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MICROBIOLOGY & PARASITOLOGY


Introduction To Microbiology
Microbiology ✓ Infectious diseases are
among the most common
➢ Study of all the organisms that are too small causes of death
to be seen with the naked eye (<0.1mm) 2. FOOD PRODUCTION
➢ Microbes can also be utilized in the
Employs techniques:
production of food
1. Sterilization ➢ The fermentative metabolism of
2. Use of culture media the various fungi used to make
*Necessary for isolation & growth of Alcoholic beverages (beer, wine,
microorganisms and liquors)
➢ Microbes are also responsible for
Microorganism/ microbes dairy products such as cheese,
➢ generally smaller than the human eye can butter, and yogurt- Lactic acid
detect and belong to each of the bacteria
five kingdoms: ➢ Yeast is used as a leavening agent
for making bread
• Monera
➢ Microbial fermentation reactions
• Protista- (Eukaryotic, unicellular and
are also used to produce Vinegar
multicellular)
(acetic acid)
• Fungi - Acetobacters (oxidize
• Plantae (Multicellular, Eukaryotic) ethanol & produce acetic
• Animalia acid)
EUBACTERIA & ARCHAEBACERIA (Unicellular, - - Gluconacetobacter
Prokaryotic) ➢ Microbes are critical to element
recycling in the environment: the
➢ The subjects of microbiology include carbon, nitrogen, and sulfur cycles.
bacteria, algae, fungi, protozoa, and 3. Microorganisms are used in the
helminths all of which are cells and viruses production of numerous industrial and
which are not cells medical Products.
➢ Organic solvents (acetone, toluene,
The majority of microbes exist as single cells or butanol)--Clostridia
clusters of single cells; however, some are multi- ➢ Vitamins-Probiotics (Bifidobacteria)
cellular existing as filamentous multi cells - Antibiotics
➢ They are Ubiquitous (Everywhere) - Vaccines,
➢ From deep in the earth’s crust-- to the polar - Plastics
ice caps and oceans -- to the bodies of plants ANTIBIOTICS
and animals
➢ Mouth, colon, ears, teeth, arms, hands, feet, ❖ Chinese – moldy curd of soybeans
feces, skin, vagina, external eye, upper ❖ 1877: Louis Pasteur – anthrax bacteria
respiratory tract, etc. inhibited by a saprophytic bacteria (lives &
feeds on dead organic matter)
Why Study Microbiology? ❖ 1928: Alexander Fleming – a strain of green
1. IMPACT ON HUMAN LIFE Penicillium mold inhibited the growth of
➢ PATHOGENS bacteria on an agar plate
✓ Disease-causing ❖ 1944: Selman Waxman discovered
microorganisms. Streptomycin (from Streptomyces)
✓ 2,000 different microbes that ➢ Genetically-engineered
cause various types of microorganisms can be used as
disease. biological factories to produce a wide
✓ 10 billion new infections array of biomedical reagents and as
across the world every year. a source for useful genes (i.e., for
✓ gene therapy)

