Professional Documents
Culture Documents
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Eukaryotes Virus
Fungi
Protozoa Algae
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Prions and What is
Viroids
Microbiology?
• The microbes that cause disease are
sometimes referred to as “germs”
• The scientific term for disease-causing
microbes is pathogens
• Microbes that do not cause disease are
called nonpathogens; the vast majority of
microbes are nonpathogens
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Microbes as Why Study
Saprophytes Microbiology?
• Many microbes play essential roles in various elemental cycles; e.g.,
the carbon, nitrogen, oxygen, sulfur, and phosphorous cycles
• Algae and bacteria serve as food for tiny animals; they are important
links in food chains
• Microbes that live in the intestinal tracts of animals aid in the
digestion of food and produce beneficial substances
• For many years, microorganisms have been used as “cell models”;
the more that scientists learned about microbial cells, the more they
learned about cells in general
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Evolution of Microbiology Evolution of Microbiology
Contributor Contribution Date(s)
Robert Hooke Discover the cell Mid 1600s
Contributor Contribution Dates(s)
Edward Jenner Discovered vaccine for smallpox
Anton von Lee Created single lens microscope 1670s
- “Father of
Joseph Lister Contributed to the concept of aseptic surgery 1865-1870
Microbiology”
Louis Pasteur Germ theory of disease 1855-1890s Paul Ehrlich Discovered Salvarsan for treatment of syphilis 1890-1900
Pasteurization-basis for aseptic technique
Introduced the terms aerobes and anaerobes
Contributed to the understanding of fermentation Alexander Discovered the antibiotic penecillin
Fleming
Robert Koch Koch’s Postulate – specific organisms is the cause of 1870s-
specific infectious dideases 1890s
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Compound microscopes
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Fine adjustment It fine tunes the focus and increases the details of the specimen Iris diaphragm Found on the condenser, it is used to adjust the amount of light coming
through the condenser
Objective lenses This is held in place above the stage by the revolving nosepiece and are condenser It is found beneath the stage and contains a lens system that focuses light
the lenses that are closest to the specimen. It contains 3-5 objectives onto the specimen. It gathers and focuses light onto the specimen
ranging in power from 4x to 100x
Base It supports the microscope and it is where the illuminator is found
Stage Located beneath the revolving nosepiece, it is the flat platform on which
the specimen is placed
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Brightfield Microscope Darkfield Microscope
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Phase-contrast Microscope
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Gram Stain Gram Stain
• Distinguishes gram-positive bacteria from gram- • The final Gram reaction (positive or negative)
negative bacteria depends upon the organism’s cell wall structure.
• Gram-positive bacteria stain blue or purple
• Gram-negative bacteria stain red or pink – The cell walls of Gram-positive bacteria have a
• General rule: thick layer of peptidoglycan, making it difficult to
- all cocci are gram-positive except remove the crystal violet-iodine complex.
Neisseria, Veilonella and Branhamella
- all bacilli are gram-negative except – Gram-negative organisms have a thin layer of
Corynebacterium, Clostridium, peptidoglycan, making it easier to remove the
Bacillus and Mycobacterium crystal violet; the cells are subsequently stained
with safranin.
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Spores
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Epithelial cells
Gram-Negative Bacteria
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Kinyoun: Kinyoun:
Red organism/ Green Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins
green organism/
background green Many acid-fast mycobacteria Acid-fast bacilli in a
background
in a liver biopsy. digested sputum specimen.
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Other Special stains
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Culture Media
• Specific culture media
- most ideal to identify specific organisms
-basically an aqueous solution to which all
the necessary nutrients essential for the
growth of organisms are added
Classified into 3 primary levels:
1. physical state
2. chemical composition
3. functional type
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Semisolid Agar Method for According to Physical State cont.
Determining Motility • 3. Solid media- contain solidifying agent such as
1.5%-2% agar, on w/c cells can form
discrete colonies
- Used for isolation of bacteria and fungi or
for determining the colony characteristics
-Come in 2 forms:
- liquefiable (reversible) solid media
- non-liquefiable (non-reversible) solid
media
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
According to Functional Type Cont.. According to Functional Type Cont..
• 1. General Purpose Media • 2. Enrichment media
- designed for primary isolation of broad - contain complex organic substances such as
spectrum of microorganisms blood, serum or special growth factors
-contain mixture of nutrients that support - designed to increase the number of desired
growth of pathogenic and non- microorganisms w/o stimulating the rest of
bacterial pop.
pathogenic organisms
- used to grow fastidious bacteria
- ex. peptone water, nutrient broth, and - 2 commonly used media:
nutrient agar 1. blood agar
2. chocolate agar
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Enrichment Media cont..
B. Chocolate Agar
-Used also for the culture of
fastidious organisms such as
Haemophilis sp.
-Heat is applied to lyse the red blood
cells, causing the medium to turn
brown
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Example of Selective Media According to Functional Type cont.
