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1. MICROBIOLOGYINFECTION AND DISEASE Instructor
Terry Wiseth
Northland Community & Technical College
2. 2 POPULATIONS OF MICROORGANISMS The number of organisms at a site is determined by:
The amount of oxygen
pH
Other organisms
Nutrients
Immune response of thehost
Availability of receptors for organisms
3. 3 SYMBIOSIS Interaction between 2 organisms
Mutualism - Both benefit
Commensalism - One benefits while the other, neither benefits nor is harmed
4. 4 SYMBIOSIS Synergism - Together both can accomplish what neither can achieve alone
Parasitism - One benefits and causes harm to the other
5. 5 PATHOGENICITY Colonizer
Organism that live with a host without causing an immune or allergic response
Pathogenic
Organisms that cause disease
6. 6 VIRULENCE a quantitative measure of pathogenicity
measured in:
Infectious dose (ID50)
the number of organisms that will cause disease in 50% of test animals
Lethal dose (LD50)
the number of organisms that will cause death in 50% of test animals
7. 7 ATTENUATION Loss or reduction of virulence
Organisms can be treated with agents to achieve attenuation in order to be used as vaccines
8. 8 CARRIERS Some individuals can be infected by a pathogen, but show no symptoms
9. 9 SYSTEMIC Organisms spreading through the body
10. 10 TYPES OF DISEASES Chronic disease
microbial persistence in the host
with symptoms over a long period
11. 11 TYPES OF DISEASES Acute disease
Symptoms appear quickly
become intense and subside when the host's immune system disposes of the pathogen and toxic products
12. 12 STAGES OF ACUTE DISEASE 1) Incubation
From the time organisms enter the hosts until the first symptoms appear
13. 13 STAGES OF ACUTE DISEASE 2) Prodromal
Symptoms indicate the onset of disease
e.g. Malaise, headache, fever, etc..
14. 14 STAGES OF ACUTE DISEASE 3) Acme (Acute)
Symptoms are at their peak and there is an immune response by the host
15. 15 STAGES OF ACUTE DISEASE 4) Period of decline
A recovery period with the decline of symptoms and, their is maximum antibody levels in the host
16. 16 STAGES OF ACUTE DISEASE 5) Convalescence
The body returns to normal
17. 17 SOURCE OF DISEASE For organisms to be pathogenic they require
a site to maintain their ability to infect and replicate
Such a place is called a Reservoir
The object, place or person from which organisms pass to the host is called the Source
Sometimes reservoir and source are the same
18. 18 HUMAN SOURCE Convalescent carriers
are recovering from a disease
Healthy carriers
do not show symptoms of the disease but harbor the organisms
19. 19 ANIMAL SOURCE Zoonosis
e.g. Rabies, Plague
20. 20 INSECT SOURCE Mechanical vectors
Organisms are carried on the appendages of the insect
21. 21 INSECT SOURCE Biological vectors
Insects are the reservoir of the organisms and transmit them to humans or animals
Insects are required for at least part of the developmental cycle of the organism
22. 22 INANMIMATE RESERVOIR Soil, water and food
Spores can be inhaled, then germinate, multiply and produce disease
23. 23 INANMIMATE RESERVOIR Some bacteria that produce harmful toxins are indigenous to the soil
e.g. Clostridium
Pathogens can be passed into water and live in fish and shell fish
Food is a reservoir for agents infectious to man
24. 24 TRANSMISSION OF INFECTIOUS ORGANISMS contact
water
food
fomites
air
25. 25 CONTACT Direct
From person to person by close association
e.g. kissing, sexual contact, sneezing etc..
26. 26 CONTACT Indirect
From one person to another through intermediates such as food, dust, water or fomites
27. 27 WATER can be fecally contaminated
Besides drinking, water borne pathogens can also enter the body through sweat glands, abraded skin etc..
28. 28 FOOD Analysis must confirm the food as the source of the disease
Factors that contribute to food infections are
Improper storage temperatures
poor hygiene
contaminated equipment
inadequate cooking
29. 29 FOMITES Inanimate objects, other than food and water
e.g. Catheters, needles etc..
30. 30 AIR not a reservoir but is a means of transmission
e.g. coughing and sneezing
31. 31 PATTERNS OF DISEASE Endemic
A continuous subepidemic level of disease in a specified community
Outbreak
A slight increase in the level of disease over endemic level
32. 32 PATTERNS OF DISEASE Epidemic
A large number of new cases of a disease, in a defined time, above the endemic level
33. 33 PATTERNS OF DISEASE Pandemic
World Wide epidemics
Sporadic
Disease occurs in an irregular pattern therefore no frequency can be calculated
34. 34 ENDINFECTION AND DISEASE