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MICROBE-HUMAN
 INTERACTIONS
  By: Mary Jean D. Somcio, RMT




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         Definition
         Invasion (entry,fixation) and
         multiplication of microbes in
         body tissues, which may be
         clinically unapparent or result in
         local cellular injury due to
         competitive metabolism, toxins,
         intracellular replication or
         antigen antibody response.
          All infections not results in
         Infectious disease.


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         Infection
         a condition in which
         pathogenic microbes
         penetrate host defenses,
         enter tissues & multiply

         Disease
         any deviation from health,
         disruption of a tissue or
         organ caused by microbes
         or their products


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       Based on Occurrence:
                  a).Primary infection:
                     Infection is first time with a microbe.

                  b).Reinfection:
                     Subsequent infections with same microbe.

                  c).Secondary infection:
                     Infection followed by lowered Host
                     immunity by preexisting disease.

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         d).Focal infection:
                Localized infection with generalized
                symptoms. Ex: Appendicitis, Tonsillitis

         e).Cross infection:
                New infection in a patient from another
                host or source.

         f).Nosocomial infection:
              If cross infections occur in hospitalized
              individual (Hospital acquired infection).
                                                              5
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   g). Iatrogenic infection:
      Infections by means of Investigative &
therapeutic procedures.




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     Based on source:                    Based on clinical effects:
                                         Inapparent (Sub clinical):
    Endogenous:
                                          No S/S in spite of
              •         From Normal       infection.
                        flora.
                                         Atypical infection:
                                          Absence of typical
   Exogenous:                             manifestations.
              •         Another
                                         Latent infection:
                        individual.
                                          Followed by infection-
              •         Environment.      Microbe retain in tissues.
                                          Starts proliferation with
                                          lowered immunity.

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                                         Types of carrier:
1.HUMAN BEINGS
                                         Depending on origin:
Commonest source.                        A. Healthy carrier
                                         B. Convalescent carrier
                                         C. Contact carrier:
         Infective agent                   Acquires pathogen
                                           from patient.
    transferred either from
                                         D. Paradoxical carrier.
   Patient or from
                                           Acquires pathogen
   Carrier.                                from another Carrier.
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Based on the duration of                            GREEN FIEND
carriage ……                              2. INSECTS
A. Temporary carrier:
                                         VECTOR.
 Microbes harbors not
    more than 6 months.                  a). Mechanical vectors.

                                          b). Biological vectors.
                                         “ Arthropod borne
B.Chronic carrier:
                                            diseases ”
    Microbes harbors
    several years or even

    for life.
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       3).ANIMALS:
             Infectious diseases transmitted from
               animals to man. ZOONOSES.
               a).Bacterial: Leptospira, plague from Rat.
               b).Viral : Rabies from dog.
               c).Protozoa: Leishmaniasis from dog.
               d).Helminths : Hydatid disease from dog
                                         Tape worms : Cattle , Pig.
             e).Fungal: Zoophilic dermatophytes - Dog.
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     •         SOIL & WATER
                 Soil : Spores of Tetanus bacilli
                        Histoplasma and Nocardia spp.
                Water: Cholera, H A V , H E V,
                        Typhoid etc.

     8) FOOD
          Contaminated food.
          Ex: Staphylococci, Cl. botulinum.



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Localized infection – microbes
enter the body and remains
confined to a specific tissue
Systemic infection – infection
spreads to several sites and
tissue fluids usually in the
bloodstream
Focal      infection     – when
infectious agent breaks loose
from a local infection and is
carried to other tissues
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 Mixed infection – several microbes grow
 simultaneously at the infection site – polymicrobial

 Primary infection – initial infection

 Secondary infection – another infection by a
 different microbe

 Acute infection – comes on rapidly, with severe but
 short-lived effects

 Chronic infections – progress and persist over a
 long period of time
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             Diseases can be caused by many factors: infection,
          genetics, degeneration, and others.