4. Differential Media
d. Löwenstein-Jensen medium - allow growth of several types of
- selective medium used to Microorganisms
recover Mycobacterium tuberculosis - show visible differences among certain
groups of organisms
- made selective by the incorporation
- differences in the form of:
of malachite green - variation in colony size/color
e. Saboraud’s dextrose agar - changes in color of culture media
- used for isolation of fungi - formation of precipitate or gas bubbles
-Ex. Mackonkey’s agar and Triple sugar Iron agar
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
• Example:
-Cary Blair transport medium- for
transport of feces of suspected cholera
According to Functional Type cont. patients
5. Transport media
-used for specimen that needs to be
-Pike’s medium- used to transport throat
transported to the lab immediately after specimen of patients with streptococcal
collection infection
-prevent drying of specimen and inhibit
growth of commensals
-charcoal is added to neutralize inhibitory
factors
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
This presentation uses a free template provided by FPPT.com This presentation uses a free template provided by FPPT.com
www.free-power-point-templates.com www.free-power-point-templates.com
Cells
• Smallest living unit
Source: www.chipola.edu/instruct/science/Tidwell/bscppt/alters1e...ppt/alters1e_ppt_ch05.p 2
• A surrounding membrane
• Protoplasm – cell contents in thick fluid
• Organelles – structures for cell function
• Control center with DNA
9 Source: www.chipola.edu/instruct/science/Tidwell/bscppt/alters1e...ppt/alters1e_ppt_ch05.p 10
membranes
Cytoplasm
Plasma Membrane
• The material between the plasma membrane and the nucleus
• Plays a dynamic role in cellular activity • Half cytosol
• encloses cell • Consists of a fluid part (the site of chemical reactions), the cytoskeleton, and cytoplasmic
• supports the cell contents inclusions
• The cytoskeleton supports the cell and enables cell movements
• a selective barrier that regulates what goes into and out of the cell • Microtubules – provide support, aid in cell division, and are components of organelles
• plays a role in communication between cells • Actin filaments – support the plasma membrane and define the shape of the cell
• Intermediate filaments – provide mechanical support to teh cell
• Separates intracellular substances from extracellular substances
• Half organelles
• intracellular: inside cells • Cytoplasmic Inclusions are aggregates of chemicals either produced by the cell or taken in by
• extracellular (intercellular): between cells the cell (lipids, glycogen, hemoglobin, melanin)
Cytoskeleton
Fig. 3.13
Cytoplasmic Organelles
• Specialized subcellular structures with specific
functions
• Membranous
• Mitochondria, peroxisomes, lysosomes,
endoplasmic reticulum, and Golgi apparatus
• Nonmembranous
• Centrioles and ribosomes
Nucleus
Nucleus
• The nuclear envelope consists of two separate membranes with nuclear
pores
• Encloses jellylike nucleoplasm, which contains essential solutes
• DNA and associated proteins are found inside the nucleus
• DNA is the hereditary material of the cell and controls the activities of the cell
• Contains the genetic library with blueprints for nearly all cellular proteins
• Dictates the kinds and amounts of proteins to be synthesized
• Between cell divisions DNA is organized as chromatin
• During cell division chromatin condenses to form chromosomes consisting of two
chromatids connected by a centromere
Fig. 3.15
Nucleoli and Ribosomes
• Nucleoli: dark-staining spherical bodies within the nucleus
• Consist of RNA and proteins
• Produces ribosomal ribonucleic acid (rRNA)
• Site of ribosomal subunit assembly
• Ribosomes: sites of protein synthesis
Chromosome • Free ribosomes are not attached to any organelles
• synthesize proteins used inside the cell
Structure • Attached ribosomes are part of a network of membranes called the rough
endoplasmic reticulum (RER)
• produce proteins that are secreted from the cell
Fig. 3.17
Golgi Apparatus Lysosomes
• Series of closely packed membranous sacs that collect, package, and • Spherical membranous bags containing digestive enzymes
distribute proteins and lipids produced by the ER • Digest ingested bacteria, viruses, and toxins
• Secretory vesicles: small, membrane-bound sacs that transport material from the
golgi apparatus to the exterior of the cell • Degrade nonfunctional organelles
• Breakdown glycogen and release thyroid hormone
• Breakdown non-useful tissue
• Breakdown bone to release Ca2+
• Secretory lysosomes are found in white blood cells, immune cells, and
melanocytes
Fig. 3.18
Peroxisomes Mitochondria
• The major sites of the production of
• Membranous sacs containing oxidases and catalases ATP (the major energy source for cells)
• Breakdown fatty acids, amino acids, and hydrogen via aerobic cellular respiration
peroxide • Have a smooth outer membrane and
• Detoxify harmful or toxic substances an inner membrane that is infolded to
produce cristae
• Neutralize dangerous free radicals
• Free radicals: highly reactive chemicals with unpaired electrons (i.e., O2–) • Contain their own DNA, can produce
some of their own proteins, and can
replicate independently of the cell
Fig. 3.21
Fig. 3.22
Parts of a Prokaryotic Cell Envelope Structures
Envelope structures
• Glycocalyx (capsule/slime layer) • Glycocalyx
• Cell wall
• Cytoplasmic membrane or plasma membrane - outermost covering of some
Internal Structures bacteria
• Nucloid - gelatinous substance that is
• Mesosomes located external to the cell wall
• Ribosomes composed of polysacharride or
• Granules or inclusion bodies polypeptide or both.
Projecting structures - called capsule if strongly attached
• Flagella to cell wall
• Pili or Fimbrae slime layer if it is loosely attached
• Axial filaments
Animal Viruses
The bacteriophage T4 is an Viral DNA enters the
assembly of protein cell through the – The steps in multiplication of animal viruses are:
components. core.
•Attachment
•Penetration
20
facets, •Uncoating
filled with
DNA
•Biosynthesis
•Assembly
– Animal viruses escape from their host cells either by
lysis of the cell or budding. Viruses that escape by
budding become enveloped viruses.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins
– Viroids
• Viroids are short, naked fragments of
single-stranded RNA, which can
interfere with the metabolism of plant
cells.
• Viroids are transmitted between plants
in the same manner as viruses.
• Examples of plant diseases caused by
viroids: potato spindle tuber and citrus
exocortis.
Prions Bacteria
• Prokaryotic cells
– Prions are small infectious proteins that cause
fatal neurologic diseases in animals; examples: • Its cell wall is composed mainly of peptidoglycan
Scrapie, Bovine Spongiform Encephalopathy • Possess both DNA and RNA
(“Mad Cow Disease”) and Creutzfeldt-Jacob • Possess a nucleoid instead of a true nucleus
disease. • Smaller ribosomes
– Of all pathogens, prions are the most resistant • Lack mitochondria
to disinfectants.
– The mechanism by which prions cause disease
remains a mystery.
Bacteria Fungi
• Broadly categorized into:
1. Gram-positive bacteria with cell wall • Eukaryotic cells
(e. g. Staphyloccocus aureus) • Outer surface composed mainly of chitin
2. Gram-negative bacteria with cell wall • Cell wall is made up mostly of ergosterol
(e. g. Escherichia coli)
• Possess both DNA and RNA
3. Acid fast bacteria with lipid-rich cell wall
(e. g. Mycobacterium tuberculosis) • Possess true nucleus and mitochondria
4. Bacteria without cell wall • Ribosome is larger than bacteria (80S)
(e. g. Mycoplasma)
Fungi Fungi
Characteristics Characteristics, cont.
