Micro 1 Chapter 2

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Chapter 2:Host-Parasite

Interaction

Cristhoper James D. Dicang, RMT, MSMT ©


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OUTLINE
Origin of Microbial Flora
Composition of Microbial flora at different
body sites
Pathogenesis of Infectious disease
Host Defense Against infectious disease
Microbial Factors
Host Resistance Factors
Microbes Mechanism
Routes of Transmission
Origin of Microbial Flora

Symbiosis
Mutualism
Commensalism
Parasitism
Characteristics of Microbial Flora

Indigenous flora
Microorganisms commonly found on or in
healthy persons

Carrier state
Acute: short term
Chronic: long term
Factors that determine the composition
of usual microbial flora
Nutritional factors
Antibacterial substances
Bile, lysozyme, fatty acids

Environmental factors
Moist or dry
Low pH
Composition of Microbial Flora

1. Usual flora of the Skin


2. Usual flora of the Mouth
3. Usual flora of the Respiratory Tract
4. Usual flora of the Gastrointestinal
Tract
5. Usual flora of the Genitourinary
Tract
Pathogenesis of Infection
Pathogenicity
Ability of a microbe to produce disease in a
susceptible individual.
1. True Pathogens
Can cause disease in immunocompetent individuals
2. Opportunistic Pathogens
Can cause disease when they’re not in their normal habitat.

Iatrogenic Infection
Infection as the result of medical treatment or
procedures
Pathogenesis of Infection
Virulence
Relative ability of a microorganism to cause
disease or the degree of pathogenicity

Microbial Virulence Factors:


Ability to resist phagocytosis
Surface Structures that promote adhesion
Ability to survive Intracellularly & proliferate
Ability to produce Extracellular Toxins & Enzymes
Pathogenesis of Infection
Microbial Virulence Factors:
Ability to resist phagocytosis
Capsule
Inhibits phagocytosis
Examples:
Haemophilus influenzae
Streprococcus pneumoniae
Protein A
Found in the cell wall of Staphylococcus aureus.
Prevents Opsonization & Phagocytosis
Pathogenesis of Infection
Microbial Virulence Factors:
Ability to resist phagocytosis
Hemolysin
Lyse red blood cells
Leukocidin
Lysosomal discharge in the cytoplasm
Pathogenesis of Infection
Microbial Virulence
Factors:
Surface Structures that
promote adhesion
Adhesins
Fimbriae
Examples:
Escherichia coli
(Traveler’s Diarrhea)
Neisseria gonorrhoeae
Pathogenesis of Infection
Ability to survive Intracellularly &
proliferate
Host factors
Lactoferrin & Lysozyme
IgA Protease
Degrades IgA found in mucosal surface.
Ex: H. influenzae, N. gonorrhoeae, N. meningitidis

Shifting Key cell surface Ags


Ex: Borrelia spp.
Pathogenesis of Infection
Ability to survive Intracellularly &
proliferate

Invasion
Pathogens ability to penetrate and grow in tissues
Dissemination
Ability of an organism to spread in distant sites
Pathogenesis of Infection
Microbial Virulence Factors:
Ability to produce Extracellular Toxins & Enzymes
Host Resistance Factors
Physical Barriers
Cleansing Mechanisms
Antimicrobial Substances
Indigenous Microbial Flora
Phagocytosis
Inflammation
Immune Responses
Steps in Phagocyosis
1. Chemotaxis
Migration of the phagocyte to the area of
infection
2. Attachment
Opsonization
Coating of bacterium with Antibodies or
complement.
3. Ingestion
4. Killing
Metabolic/Respiratory Burst
Inc in metabolic activity of Phagocytic cells
Host Resistance Factors
Inflammation
Body’s response to injury or foreign body
CARDINAL SIGNS:
1. Rubor
Redness
2. Calor
Heat sensation
3. Dolor
Pain
4. Tumor
Swelling
5. Functio laesa
Loss of function
Host Resistance Factors
NATURAL ADAPTIVE
IMMUNITY IMMUNITY
Resists infections by Specificity for each
normally present body individual pathogen.
functions.
Ability to REMEMBER a
No prior exposure is prior exposure
required
Results in an INCREASED
Response doesn’t response upon repeated
change w/ subsequent exposure.
exposures
Has memory
Lacks memory
Natural Immunity
External Defense Internal Defense
system system
Physical Cellular
Phagocytes
Skin and Mucous
membrane Humoral
Normal Flora Acute Phase Reactants
Complement
Biochemical
Interferons
Lactic acid
Lysozyme
Sebum
Lysozymes
Acidity of GIT & Vagina
Acquired Immunity
Types of Acquired Immunity:
1. Humoral Mediated Immunity
Mode of action: Antibodies in serum
Primary defense against bacterial infection

2. Cell Mediated Immunity


Direct cell to cell contact or soluble products secreted
by cells
Defense against viral and fungal infections, and
intracellular organisms.
Antibodies
IgG
Predominant antibody
Crosses the placenta
IgM
Cannot cross the placenta
IgA
Predominant in body secretions
IgD & IgE
IgE – increases during parasitic infection
Routes of Transmission
1. Airborne
2. Transmission by Food and Water
3. Close contact
4. Cuts and Bites
5. Arthropods
6. Zoonoses
Thank you!

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