3. LEARNING OBJECTIVES:
Define microbiology,
pathogen, nonpathogen, and
opportunistic pathogen.
Differentiate between
acellular microbes and
microorganisms and list
several examples of each.
List several reasons why
microbes are important (e.g.,
as a source of antibiotics).
Explain the relationship
between microbes and
infectious diseases.
List some of the contributions of
Leuwenhoek, Pasteur, and Koch to
microbiology.
Differentiate between biogenesis
and abiogenesis.
Explain the germ theory of disease.
Outline Koch’s Postulates and cite
some circumstances in which they
may apply.
Discuss two medically related fields
of microbiology.
Differentiate between infectious
diseases and microbial
intoxications.
5. TYPES OF BACTERIA
PATHOGENS
Disease causing
microorganisms also
known as infectious
agents.
3% of known
microbes
“Microbial enemies”
NON-PATHOGENS
Microbes that do
not cause disease
Some are beneficial
to us whereas
others have no
effect on us at all
“Microbial allies”
9. • We have, living on and in our
bodies (skin and in our mouth and
gastrointestinal tract),
approximately 10 times as many
microbes as the total number of
cells that make up our bodies.
Indigenous Microbiota
10. • Some of the microbes that colonize (inhabit)
our bodies are known as opportunistic
pathogens (or opportunists). Although these
microbes usually do not cause us any
problems, they have the potential to cause
infections if they gain access to the part of
our anatomy where they do not belong.
11. • Microbes are essential for life on
this planet as we know it. For
example, some microbes produce
oxygen by the process known as
photosynthesis.
12. • Many microbes are involved in the
decomposition of dead organisms and
the waste products of living
organisms.
Decomposition
Decomposers or Saprophytes
13. • Some microbes
are capable of
decomposing
industrial
wastes
(oil spills, for
example).
14. • Many microbes
are involved in
elemental cycles,
such as the
carbon, nitrogen,
oxygen, sulphur,
and phosphorous
cycles.
15. • Algae and bacteria serve
as food for tiny animals.
Then, larger animals eat
the smaller creatures,
and so on.
16. • Some microbes live in the
intestinal tracts of animals,
where they aid in the digestion
of food and, in some cases,
produce substances that are of
value to the host animal.
17. • Many microbes are
essential in various
food and beverage
industries, whereas
others are used to
produce certain
enzymes and
chemicals.
18. • Some bacteria and
fungi produce
antibiotics that are
used to treat
patients with
infectious diseases
19. Antibiotic era
We have all heard of the Pre-Antibiotic Era,
prior to the 1940’s when millions of people died
from common bacterial infections because
antibiotics were not used to treat them.
In the last 50 years we have enjoyed the luxury
of knowing that bacterial infections can almost
always be cured by using antibiotics. We are now
in the Antibiotic Era.
20. Post-Antibiotic Era
As we enter the 21st Century, we are gradually
slipping into the Post-Antibiotic Era, a time when
antibiotics no longer work because bacteria have
become resistant to all the antibiotics.
The change will not come as suddenly as the start of
the Antibiotic Era, because the change to antibiotic
resistant germs has been slow, up until now.
New strains are rapidly developing
21. • Microbes are essential in the
field of genetic engineering.
• For many years, microbes have
been used as “cell odels”.
22. • Finally, we come to diseases.
Microbes cause two
categories of diseases:
infectious diseases and
microbial intoxications.
23.
24. MICROBIOLOGY & INFECTIOUS DISEASE
Today microbiology is mentioned frequently in the
news.
It affects many facets of our daily lives, including:
The air we breathe
The food we eat
The hospitals where we go for treatment of illness and
injury
The natural disasters which sometimes occur without
warning
25. THE RELEVANCE OF
MICROBIOLOGY TO HEALTH CARE
• There has always been disease.
• For generations, little could be done to treat or
prevent disease.
• Advances in public health awareness lessened the
effects of infection.
• Infectious disease utilizes a large percentage of
health care.
• Health care professionals need to understand how
pathogens cause disease.
26. …THE RELEVANCE OF
MICROBIOLOGY TO HEALTH CARE
• The discovery of antibiotics began to prevent
serious infection.
• Vaccination and better sanitation practices reduced
the incidence of infectious diseases.
• For a time, most infectious diseases were thought to
be under control.
27. …THE RELEVANCE OF
MICROBIOLOGY TO HEALTH CARE
• Diseases once thought to be under control are
reappearing
• Pathogens are showing increasing resistance to
antibiotics.
• New diseases are emerging and organisms that were
thought to be harmless have been discovered to
cause disease in certain circumstances.