• The study of fungi is called mycology; scientists who • Fungal cell walls contain a polysaccharide called chitin.
study fungi are called mycologists. • Some fungi are unicellular, while others grow as filaments
• Fungi are found virtually everywhere. called hyphae.
– Hyphae intertwine to form a mass called a mycelium.
• Some fungi are harmful, some are beneficial.
• Some fungi have septate hyphae (the hyphae are divided
• Fungi represent a diverse group of eucaryotic into cells by cross walls or septa).
organisms that include yeasts, moulds, and fleshy
• Some fungi have aseptate hyphae (the hyphae do not
fungi (e.g., mushrooms). have septa).
• Fungi are the “garbage disposers” of nature. • Whether or not a fungus has aseptate or septate hyphae is
• Fungi are not plants – they are not photosynthetic. an important clue to its identification.
of enzymes that are used commercially. Sterols in cell Absent except in Mycoplasma Present
Protozoa
Protozoa
• Eukaryotic cells Characteristics
• Representative for parasites • Protozoa are nonphotosynthetic, eucaryotic organisms.
• Have an outer surface that is called a pellicle • Most protozoa are unicellular and free-living; found in soil
• Unicellular organisms that usually divide through binary and water.
fission
• Most protozoa are more animal-like than plant-like.
• Majority exist in 2 morphologic form:
- cysts- infective stage • All protozoal cells possess a variety of eucaryotic
structures/organelles.
- trophozoites – pathogenic stage
• Possess both DNA and RNA as well as other cellular • Protozoa cannot make their own food; they ingest
features whole algae, yeasts, bacteria, and smaller protozoa
for nutrients.
Protozoa Protozoa
Characteristics, cont. Characteristics (continued)
• Protozoa do not have cell walls, but some possess a • Protozoa are divided into groups, based on their
thickened cell membrane called a “pellicle,” which serves method of locomotion:
the same purpose – protection.
– Amebae move by means of pseudopodia (“false feet”) –
• A typical protozoan life cycle has 2 stages – a trophozoite example: Entamoeba histolytica, the cause of amebic
and a cyst. dystentery.
• The trophozoite is the motile, feeding, dividing stage. – Ciliates move by means of hairlike cilia – example:
• The cyst is the nonmotile, dormant, survival stage. Balantidium coli, the cause of balantidiasis.
– Flagellates move by means of whiplike flagella –
• Some protozoa are parasites.
example: Giardia lamblia, the cause of giardiasis.
• Parasitic protozoa cause many human diseases, such – Sporozoa have no visible means of locomotion –
as malaria, giardiasis, and trypanosomiasis. example: Plasmodium spp., which cause malaria.
Algae
Protozoa That Cause Human Diseases
• Eukaryotic organism
• Outer surface consists primarily of cellulose
• Plantlike, capable of photosynthesis
• Unlike plants, do not possess true roots, stems
or leaves
• Vary in size from a single-celled phytoplankton to
large seaweeds in the ocean floor
Photomicrograph of a B. coli trophozoite SEM of a Giardia lamblia trophozoite.
(Arrows are pointing to the cilia).
Algae
• Do not produce significant disease to humans Algae
Characteristics and Classification
• Most of them are beneficial and are sources of food,
iodine, and other minerals • Algae are photosynthetic, eucaryotic organisms.
• May also be used as fertilizers, emulsifiers (puddings) and • All algal cells consist of cytoplasm, a cell wall
stabilizers (ice cream, salad dressing) (usually), a cell membrane, a nucleus, plastids,
• Dinoflagellates, unicellular algae help contribute to 02 and ribosomes, mitochondria, and Golgi bodies.
serve as important link in food chain – Some have a pellicle, a stigma, and/or flagella
• But, it is also responsible for “red tide” • Algae range in size from unicellular microorganisms
(e.g., diatoms) to large, multi-cellular organisms
• Dinoflagellates produce powerful neurotoxin which (e.g., seaweeds or kelp).
ingested, causes the potentially fatal disease called
paralytic shellfish poisoning. • Algae produce energy by photosynthesis.
– Some may use organic nutrients.
Glycocalyx
Projecting
Structures
• 1. Flagella – thread like structures made up of protein
sub-unit flagellin
• Organs of motility
• Classified into 4 types:
- monotrichous – single
-lophotrichous – tuft of flagella at one end
-amphitrichous – flagella at both ends
- peritrichous – flagella all around
• Bacteria without flagella are called atrichous
Pili or Fimbriae
Carbon
Nutritional Requirements • Makes up the structural backbone or skeleton of all
organic molecules
1. Carbon • Terms relating to an organism’s carbon source:
2. Nitrogen, Sulfur, Phosphorus – Autotrophs use carbon dioxide (CO2) as their sole source
of carbon.
3. Inorganic Ions – Heterotrophs use organic compounds other than CO2 as
carbon sources.
4. Growth Factors • Terms that combine both energy and carbon source:
– Photoautotrophs use light as a carbon source and CO2 as
an energy source.
– Chemoautotrophs use chemicals as a carbon source and
CO2 as an energy source.
– Chemoheterotrophs use chemicals as a carbon source
and organic compounds other than CO2 as an energy
source.
Carbon, cont. Nitrogen, Sulfur, Phosphorus
• Terms relating to an organism’s energy source. • These are necessary for the synthesis of cellular
– Phototrophs use light as an energy source. materials like proteins and nucleic acids
– Chemotrophs use either inorganic or organic • Nitrogen and sulfur are required for the
chemicals as an energy source. synthesis of proteins
•Chemolithotrophs use inorganic chemicals • Nitrogen and Phosphorus are essential for the
as an energy source. synthesis of nucleic acids and ATP
•Chemoorganotrophs use organic • ~ 14% dry weight of bacterial cell is nitrogen, 4%
chemicals as an energy source. is sulfur and phosphorus
Temperature, cont. pH
– Psychrophiles prefer cold temperatures (like
deep ocean water). • “pH” refers to the acidity or alkalinity of a
solution.