          Koch’s Postulates

             Developed by Robert Koch in 1877 to establish
          cause of infectious diseases: anthrax and TB.



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           Koch’s Postulates:
             1. Same pathogen must be present in every
           case of the disease.
             2. Pathogen must be isolated from diseased
           host and grown in pure culture.
              3. Pathogen from pure culture must cause
           disease when inoculated in healthy, susceptible
           laboratory animal.
              4. Pathogen must be isolated from inoculated
           animal and shown to be the original organism.

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              Koch’s principles do not apply to all diseases.
      3.Some microbes cannot be cultured in artificial media.
              Treponema pallidum (syphillis)
              Mycobacterium leprae (leprosy)
              Ricketsias, chlamydias, and viruses only multiply within cells.


      4.One disease may involve several different pathogens.
              Diarrhea
              Pneumonia
              Meningitis
              Peritonitis
              Nephritis



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              1. Some pathogens may cause several different
                 diseases.
                     Streptococcus pyogenes: Scarlet fever, sore throat, skin
                     infections, bone infections, etc.
                     Mycobacterium tuberculosis: Causes disease of lungs, skin,
                     bones, and internal organs.




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          Diseases alter normal body function and/or structure.
          Symptoms:      Subjective feelings not obvious to an
                         observer.
          Example: Pain and malaise.
          Signs:            a characteristic of a disease that can
          be observed by examining the patient
          Example: swelling, redness, rashes, coughing, pus, runny
          nose, vomiting, paralysis.




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          Syndrome:       a combination of signs and symptoms
          that occur together and are indicative of a particular
          disease or abnormal condition
          Example: pain, shortness of breath, nausea, sore throat,
          headache

           Sequelae:                     even after recovery, some diseases
                                     leave after-effects
                    Example: valve damage




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      Communicable Diseases: Spread from one host to
      another, directly or indirectly.
      Example:    Tuberculosis, herpes, flu, AIDS, chickenpox,
      mumps, polio, and hepatitis.
      Contagious Diseases: Spread easily from one person to
      another.
      Example: Chickenpox and measles.
      Noncommunicable Diseases: Not spread from one host
      to another. Caused by microbes that live outside the
      body or by opportunistic pathogens that live inside the
      body.
      Example: Tetanus, botulism, and yeast infections.

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       Incubation period is the time between infection
          and appearance of signs and symptoms

      Prodromal phase is a short period during which
        nonspecific, often mild, symptoms such as
                  malaise and headache

     Prodrome is a symptom indicating the onset of a
                        disease

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            Invasive phase is period during which the
           individual experiences the typical signs and
                    symptoms of the disease

  Decline phase is the period of illness during which
  host defenses and effects of treatment overcome
                     the pathogen

   Convalescent period tissues are repaired, healing
     takes place, and body regains strength and
                      recovers
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    • Diseases that are acquired or developed during a
    hospital stay
    • From surgical procedures, equipment, personnel, and
    exposure to drug-resistant microorganisms
    • 2 to 4 million cases/year in U.S. with approximately
    90,000 deaths
    • Most commonly involve urinary tract, respiratory tract,
    and surgical incisions
    • Most common organisms involved: Gram-negative
    intestinal flora
           – E. coli, Pseudomonas, Staphylococcus
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    EPIDEMIOLOGY



                                         30
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           The study of the frequency and distribution of
            disease and health-related factors in human
                            populations
   Surveillance – collecting, analyzing, and reporting
    data on rates of occurrence, mortality, morbidity
             and transmission of infections
    Reportable, notifiable diseases must be reported
                      to authorities
                                              31
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             Mortality rate – the total number of
            deaths in a population due to a certain
                           disease


                 Morbidity rate – number of people
                  afflicted with a certain disease




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            Prevalence – total number of existing cases
            with respect to the entire population usually
                represented by a percentage of the
                             population

            Incidence – measures the number of new
          cases over a certain time period, as compared
               with the general healthy population


