever) ; 2.; endemic; (disease is constantly present i.e. common cold) ; 3.; epidemic; (a given area, acquire disease in a;relative short period of time i.e. AIDS, ghonerrhea);;; ; 4.; pandemic (An epedemic disease that occurs worldwide i.e. influenza/AIDS) |
; ; The scope of a disease can be defined as |
; ; 1.Acute ; 2.chronic ; 3.subacute ; or ; 4.latent |
; Acute disease |
; ; One that develops rapidly but lasts only a short time (influenza) ; |
; Chronic Disease |
develops more slowly bodys reactions may be less severe disease likely to continue or recur for long periods (hepatitis B) |
; ; Subacute disease |
; ; A disease that is between acute and chronic (sclerosing panencephalitis) |
Reservior of infection |
; ; a continual source of infection |
; ; ; Latent disease |
; one in which the causitive agent remains inactive for a time, ; then becomes active to produce symptoms of the disease ; (shingles - caused by varicella virus) ; ; ; |
; ; ; ; Herd community |
; ; presence of immunity to a disease in a most of the population;in a community.; (example vaccination) |
Local infection |
; affects a small area of the body |
; ; Local infection |
; affects a small area of the body |
; ; Systemic infection |
; is spread throughout the body via ; the circulatory system ; |
; ; ; Primary infection |
; ; is an acute infection that causes the initial illness |
; ; Secondary infection |
; can occur after the host is weakened ; ;from a primary infection ; (Pneumocystic pneumonia as a consequence of AIDS) |
; ; Inapparent or Subclinical Infection |
; ; does not cause any signs of disease in the host (poliovirus or hepatitis A virus) |
; ; ; Sepsis |
; ; a toxic inflammatory condition arising ; from the spread of microbes, ; especially bacteria or their toxins ; from a focus of infections |
; ; Septicimia |
; blood poisoning, is a systemic infection ; arising from the multiplication of pathogens in the blood. |
; ; Bacteremia toxemia |
; ; presence of toxins in the blood (as occurs in tetanus) |
; ; ; Viremia |
; ; ; ; refers to the presence of viruses in the blood |
; What is the sequence of disease |
; 1.there must be a reservoir for infections as a source of pathogen 2.the pathogen must be transmitted to a susceptible host by direct contact, by indirect contact or vectors 3.; transmission is followed by invasion, in which the; microorganism enters the host and multiplies 4. following invasion the microorganism injures the host through a process called pathogenesis 5. extent of injury depends on the degree to which host cells are damaged, either directly or by toxins 6. The occurence of disease ultimately depends on the resistance of the host to the activities of the pathogen ; ; |
Human reservior of infection |
; ; people that have a disease or are carriers of a disease |
Zoonoses |
; are diseases that affect wild and domestic animals and can be transmitted to humans (west nile virus) |
What are some nonliving area that some pathogenic microorganisms grow |
; ; Soil and water |
Primary infection |
an acute infection that causes the initial illness |
Secondary infection |
; can occur after the host is weakened from primary infection |
Transmission by direct contact |
involves close physical contact between the source of the disease and a susceptible host |
; transmission by fomites (inanimate objects) |
; constitutes indirect contact |
; Vehicle transmission |
; Transmission by medium by water, food or air |
; ; Droplet transmission |
; transmission via saliva, mucus in coughing or sneezing |
Nosocomial infection |
; any infection that is acquired during the course of a hospital stay. |
; Percentage of hospitalized patients that acquire Noscomial infections |
; ; 5 - 15% |
What are the most frequent causes of nosocomial infections? |
Opportunistic, drug resistant gram - negative bacteria |
Who are the most compromised hosts for nonsocomial infections in the hospital |
burn, surgical would and suppressed immune system patients |
How are nosocomial infections transmitted? |
transmitted between hospital staff members and patients |
What types of hospital fomites can nosocomial infections be transferred? |
catheters, syringes, and respiratory devices |
EID's emerging infectious diseases |
are new diseases with increasing incidences |
Who is responsible for survelliance and response to new diseases |
CDC, NIH and WHO |
EID's can result from the following: |
; the use of antibiotics, ;pesticides, climactic changes, travel, the lack of vaccinations and improved case reporting |
Modern epidemiology is |
the study of transmission |
; Descriptive epidemiology |
data about infected people are collected and analyzed |
; Analytical epidemiology |
analyzes a particular disease to determine probable cause ; or ; group of infected people is compared with and uninfected group of people |
; Experimental epidemiology |
; ; controlled experiments designed to test hypotheses are performed |
CDC Center for disease control |
main source of epidemiological information in the U.S. |
Case reporting |
; provides data on incidence and prevalence to local, state and national health officials. |
Anthropod vectors transmit disease by two general methods |
Mechanical transmission transmission of pathogens by incests feet or body parts ; ; biological transmission athropod bites and infected person or animal |
predisposing factor |
; makes the body more susceptible to disease ; (gender is sometimes a predisposing factor - ie. bladder infections) |
Emergence of new infectious diseases is probably due to all of the following exept |
; the need of bacteria to cause disease |