•Psychrotrophs, a particular group of • Alkalophiles - microorganisms grow best in pH 8.4 – 9.0
psychrophiles, prefer refrigerator
temperature (4oC). • Neutrophiles – grow best in pH 6.5 – 7.5
- most medically important bacteria
– Psychroduric organisms prefer warm
temperatures, but can endure very cold or - pH of human tissues are 7.0 – 7.2
even freezing temperatures. • Acidophiles – bacteria that grow in pH less than 6.0
Osmotic Conditions Osmotic Conditions, cont.
• Determined by the salt concentration • If the external environment does not contain
• The normal microbial cytoplasmic concentration salt, water will flow into the bacterial cell
is approximately 1% - the organism will swell and rupture
• If the extracellular concentration is increased • Halophiles – organisms that require high salt
(e.g., when food is salted), water will flow out of concentration for growth ( e.g., diatoms and
the microbial cell dinoflagellates)
- organisms will shrink and die • Osmophiles – require high osmotic pressure for
optimal growth
Organism Remarks
NORMAL FLORA ON THE SKIN Staphylococcus epidermidis Major skin inhabitant, comprising approximately 90% of
resident aerobic flora.
Staphylococcus aureus Most commonly found in nose and perineum; in the
– 1. Axilla, perineum, and toe webs. nose number varies with age ( Greater in newborns
than in adults)
- the skin here is characterized by having higher moisture levels,
Micrococci ( Micrococcus luteus ) Accounts for 20-80% of micrococci in the skin.
higher body temperature and higher levels of surface lipids
Diphtheroids ( Coryneforms ) Classified into; lipophilic (Common in axilla) or non-
- have more microorganisms compared to the other parts; lipholic ( More common on glabrous or hairless skin
predominantly inhabited by gram-negative bacilli such as palms of hands)
Anaerobic diphtheroids ( Propionibacterium acnes )
2. Hand, face, and trunk dry sites; have diverse flora because of their -areas rich in sebaceous glands
3. Upper arms and legs exposure to the environment Gram-negative bacilli (Enterobacter, Seen in most intertriginous areas such as toe webs and
axilla
- predominant flora here are Staphylococcus Klebsiella, Escherichia coli, and Proteus
spp.)
epidermides and Staphylococcus hominis
Nail Flora Similar to that of the skin
Fungi may also be present ( Aspergillus, Penicillium,
Cladosporium, Mucor )
Mouth and Respiratory Tract Mouth and Respiratory Tract, cont.
– Tongue and buccal mucosa – Streptococcus viridans group (S. mutans, S. – In the upper respiratory tract, initial colonization by pathogenic
milleri, S. salivarius, and S. sanguis). organisms may be seen.(Neissera meningitidis, Bordetella
– Although they are part of the normal flora of the mouth, Viridans pertussis, and Corynebacterium Diphtheriae)
streptococci have been implicated in the pathogenesis of dental caries.
– The lower respiratory tract is usually sterile and organisms
– The normal flora of the pharynx and trachea are similar to those found in
that reach this region are usually destroyed by the defense
the oral cavity.
mechanism of the body such as the alveolar macrophages.
– The number of bacterial flora differs between the small and – Synthesis of vitamin B complex and Vitamin K
large intestine. In the small intestine, scanty flora may be – Conversion of bile into bile acids.
found due to the constant peristaltic movement of the
– Competition with transient flora for nutrients.
intestines.
– Prevention of colonization of the intestines by transient flora.
– Most bacteria cultured in the small intestine include
streptococci, lactobacilli, and bacteroides which are all – Production of potentially pathogenic end-products of metabolism that
transient. are toxic to transient flora.
Normal Flora of the
digestive Tract GENITOURINARY TRACT
03
MEDICAL & Enumerate general aseptic procedures
followed to maintain a clean environment and
prevent the spread of infectious diseases
Chain of infection
Infection How an individual acquires the infectious agent
-infectious agent
Infection Decontamination
physical or chemical means are used to remove,
-source of infection inactivate, or destroy pathogens on a surface or item;
Control -how it was transmitted
-portal of entry into the host Control
Disinfection
Mode of transmission physical or chemical means to destroy pathogens,
manner in which the infectious organism is acquired excluding the spores
by the host
Sterilization
Standard precautions all pathogens are destroyed, including the spores
measures used to prevent the spread of infection
Antiseptic
Contamination
chemical solution that inhibits the growth of some
contact of a sterile or aseptic item with microorganisms
microorganisms
Occupational exposure
exposure to an infectious agent of a health worker Factors in the occurrence of
during the course of his/her work Goal of Asepsis: infections (patients):
• Protect the patient from 1. Suppression of immune
hospital-acquired or system
Personal Protective equipment (PPE) nosocomial infections 2. Prolonged duration of illness
specialized equipment or attire used to be protected • Prevent the spread of 3. Procedures that patients
from infections pathogenic microorganism undergo in the healthcare
facility
ASEPSIS
Categories of Asepsis
A. Medical or Clean Asepsis
Most commonly occurring Primary location of
pathogenic microorganism • absence of disease producing microorganism
infections: • infection control process that aims to reduce
that lead to nosocomial
infections: • Surgical wounds the spread of infection
• Urinary tract • proper hand hygiene, administration of all
• Escherichia coli • Respiratory tract medications except those that are given
• Staphylococcus aureus • Bloodstream intravenously, preparation of the patient’s skin
• Pseudomonas aeruginosa before administration of subcutaneous
• Candida albicans medication
• Enterococcus
Categories of Asepsis
General Aseptic Procedure
B. Surgical or Sterile Asepsis
• absence of all microorganisms • Frequent handwashing of hospital personnel
• procedure that aim to eliminate microorganisms from an • Prompt and safe disposal of contaminated
area in the body where surgical procedures will be
performed and locations where the surgical procedure
materials like bandages and needles
will be carried out. • Regular checking and emptying of containers
• applied when skin is not intact, when internal areas of for surgical drains
the body are involved in procedures, diagnostic or • Prompt cleaning of soiled or moist areas
treatment purposes • Proper labeling of containers regarding the
• wound care, invasive procedures (endoscopy),
administration of intravenous drugs, and during
date and time of disposal
insertion of urinary catheter and other internal tubes.