                                               33
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    Endemic – disease that
    exhibits a relatively steady
    frequency over a long
    period of time in a
    particular geographic locale



                                         Sporadic    –   when
                                         occasional cases are
                                         reported at irregular
                                         intervals


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      Epidemic      –    when
      prevalence of a disease
      is increasing beyond
      what is expected




                                         Pandemic – epidemic
                                         across continents



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1. Depending on location:
                       Superficial
    a). Localized
                        Deep seated.
    b). Generalized.
                             Bacteremia :
                             Septicemia : Bacteria + Toxins.
                             Pyemia :
                                   Bacteria , Toxins and Multiple
                                  abscesses in internal organs.
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GREEN FIEND

2. Depending on Spread :
          A. Endemic :
                   Constantly present in a
                   particular area.
                   Ex: Typhoid, Malaria.

         B. Epidemic :
                 Rapid spread with involving
                 many persons.
                 Ex: Influenza.
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                                                    GREENFIEND
GREEN FIEND

 Pandemic:
         Epidemic , that spreads many parts of
         the world within a short time.
         Ex :Influenza, Cholera,
                      Plague, Viral conjunctivitis.

4. Prosodemic:
         Slowly spreading epidemic.
          Ex : Cerebrospinal fever.

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GREEN FIEND

Centers for Disease Control and Prevention
(CDC) in Atlanta, GA – principal government
agency responsible for keeping track of
infectious diseases nationwide

Research Institute for Tropical Medicine
(RITM) - conduct researches to prevent and to
control occurring tropical and other infectious
diseases in the Philippines.

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                                               28
GREEN FIEND
                                         BE AWARE of
                                         INFECTIONS