• A fundamental understanding of microbiology has
never been more relevant.
28. INFECTIOUS DISEASE
• Only a tiny fraction of
microorganisms cause infections.
• A microorganism that causes an
infection is called a pathogen.
• Only a fraction of pathogens affect
humans.
29. …INFECTIOUS DISEASE
• The potential of a pathogen to cause disease is
referred to as its degree of virulence.
• Many bacteria and some fungi are part of the normal
microbial flora of the body.
• They naturally colonize the skin and mucosal
surfaces.
• Most of the time, these organisms are completely
harmless.
30. ...INFECTIOUS DISEASE
• Some pathogens are always highly virulent.
• Highly virulent pathogens are always
associated with disease.
Most pathogens can be looked at from the
following 3 perspectives:
1. Epidemiology
2. Pathogenesis
3. Host defense
31. EPIDEMIOLOGY
In epidemiology, pathogens are studied by how
well they meet the five requirements of
infection:
• Entry (Get in)
• Establishment (Stay in)
• Defeat the host defense
• Damage the host
• Be transmissible
32. EPIDEMIOLOGY
In epidemiology, pathogens are classified by the
transmission mechanisms they use. Such as:
• Air
• Food or water
• Insect vectors
• Person-to-person contact
Pathogens can also be classified according to their
geographic distribution
33. EPIDEMIOLOGY
• Providing the best care for infected individuals and
protection of others involves a clear understanding of
the 5 requirements for infection.
• Knowing how an organism gains entry and how it
spreads are vital to care for infected individuals
It allows for the implementation of strategies to
limit spread.
It also helps in understanding of the spread of
disease.
34. EPIDEMIOLOGY
Epidemics are caused by a variety of factors,
including the following:
• Poor socioeconomic conditions
• Ignorance of how infections occur
• Poor hygiene
• Natural disasters
35. PATHOGENESIS
Virulence factors are required for a pathogen to
do the following:
Persist in the patient
Cause disease
Escape or defeat host defenses
36. PATHOGENESIS
Pathogens employ a variety of methods
to accomplish infection.
Bacterial pathogens can:
• Produce digestive enzymes
• Produce toxins
37. PATHOGENESIS
Symptoms can be associated with
particular types of infection:
Coughing – respiratory infection
Diarrhea – digestive infection
Nervous system dysfunction –
central nervous system
38. HOST DEFENSE
• Infection is a complex and competitive
struggle.
• It can be characterized as pathogens versus
host defense.
• The outcome of this struggle depends on the
success or failure of the host defense.
Failure of the host defense = infection
39. HOST DEFENSE
Many pathogens have developed methods to
defeat host defenses.
Some directly attack host defenses
Some change their looks (a form of
camouflage)
Some hide
40. TREATMENT OF INFECTIOUS DISEASES
Many potent and successful tools are
available to defeat infection. These include:
1. Antibiotics
2. Disinfectants and antiseptics
Antibiotics are toxic chemicals and
therefore must act selectively.
They must kill the disease-causing
microorganisms but not harm the patient.
41. TREATMENT OF INFECTIOUS DISEASES
• Treatments are easier for bacterial infections than for
fungal and viral diseases.
• Viruses are intracellular parasites so either:
1. They must be attacked before entry into a host
cell.
or
2. The infected host cells must be killed to kill the
virus.
43. TREATMENT OF INFECTIOUS DISEASES
Public health measures include:
• Disinfection of water supplies
• Monitoring food supplies
• Proper hygiene and sanitation
• Proper waste removal and treatment
• Insect and pest control
44. TREATMENT OF INFECTIOUS DISEASES
• Immunization requires that we understand
immune mechanisms and that we design
vaccines that will successfully stimulate
protection.
Immunization also requires:
Public health control of the immunization
of children
Design and development of new vaccines
An ability to ensure the safety of vaccines
45. FIRST MICROORGANISMS ON EARTH
Fossils of primitive microorganisms
date back about 3.5 billion years ago.
Candidates for the first
microorganisms on Earth are archaea
and cyanobacteria.
46. EARLIEST KNOWN INFECTIOUS DISEASES
Infectious diseases of humans and
animals have existed for as long as
humans and animals have inhabited
the planet.
Earliest known account of pestilence
occurred in Egypt in about 3180 BC.
48. ANTON VAN
LEEUWENHOEK
(1632-17230
• “Father of
Microbiology”
• Not a trained scientist!