HANDWASHING HANDWASHING
Fingernails should be kept short Are specialized GUIDELINES FOR PROPER USE OF GLOVES IN HEALTHCARE
Alcohol-based sanitizing antimicrobial solutions or hand cleaners equipment and FACILITIES BY WHO:
attire used in • Practice of hand hygiene must still be observed before and after
healthcare facilities wearing gloves
to protect not only • Gloves must be worn if potentially infectious material is
the healthcare anticipated.
workers but also • Gloves must be removed and disposed after caring for a patient.
patients and visitors • Gloves must be changed if moving from a contaminated body site
to another.
against infections.
• Re-using of gloves after contamination is not recommended
Are specialized and mucous membranes is anticipated. Are specialized STERILE GOWN
equipment and equipment and
attire used in attire used in - can be in form of apron or gown.
Remove gloves:
healthcare facilities healthcare facilities - Recommended on closed contact with patients,
• When hand hygiene is indicated
to protect not only to protect not only equipment, materials that can introduce infectious
• When contact with contaminated body sites ended.
the healthcare the healthcare agents to the healthcare worker's skin, uniform or
• As soon as the gloves are damaged
workers but also workers but also other clothing
• After contact with blood or body fluid, intact skin or
patients and visitors patients and visitors
against infections. mucous membranes against infections.
TRANSMISSION-BASED
ISOLATION PRECAUTIONS PRECAUTIONS
1. Proper hand washing
- developed to prevent the spread of infectious agents.
2. Use of Person Protective Equipment
3. Proper handling and disposal of excretions and secretions Precautions are based on the mode of
4. Proper handling and disposal of soiled linen and equipment transmission of the infectious agents and are
classified into:
5. Environmental control
6. Prevention of injury from sharp devices A. Contact precautions
7. Patient placement B. Droplet precautions
C. Airborne precautions
TRANSMISSION-BASED TRANSMISSION-BASED
PRECAUTIONS PRECAUTIONS
A. CONTACT PRECAUTIONS B. DROPLET PRECAUTIONS
• Used for diseases or infectious agents that are spread in tiny
• Used to prevent the spread of infections or infectious agents throu droplets caused by coughing and sneezing.
gh contact (touching of patients or items in the room) where infecti • To prevent contact with secretions from the respiratory tract
ous agents may be deposited called Fomites. • Examples: influenza, mumps, pertussis (whooping cough)
• Example: methicillin-resistant Staphylococcus aureus (MRSA), virus • This can spread when the individual coughs or sneezes can
such as respiratory syncytial virus, agents that cause diarrhea travel a distance or apprx. 3 feet or 90 cm.
whether viral or bacterial, and open wounds. • All persons entering the room are required to wear surgical
• All individual must wear gowns and gloves. mask.
ASEPTIC MEASURES IN THE OPERATING ROOM
TRANSMISSION-BASED 01 Thorough cleaning of the operating room
with detergent or detergent germicides,
PRECAUTIONS soap and water must be done.
ASEPTIC MEASURES IN THE OPERATING ROOM ASEPTIC MEASURES IN THE OPERATING ROOM
Antisepsis
use of chemical agents on living tissue to
prevent the spread of microorganisms either
by inhibiting the growth or destroying them.
Classification
1. Moist Heat Classification (Moist Heat)
- preferred over dry a.) Temperature below 100 C a.) Temperature below
• Inspissation
heat because of • Pasteurization 100 C • Serum bath - This technique is used to
- Method of destroying disease-producing organisms • Vaccine bath - This is used to
its more rapid solidify and disinfect egg-
in milk and milk products as well as other beverages. - This is used to destroy inactive bacteria
killing action. containing and serum-
o Conventional method- the milk is heated at 60 contaminating bacteria contaminating serum
- Cause coagulation containing media.
in vaccine preparations and is
deg C - 65 deg C followed by rapid cooling. - The culture media is
and denaturation o Flashed method- heating at 72 deg C for 15 sec
preparations. done by heating at 56 placed in the slopes of a
of protein - Only the vegetative C for several device called an
followed by quick cooling to 13 deg C. forms of bacteria are successive days.
o Ultra-high temp- heating is done at 140 deg C inspissation and is heated
destroyed.
for a period of 15 sec and 149 deg C for 0.5 sec. at 800 C -85 C for 30
mins for three successive
days.
Classification Classification
(Moist Heat) (Moist Heat)
b.) Temperature of 100 C c.) Temperature above 100 C
• Boiling • Fractional sterilization • Autoclave (Steam under pressure)
- This method involves utilizing - This method is used for intermittent - This is the most efficient method of sterilization because it
water at boiling temp of 100 C. sterilization and involves exposing the can destroy all microbial forms.
- It is not sporicidal and will destroy material to be sterilized to live steam at - When the pressure reaches 15 pounds per square inch
only the vegetative forms. (psi), the temp inside the vessel reaches 121 C .
100o C for 30-90 mins for three
- Certain metals articles and - This method is used to sterile instruments, surgical
consecutive days.
glassware can be disinfected using bandages, culture media, and other contaminated materials
this method for 10-20 mins w/o - This method can be used to sterilize that can withstand high temp and high pressure
opening the lid of the boiler. culture media such as TCBS and
selenite broth. Only vegetative forms of
bacteria are destroyed with this
method.
Types of Heat Types of Heat
MOIST HEAT & DRY HEAT MOIST HEAT & DRY HEAT
Dessication Filtration
• form of mechanical sieving that does not kill
• method based on the principle of depriving
microorganisms but merely separates them from
the microorganisms of moisture the fluid.
• used mainly in the preparation of dried fish • used to remove bacteria from culture media or to
and fruits. prepare suspensions of used viruses and phages.
Freezing Radiation
• preservation of microorganisms in a process 1.) Ultraviolet Light/Non-ionizing radiation
called lyophilization or freeze drying 2.) Ionizing radiation
• not a reliable method of sterilization
Factors affecting the efficacy of a chemical agent: Factors affecting the efficacy of a chemical
• Nature of the surrounding medium agent:
- the pH of the medium and the presence of extraneous materials
like pus or blood decreases the effiency of the chemical agent. • Number of organisms/size of inoculum
• Nature of the organisms - the larger the number of microorganism present, the
- refers to the innate resistance of the microorganisms to more time needed for a disinfectant to destroy all of
disinfectants. them.
- bacteria that produces endospores may be resistant to most
chemical agents.