                                             &
                                         INFECTIOUS
                                          DISEASES




1234 Sample Street, Anytown, St. 12345             GREENFIEND

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Epidemiology

  • 1. MICROBE-HUMAN INTERACTIONS By: Mary Jean D. Somcio, RMT 1
  • 2. GREEN FIEND Definition Invasion (entry,fixation) and multiplication of microbes in body tissues, which may be clinically unapparent or result in local cellular injury due to competitive metabolism, toxins, intracellular replication or antigen antibody response. All infections not results in Infectious disease. 1234 Sample Street, Anytown, St. 12345 2 GREENFIEND
  • 3. GREEN FIEND Infection a condition in which pathogenic microbes penetrate host defenses, enter tissues & multiply Disease any deviation from health, disruption of a tissue or organ caused by microbes or their products 1234 Sample Street, Anytown, St. 12345 2 GREENFIEND
  • 4. GREEN FIEND 4 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 5. GREEN FIEND Based on Occurrence: a).Primary infection: Infection is first time with a microbe. b).Reinfection: Subsequent infections with same microbe. c).Secondary infection: Infection followed by lowered Host immunity by preexisting disease. 1234 Sample Street, Anytown, St. 12345 4 GREENFIEND
  • 6. GREEN FIEND d).Focal infection: Localized infection with generalized symptoms. Ex: Appendicitis, Tonsillitis e).Cross infection: New infection in a patient from another host or source. f).Nosocomial infection: If cross infections occur in hospitalized individual (Hospital acquired infection). 5 1234 Sample Street, Anytown, St. 12345 GREENFIEND
  • 7. GREEN FIEND g). Iatrogenic infection: Infections by means of Investigative & therapeutic procedures. 6 1234 Sample Street, Anytown, St. 12345 GREENFIEND
  • 8. GREEN FIEND Based on source: Based on clinical effects: Inapparent (Sub clinical): Endogenous: No S/S in spite of • From Normal infection. flora. Atypical infection: Absence of typical Exogenous: manifestations. • Another Latent infection: individual. Followed by infection- • Environment. Microbe retain in tissues. Starts proliferation with lowered immunity. 1234 Sample Street, Anytown, St. 12345 7 GREENFIEND
  • 9. GREEN FIEND Types of carrier: 1.HUMAN BEINGS Depending on origin: Commonest source. A. Healthy carrier B. Convalescent carrier C. Contact carrier: Infective agent Acquires pathogen from patient. transferred either from D. Paradoxical carrier. Patient or from Acquires pathogen Carrier. from another Carrier. 1234 Sample Street, Anytown, St. 12345 8 GREENFIEND
  • 10. Based on the duration of GREEN FIEND carriage …… 2. INSECTS A. Temporary carrier: VECTOR.  Microbes harbors not more than 6 months. a). Mechanical vectors. b). Biological vectors. “ Arthropod borne B.Chronic carrier: diseases ” Microbes harbors several years or even for life. 1234 Sample Street, Anytown, St. 12345 9 GREENFIEND
  • 11. GREEN FIEND 3).ANIMALS: Infectious diseases transmitted from animals to man. ZOONOSES. a).Bacterial: Leptospira, plague from Rat. b).Viral : Rabies from dog. c).Protozoa: Leishmaniasis from dog. d).Helminths : Hydatid disease from dog Tape worms : Cattle , Pig. e).Fungal: Zoophilic dermatophytes - Dog. 1234 Sample Street, Anytown, St. 12345 10 GREENFIEND
  • 12. GREEN FIEND • SOIL & WATER Soil : Spores of Tetanus bacilli Histoplasma and Nocardia spp. Water: Cholera, H A V , H E V, Typhoid etc. 8) FOOD Contaminated food. Ex: Staphylococci, Cl. botulinum. 1234 Sample Street, Anytown, St. 12345 11 GREENFIEND
  • 13. GREEN FIEND Localized infection – microbes enter the body and remains confined to a specific tissue Systemic infection – infection spreads to several sites and tissue fluids usually in the bloodstream Focal infection – when infectious agent breaks loose from a local infection and is carried to other tissues 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 14. GREEN FIEND Mixed infection – several microbes grow simultaneously at the infection site – polymicrobial Primary infection – initial infection Secondary infection – another infection by a different microbe Acute infection – comes on rapidly, with severe but short-lived effects Chronic infections – progress and persist over a long period of time 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 15. GREEN FIEND 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 16. GREEN FIEND Diseases can be caused by many factors: infection, genetics, degeneration, and others. Koch’s Postulates Developed by Robert Koch in 1877 to establish cause of infectious diseases: anthrax and TB. 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 17. GREEN FIEND Koch’s Postulates: 1. Same pathogen must be present in every case of the disease. 2. Pathogen must be isolated from diseased host and grown in pure culture. 3. Pathogen from pure culture must cause disease when inoculated in healthy, susceptible laboratory animal. 4. Pathogen must be isolated from inoculated animal and shown to be the original organism. 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 18. GREEN FIEND 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 19. GREEN FIEND Koch’s principles do not apply to all diseases. 3.Some microbes cannot be cultured in artificial media. Treponema pallidum (syphillis) Mycobacterium leprae (leprosy) Ricketsias, chlamydias, and viruses only multiply within cells. 4.One disease may involve several different pathogens. Diarrhea Pneumonia Meningitis Peritonitis Nephritis 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 20. GREEN FIEND 1. Some pathogens may cause several different diseases. Streptococcus pyogenes: Scarlet fever, sore throat, skin infections, bone infections, etc. Mycobacterium tuberculosis: Causes disease of lungs, skin, bones, and internal organs. 