Professional Documents
Culture Documents
Ni Made Mertaniasih
Microbiology Department
Medical Faculty UNAIR
TERMINOLOGY
INVASION :
The process of the microbes entry to the host
INFECTION
:
Microbes in the cells or tissue , multiplication;
produce inflammation reaction/ immune
response of the host
(active infection, latent infection, sub clinic
infection, asymptomatic infection)
INFECTIOUS DISEASES
:
Clinical manifestation of tissue injury/
tissue necrotic or abnormality of structure
and function of cells or tissue that were
produced of infection process
(+ symptoms, +signs, +syndromes)
Pathogens Microbes
have the ability to produce the disease,
have the character:
Adherence
invasiveness to the cells sel & tissue
Transmissibility
Toxigenicity ( toxin producing)
evade mechanism
PATHOGENS
VIRULENCE FACTORS determine
the degree of Pathogenicity
to survive & multiplication in the host
2. INVASION FACTORS
invasive to intracellular & tissue.
adhesin molecules to induce the reaction
that induce inhalant process of the cells
invagination to produce vacuole in
cyitoplasm.
3. TRANSMISSION FACTORS
Spreading into the tissue
Proteolitic enzyme : Hyaluronidase, etc
4. producing TOXINS
EXOTOXIN :
Diphtheria toxin, tetanospasmin, botulinum toxin,
alpha toxin, pyrogenic exotoxin, choleraetoxin
(Enterotoxin).
---- target cell destruction
ENDOTOXIN
5. PRODUCING ENZYME
Destroy the cells or tissue
Coagulase, Collagenase, Lecithinase,
Hyaluronidase, Streptokinase, Hemolysin,
Leukocidin, Fibrinolysin, Streptokinase
Ig A1 Protease
Inactivation to Ig A1 at surface of mucous
membrane
6. INTRACELLULAR PATHOGENICITY
evade mechanism - inhibit
Fusion of Phago -lyzosome --- live/ survive
in cytoplasm
8. ANTIGENIC HETEROGENEITY
Surface membrane molecule structure of
microbe cells the ability to expression
antigenic protein with heterogeneity structure
Frequent shifts-antigenic form of antigen
protein at microbe cell surface - always
change so difficult to recognize with immune
response/ escape from immune response
9. Ferrous needed
! The role in cell metabolism for microbe growth,
competitive with the host cell metabolism the
needed of iron free (Fe3+)
NORM FLORA
Population of microbes habitate the surface of
the body, skin & mucous membrane, always,
many kinds, million of microbes); normally no
cause infectious disease.
at the surface of skin, cavum nasi,
nasopharynx, cavum oris, gastro intestinal
tract, genitourinary tract (vagina, urethra
externa)
Pathogen invasive
extracellular
Interaction adherence adhesin molecule
of microbe with receptor molecule of host
induce reaction internalization into epithel
cell of mucous membrane invasive into
soft tissue in sub mucous multiplication
inflammation tissue injury/ necrotic
(especially in immune compromized)
Pathogen intracellular
invasive, or perforate (needle, bitearthropoda) into soft tissue adhere to
host cell receptor / target cells
(Trophism/Predelection) interaction
internalization entry into cytoplasma of
target cells (intracellular : obligate/ non
obligate) stimulate the reaction of cellular
immunity (DTH) tissue injury/ necrotic
(immune compromized)
Response/ inflammation
(Systemic inflammatory
response syndromes = SIRS)
Sepsis
Norm Flora
( Non pathogen/ Potential
pathogen )
perforate (invasive treatment; injection,
catheterization); or compromized/ immune
supressans colonization invasive
Into soft tissue or blood stream
inflammation tissue injury
(opportunistic infection)
Host-microbes relationship
Symbiosis (live together) :
Mutualism (microbes & host received the
advantage)
eg. : colon bacteria
Commensal (microbes received the advantage,
host no influence)
eg. : norm flora
Parasitism (microbes received the advantage,
host risk to destruction)
eg. : pathogens
Character-life cycle of
microbes
& host interaction
D
D I
H A
E
IR
A
H
I
D
IR
= Agents (Microbes)
= Host
= Immunity
= Diseases
= Immunized / resistance/ Immune response
A
H
E
:
Reservoirs Habitat of microbes
Animal reservoirs Zoonosis;
similar physiologis human & animal, natural
transmission; usualy from animal to human
eg.: Rabies, Anthrax, Yellow fever, etc
Human carriers : active disease,
convalesens, latent infection/ asymptomatic
Non living reservoirs : soil, air, water,
contaminated food/ drings
Pathogenesis of
Infectious Disease
The mechanism or reaction process that
produce tissue injury with clinical manifest,
signs & simptomps
Reference
Jewetz, Melnick and Adelbergs, 2004,
Medical Microbiology. 24TH ed.
Joklik, Willett, Amos, Wilfert. 1988.
Zinsser Microbiology. 19TH ed.