- mycobacterial cell wall is lipid-rich that makes it difficult for the
chemicals to penetrate it.
- gram-negative bacteria have an outer membrane that confers
resistance to disinfectants.
CHARACTERISTICS CHARACTERISTICS
OF A OF A
GOOD 1
It should be broad spectrum
GOOD 6
It should be non-toxic, non-allergenic, non-irritative, & non corrosive
2
CHEMICAL It should be fast acting 7
CHEMICAL It should be soluble on water and easy to apply
3 It should be active in the presence of organic matter 8 It should leave a residual antimicrobial film on the treated surface
GOOD 1
It should be safe under storage & shipping for reasonable periods of time membrane resulting in leakage of cell components.
a. Cationic agents
2
CHEMICAL It should not have a bad odor. - these are called quaternary ammonium compounds and
are effective at alkaline pH.
b. Anionic Agents
- these are negatively charged agents that contain long
hydrocarbons. They remove dirt through the process of
emulsification and are most effective at acidic pH.
Alcohols
- disorganize the lipid structure of the cell
membrane, dehydrate cells, and cause denaturation and
coagulation of cellular proteins. Denaturating agents:
a. ethyl alcohol -acids and alkalis
b. isopropyl alcohol - alcohol and acetone
c. benzyl alcohol -phenol and cresol
d. methyl alcohol
a. Mercurials
- use as antiseptic, active against viruses at dilution a. Iodine - considered the best antiseptic.
of 1:500 to 1:1000 b. Chlorine - used in treatment of water. Hypochlorites are used
b. silver compounds for sanitizing dairy and food processing equipment.
- are bactericidal, 1% silver nitrate is used as c. Hydrogen peroxide - weak antiseptic, only for cleaning wounds.
treatment for opthalmia neonatorum.
Modification of the functional groups of proteins
and nucleic acids:
Alkalyting agents
a. Aldehydes damage nucleic acids by alkylation of amino-,
carboxyl-, or hydroxyl groups.
formaldehyde (formalin) - used for surface disinfection.
glutaraldehyde - is sporicidal and used as cold sterilant in
sterilizing medical equipment.
Ethylene oxide
- is also a sporicidal and is used in gaseous sterilization of
heat-sensitive materials or equipment like heart-lung machine etc.
Chapter 8
What are Antibiotics or antimicrobials?
6. It should be able to kill the organism or inhibit its growth 1. Based on the spectrum of activity (broad-spectrum or
before it has had a chance to mutate and develop narrow-spectrum)
resistance. Broad spectrum antibiotics (wide coverage of
7. It must exhibit selective toxicity. It must be toxic to the activity against a wide spectrum of microorganisms);
microbial cell but not to the host's cells. Narrow spectrum antibiotics (limited coverage of
activity, effective only against a limited number of
microorganims)
Antimicrobials are classified in several ways: Antimicrobials are classified in several ways:
• 2. Based on their antimicrobial activity (bactericidal or 3. Based on their absorbability from the site of
bacteriostatic) administration
Bactericidal (capable of killing the microorganism); locally-acting – limits its action at the site where it is
Bacteriostatic (can only inhibit the growth of the administered. Example: topical
organism) ointments/ eye drops
systemically-acting – one that affects several body
systems. Ex. Antibiotics that are
administered intramuscularly or
intravenously.
Classification of Antibiotics based on Mechanism of Action Agents that Interfere with the Synthesis of
Bacterial Cell Wall
• Agents that Interfere with the Synthesis of Bacterial Cell
-Inhibiting the different stages of peptidoglycan
Wall
synthesis or by destroying an already formed
• Agents that Alter the Function of Permeability of the Cell peptidoglycan by activating autolytic enzymes.
Membrane
-example: β-lactam antibiotics (penicillins and
• Agents that Inhibit Protein Synthesis
cephalosporins);
• Agents that act on the Nucleic Acid
glycopeptides (Vancomycin)
• Agents that inhibit Microbial Metabolic Pathways
Agents that Alter the Function of Permeability of Agents that Alter the Function of Permeability of
the Cell Membrane the Cell Membrane
-Microbial cell membrane is essential to the survival of
-Antifungal agents work in different ways:
organism (serve as barrier & site of bacterial ATP Alter the permeability of the cell membrane (polyenes: e.g.,
production) nystatin and amphotericin B)
- Agents can be classified into: cationic, anionic, and Interfere with the synthesis of ergosterol, a major component
neutral agents of the fungal cell membrane (azoles: e.g., clotrimazole and
ketoconazole etc.)
-polymyxin B & colistemethate- most well known under
cationic agents; disrupting the outer membrane structure
enabling them to enter the cell and inhibit metabolic
processes in the bacterial cell.
Agents that Inhibit Protein Synthesis Agents that act on the Nucleic Acid
- These agents bind with the ribosomes, either 30S or the
50 ribosomal sub-units or both.
-Agents that inhibit DNA topoisomerases
- Binding with the ribosome results in failure to initiate
the synthesis of proteins, interference with protein Topoisomerases enzymes (types I & II) are essential to
DNA synthesis and are critical enzymes involved in
elongation or misreading resulting in deformed proteins) protein translation and cell replication.
- Representative drugs: aminoglycosides, tetracycline,
spectinomycin
-Quinolones- most effective against DNA gyrase
- Agents that bind to 50S ribosomosal sub-unit are
inhibitors of elongation process of protein. 3 classes
under this: chloramphenicol, macrolides, & lincinoids
- Agents that act by interfering with the β-subunit of an Agents interfere with metabolic pathways crucial for
RNA polymerase that is needed for RNA synthesis. the survival of the microorganism
Several mechanisms developed by bacteria that enable Several mechanisms developed by bacteria that enable
them to develop resistance to selected antimicrobials: them to develop resistance to selected antimicrobials:
• Prevention of cellular uptake or efflux • Modification of target sites
-Gram-negative bacteria have the ability to change the lipid -Antimicrobials have specific targets in the bacterial cell.
composition of their outer membrane thereby preventing the antibiotic -Any change in the structure will lead to the inability of the
from reaching its cellular target
antibiotic to exert its action on the target bacteria.
