1What is an infection?
The multiplication of microorganisms on or in a host.
2Does infection always mean disease?
No. A host can carry microorganisms without becoming ill.
3What is a disease?
A deviation from the host’s normal, healthy state.
4How can normal microbiota help protect the host?
They can prevent disease-causing microorganisms from colonizing the body.
5What is pathogenicity?
The ability of a microorganism to cause disease.
6What is a pathogen?
A microorganism capable of causing disease.
7What is virulence?
The degree of pathogenicity, or how severely a pathogen causes disease.
8What is an avirulent microorganism?
A microorganism that does not cause disease under the conditions being discussed.
9How can an avirulent bacterium potentially become pathogenic?
It can acquire genes associated with disease, including through horizontal gene transfer.
10What is a reservoir?
The source from which a disease-causing microorganism originates.
11What are examples of nonliving reservoirs?
Examples include contaminated water and soil.
12What is a portal of entry?
The route through which a pathogen enters a host.
13What is a portal of exit?
The route through which a pathogen leaves a host.
14Why must a pathogen have a suitable portal of entry?
It must reach the appropriate host tissue to establish infection.
15What is the infectious dose?
The number of microorganisms needed to establish an infection.
16Why does infectious dose matter?
A sufficiently large number of microbes may be needed to overcome host defenses.
17What are virulence factors?
Microbial features or products that help a pathogen cause disease.
18What are adhesins?
Microbial structures or molecules that help pathogens attach to host cells.
19Why are adhesins important?
They help pathogens remain attached rather than being removed by host defenses or physical processes.
20What is a biofilm?
A community of microorganisms attached to a surface and embedded in a surrounding matrix.
21How can biofilms help bacteria?
They promote attachment and can make bacteria harder for immune defenses and antibiotics to eliminate.
22What are extracellular enzymes?
Enzymes released by microorganisms that can help them invade tissues or obtain nutrients.
23What are toxins?
Substances that damage host cells or disrupt their functions.
24What is toxemia?
The presence of toxins in the blood.
25What are exotoxins?
Secreted protein toxins produced by Gram-positive or Gram-negative bacteria.
26What is the basic structure of an AB toxin?
A B subunit that binds to the host cell and an A subunit that disrupts a cellular process.
27How can you remember the functions of AB toxin subunits?
B binds; A attacks.
28How does the B subunit help an AB toxin enter a host cell?
It binds a specific host-cell receptor and promotes uptake of the toxin.
29What does the A subunit do?
It disrupts a cellular process after entering the host cell.
30What are membrane-disrupting toxins?
Toxins that damage host-cell membranes by forming channels or degrading phospholipids.
31What are superantigens?
Toxins that cause excessive immune activation and inflammation.
32How can superantigens harm the host?
The excessive immune response can damage host tissues.
33What is quorum sensing?
A process in which bacteria use chemical signals to sense population density and regulate gene expression.
34Why might a pathogen use quorum sensing?
It can coordinate the expression of virulence factors when enough bacterial cells are present.
35What is a pathogenicity island?
A region of a microbial chromosome containing genes associated with pathogenicity.
36What is direct contact transmission?
Transmission through direct physical contact between individuals.
37What is indirect contact transmission?
Transmission through contaminated objects or surfaces called fomites.
38What is a fomite?
An inanimate object that can carry and transmit infectious microorganisms.
39What is droplet transmission?
Spread through relatively large respiratory droplets that travel over short distances.
40How does airborne transmission differ from droplet transmission?
Airborne particles can remain suspended and travel farther through the air.
41What is a portal of exit example?
Respiratory secretions, saliva, blood, semen, or other bodily fluids can release pathogens from a host.
42What is an endemic disease?
A disease that occurs at a relatively steady, expected frequency in a population or area.
43What is an epidemic?
A sudden increase in disease cases above what is normally expected in a population or area.
44What is a pandemic?
An epidemic that spreads across multiple countries or continents.
45What is epidemiology?
The study of how diseases occur and spread in populations.
46What is incidence?
The number of new cases in a population or area during a specified period.
47What is prevalence?
The total number of existing cases in a population or area at a given time or during a specified period.
48What is morbidity?
The proportion or frequency of people in a population who are ill.
49What is mortality?
The frequency or proportion of deaths in a population due to a disease.
50How can a disease have high morbidity but low mortality?
Many people may become ill while few die, as with the common cold.
51How can geographic mapping help epidemiologists?
It can reveal clusters of cases and help identify possible sources or patterns of disease spread.