• Made many simple
single-lens microscopes
• Observed
”animalcules”
(bacteria and
protozoa)
49. LOUIS PASTEUR
(1822-1895)
• French chemist who made
numerous contributions to
microbiology
• Investigated different
fermentation products
• Developed the pasteurization
process
• Discovered life forms that could
exist without oxygen (anaerobes)
• Developed several vaccines,
including rabies and anthrax
vaccines
50. LOUIS PASTEUR
• Pasteur laid the foundation of aseptic
techniques, techniques that prevent
contamination by unwanted microbes. These
techniques are based on Pasteur’s idea that
microbes can be killed by heat and that
procedures can be designed to inhibit the
access of airborne microbes to nutrient
environment.
• He disapprove the idea that microorganisms
spontaneously generated from non-living
matter.
51. Pasteur discovered forms of
life that could exist in the
absence of oxygen.
Pasteur discovered the
“Germ Theory of Disease”.
52. ROBERT KOCH
(1843-1910)
• German physician who made
numerous contributions to
microbiology
• Made significant
contributions to the germ
theory of disease
• Discovered that Bacillus
anthracis produced spores
• Developed methods of fixing
and staining bacteria
• Developed methods to
cultivate bacteria
54. Koch’s Postulates:
1. A particular microbe must be found in all cases of
the disease and must not be present in healthy
animals or humans.
2. The microbe must be isolated from the diseased
animal or human and grown in pure culture in the
laboratory.
3. The same disease must be produced when microbes
from the pure culture are inoculated into healthy
susceptible laboratory animals.
4. The same microbe must be recovered from the
experimentally infected animals and grown again in
pure culture.
55.
56. If an organism fulfill Koch’s postulates, it
has been proven to be the cause of that
particular infectious disease.
Koch’s Postulates helped prove the germ
theory of disease.
Koch gave a tremendous boost to the
development of microbiology by stressing
laboratory culture and identification of
microorganisms.
Circumstances do exist in which Koch’s
Postulates cannot be fulfilled.
57. Exceptions to Koch’s Postulates:
To fulfil Koch’s Postulates, it is
necessary to grow the pathogen in
the laboratory (in vitro) in or on
artificial culture media. However,
some pathogens will not grow on
artificial media.
58. To fulfil Koch’s Postulates, it is
necessary to infect laboratory
animals with the pathogen being
studied. However, many pathogens
are species-specific, meaning that
they infect only one species of
animal.
59. Some diseases, called synergistic
infections or polymicrobial
infections, are caused not by one
particular microbe, but by the
combined effects of two or more
different microbes.
60. Another difficulty that is
sometimes encountered while
attempting to fulfil Koch’s
Postulates is that certain pathogens
become altered when grown in
vitro.
61. The Golden Age of Microbiology
(1857-1914)
• Many disease producing organisms were
discovered.
• Microbial metabolism studies undertaken.
• Microbiological techniques refined.
• A better understanding of the role of
immunity and ways to control and prevent
infection by microbes.
62. CAREERS IN MICROBIOLOGY
• A microbiologist is a scientist who
studies microbes.
• There are many career fields within
the science of microbiology (e.g.,
bacteriology, phycology, protozoology,
mycology, parasitology, and virology).
63. Medical & Clinical Microbiology
Involves the study of pathogens, the
disease they cause and the body’s defenses
against disease.
Concerned with epidemiology, transmission
of pathogens, disease-prevention measures,
aseptic techniques, treatment of infectious
diseases, immunology, and production of
vaccines.
A little progress each day adds up the biggest result
This discipline includes fundamental research on the biochemistry, physiology, cell biology, ecology, evolution and clinical aspects of microorganisms, including the host response to these agents.
Micro means very small – anything so small that it must be viewed with a microscope. Therefore, MICROBIOLOGY can be defined as the study of microbes.
Acellular microbes also known
Cellular microbes includes the less complex prokaryotes (organism composed of cell that lack true nucleus) and the more complex eukaryotes (organisms composed of cells that contain a true nucleus)
Although they are very small, microbes play significant roles in our lives.
10 trillion cells x 10 = 100 trillion microbes.
- 500 to 1,000 different species of microbes live on and in us.
Indigenous microbiota – the microbes that live on and in our body, benefits us
For example, the IM inhibit the growth of pathogens in those areas of the body where they live by occupying space, depleting the food supply and secreting materials that may prevent or reduce the growth of pathogens.
For example, a bacterium called Escherichia coli lives in our intestinal tracts. This organism does not cause us any harm as long as it remains in our intestinal tract, but can cause disease if it gains access to our urinary bladder, bloodstream, or a wound.
Other opportunists strike when a person becomes run-down, stressed out, or debilitated (weakened) as a result of some disease or condition. Thus, opportunistic can be thought of as a microbes awaiting the opportunity to cause disease.
