MICROBIOLOGY AND IMMUNITY

LEARN THROUGH YOUR COURSE AND FORTIFY ALL YOUR WEAKNESS WITH KNOWLEDGE, MEDICAL STUDENTS ARENA CREATES FOR YOU A MAVELOUS LEARNING COURSE

Click here to access Unit one Content..


Topic One: Introduction to Microbiology

Topic Objectives

By end of this topic, the learner should be able to:-
1. Define terms used in microbiology

2.Outline importance of microorganisms

3. Outline the history of microbiology
4. Outline  scientific nomenclature : Genus and a specific epithet.

5. List the three domains of microorganism

Click here to access Unit one Content..


Topic One: Definition of terms

Terminologies
• Microbiology:  The study of living things too small to be seen without magnification
Microorganisms or microbes- these microscopic organisms. Commonly called “germs, viruses, agents…” but not all cause disease and many more are useful or essential for human life
fields of microbiology
•Microbiology
•Viruses = Virulogy
•Bacteria = Bacteriolgy
•Fungi = Mycology
•Microbiology
•Food Microbiology
•Water Microbiology
•Air Microbiology
•Parasites = Parasitology
•Immunity = Immunology
•Soil Microbiology
•Space Microbiology
•Industrial Microbiology
 microorganisms are?
Too small
  • Germ-rapidly growing cell
  • Has habitat
  • Live in population (not alone)
  • Communities are either swimming freely   or   attached to a surface (biofilm)
  • Interact between communities; may   either be   - harmful (because of waste product)
  - beneficial (cooperative feeding efforts-  waste, nutrient)
why study microbiology
•Microbes are related to all life.
•In all environments
•Many beneficial aspects
•Related to life processes (food web, nutrient cycling)
•Only a minority are pathogenic.
•Most of our problems are caused by microbes





Click here to access Unit one Content..


Topic One: Importance of Microorganism

Microbes in our lives

  • •Some are pathogenic (disease-causing)
  •    Decompose organic waste
  • •Produces through photosynthesis (e.g.Purple sulphur bacteria must fix CO2 to live)
  • •Play role in industry (e.g. fermentation to produce ethanol and acetone)
  • •Produce fermented food (vinegar, cheese & bread)
  • •Produce products used in manufacturing (cellulase) and treatment (insulin)
How Can Microbes Be Classified?
Carolus Linnaeus (Swedish) developed taxonomic system for naming plants and animals and grouping similar organisms together
Leeuwenhoek’s microorganisms grouped into six categories as follows:
Fungi, Protozoa, Algae, Bacteria, Archaea, Small animals
Naming and Classifying Microorganisms
•Carolus Linnaeus established the system of scientific nomenclature in 1739.
•Each organism has two names ® Binomial nomenclature:  Genus + specific epithet (species)
•Italicized (or underlined), genus capitalized,  “latinized”, used worldwide.
•May be descriptive or honor a scientist.
Examples
•Staphylococcus aureus (S. aureus)
•Escherichia coli (E. coli)
•Streptococcus pneumoniae
(S. pneumoniae)


Click here to access Unit one Content..


Topic One: History of Microbiology

•The first microbes were observed in 1673.
•In 1665, Robert Hooke (Englishman) reported that living things were composed of little boxes or cells.
•1673-1723, Antoni van Leeuwenhoek (Dutch) described live microorganisms that he observed in teeth scrapings, rain water, and peppercorn infusions.
•Many believed spontaneous generation: life can arise from non-living matter
•In 1668, the Italian physician Francesco Redi performed an experiment to disprove spontaneous generation.
•Can you think of an experiment that could disprove spontaneous generation?
•Redi filled six jars with decaying meat

Conditions                                                                Results
•3 open jars                                                              Maggots appeared
•3 jars covered with                                               No maggots fine net

•From where did the maggots come?
•What was the purpose of the sealed jars?
•Spontaneous generation or biogenesis?
•Rudolf Virchow (German) presented biogenesis: living cells can arise only from preexisting cells.
•So now there are two hypotheses:
•The hypothesis that living organisms arise from nonliving matter is called spontaneous generation. According to spontaneous generation, a “vital force’ Forms life.
•The Alternative hypothesis, that the living organisms arise from preexisting life, is called biogenesis.
•1861: Louis Pasteur demonstrated that microorganisms are present in the air.

