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Microbiology 2 Infection Control DN8. Dr Viv Rolfe. Alternative formats and large print versions of these handouts are available upon request. Lecture Summary. Global and UK problem of infections Causes of infections Commensal and pathogenic infection 5 steps to an infection
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Microbiology 2Infection ControlDN8 Dr Viv Rolfe Alternative formats and large print versions of these handouts are available upon request.
Lecture Summary • Global and UK problem of infections • Causes of infections • Commensal and pathogenic infection • 5 steps to an infection • Microbe-host interaction – the body’s response to infection • Topical issues • Hospital-acquired infection • Super-bugs
What is an Infection? • Infection - microbes enter the host, multiply and cause tissue damage. • It is a communicable disease i.e. can be passed between people.
Global Problem • 41% of global disease is infectious. • HIV / AIDS, tuberculosis and malaria cause millions of deaths each year. WHO – World Health Organisation
UK Problem • 40% of people will visit health care professionals because of infections each year. • Food poisoning the most common. • 5,000 patients die from hospital acquired infections each year. • Many national crises have been due to infection, e.g. BSE and CJD, meningitis, E. coli O157 outbreaks
Cases of Infection in the UK each Year +82,000 cases of food poisoning... Source:Communicable disease surveillance centre
What Causes Infection? • Micro organisms… • Bacteria • Viruses • Fungi • Protozoa • Prions (small infectious proteins which don’t have a genome) • Parasites
BACTERIA ROD/ BACILLUS COCCI SPIRAL
PROTOZOA e.g. flagellate e.g. amoeba
PRIONS 3.9
Microscopic tic Worm – visibleto the eye PARASITE Tape worm
It could be a commensal in the wrong place at the wrong time • Commensal – a organism which lives in association with another and is harmless. • Colonisation - the growth of organisms at a site. • Flora - micro-organisms resident in a body site e.g. skin, gut.
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Harbours commensal flora Eyelids Upper Respiratory tract Urethraopening Blood CerebroSpinalfluid Colon Skin Semen(prior tourethra) Vagina External ear canal Internal organs Is sterile
Infections can be caused by pathogens (not commensal to the body)
5 Steps to Infection • The presence of an inFectious Agent • A Reservoir where agent is multiplying and waiting to infect! • A route of Transmission. • A route of Entry into host. • Inadequate natural defenses in a Susceptible individual
Name some possible routes of transmission in a hospital ward. ?
Identifiablesymptoms Mildsymptoms Nosymptoms Recovery Fatal if growthof microbescontinues Number ofpathogens Acute illness Microbes respondingto therapy and immunity Prodromal Incubation
Depends on Susceptibility • Healthy individuals combat infection so only suffer acute (short term) illness. • In susceptible groups infection can be worse…. • Older/younger • Pregnancy • Poor nutrition • Illness • Medication, drugs and surgery • Stress • Genetic predisposition
Body response to infection • Local inflammation (reaction by innate and acquired immune defenses). • Systemic response including release of pyrogens in the blood which cause fever.
The immune system provides a defence against infection.Sometimes, a pathogen combats our defences. HIV Virus Virus particles Attackinglymphocytes inthe immune system
Statistics • 1 in 10 people will acquire a hospital infection. • They cost the health sector 1 billion pounds per year. • People spend 2.5 times longer in hospital. • Also known as NOSOCOMIAL infections.
Causes of HAI • Susceptible hosts – stressed, ill health, medication. • Close proximity to other people. • Drugs don’t work. • Inadequate infection control (e.g. washing hands).
MOST COMMON INFECTIONS Blood infection via needles, drips Infection after surgery Skin Chest Urinary tract
C dif E coli MOST COMMON BUGS E coli Staphylococcus Candida Clostridium difficile Staphy Candida