4. DECOMPOSERS ➢ They inhabit the air we breathe, the
➢ The disease is not the only way in food and water that we eat and
which microbes have a negative drink, the ground that we walk on,
impact on humans. and our bodies!
➢ They can also profoundly affect our ➢ The surface of our skin contains
lives through food spoilage and over 2 million (2 X 106) microbes
Biodegradation. per square inch.
➢ We have all, at one time or another ➢ A single gram of fecal material
encountered: contains over 100 billion (1 X 1011)
✓ Bread mold bacteria
✓ Soft rot of fruits and ➢ A human being consists of
vegetables approximately 100 trillion (1 X
✓ Soured milk 1014) cells. Of that number, only
✓ Canned food spoilage 10% are mammalian in origin.
(botulism) ➢ The remaining 90% are microbes
and together weigh about one-
DECOMPOSITION quarter of a pound.
➢ Breakdown of dead matter and ➢ Microbes are most common in soils,
wastes into a simple compound that especially where there is a potential
can be directed back into natural source of food.
main forces. ➢ On average, one gram of soil
➢ Examples of Biodegradation harbors more than 10 million
• Wood rot, rubber, paint, metal, microbes (1 X 107)
cloth, etc. ➢ When we count the number of
➢ There is not a single compound made microorganisms in the air that we
by man that cannot be destroyed by a breathe, we find that it contains 50-
microorganism. 100 microbes per cubic foot
➢ Microbe mediated Biodegradation can ➢ Microbes have developed some
be used to clean up the environment extraordinary survival adaptations
MEOR- Microbial Enhanced Oil that enable them to exist in a wide
Recovery range of environments.
- Biological based technology ➢ Many microorganisms form cysts or
to manipulate microbial spores when the food or water source
environments in oil reservoir disappears.
- Oil extraction ➢ The organisms can exist in this
- removing debris & mud that dormant state for years until the
blocks oil channels environment becomes more
➢ Many fungi and genetically engineered favorable
bacteria can be used to affect a ➢ As the nutrient source becomes more
gradual breakdown of most toxic abundant, the spores can revive and
wastes, oil spills, pesticides, develop into viable organisms,
detergents, and other environmental ➢ Archaeologists found, and
pollutants. successfully revived spores that were
➢ Microbes are a critical component of dormant for thousands of years in
modern sewage treatment processes sealed amphoras on Greek
➢ If it weren’t for microorganisms, we shipwrecks.
would all be rotting in our own waste ➢ In spite of their abundance,
products microorganisms are most noted for
5. MICROBES ARE UBIQUITOUS AND their negative impact on the human
ABUNDANT lifestyle.
➢ They have the same fundamental ➢ In fact, when microbes are most
metabolic and genetic properties as commonly associated with their
higher life forms. ability to cause disease.
➢ Microbes are ubiquitous and 6. Extremely adaptable
prolific in the world around us.
organisms so that we can minimize what we
consider to be their harmful effects and
maximize their beneficial effects.

Simple models to study biological processes:


