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5 Exceptions that are not protected by the mother's uterus
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HIV, Treponema pallidum, Cytomegalovirus, Rubella, Listeria
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EESMDO
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Encounter: The endogenous or exogenous agent meets the host
Entry: The agent enters the host
Spread: The agent spreads at the site of entry
Multiplication: The agent multiplies in the host, it may be unsuccessful
Damage: The agent causes tissue damage or the host can respond to the damage
Outcome: The agent wins or the host wins, or the agent and host learns to coexist
Entry: The agent enters the host
Spread: The agent spreads at the site of entry
Multiplication: The agent multiplies in the host, it may be unsuccessful
Damage: The agent causes tissue damage or the host can respond to the damage
Outcome: The agent wins or the host wins, or the agent and host learns to coexist
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Colonization
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The presence of microbes in or on the surface of the human body that can potentially cause diseases.
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Intoxication
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Toxins produced by bacteria that can cause diseases.
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Exogenous agents
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Diseases encountered with agents from the environment
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Endogenous agents
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Diseases encountered with agents within the body, caused by normal flora
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4 parts of the body that are free of organisms
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Blood, cerebrospinal fluid, synovial fluid, and deep tissue
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2 parts of the body that are loaded with organisms
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Mouth and large intestine
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Major sites that have organisms
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-skin
-respiratory tract
-digestive tract
-urinary tract
-genital tract
-respiratory tract
-digestive tract
-urinary tract
-genital tract
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2 normal microbiota of the conjunctive (eye)
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- Negative coagulase staphylococci
- Haemophilus spp.
- Haemophilus spp.
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2 normal microbiota of the skin
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-Mycobacterium spp.
-Staphylococcus aureus
-Bacillus spp.
-Staphylococcus aureus
-Bacillus spp.
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2 normal microbiota of the outer ear
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-Pseudomonas
-Diphtheroids
-Diphtheroids
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2 normal microbiota of the the urethra
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-Peptostreptococcus spp.
-Streptococcus
-Streptococcus
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2 normal microbiota of the of the vagina
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-Gardenerella vaginalis
-Bacteriods
-Candida spp.
-Bacteriods
-Candida spp.
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2 normal microbiota of the mouth and orapharynx
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- Fusobacterium spp.
- Treponema spp.
- Treponema spp.
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2 normal microbiota of the large intestine
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-Klebeisella spp.
-Enterococci
-Escherichia coli
-Enterococci
-Escherichia coli
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2 normal microbiota of the small intestine
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-Clostridium
-Lactobacillus
-Lactobacillus
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2 normal microbiota of the nose
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-Viridans streptococci
-Neisseria spp.
-Streptococcus pneumoniae
-Neisseria spp.
-Streptococcus pneumoniae
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Resident biota
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Each surface has a particular species and changes over time
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Transient biota
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Do not normally reside, mostly harmless, and some can be pathogens
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Opportunists
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Microbes that can cause diseases when given the opportunity
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Symbiosis
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The relationship between two kinds of organisms living together
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Commensalism
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- A relationship where one partner benefits and the other does not benefit or harmed.
- Can prevent establishment of harmful microbes in the human body.
- Commensals ---> Opportunists over time when they become harmful.
- Can prevent establishment of harmful microbes in the human body.
- Commensals ---> Opportunists over time when they become harmful.
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Parasitism
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- A relationship where one partner benefits and the other is harmed
- Term reserved for protozoa, worms, and insects
- Term reserved for protozoa, worms, and insects
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Mutualism
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- A relationship where both partners benefit
- Usually neither can survive without the other
- No true mutualism exists b/w humans and microbes because no single species are essential to human survival
- Usually neither can survive without the other
- No true mutualism exists b/w humans and microbes because no single species are essential to human survival
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PREEMPT
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- 29 different organisms that are beneficial and found on the surface of healthy chickens' intestinal wall.
