Shared Flashcard Set

Details

Pathophysiology
Chapter 9: Infection
45
Nursing
Undergraduate 3
09/11/2011

Additional Nursing Flashcards

 


 

Cards

Term

 

Opportunistic microorganisms

Definition
organisms that usually do not cause disease, but seize the opportunity when the immune system is weakened or suppressed.
Term

4 stages infectious process

(organism) 

Definition

Colonization

Invasion

Multiplication

Spread

Term
Colonization
Definition
Infections contracted from animal reservoirs (zoonotic), human to human, vertical transmission (birth canal or breast milk), airborne droplets.
Term

4 stages disease process

(affected individual)

Definition

Incubation period-has begun multiplying, but does not cause symptoms (hrs-yrs)

Prodromal stage- initial mild symptoms

Invasion period - pathogen is multiplying rapidly and affecting  tissues, immune and inflammatory responses are triggered.

Convalescence - immune and inflammatory systems have successfully removed the infectious agent.

Term
Fever
Definition
Hallmark of most infectious disease. Caused by exogenous and endogenous pyrogens.
Term

 

Communicability

Definition
Ability to spread from one individual to another and cause disease.
Term
Immunogenicity
Definition
The ability of pathogens to induce an immune response
Term
Infectivity
Definition
The ability of a pathogen to invade and multiply in the host.
Term
Mechanism of Action
Definition
How the microorganism damages tissue
Term
Pathogenicity
Definition
The ability of an agent to produce disease
Term
Portal of Entry
Definition
Route by which a pathogenic microorganism infects the host: direct contact, inhalation, ingestion, bite of animal/insect
Term
Toxigenicity
Definition
ability to produce soluble toxins or endotoxins, affect pathogen's degree of virulence
Term
Virulence
Definition
Capacity of a pathogen to cause severe disease.
Term
"True" bacteria
Definition
divide by binary fission and have a variety of morpholgies (cocci, baccilli, vibrios, spirilla).Most bacteria that cause disease are these type.
Term
Filamentous bacteria
Definition
Branching, mycelium like structures that resemble fungi. Mycobacterium tuberculosis.
Term
Spirochetes
Definition
Flexible, spiral filaments that are motile. T. pallidum (syphilis) and Borrellia burgdorferi (Lyme)
Term
Rickettsia
Definition
Intracellular parasites that can be rod-shaped, spherical or pleomorphic. Typically spread by insect vectors. Rickettsia rickettsii
Term
Mycoplasma
Definition

Lack a cell wall and are small and pleomorphic.

Mycoplasma pneumoniae

Term
Chlamydia
Definition
Strict intracellular parasites, but with a more complex life cycle. Chlamydia trachomatis most commonly sexually transmitted disease.
Term
Exotoxins
Definition
proteins released during bacterial growth. Usually enzymes with highly specific effects. Vaccines available for many (tetanus, diptheria, pertussis)
Term
antitoxins
Definition
antibodies produced against exotoxins
Term
Endotoxins
Definition
Lipopolysaccharides contained in the cell walls of gram - bacteria and released during lysis of the bacteria. Usually produce fever and other effects of inflammation. Antibiotics are not protective against these toxins.
Term
Antigenic variation
Definition
The pathogen alters surface molecules that express antigens recognized by the immune response. Once an individual has produced antibodies against the antigens, they change and become resistant. Through mutation, recombination, gene switching
Term
Bacterial Superantigens
Definition

toxins that increase the adherence between MHC class II proteins on antigen presenting cells and the T-cell receptor