Microbiologist Study
1. Cell structure and function, physiology, and
characteristics that may cause disease
2. Genetics, Immunology
3. Biochemistry
4. Epidemiology, Ecology
5. Food microbiology, dairy microbiology, and
aquatic microbiology
6. Agricultural microbiology and biotechnology
7. Genetic engineering and recombinant DNA
technology
HISTORICAL PERSPECTIVE
❖ NURSES
➢ No knowledge of the disease or any
2 Basic Types of Microorganisms of the medical knowledge of today, it
was the very act of caring for an
1. Prokaryotic (Before – nucleus) individual that was the essence of
2. Eukaryotic (True–nucleus) their practice.
➢ As civilization progressed new ideas
and socialization began to have an
Prokaryotes impact on nursing.
❖ SLAVES
➢ Include the bacteria and cyanobacteria, ➢ As civilization progressed through
which were formerly classified as blue-green thousands of years new ideas and
algae. social constructs began to have an
➢ They possess a simple makeup that does impact on nursing.
not contain sub-cellular organelles. ➢ While some nurses were
➢ The typical size of a prokaryote is about still skilled women with
1um diameter. authority, either in the
➢ Archaebacteria and Eubacteria family or employed by the
Eukaryotes wealthy, most had become
servants.
➢ Possess a complex cellular structure. ➢ It was not uncommon in ancient
➢ Contain membrane-bound organelles Persia or Babylon for a slave to be
such as mitochondria, lysosomes, forced into nursing. If the slave
endoplasmic reticulum, and Golgi bodies. nurse’s master died, she could be
burned alive so to provide care in
Microbes do what they do independent of
the afterlife.
human values:
❖ PHYSICIAN
✓ They are “good” or “bad” depending upon ➢ A male who had specialized skills
how we choose to see them. different from a nurse.
✓ Over 90% of all known species of ➢ Most (all) societies were male-
microorganisms are either neutral or dominated; nurses were subservient
beneficial to human beings. to “doctors”.
✓ Less than 10% are harmful in some way. ➢ The nurse’s role had regressed to
✓ One important goal of microbiology is to that of an assistant caregiver.
better understand the activities of these ❖ RELIGION
➢ Under the umbrella of religion because
of perceived causes of illnesses... HISTORY OF MICROBIOLOGY
❖ DISEASE
➢ Invasive demon, sin, or punishment ▪ Microscopy
from the gods ▪ Scientific Method
➢ Cures: scaring a demon out, drilling ▪ Development of Medical Microbiology
holes in the head to provide exit Modern
points for bad influences, prayer, ▪ Microbiological Techniques
rituals, and even human sacrifices LEEUWENHOEK (1655-1676) –
❖ MIDDLE AGES AND RENAISSANCE MICROSCOPE
➢ Medicine...scientific endeavor and ➢ The existence of microorganisms and
moved away from mysticism. their relationship to disease was
➢ Nursing had moved from the slave suspected, long before they could
quarters of wealthy families to the actually be seen, but real physical
nunnery as well as a few schools. evidence was not available until the
❖ 1600s: invention of the microscope.
➢ The spiritual leadership of St. Vincent ➢ In 1673 Antony van Leeuwenhoek
de Paul led to an enrichment of (Dutch linen merchant and self-made
nursing. microbiologist) discovered
➢ He recognized that nursing could be microorganisms, which he called
a social force, helping not only the “animalcules”.
ill but also the poor, hungry, sad, ➢ Father of bacteriology and
and lonely. protozoology.
➢ He saw the need for and created, a ➢ Leeuwenhoek’s microscopes were
program for nursing education, able to achieve 50-300X
helping to start the Dames de magnification, which enabled him
Charité. This was an early nursing to visualize a variety of bacteria
group that later gave rise to the and protozoa.
secular Sisters of Charity in 1633. ➢ He communicated his findings to
Both were led by women and serve the Royal Society of London, but
as the earliest examples of “nursing kept his techniques for grinding
schools”. lenses and making observations a
➢ Women of faith would put their hearts secret.
and souls into caring for the ill to ➢ Consequently, his contemporaries
answer a higher power. had a very difficult time repeating his
➢ It was here that the usage of results.
“sister” becomes synonymous
with nurse. ❖ Spontaneous Generation – shaped the
Florence Nightingale: science of microbiology:
➢ Ancient belief was that living
➢ Born in 1820 to a wealthy British family, organisms could arise
Florence was given social and educational spontaneously from nonliving matter.
opportunities not afforded to most Victorian- ➢ The Greek philosopher Aristotle
era women. believed insects and other small
➢ She combined her intelligence and sense animals had to arise from
of humanity and began nursing in 1845. spontaneous generation because he
➢ Always looking for new techniques or was unable to observe organs
insights, (including reproductive organs).
➢ Nightingale’s career took off in 1851 when
she received four months' training in Abiogenesis:
Germany as a deaconess of Kaiserswerth ➢ Spontaneous generation
Hospital.
➢ Known for introducing cleanliness and other Biogenesis:
antiseptic techniques into nursing.
➢ Living things only arise from other living
➢ The Link as a nurse...sanitation and
things.
infection control...How can you treat what
you do not know ➢ This belief prevailed until 1665, when
Francesco Redi, an Italian physician,
attempted to address the question of vaccine.
Spontaneous Generation experimentally.
➢ He made careful observations of fly eggs Microorganisms responsible for fermentation:
and maggots by placing decaying meat in a ➢ Formation of alcohol or acetic acid in grape
jar. Conclusion: spontaneous generation juice to form wine or vinegar.
was not occurring. ➢ Occur as a consequence of the actions of
1843, an American physician, OLIVER WENDELL microorganisms
HOLMES published a paper on Puerperial SCIENTIFIC METHOD
sepsis which afflicted mothers during childbirth. ➢ The approach was taken by scientists to
➢ Holmes reported that it was much safer to explain a certain natural phenomenon.
deliver a baby at home than in a hospital. ➢ The development of the experimental system
Where physician handling contributes to the that answered questions objectively.
disease. 1600s
1848, IGNAZ SEMMELWEISS: ➢ Hypothesis – formulate a hypothesis -- a
➢ Hungarian physician in Vienna. tentative explanation to account for what has
➢ Ridiculed for insisting that physicians wash been observed.
their hands before working with pregnant ➢ Predictions
women. ➢ Testing --experimentation, analysis, and
➢ Conducted experiments that hand testing
washing would reduce the incidence of ➢ Conclusion
disease from 30% to less than 3%. ➢ Theory -- a collection of statements,
➢ Physicians still refused to wash their hands prepositions, or concepts that explains or
and admit that they were unclean. accounts for natural events.

SWAN NECK FLASKS EXPERIMENT JOSEPH LISTER (1867)

