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Microbiology Chapter 14

front 1

Microorganisms that establish more or less permanent residence but that do not produce disease under normal conditions are called

back 1

Normal microbiota, or normal flora.

front 2

Microbiota that may be present for several days, weeks, or months and then disappear

back 2

Transient microbiota

front 3

Is microbiota found throughout the entire body?

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No, just localized in certain regions.

front 4

What are some factors that determine distribution and composition of the normal microbiota?

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Nutrients, physical and chemical factors, the host's defenses, and mechanical factors.

front 5

What kind of nutrients can microbes use as an energy source?

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It varies, but a microbe will not colonize a body part that cannot supply the appropriate nutrients.

front 6

What may nutrients be derived from?

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Dead cells, food in the gastrointestinal tract, secretory and excretory products of cells, and substances in body fluids.

front 7

What are some physical and chemical factors that affect the growth of microbes and thus the growth and composition of normal microbiota?

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Temperature, pH, available oxygen and carbon dioxide, salinity, and sunlight.

front 8

What are some of the host's factors that affect normal microbiota?

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Age, nutritional status, diet, health status, disability, hospitalization, stress, climate, geography, personal hygiene, living conditions, occupation, and lifestyle.

front 9

Once established, the normal microbiota can benefit the host by preventing the overgrowth of harmful organisms. This is called

back 9

Microbial antagonism, or competitive exclusion.

front 10

How does normal microbiota protect the host from harmful microorganisms?

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They compete for nutrients, produce substances harmful to the invading microbes, and affect pH and available oxygen.

front 11

What can result when the balance between normal microbiota and pathogenic microbes is upset?

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Disease.

front 12

The relationship between normal microbiota and the host is called

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Symbiosis, the relationship between two organisms in which at least one organism is dependent on the other.

front 13

In which symbiotic relationship is one organism unaffected while the other benefits?

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Commensalism.

front 14

A type of symbiosis that benefits both organisms is called

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Mutualism.

front 15

Many disease-causing bacteria benefit by deriving nutrients at the expense of the host called

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Parasitism.

front 16

Some microbes don't cause disease in their normal habitat in a healthy person but may do so in a different environment. This is called

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Opportunistic pathogens.

front 17

What is an example of commensalism?

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Staphylococcus epidermidis bacteria on the skin.

front 18

What is an example of mutualism?

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E. coli in the large intestine

front 19

What is an example of parasitism?

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H1N1 virus particles on a host cell.

front 20

What is the basic summary of Koch's postulates?

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1. The same pathogen must be present in every case of the disease.

2. The pathogen must be isolated from the diseased host and grown in pure culture.

3. The pathogen from the pure culture must cause the disease when it's inoculated into a healthy, susceptible laboratory animal.

4. The pathogen must be isolated from the inoculated animal and must be shown to be the original organism.

front 21

What are some exceptions to Koch's postulates?

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Some microbes have unique culture requirements, such as rickettsial and viral pathogens which cannot be cultured on artificial media.

Some pathogens can cause several diseases.

Some pathogens cause disease only in humans, such as HIV.

front 22

Changes in body functions, such as pain and general discomfort, that are felt by a patient as a result of disease. These are NOT apparent to an observer.

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Symptoms

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Changes in a body, such as swelling and fever, that can be measured or observed as a result of disease.

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Signs

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A disease in which an infected person transmits an infectious agent either directly or indirectly, to another person who in turn becomes infected. Chickenpox, measles and influenza are examples.

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Communicable disease.

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A disease that is very communicable and able to be spread easily and rapidly from one person to another, such as chickenpox.

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Contagious disease.

front 26

Number of people in a population who develop a disease during a particular time period (rate). It indicates the spread of the disease.

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Incidence.

front 27

The number of people in a population who develop a disease at a specified time, regardless of when it first appeared. This takes into account both old and new cases.

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Prevalence.

front 28

A particular disease that occurs occasionally, such as Typhoid fever in the US.

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Sporadic disease

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A disease constantly present in a population, such as the common cold.

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Endemic disease

front 30

If many people in a given area acquire a certain disease in a relatively short period, it is called

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An epidemic disease.

front 31

What disease often reaches epidemic status?

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Influenza

front 32

An epidemic disease that occurs worldwide

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Pandemic disease.

front 33

When many immune people are present in a community, what exists?

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Herd immunity.

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Who benefits from herd immunity?

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People who can't be vaccinated.

front 35

An infection in which the invading microorganisms are limited to a relatively small area of the body. Some examples are boils or abscesses.

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A local infection

front 36

Microorganisms or their products are spread throughout the body by the blood or lymph. An example is measles.

back 36

Systemic (generalized) infection

front 37

Very often, agents of a local infection enter a blood or lymphatic vessel and spread to other specific parts of the body, where they are confined to specific areas of the body. They can arise from infections in teeth, tonsils, or sinuses.

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Focal infection

front 38

A toxic inflammatory condition arising from the spread of microbes, especially bacteria or their toxins, from a focus of infection.

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Sepsis

front 39

The presence of bacteria in the blood is called

back 39

bacteremia.

front 40

What are some predisposing facts that make the body more susceptible to disease?

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Gender, inherited traits (sickle cell gene), climate and weather, fatigue, age, lifestyle, nutrition, and chemotherapy.

front 41

The general term of any nonliving object involved in the spread of an infection.

back 41

Fomite

front 42

The passive transport of pathogens on an insect's feet or other body parts, i.e. flies carrying typhoid fever or dysentery.

back 42

Mechanical transmission

front 43

How does biological transmission occur?

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An arthropod bites an infected person or animal and ingests some of the infected blood. The pathogens reproduce in the vector, and the increase in the number of pathogens increases the possibility that they will be transmitted to another host.

front 44

Infections patients acquire while receiving treatment for other conditions at a health care facility.

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Healthcare-associated infections (HAIs) or nosocomial infections

front 45

According to the CDC, how many people are estimated to have at least one HAI?

back 45

1 in 25.

front 46

In the United States, approximately how many people contract HAIs per year?

back 46

2 million.

front 47

What are some factors that contribute to HAIs?

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1. Microorganisms in the hospital environment.

2. The compromised (weakened) status of the host.

3. The chain of transmission in the hospital.

front 48

What are the two most common HAIs?

back 48

Urinary tract infection and surgical infections.

front 49

What are some means of prevention for HAIs?

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1. Reducing the number of pathogens by handwashing, cleaning and disinfecting tubs and instruments, using disposable bandages and intubations.

2. An infection control committee.

front 50

What are some factors that affect the emergence of infectious diseases?

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New strains, travel, the overuse of antibiotics and pesticides, changes in weather patterns, ecological changes of a region, animal control measures, failures in public health measures.

front 51

The study of where and when diseases occur and how they are transmitted in populations is called

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Epidemiology