- They prevent from Salmonella bacteria from establishing themselves on the intestinal walls.
- Salmonella must pass harmlessly out of the chicken's body.
- They prevent from Salmonella bacteria from establishing themselves on the intestinal walls.
- Salmonella must pass harmlessly out of the chicken's body.
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5 Roles of Normal Flora
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1. Stimulate the immune system and provide a source of antigens to train the immune system
2. Produce Vitamin B12 and K
3. Common cause of infection
4. Microbial antagonism
5. Help digestion
2. Produce Vitamin B12 and K
3. Common cause of infection
4. Microbial antagonism
5. Help digestion
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Why is the skin a hostile place for bacteria?
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- Sloughing off of dead cells
- The skin has high content salt
- The skin is dry; microbes need a moist area to stick
- The skin is crowded with several other microbes preventing invaders.
- The skin has high content salt
- The skin is dry; microbes need a moist area to stick
- The skin is crowded with several other microbes preventing invaders.
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Pseudomonas colitis
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- Clostridium difficile
- antibiotic-associated diarrhea
- Arises once commensal bacteria are suppressed by antibiotics. C. difficile are highly resistant and can produce toxins.
- antibiotic-associated diarrhea
- Arises once commensal bacteria are suppressed by antibiotics. C. difficile are highly resistant and can produce toxins.
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3 challenges faced by bacteria
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1. Nutrition: nutrition is often not available
2. Occupancy: a pathogen must go through EESMDO to remain in a certain habitat.
3. Resistance: must resist damaging agents
2. Occupancy: a pathogen must go through EESMDO to remain in a certain habitat.
3. Resistance: must resist damaging agents
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"Feast and Famine" in colon
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- E. coli or Bacteroides fragilis are normal flora in the large intestines.
- They have to cope with a 2-minute feast and 70-minutes of famine 20x every day.
-Pesudomonas and other aerobes cannot survive here
-EFFICIENCY AND ADAPTABILITY are much in demand
- They have to cope with a 2-minute feast and 70-minutes of famine 20x every day.
-Pesudomonas and other aerobes cannot survive here
-EFFICIENCY AND ADAPTABILITY are much in demand
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Buckholderia cepacia
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-has 3 chromosomes
-gram negative
-gram negative
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3 Stages that bacteria protect their cytoplasmic membranes
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1. Gram-negative
2. Gram-positive
3. Acid-fast
2. Gram-positive
3. Acid-fast
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Gram-positive bacteria
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- have a thick multilayer peptidoglycan murein (cell wall)
- this peptidoglycan maintains the shape
- also has teichoic acid
- this peptidoglycan maintains the shape
- also has teichoic acid
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Murein
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Cell wall (also called peptidoglycan) made of glycan sugar chains that cross-links via peptides. Found in gram + and gram - BUT plays a big role in gram +
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Gram-negative bacteria
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-has an outer and inner membrane, inbetween these membrane is periplasm
-LPS: Lipid A, the core, O-antigen
-the outer membrane has special channels called porins
-LPS: Lipid A, the core, O-antigen
-the outer membrane has special channels called porins
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Porins
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Special channels in the outer membrane that allows hydrophilic compounds to pass through
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Acid-fast bacteria
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-Ex: Mycobacterium tuberculosis
-Contains large amounts of waxes in their cell wall made of mycolic acid
-These waxy cover is found outside of a gram-positive's peptidoglycan layer.
-Contains large amounts of waxes in their cell wall made of mycolic acid
-These waxy cover is found outside of a gram-positive's peptidoglycan layer.