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 21. GREEN FIEND Diseases alter normal body function and/or structure. Symptoms: Subjective feelings not obvious to an observer. Example: Pain and malaise. Signs: a characteristic of a disease that can be observed by examining the patient Example: swelling, redness, rashes, coughing, pus, runny nose, vomiting, paralysis. 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 22. GREEN FIEND Syndrome: a combination of signs and symptoms that occur together and are indicative of a particular disease or abnormal condition Example: pain, shortness of breath, nausea, sore throat, headache Sequelae: even after recovery, some diseases leave after-effects Example: valve damage 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 23. GREEN FIEND 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 24. GREEN FIEND Communicable Diseases: Spread from one host to another, directly or indirectly. Example: Tuberculosis, herpes, flu, AIDS, chickenpox, mumps, polio, and hepatitis. Contagious Diseases: Spread easily from one person to another. Example: Chickenpox and measles. Noncommunicable Diseases: Not spread from one host to another. Caused by microbes that live outside the body or by opportunistic pathogens that live inside the body. Example: Tetanus, botulism, and yeast infections. 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 25. GREEN FIEND Incubation period is the time between infection and appearance of signs and symptoms Prodromal phase is a short period during which nonspecific, often mild, symptoms such as malaise and headache Prodrome is a symptom indicating the onset of a disease 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 26. GREEN FIEND Invasive phase is period during which the individual experiences the typical signs and symptoms of the disease Decline phase is the period of illness during which host defenses and effects of treatment overcome the pathogen Convalescent period tissues are repaired, healing takes place, and body regains strength and recovers 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 27. GREEN FIEND 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 28. GREEN FIEND • Diseases that are acquired or developed during a hospital stay • From surgical procedures, equipment, personnel, and exposure to drug-resistant microorganisms • 2 to 4 million cases/year in U.S. with approximately 90,000 deaths • Most commonly involve urinary tract, respiratory tract, and surgical incisions • Most common organisms involved: Gram-negative intestinal flora – E. coli, Pseudomonas, Staphylococcus 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 29. GREEN FIEND 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 30. GREEN FIEND EPIDEMIOLOGY 30 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 31. GREEN FIEND The study of the frequency and distribution of disease and health-related factors in human populations Surveillance – collecting, analyzing, and reporting data on rates of occurrence, mortality, morbidity and transmission of infections Reportable, notifiable diseases must be reported to authorities 31 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 32. GREEN FIEND Mortality rate – the total number of deaths in a population due to a certain disease Morbidity rate – number of people afflicted with a certain disease 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 33. GREEN FIEND Prevalence – total number of existing cases with respect to the entire population usually represented by a percentage of the population Incidence – measures the number of new cases over a certain time period, as compared with the general healthy population 33 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 34. GREEN FIEND 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 35. GREEN FIEND Endemic – disease that exhibits a relatively steady frequency over a long period of time in a particular geographic locale Sporadic – when occasional cases are reported at irregular intervals 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 36. GREEN FIEND Epidemic – when prevalence of a disease is increasing beyond what is expected Pandemic – epidemic across continents 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 37. GREEN FIEND 1. Depending on location: Superficial a). Localized Deep seated. b). Generalized. Bacteremia : Septicemia : Bacteria + Toxins. Pyemia : Bacteria , Toxins and Multiple abscesses in internal organs. 1234 Sample Street, Anytown, St. 12345 GREENFIEND 26
  • 38. GREEN FIEND 2. Depending on Spread : A. Endemic : Constantly present in a particular area. Ex: Typhoid, Malaria. B. Epidemic : Rapid spread with involving many persons. Ex: Influenza. 1234 Sample Street, Anytown, St. 12345 27 GREENFIEND
  • 39. GREEN FIEND  Pandemic: Epidemic , that spreads many parts of the world within a short time. Ex :Influenza, Cholera, Plague, Viral conjunctivitis. 4. Prosodemic: Slowly spreading epidemic. Ex : Cerebrospinal fever. 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 40. GREEN FIEND Centers for Disease Control and Prevention (CDC) in Atlanta, GA – principal government agency responsible for keeping track of infectious diseases nationwide Research Institute for Tropical Medicine (RITM) - conduct researches to prevent and to control occurring tropical and other infectious diseases in the Philippines. 1234 Sample Street, Anytown, St. 12345 GREENFIEND 28
  • 41. GREEN FIEND BE AWARE of INFECTIONS & INFECTIOUS DISEASES 1234 Sample Street, Anytown, St. 12345 GREENFIEND