Actually, microbes contribute more oxygen to our atmosphere than plants do. Thus, organisms that require oxygen – human for example – owe a debt of gratitude to the algae and cyanobacteria (a group of photosynthetic bacteria) that produce oxygen.
Decomposition is the process by which organic substances are broken down into simpler organic matter.
A saprophyte or saprotroph is an organism which gets its energy from dead and decaying organic matter. This may be decaying pieces of plants or animals.
Imagine living in a world with no decomposers?
Saprophytes aid in fertilization by returning inorganic nutrients to the soil. They break down dead and dying organic materias (plants and animals) into nitrates, phosphates, and other chemicals necessary for the growth of plants.
Thus, we can use microbes – genetically engineered microbes, in some cases – to clean up after ourselves.
BIOREMEDIATION
Knowledge of these microbes is important to farmers who practice crop rotation to replenish nutrients in their fields and to gardeners who keep compost pits as a source of natural fertilizer.
Thus, microbes serve as important links in food chains.
E.g: E. coli – human intestinal tract – produce vitamin K and B1, absorbed by the human body.
Although termites eat wood, they cannot digest it.
*cellulose-eating protozoa in their intestinal tract – where they get their nutrients
BIOTECHNOLOGY - the exploitation of biological processes for industrial and other purposes, especially the genetic manipulation of microorganisms for the production of antibiotics, hormones, etc.
Antibiotics - a medicine (such as penicillin or its derivatives) that inhibits the growth of or destroys microorganisms.
In the next 5-10 years we will start noticing the change much more dramatically.
*Microbiologists have engineered bacteria and yeast to produce a variety of useful substances, such as insulin, growth hormones, and vaccines.
Health care professionals must be aware of:
Infectious disease
Pathogens that caused them
Source of the pathogen
How are these diseases are transmitted
How to protect yourself and your patients from these diseases
Infectious: Gas gangrene
Gangrene is the death of body tissue. Clostridial myonecrosis, a type of gas gangrene, is a fast-spreading and potentially life-threatening form of gangrene caused by a bacterial infection from Clostridium bacteria. The infection causes toxins to form in the tissues, cells, and blood vessels of the body. These bacteria will release toxins that cause tissue death and release a gas.
Most gangrene infections occur in situations where open wounds from an injury or surgery are exposed to bacteria. Non-traumatic gas gangrene, a more rare form of gas gangrene, can develop when blood flow to body tissues is compromised and bacteria gets inside. There is a greater risk in people who have a peripheral vascular disease, atherosclerosis, or diabetes mellitus.
MI: Staphylococcal food poisoning
Foodborne botulism
Pathogens can be categorized based on their degree of virulence.
Epidemiology is the study of factors determining the frequency and distribution of disease.
Some are found worldwide, others are restricted to certain geographic areas.
Sometimes, damage associated with an infection is due to over active host defenses.
Viral pathogens can kill the host cells.
Fungal cells are very similar to human cells so very few chemicals are selectively toxic.
Prevention involves public health measures and immunization.
FATHER OF BACTERIOLOGY, FATHER OF PROTOZOOLOGY
Fabric merchant, minor city official in Holland
500 microscopes, 200 – 300x its size
-
He introduced the terms aerobes and anaerobes
The theory that specific microbes cause specific infectious disease.
Anthrax – Bacillus anthracis
Tuberculosis – Mycobacterium tuberculosis
He discovered M. tuberculosis and V. cholerae
A particular microbe must be found in all cases of the disease and must not be present in healthy animals or humans.
The microbe must be isolated from the diseased animal or human and grown in pure culture in the laboratory.
The same disease must be produced when microbes from the pure culture are inoculated into healthy susceptible laboratory animals.
The same microbe must be recovered from the experimentally infected animals and grown again in pure culture.
1. Such pathoges include viruses, ricketsias, chlamydias because they can only multiply and survive only within the living host cells.
For example, some pathogens that infects human will infect only humans.
X human volunteers – ethical considerations
Necrotizing ulcerative gingivitis and bacterial vaginosis. It is difficult to reproduce such synergistic infections in the laboratory.
Some become less pathogenic, whereas others become nonpathogens. Thus, they will no longer infect animals after being cultured on artificial media.
The period from 1860 to 1900 is often named the Golden Age of Microbiology. During this period, rapid advances, spear-headed by Louis Pasteur and Robert Koch, led to the establishment of microbiology as a science.
Bacteriologst – study the structures, functions and activities of bacteria.
Phycologist – algae
Protozoologist – protozoa and their activities
Mycologist – fungi
Parasitologists – parasites
Virologist – prions, viroids and acellular infectious agents that are even smaller than viruses.