-Gram-negative and gram-positive bacteria have developed an
- Ex. The target site of penicillin on a bacterial cell is a
efflux pump that can prevent the antibiotic to accumulate within the
bacterial cell structure called Penicillin-binding Proteins (PBP). The
-Efflux pumps are effective against a wide range of antimicrobials in organisms Streptococcus pneumoniae has developed
multiple classes resistance by causing alteration in the structure of its
penicillin-binding protein
Several mechanisms developed by bacteria that enable Several mechanisms developed by bacteria that enable
them to develop resistance to selected antimicrobials: them to develop resistance to selected antimicrobials:
• Overproduction or bypass of target enzyme • Target mimicry
One mechanisms developed by bacteria is targeting -A new mechanism of anti microbial resistance
specific enzymes that are essential to the metabolism of -Production of proteins similar in structure to the target
an organism sites of the antibiotics
– Overproduction of the target enzyme of the antibiotic, there will still -Due to the similarity in structure of new proteins and the
be enough amount of the enzyme that is free from antibiotic target proteins, the antimicrobial binds the new proteins
allowing the organism to still carry out the essential enzymatic and not the target protein
reaction
– Some bacteria have developed alternative or bypass mechanisms
that can serve as alternative for the target enzyme
Host Response 1.
2.
3.
differentiate “antigen” from “immunogen;”
discuss the properties of antigen that would make them immunogenic;
describe the different lines of defense of the body;
4. determine the role of the B cells and T cells in providing defense against infectious
to infection 5.
6.
agents;
differentiate innate immunity and adaptive immunity;
identify the differences between humoral and cell-mediated immune response;
7. examine the function of the different immunoglobulins;
8. differentiate primary immune response and secondary immune response;
9. distinguish from each other the mechanism involved in the various types of
hypersensitivity reactions, citing examples for each type; and
10. explain the role of vaccines in the prevention of the development of infectious diseases.
Definition of Terms
Immunology- study of the immune system and the immune
response
Immunogen- any substances capable of inducing an immune
response
Properties
Antigen- substance recognized by the immune system that
serves as the target of the immune response
Epitope- structure in the antigen that is recognized by the B cell
or T cell.
of Antigens
Hapten- substance that is low of molecular weight that can only
induce an immune response if bound to another
substance tasty is already immunogenic.
- these consist of bone marrow and the thymus - B cells remain in the bone marrow and undergo maturation
- T cells will go out of the bone marrow (immature and
incompetent) then go to the thymus where they mature
and become competent
Peripheral Lymphoid Organs Cells of the Immune System
Consist of lymph nodes, spleen and the mucosa- The various responses of the human immune system are
associated lymphoid tissues (MALT) which includes mediated by specific cells and the substances they
the tonsils, adenoids, Peyer’s patches in the ileum produce. These cells includes:
and the appendix White Blood Cells
These organs are site of reactivity of lymphoid cells - granulocytes (e.g., neutrophil) – 50% to
These are where antigens are trapped and 80%
subsequently encounter the T and B cells - lymphocytes - ~20%-45%
Both mature T cells and B cells are found in the - monocytes and macrophages – 3%- 8%
peripheral lymphoid organs
Respiratory cilia Directs organisms trapped in mucus out of the Macrophages and dendritic cells Ingest and destroy microbes; present antigens
respiratory passages to T cells
Interferons Inhibit viral replication; produce anti-viral state
Low pH of stomach and vaginal; fatty acids in Inhibits growth of microorganisms
skin
Complement system Membrane attack complex creates holes in
Surface phagocytes Ingest and destroy microbes bacterial cell membrane; components activate
inflammation
Normal flora Prevent colonization by pathogens
Fever Inhibits bacterial growth
Factors that limit growth of the microorganisms Mode of action
within the body Inflammatory response Limits spread of microbes by destroying them
Adaptive Immunity
● It is specific An important distinction between innate
● Activated after exposure to a particular antigen and adaptive immunity – adaptive
● It is an acquired response to an antigen that is initiated by recognition of immunity possesses memory
specific epitopes of the foreign invaders
● It involves production of antibodies by the B cells and activation of the Once the B or T cells are activated, some of
cytotoxic T cells
the B and T cells turn into memory cells
● The response is delayed compared to innate immunity – it takes 7-10
days before sufficient levels of antibodies are produced by the body
● The protection given by adaptive immunity is longer and inmost cases,
lasts throughout the lifetime of the individual
Comparison between innate and adaptive immunity Immune Response: Primary Antibody Response
Property Innate Immunity Adaptive Immunity
Activity at birth Yes No
Activation of inflammatory
Activation of a
Response time Immediate Delayed response and delayed type
First exposure specific set of
hypersensitivity as well as
with an antigen helper T cells
Specificity for microorganisms Relatively low (PAMPS) High (specific antigens) stimulation of B cells to
(Th1 cells)
produce IgM and IgG
Cells Phagocytic cells, NK cells, epithelial B lymphocytes and T lymphocytes
cells
Memory No Yes
Antibody Structure
Antibodies
Globulin proteins (immunoglobulins)that react 1. Typical shaped like a letter “Y” and consist of
specifically with the antigens that stimulate their polypeptide chains linked by disulfide bonds
2. Made up of 2 identical heavy chains and 2
production identical light chains
3. Each chain is composed of a variable region
The most important antibodies are: and a constant region.
4. The variable region contains the hypervariable
1. Neutralize toxins and viruses region that represents the antigen binding site
of the antibody
2. Opsonize microbes so that they will be readily 5. The region at which the arms of the antibody
molecule form a letter Y is a flexible region
recognized and more easily phagocytosed called the hinge region
6. Digestion of this region with either papain or
3. Activate compliment system pepsin will yield two identical antigen binding
fragments (called Fab) and one crystallizable
4. To prevent the attachment of microbes to fragment (called Fc) which binds to effector
mucosal surfaces cells.
4.IgE 5. IgD
● Reaginic antibody ● A monomer that has no antibody function.