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Good antibiotics
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-Vancomycin
-Bacitracin
-Penicillin
-Bacitracin
-Penicillin
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lophotrichous
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compounds produced by bacteria to get Fe from our body
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amphitrichous
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-Bacitracin
-Vancomycin
-Penicillin
-Cephalosporins
-Vancomycin
-Penicillin
-Cephalosporins
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monotrichous
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-Streptomycin
-Erythromycin
-Chloramphenicol
-Tetracycline
-Erythromycin
-Chloramphenicol
-Tetracycline
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peritrichous
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-Rifampin
-Anti-viral agents
-Ciprofloxin
-Anti-viral agents
-Ciprofloxin
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siderophores
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Sulfonamides (first anti-microbial agents used to cure infections in humans)
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Drugs that inhibit cell wall synthesis
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Polymyxin B
Anti-fungal agents
Anti-fungal agents
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Drugs that inhibit protein synthesis
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Treatment of disease with chemicals and radiation
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Drugs that inhibit nucleic acid
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The study of drugs
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Drugs that inhibit folic acid synthesis
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A drug that will only kill the microbes not the host cells
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Drugs that disrupt cell membranes
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Developed the concept of the "magic bullet"
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Chemotherapy
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Discovered the first antibiotic in 1928
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Pharmacology
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Type of antimicrobial agent made from a microorganism that kills/slows the growth of other microbes
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Selective toxicity
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Drugs, chemicals, or other substances that either kill or slow the growth of microbes
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Paul Ehlrich
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Agents that kills microbes
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Alexander Fleming
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Agents that slows or inhibits the growth of microbes
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Antibiotic
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-Non allergenic
-Reasonable cost
-Selective toxicity
-Solubility in body fluids
-Toxicity not easily altered
-Long shelf-life
-Maintenance of constant, therapeutic [ ] in blood and tissue fluids
-Resistance by microbes not easily aquired
-Reasonable cost
-Selective toxicity
-Solubility in body fluids
-Toxicity not easily altered
-Long shelf-life
-Maintenance of constant, therapeutic [ ] in blood and tissue fluids
-Resistance by microbes not easily aquired
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Antimicrobial agents
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- extrachromosomal, circular, double-stranded, self-replicable
- R factors are carried by plasmid, they encode drug resistance
- R factors are carried by plasmid, they encode drug resistance
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Bactericidal
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Methicillin Resistant Staphylococcus aureus
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Bacteriostatic
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Vancomycin Resistant Enterococci
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Attributes of an ideal antimicrobial agent
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Vancomycin Resistant Enterococci
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Plasmid
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yea
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MRSA
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Causes meningitis and pulmonary infections, sensitive to ampicillin
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VRE
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1. Drugs must associate w/ the bacteria and penetrate the envelope
2. Drugs must be transported to the site of action
4. Drugs must bind to their specific biochemical target
2. Drugs must be transported to the site of action
4. Drugs must bind to their specific biochemical target
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VRSA
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1. Synthesis of enzymes that inactivate the drug
2. Prevent access to the target site by inhibiting uptake or excretion of the drug
3. Inactivation of drug
4. Modifying target site
2. Prevent access to the target site by inhibiting uptake or excretion of the drug
3. Inactivation of drug
4. Modifying target site
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Resistance is widespread because of plasmids and jumping genes (transposons)
answer
1. Not completing the entire prescription even if a broad-spectrum drug is used
2. Use of broad-spectrum drugs when narrow spectrum would work best
3. Subtherapeutic levels must kill all of the bacteria
4. 6 billion animals raised for human consumption each year all get antibiotics at subtherapeutic levels.
2. Use of broad-spectrum drugs when narrow spectrum would work best
3. Subtherapeutic levels must kill all of the bacteria
4. 6 billion animals raised for human consumption each year all get antibiotics at subtherapeutic levels.
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Haemophilus influenzae
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Penicillin binding proteins
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3 Steps defining antimicrobial agents
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Yes, two antibiotics given simultaneously can reduce the chance that a bacterium will completely evade antibiotic destruction
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4 Schemes that bacteria have evolved to gain resistance to antibiotics
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Where did we go wrong to cause resistant bacteria?
answer
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PBP
answer
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If one antibiotic is good, are two better?
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