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Medical Bacteriology Cheat Sheet (DRAFT) by

Topics in Medical Bacteriology

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Terms Used in Medical Bacter­iology

Pathogenic
organism that can cause disease
Opport­unistic pathogen
microbes that generally do not cause harm --> ex:// HIV, AIDS, chemo patients, long-term antibi­otics
Normal microbiota
microbes that generally do not cause harm --> ex:// Lactob­acillus spp., E. coli (gut)
Virulence
severity of diseas­e/d­egree of harm --> quantitave measure of the ability to cause disease
Toxici­ty/­tox­ige­nicity
ability to produce toxins
Invasi­veness
ability to enter into host tissues, multiply and spread
LD_50
Measure of virulence --> number of organisms or number of ug toxin needed to kill 50% of animals
Virulence factor
properties of bacteria that can contribute to the ability of the bacteria to cause disease --> ex:// toxins, lipopo­lys­acc­haride (LPS), flagella
Infection
coloni­zation of bacteria (microbe has entered host and replic­ated)
Disease
follows infection, occurs when host cells are damaged
 

Overview of Steps to Infection and Disease

1.) How do pathogens enter human host?
respir­atory tract, GI tract, bloods­tream (through broken skin), sexually transm­itted, transp­lac­ental, eyes
2.) Pathogens penetrate host defenses and multiply
sd
3.) Some basic host defense mechanisms
- Resistance of host depends on age, immune system health, antibi­oti­c/drug use, and lifestyle of host
- normal flora --> takes up space, compete w/ pathogens for space and nutrients, some secrete inhibitory compounds that prevent growth of pathogens

Factors that Influence Potential Risk of Infection

1.) Host immune system and host defenses
- strong vs. compromised
- infects --> weak, poorly developed immune systems
2.) Ability of pathogen to adhere to, colonize and replicate
- can it remain in host?
3.) Ability of organism to cause disease

Factors That Influence Potential Risk of Infection

1.) Host immune system and host defenses
- strong vs. compro­mised - infects --> weak, poorly developed immune systems
2.) Ability of pathogen to adhere to, colonize and replicate
- can it remain in host?
3.) Ability of organism to cause disease
- are the approp­riate virulence factors expressed?
- ex:// Coryne­bac­terium diphth­eriae causes diptheria when it has a gene encoding DT (dipht­heria toxin)
4.) Number of pathogens
- highly virulent pathogen vs. avirulent pathogen
- ex:// Salmonella needs 1000s of cells to cause disease vs. Shigella which only needs 10 cells
 

Normally Sterile Areas of the Body

Central nervous system, bone/m­arrow, organs (brain, heart, spleen, liver, kidney, pancreas, ovary), fluids (joint, perica­rdial, perito­neal, pleural) muscle

Urinary Tract

Vagina
- Lactob­acillus spp. is part of the normal microbiota
- Lactob­acillus produces lactic acid, which lowers pH
- it also produces hydrogen peroxide (H2O2) (decom­poses into toxic oxygen radicals)