Toxic shock syndrome, food poisoning, scarlet fever

Term
Endotoxic shock
Definition
Septic shock caused by the release of a sufficient amount of endotoxin, one of the leading causes of death in the ICU
Term
Antibiotic resistance
Definition
has become a major problem lately with S. aureas (methicyllin resistant Staphylococcus aureus -MRSA). Have developed resistance to broad spectrum antibiotics
Term
Fungi
Definition
Eukaryotic microorganisms with the capacity to form a variety of complex structures Mold, yeast or dimorphic forms.
Term
Mycosis
Definition
Infection caused by fungus. Most pathogenic fungi grow as saprophytes in the environment and are transmitted via inhalation or contamination of wounds. Coccidioides immitus, Blastomyces dermatitis
Term
Malaria
Definition
one of the most common infections worldwide, cause 400 m. cases and 1 m deaths. Four different types all transmitted by the bite of an infected female Anopheles mosquito
Term
Virus
Definition
Basic viral structure consists of nucleic acid protected by a protein shell (capsid). Can be helical, icosahedral, or large pleimorphic. Most common affliction of humans. Common cold, cold sore, hepatitis, HIV and cancer(some types)
Term
Viral life cycle
Definition

attachment -to target cell

penetration - by endosytosis or membrane fusion

uncoating - release of viral nucleic acid from the viral capsid by viral or host enzymes

replication - synthesis of viral proteins/mRNA

assembly - formation of new virions

release - by lysis or budding

Term
Retrovirus
Definition
carries an enzyme called reverse transcriptase that creates a double stranded DNA version of the virus. The DNA "provirus" enters the host cell's nucleus and becomes integrated into the host cell's chromosomal DNA. (HIV)
Term
Flu Vaccine
Definition
Humans suffer from Influenza A and B. Vaccine is a trivalent mixture from two influenza A subtypes and one B subtype. antigenic drift occurs yearly, so people can get the flu each year although infection may be lessened from protection resulting from the previous year's infection.
Term
HIV/AIDS
Definition
acquired immunodeficiency syndrome caused by human immunodeficiency virus. Major cause of worldwide morbidity and mortality. Predominantly a disease of male homosexuals. Sub-Saharan Africa is epicenter of pandemic.
Term
HIV transmission
Definition
Blood borne pathogen present in body fluids. Typical routes of transmission: blood or blood products, intravenous drug abuse, heterosexual and homosexual activity and maternal-child transmission
Term
HIV Pathogenesis
Definition
Retroviruses use a viral enzyme, reverse transcriptase to convert RNA into double stranded DNA. Using a second enzyme, integrase, the new DNA is inserted into the cell's genetic material, where it may remain dormant. If cell is activated, translation of viral information may be initiated which results in formation of new virions, lysis and death of the infected cell and shedding of infectious HIV.
Term
Window Period
Definition
Period between infection and the appearance of an antibody
Term
HIV/AIDS Treatment
Definition
Highly Active Antiretroviral therapy (HAART) Includes at least 3 drugs from 2 classes of antiretroviral agents including protease inhibitor and reverse transcriptase inhibitor. Because virus gets into cell's genetic material treatment with these drugs may last a lifetime.
Term
AIDS defining opportunistic infections
Definition
Candidiasis, Coccidiomycosis, Histoplasmosis, Mycobacteriosis, Pneumocysitis, Toxoplasmosis, Kaposi sarcoma
Term
HIV/AIDS Diagnosis
Definition
relies on laboratory test combined with symptoms. Test is for antibodies against HIV proteins, if the individual is seropositive, the diagnosis of AIDS is made in combination with clinical symptoms.
Term
S/S of HIV/AIDS
Definition
Atypical or opportunistic infections, debilitating chronic disease, decreased CD-4 T-cell numbers at or below 200 cells/µL
Term
Mechanism of action - antibiotics
Definition
inhibition of the function or protection of the cell wall, prevention of protein synthesis, blockage of DNA replication, interference with folic acid metabolism
Term
Vaccine
Definition
Purpose of a vaccine is to induce active immunologic protection before exposure to the risk of infection. In general, vaccine-induced protection does not last as long as infection-induced immunity so booster shots are needed throughout life
Term
Toxoids
Definition
Purified toxins that have been chemically detoxified without loss of immunogenicity. Diptheria, Tetanus, Pertussis
Supporting users have an ad free experience!