Pathology
Study of disease
Etiology
Study of the cause of disease
Pathogenesis
Development of disease
Infection
Colonization of the body by pathogens
Disease
An abnormal state in which body is not functioning normally
Normal flora
Microorganisms that inhabit us but do not cause disease in or on an organism under normal conditions
Microbial antagonism
Competition between microbes
Three ways normal flora protect the host
- Occupying niches that pathogens might occupy
- Producing acids
- Producing bacteriocins
Probiotics
Live microbes applied to or ingested into the body
Intended to exert a beneficial effect
Symbiosis
The relationship between normal microbiota and the host
Three types of symbiosis
- Commensalism
- Mutualism
- Parasitism
Commensalism
One organism benefits, one organism unaffected
Mutualism
Both organisms benefit
Parasitism
One organism benefits at expense of another
Koch's Postulates
- Certain organisms cause certain diseases
- Same microorganism must be present in every case of the disease
- Must isolate the microorganism from the diseased host and grow in pure culture
- The microorganism must produce the same disease when inoculated into susceptible host
- The microorganism must be recovered from the inoculated host again in pure culture
Symptom
Change in body function that is felt by a patient
Sign
Change in a body that can be measured or observed as a result of a disease
Syndrome
A specific group of signs and symptoms that accompany a disease
Communicable disease
Spread from one host to another
Contagious disease
Easily spread from one host to another
Noncommunicable disease
Is not transmitted from one host to another
Incidence
Fraction of a population that contracts a disease during a specific time
Prevalence
Fraction of a population having a specific disease at a given time
Sporadic disease
Disease that occurs occasionally in a population
Endemic disease
Disease that is constant in a population
Epidemic disease
Disease that is acquired by many hosts in a short amount of time
Pandemic disease
Worldwide epidemic
Acute disease
Symptoms develop rapidly
Chronic disease
Disease develops slowly
Subacute disease
Symptoms between acute and chronic
Latent disease
Disease with period of no symptoms when patient is inactive
Herd immunity
Immunity in most of a population
Local infection
Pathogens limited to a small area of the body
Systemic infection
An infection throughout the body
Focal infection
System infection that began as a local infection
Bacteremia
Bacteria in the blood
Septicemia
Growth of bacteria in the blood
Toxemia
Toxins in the blood
Viremia
Viruses in the blood
Primary infection
Acute infection that causes initial illness
Secondary infection
Opportunist infection after a primary infection
Subclinical diseases
No noticeable sign or symptom
Predisposing factors for infection
- Climate and weather
- Chemotherapy
- Inherited traits
- Fatigue
- Age
- Lifestyle
Incubation period
Microorganism is present but host is not showing any sign of disease
Prodromal period
Short period of mild symptoms
Period of illness
Acute disease process
Period of decline
Signs and symptoms subside
Period of covalescence
Person regains strength and body returns to the pre-diseased state
Reservoirs of infection
Continual sources of infection
Ways to transmit a disease
- Contact
- Vehicle
- Vector
Transmission of disease through contact
- Direct: requires close association between infected and susceptible host
- Indirect: spread by formites
- Droplet: airborne
Transmission of disease through vehicle
- Transmission via an inanimate object:
- Food
- Water
- Air
Transmission of disease through vector
- Arthropods: fleas, ticks, mosquitos
- Mechanical: arthropod carries disease on feet
- Biological: pathogen reproduces in vector
Nosocomial infection
- Acquired as result of hospital stay
- MO in environment
- Compromised status of host
- Chain of transmission in hospital
How to control a nosocomial infection
- Cleanliness
- Hand washing
- Disinfection
Epidemiology
Study of when and where diseases occur and how they are transmitted
Morbidity
Incidence of a specific, notifiable disease
Mortality
Deaths from notifiable disease