● It is medically important for two reasons:
1. it meditate immediate or anaphylactic hypersensitivity ● It is found on the surface of many B cells and
reaction, and serves as a surface marker for B cells
2. It provides defense against parasites such as helminths
and worms. ● Also function as antigen receptor
● Binds to the surface of mast cells and basophils where it ● Present in small amounts in serum (approx.
serves as antigen receptor for the allergen
● It exists in monomeric form 1%)
Cell-mediated
Immunity
Four Basic Functions of Cell-mediated Immunity
Mannose Binding Lectin or MBL Pathway All three pathways lead to the production of C3b,
called the central molecule of the complement
● This pathway is activated by specific patterns of sugars found on system.
the bacterial cell wall.
● The sequence of activation of compliment proteins in both ● Functions of C3b include:
classical and MBL pathways are the same except that the MBL 1. Functions as an opsonin.
does not utilize complement protein C1 and the C3 convertase 2. Promotes further production of anti-bodies by
attaching to the receptor on the B cells.
produced is C4b2a.
Hypersensitivity
Reactions
FOUR TYPES OF
Hypersensitivity reactions are exaggerated and
HYPERSENSIVITY
inappropriate immune responses that lead to tissue REACTIONS
injury resulting in harm to the host.
● Also known as cytotoxic or cytolytic hypersensitivity. ● Initiated by the formation of immune complexes in the circulation.
● This reaction is mediated by IgM or IgG These immune complexes form deposits usually on the kidney and on
● Process: endothelium of blood vessels.
1. IgM and IgG recognizes cellular antigens ● Process:
2. Cell damage “cytotoxicity” 1. Immune complexes deposit into blood vessel walls.
3. Includes recognition of self antigens “autoimmunity” and ABO or Rh 2. Complement cascades and neutrophil degranulation.
antigens on RBCs. 3. Inflammation and tissue damage, like in lupus where antibodies bind to
self-DNA and self-proteins.
TYPE IV: T Cell-mediated Hypersensitivity
●
The tissue destruction is due to either inflammation brought about by
cytokines produced by T Cells.
Examples:
Vaccines
• Latex allergies, poison ivy dermatitis and transplant rejections
BACTERIA AND 1. Define common terms involved in the production of disease by bacteria;
2. Explain the components d Koch’s postulates;
DISEASE 3. Discuss thoroughly the various factors that play a role in the chain of
infection;
4. Compare the various mechanisms by which bacteria produce disease, citing
examples for each mechanism;
5. Describe the various ways by which infectious diseases are classified; and
6. Compare the events involved in the various stages of an infectious disease.
Robert Koch
- a German physician who made significant contribution to the field of microbiology.
Koch’s postulates
- a scientific experimental procedure proving that certain microorganisms caused
specific diseases.
- published in 1884 by Robert Koch and Friedrich Loeffler.
These postulates are as follows:
1. The suspected organism must be absent in healthy individuals but present in those with the
disease.
2. The suspected organism must be isolated from the infected host and grown in pure culture.
3. The organism grown from pure culture must produce the same disease as that of the infected
source when inoculated to a susceptible animal.
4. The same organism must be isolated from pure culture from the experimentally-infected host.
There are certain organisms that cannot be grown in artificial culture
media.
The reaction of humans to specific pathogens may differ given a
specific organism.
There are certain organisms that are species-specific.
There are certain pathogens that become altered when grown in
artificial media
Transmission starts when the pathogenic organism It is the site where an infectious agent normally resides
leaves its host or a reservoir through a portal of exit. and multiplies.
A susceptible organism acquires the infection through a Provide favorable condition for organisms to survive,
given mode of transmission, entering the body of the multiply and opportunity for transmission
susceptible host through a portal of entry.
Once inside the body, the organism starts to multiply Example: human, animals, water
and produce disease.
Zoonotic Infection - infectious disease transmitted Directly transmitted from one individual to another
from an animal to human. – respiratory pathogens and STI
Ex. Anthrax, plague and rabies Carriers - are individuals who are not aware that they
are transmitting the infectious agent which makes them
public health hazards.
Asymptomatic or Healthy Carriers- infected but do not
manifest symptoms. (no signs and symptoms of disease)
Incubatory Carriers- transmit the causative agent during the
incubation period of illness. (the start of the spreading of Water, soil and plants can harbor infectious organisms
disease throughout the body of the reservoir)
- fungus Histoplasma capsulatum is associated with soil
Chronic Carriers- harbor the organism for months or longer
after the patient developed the initial infection. - a protozoan parasite that causes amebiasis, Entamoeba
Convalescent Carriers- individuals who developed the histolytica – water
disease, recovered but remain capable of transmitting the - Fasciola hepatica causes liver damage – aquatic
causative agent. (recovered but can be cause of transmitting
diseases) vegetation (watercress and “kangkong”)
2. Exotoxin
- are intracellular products of some bacteria as part of their Cytotoxins which kill host cells or affect their
growth and metabolism and are released into the
surrounding medium. These are mainly proteins and many function
of them are enzymes. Exotoxins are soluble in body fluids
and are thus easily diffused into blood and rapidly Neurotoxins which interfere with normal nerve
transported throughout the body. impulse transmission
- disease-specific.
Enterotoxins which affect the cells lining the
- are toxic substances secreted by bacteria and released
outside the cell. gastrointestinal tract
The time interval between entry of the offending agent and the
appearance of the initial signs and symptoms of the disease
This period is variable usually stated in a form of a range (e.g.
6-12 days)
The length of the this period can be affected by: virulence of
organisms, resistance of the host and number of infecting
microorganisms
Relatively short period, characterized by early, mild Corresponds to period of maximal invasion
symptoms of disease which are generally non-specific It is during this period that the disease is most acute
Ex. In measles infection, prodromal period is The patient manifests signs and symptoms distinctive
characterized by fever, cough, colds, general aches and of the disease
malaise – symptoms which can be seen with other
As a rule, most bacterial infection will usually show
disease
increased neutrophil count while most viral infections
will have a high lymphocyte count
Several outcomes may arise during this period: Corresponds to what is known as period of
- body’s disease mechanisms successfully destroy invading defervescence
microorganisms The signs and symptoms of the patient start to
- if unsuccessful, patient may develop severe disease that can
subside
lead to fulminant infection Body temperature may return to normal and the
feeling of weakness may deminish
- from acute form to chronic
Patient becomes vulnerable to secondary infection
- infection can progress to carrier state where the patient is
asymptomatic