➢ In 1861, Louis Pasteur devised an ➢ English surgeon


experiment that would settle the controversy. ➢ “Father of antiseptic surgery.”
Pasteur first filtered air through cotton ➢ First, introduce aseptic techniques –
and found a particulate matter that reducing microbes in a medical setting
resembled plant spores. and preventing wound infections.
➢ If the cotton was placed into a “sterile” ➢ Developed a system of antiseptic surgery
medium, growth occurred. designed to prevent microorganisms
➢ He then demonstrated that Swan-necked from entering the wounds.
Flasks containing a nutrient broth, previously ➢ Demonstrated that boiling instruments (heat
heated would remain sterile, even with open sterilized) and applying carbolic acid to
necks. dressings that covered wounds dramatically
➢ He placed nutrients solutions in flasks reduce the incidence of disease following
➢ Heated their necks in a flame surgery.
➢ Drew them out into a variety of curves, while ➢ Phenol was used on surgical dressing and at
keeping the ends of the necks open to the times sprayed over the surgical area.
atmosphere. ➢ This approach transformed surgery.
➢ Boiled the solution for a few minutes and In 1877, English physicist, JOHN TYNDALL,
allowed them to cool. demonstrated that dust did carry germs and that if
➢ No growth took place dust was absent, broth remained sterile even if
➢ Pasteur concluded that the directly exposed to air.
contaminating particles in the air were
trapped on the walls (necks) of the curved ➢ Providing the final blow to spontaneous
irregular flasks. generation.
➢ If the necks were broken, growth ➢ Began the importance of heat-resistant
occurred. spores and sterility—initial evidence of
microbes in dirt/air – highly heat resistant.
VACCINE DISCOVERY:
➢ Pasteur played key roles such as the rabies
ROBERT KOCH demonstrated the first direct confirmed by Pasteur and his coworkers.
role of a bacterium in disease. They discovered that after the burial of dead
animals, anthrax spores survived and were
➢ In 1872-1875, Koch began his work on the brought to the surface by earthworms.
disease called anthrax, which is a Healthy animals then ingested the spores
devastating disease that affects cattle, and became ill.
often wiping out entire herds. ➢ Koch also developed media that was
➢ Anthrax is a common disease but can also suitable for growing bacteria isolated from
be transmitted to humans. the human body, many of which are still in
➢ In the most common form of the disease, use today.
B. anthracis enters the body through skin ➢ Koch also invented nutrient broth and
abrasions. Gets into the bloodstream. nutrient agar.
➢ Causes septicemia and death. ➢ Koch developed and reported the simple
➢ Koch established that a specific bacterium, stain technique in 1877
Bacillus anthracis was the cause of the
disease in mammals. CHRISTIAN GRAM – Danish scientist:
➢ Clearly linked a microscopic organism with a
specific disease. ➢ 1884 – Gram stain (still the most widely used
➢ In 1880s – he identified the bacterium that staining technique)
causes tuberculosis – Mycobacterium ➢ JULIUS RICHARD PETRI: An associate of
tuberculosis and developed a method of Koch developed the Petri dish, which allowed
staining the organism and disproved that it the isolation of pure cultures.
was inherited. (1852-1921)
➢ He also guided the research that led to the
isolation of Vibrio cholera. ➢ In the latter part of the 19th century, Petri
worked as a laboratory assistant for the
THE GERM THEORY OF DISEASE renowned German scientist Robert Koch.
➢ The single most important contribution of the Previous to the men's work, researchers
science of microbiology to the general cultured bacteria in broth.
welfare of the world's people ➢ In 1881, Koch decided to try growing
➢ And to the practice of modern medicine, bacteria on solid media so he could more
essentially defining the term with the easily separate (and, more importantly,
invention of clearly observe and identify) different strains
antimicrobial chemotherapeutics of bacteria in a single culture. He initially
➢ Microorganisms cause disease used gelatin spread on a flat piece of glass.
➢ However, in 1887 his assistant Petri made
MEDICAL MICROBIOLOGY the advance of using a flat, coverable dish
which they soon developed into the object
KOCH’S POSTULATES we are familiar with today.
➢ In 1881 Koch proposed 4 postulates that IWANOWSKI, DMITRI (1890s)
could be used to prove whether or not an
infectious agent is the cause of a disease: ➢ discovered the first virus, tobacco
mozaic virus.
1. The causative agent must be present
in every case of the disease and FLEMING, ALEXANDER (1920s)
absent in healthy animals. ➢ discovered that a mold accidentally growing
2. The agent of disease can be isolated on one of his Petri dishes had anti-bacterial
from the diseased animal and can be activity.
grown in pure culture (A population of ➢ The mold was producing penicillin.
one organism). ➢ This was the first antibiotic discovered.
3. The disease can be reproduced by ➢ Because of problems with mass production,
inoculating a portion of the pure the use of penicillin did not become
culture into healthy animals. widespread until the 1940s
4. The agent of disease can be re-
isolated from the infected animal.
➢ Koch’s proof that Bacillus anthracis
caused anthrax was independently
PATHOGENECITY OF MICROORGANISMS

Pathogenic Microorganism
➢ One that is capable of causing disease. important roles in progression of the
➢ Some microorganisms are unequivocally - disease
pathogenic, whereas others (majority) are
PYOGENIC
generally harmless.
➢ Pus forming (“nana”)
TERMINOLOGIES
- Ex: staphylococcal and
SUBCLINICAL (Asymptomatic) streptococcal infections.

