Presentation on theme: "Microorganisms and Disease How does the human body and various microorganisms interact in terms of disease?"— Presentation transcript:
Microorganisms and Disease How does the human body and various microorganisms interact in terms of disease?
Infectious Disease skin, mucous membranes, antibodies bacteria can produce capsules, enzymes, and toxins infectious disease is the primary cause of death world-wide 1918-1919: influenza pandemic killed more than 20 million people world-wide and 500,000 people in the United States
Readings question #1: Describe the “chain of infection”.
Infection vs. Disease Infection: “the entry, establishment and multiplication of pathogenic organisms within a host” Disease: an abnormal state in which part or all of the body is not properly adjusted or is incapable of performing normal functions; any change from a state of health
Factors that Influence the Occurrence of Disease 1) virulence of the organisms 2) portal of entry of the pathogen 3) number of organisms present 4) the resistance of the host
Virulence of Organisms virulence: “relative power of an organism to produce disease” resistance host pathogen contamination: “the act of introducing disease germs or infectious material into an area or substance”
Virulence (cont’d) true pathogen: “an organism that due to its virulence is able to produce disease: attenuation: “dilution or weakening of virulence of a microorganism, reducing or abolishing pathogenicity” pathogenicity: “the state of producing or being able to produce pathological changes and disease”
Virulence (cont’d) indigenous flora: “synonymous with normal flora, indicates the microbial population that lives with the host in a healthy condition” opportunists: “an organism that exists as part of the normal flora but may become pathogenic under certain conditions” drug-fast: “resistant, as in bacteria, to the action of a drug or drugs”
MRSA 2005: 94, 360 people; 18,650 died (CDC) 85%- healthcare 66% outside of hospital “colonized” but not infected invasive medical procedures, weakened immune systems sepsis, surgical site infections, pneumonia
MRSA (cont’d) mode: human hands staph generally harmless unless they enter through a cut or wound 1990: CA-MRSA (community-associated) preventable
Types of Infections and Diseases exogenous infections: “originating outside an organ or part” endogenous infections: “produced or arising from within a cell or organism” acute diseases: symptoms develop rapidly but may only last for a short period of time chronic diseases: develop slowly and are likely to continue or recur for long periods of time
Infections and Diseases (cont’d) communicable diseases: “a disease that may be transmitted directly or indirectly from one individual to another” endemic: “disease that occurs continuously in a particular region, but has low mortality” epidemic: “appearance of an infectious disease or condition that attacks many people at the same time in the same geographical area”
Infections and Disease (cont’d) pandemic: “a disease affecting the majority of the population of a large region or one that is epidemic at the same time in many different parts of the world” sporadic: “a disease which occurs occasionally or in scattered instances” noncommunicable diseases: do not spread from one host to another
Readings question #2: Define local, focal, and general infections, and give an example of each.
Infections (cont’d) primary: “the first infection that a host has after a period of health” secondary: “infection caused by a different organism than the one causing the primary infection mixed: “infection caused by two or more organisms” blood: viremia; bacteremia
Readings question #3: Define septicemia and toxemia and include an example of each. What are the symptoms/characteristics for septicemia and toxemia?
Factors Influencing Virulence Readings question #4: Describe toxins, exotoxins, and endotoxins, and give an example of each. Capsules and Endospores
Sources of Infection Human Reservoirs: “carriers” Universal Precautions Animal Reservoirs: “zoonoses” Environmental Reservoirs: Vibrio cholera Salmonella typhi
Transmission of Infections Direct: viral respiratory disease, staphylococcal infections, hepatitis A, measles, scarlet fever, STDs, AIDS, infectious mononucleosis - hand washing, gloves etc. Indirect: Readings question #5: Describe the primary mechanisms of indirect contact. Include examples with each mechanism. What are fomites?
Portal of Entry 5 portals of entry: 1) skin and mucous membranes 2) respiratory tract 3) digestive tract 4) genito-urinary tract 5) placenta
Skin and Mucous Membranes membranes line the respiratory tract, gastrointestinal tract, genitourinary tract, and conjunctiva skin is one of the largest organs of the body - hair follicles and sweat gland ducts parenteral route: microorganisms are deposited directly into the tissues
Respiratory Tract easiest and most frequently traveled portal of entry airborne pathogens sneezing, coughing, touching contaminated surfaces and then touching the mouth or nose, dust particles pathogenic bacterial spores may be inhaled
Digestive Tract Food, water, contaminated fingers HCl and enzymes in the stomach bile and enzymes in the small intestine poliomyelitis, hepatitis A, typhoid fever, amoebic dysentery, giardiasis, shigellosis, cholera
Genitourinary Tract pathogens that are contracted sexually genital warts, chlamydia, herpes
Placenta CMV: cytomegalovirus 10% infants: premature delivery, jaundice, enlarged liver and spleen, microcephaly, seizures, rash, feeding difficulties hearing, vision, neurologic, and developmental problems no vaccine hand washing, not sharing eating utensils, avoid kissing or intimate contact with CMV+
Portals of Exit secretions, excretions, discharges, shed tissue related to the infected part of the body microbe generally uses the same portal for entry and exit respiratory: TB, whooping cough, pheumonia, scarlet fever, meningococcal meningitis, chickenpox, measles, mumps, small pox, influenza
Physiological Defenses Inflammation: pus Fever: 102-104 degrees Phagocytosis: phagocyte ingests material
Chemical Defenses Lysozome: enzyme that breaks down cell walls of gram-positive bacteria and some gram-negative bacteria Sebum: sebaceous glands, oily substance, protective film, lowers skin pH Gastric Juice: HCl, enzymes, mucus, acidic Interferon: eukaryotic cells, surface receptors
Immunology Latin immunis “to exempt” Why is it that some people tend to be sick more often than others? Why can two people eat the same infected chicken, and only one person contracts food poisening? children, elderly, immunocompromised
Antigens “a foreign substance that stimulates the formation of antibodies that react specifically with it” substance that provoke a specific response Antibodies: “glycoprotein substance developed by the body in response to, and interacting specifically, with an antigen. Also known as immunoglobulin.”
Antigen-Antibody Reactions 1) destroy pathogens by neutralizing the toxins the pathogen produces 2) coat the pathogen with a substance that attracts phagocytes by forming a substance that clumps the antigens together 3) prevent the pathogen from adhering to the body’s cells