➢ An infection with no detectable symptoms FULMINANT


- Ex: asymptomatic gonorrhea
➢ Infections that occur suddenly and intensely
LATENT - Ex: Necrotizing fasciitis from
Streptococcus pyogenes,
➢ An infection with the potential to become also called “flesh- eating
active at some time bacteria”
- Ex: Treponema pallidum
(syphilis) and Mycobacterium RESERVOIR
tuberculosis (tuberculosis)
Source of the microorganism
OPPORTUNISTIC
1. Humans
➢ An infection due to an organism that 2. Animals, Insects, Birds, Fish, Reptiles,
generally does not cause disease unless Plants
normal host defenses are compromised 3. Environment (non-living objects)
- Ex: Pneumocystis
pneumonia in patients with TRANSMISSION
HIV
Mode or means how a microorganism can be
PRIMARY acquired

➢ Infection by an organism that may become 1. Human to human – Direct


latent and later cause other disease 2. Animal, insect, (vectors) / carriers - to –
manifestations human
- Ex: Treponema pallidum 3. Environment (non-living object)
(syphilis)
PATHOGENICITY
SECONDARY
Microorganism Human/Host
➢ A.) Reactivation of a latent infection
VIRULENCE FACTORS
➢ B.) the second stage of an infection
- A. Mycobacterium ❖ Characteristics of a bacterium that enhance
tuberculosis (tuberculosis) its pathogenicity, that is,
- B. Treponema pallidum properties that enable a microorganism to
(syphilis) establish itself and replicate on or within a
specific host
MIXED
➢ Two or more bacteria infecting the same
tissue
- Ex: Pelvic inflammatory
disease may be initiated by
infection with N. gonorrhoeae
or C. trachomatis but other
organisms including
anaerobes play
STEPS IN THE INFECTIOUS PROCESS ▪ Iron is actively transported into the
bacterium where it is incorporated
into essential compounds such as
1. Entry into the host, with evasion of host cytochromes
primary defenses 5. Damage to a host cell by bacterial toxins or
immune response of the host
- Via the respi, GI, or GUT or through the ▪ Virulence factors that inhibit
skin that has been cut, punctured, or phagocytosis (capsule external to
burned. the cell wall)
▪ Bacterial toxins:
- Once entry is achieved, the pathogen must ▪ Exotoxins- proteins secreted by G+
overcome diverse host defenses before it & G-bacteria
can establish itself. ▪ Endotoxin- not secreted but integral
2. Adherence of the microorganism to cell wall component of G-bacteria
host cells (LPS)
- Pili / Fimbriae 6. Progression or Resolution of the disease
- Surface adhesion molecules
HOST-MEDIATED PATHOGENESIS
▪ One important evasive strategy for the
pathogen is to change its surface antigens. o The pathogenesis of many bacterial
▪ This is accomplished by several infections is caused by the host response
mechanisms rather than by bacterial factors.
- Ex: gram-negative bacterial
PHASE VARIATION sepsis, tuberculosis, and
tuberculoid leprosy.
▪ One mechanism, called phase variation, is
o The tissue damage in these infections is
the genetically reversible ability of certain
caused by various cytokines released from
bacteria to turn off and turn on the the lymphocytes, macrophages, and
expression of genes coding for surface polymorphonuclear leukocytes at the site of
antigens.
infection or in blood-stream.
ANTIGENIC VARIATION o Often the host response is so intense that
host tissues are destroyed, allowing
▪ A second mechanism, called antigenic remaining bacteria to proliferate.
variation, involves the modification of the
gene for an expressed surface antigen by
genetic recombination with one of many
variable unexpressed DNA sequences.
▪ In this manner, the expressed surface
antigen can assume many different
antigenic structures

3. Invasion of the host


- enter host cells or penetrate mucosal
surfaces, spreading from the initial site of
infection
- facilitated by several bacterial enzymes
(collagenase and hyaluronidase) that
degrade components of the extracellular
matrix, providing the bacteria with easier
access to host cell surface

4. Propagation of the organism


▪ Iron sequestering through iron-
binding compounds
(siderophores)

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