Conditions

Results

Nutrient broth placed

in flask, heated, not

sealed

Microbial growth

Nutrient broth placed in flask, heated, then

sealed

No microbial growth


•The Golden Age of Microbiology 1857-1914
•Beginning with Pasteur’s work, discoveries included the relationship between microbes and disease, immunity, and antimicrobial drugs
•Pasteur showed that microbes are responsible for fermentation.
•Fermentation is the conversation of sugar to alcohol to make beer and wine.
•Microbial growth is also responsible for spoilage of food.
•Bacteria that use alcohol and produce acetic acid spoil wine by turning it to vinegar (acetic acid).
•Pasteur demonstrated that these spoilage bacteria could be killed by heat that was not hot enough to evaporate the alcohol in wine. This application of a high heat for a short time is called pasteurization.
The Germ Theory of Disease
•1835: Agostino Bassi showed a silkworm disease was caused by a fungus.
•1865: Pasteur believed that another silkworm disease was caused by a protozoan.
•1840s: Ignaz Semmelwise advocated handwashing to prevent transmission of puerperal fever from one OB patient to another.
•1860s: Joseph Lister used a chemical disinfectant to prevent surgical wound infections after looking at Pasteur’s work showing microbes are in the air, can spoil food, and cause animal diseases.
•1876: Robert Koch provided proof that a bacterium causes anthrax and provided the experimental steps, Koch’s postulates, used to prove that a specific microbe causes a specific disease.
•Koch was a physician and Pasteur’s young rival
•A young milkmaid informed the physician Edward Jenner that she could not get smallpox because she had already been sick from cowpox.
•1796: Edward Jenner inoculated a person with cowpox virus. The person was then protected from smallpox.
•Called vaccination from vacca for cow
•The protection is called immunity
•1928: Alexander Fleming discovered the first antibiotic.
•He observed that Penicillium fungus made an antibiotic, penicillin, that killed S. aureus.
•1940s: Penicillin was tested clinically and mass produced.
•Angelina Hesse: Development of Agar Used to Grow Microorganisms.

•Although the microscope was invented in the 1600’s, it took 200 years for scientists to discover its use in isolating and identifying specific microbes for a particular disease.




Click here to access Unit one Content..


Topic Two: Classes of Microorganisms

•Can be classified as either:

                •Non-pathogenic or pathogenic

                •Aerobic or anaerobic

                     •6 classes of microorganisms


Non-pathogenic
        •normal
         •do not produce disease
         •beneficial
Pathogenic
         •cause infection and disease
         •May be non-pathogenic in one body system, pathogenic in another  (E. coli)


•Aerobic
•requires oxygen to live
Anaerobic
•does not require oxygen to live


•6 classes of microorganisms
•Bacteria
•Protozoa
•Fungi
•Rickettsiae
•Viruses
•Helminths


Importance of microorganisms


Often considered the causes of disease
•Certain bacteria
•produce antibiotics
•live in the body without problems
•live on the roots of certain plants, converting nitrogen into a usable form
•help break down dead organic matter
•Classified by shape and arrangement
•Treated with antibiotics


Bacteria

•Bacteriology: scientific study of bacteria
•Medical bacteriology: is the scientific study of medically relevant bacteria

General characteristics:

•Typical prokaryotic cell
•Contain both DNA and RNA
•Most grow in artificial media
•Replicate by binary fission
•Almost all contain rigid cell wall
•Sensitive to antimicrobial agent
Structure of the Bacteria
•Cell envelope proper: Cell wall and cell membrane.
•Cellular element enclosed with in the cell envelope: Mesosomes, ribosomes, nucleiod and cytoplasmic granules.
•Cellular element external to the cell envelope: Flagellum, Pili and Glycocalyx.

Cell wall
• The bacteria cell wall is rigid
• It is made up of a peptidoglycan layer
Functions of cell wall
•1. Provides shape to the bacterium
•2. Gives rigidity to the organism
•3. Protects from environment
•4. Provides staining characteristics to the bacteria

Gram positive bacteria
• Thick peptidoglycan layer
• Has no outer membrane
• Peptidoglycan
• Teichoic acid
Gram negative bacteria
•Thin peptidoglycan layer
• Has an outer membrane
• Peptidoglycan
• Lipoprotein
• Phospholipid
• Lipopolysaccharide

Functions of bacteria cell structures
Cell membrane

• Also named as plasma membrane or cytoplasmic membrane
•It is composed of protein, lipids and carbohydrate. (phospholipid layer)
Functions of cell membrane
•Regulates the transport of nutrients and waste products into and out of the cell.
• Synthesis of cell wall components

•Flagellum
•It is a whip-like structure
•It is the organ of locomotion in bacterial cell

Pili (fimbriae)
•It is hair like structure composed of protein
•It is the structure for adherence to cell surface

Cellular elements
• Mesosomes: functions in cell division or excretion
•Ribosomes: protein synthesis
•Cytoplasm: provision of nutrient
•Nucleiod: Genetic material


classification o bacteria

Bacteria can be classified depending on the following features.
1. Morphology of bacterial cells
2. Arrangement of bacterial cells
3. Staining of the bacteria
4. Oxygen need
•NB: Morphology and staining of bacteria are the commonly used characteristics to classify bacteria.
Morphological classification
•Cocci (singular coccus): Round or oval shaped
•Bacilli (singular bacillus): Rod or cylindrical shaped
•Coccobacilli (singular coccobacillus): Short rods
•Spirillum: spiral shaped, non-flexible
•Spirochete: spiral shaped, flexible t coma shaped


Staining classification
Gram positive bacteria:
•The bacteria stains purple or blue under gram staining
Gram negative bacteria:
•The bacteria stains pink or red under gram staining
•Examples of common Gram +ve bacteria:
•Mycobacterium: M leprae, M tuberculosis
•Clostridium: C tetani, C perfringens
•Bacillus: B anthracis
•Staphylococcus: S aureus
•Streptococcus: S pyogenes, S pneumonia
•Examples of common Gram +ve bacteria:
•Mycobacterium: M leprae, M tuberculosis
•Clostridium: C tetani, C perfringens
•Bacillus: B anthracis
•Staphylococcus: S aureus
•Streptococcus: S pyogenes, S pneumonia
Oxygen need: On this basis bacteria have been divided into 4 groups:
•1. Obligate anaerobes
•2. Facultative anaerobes
•3. Obligatory aerobes
•4. Microaerophilic

Assignment: read and write notes on each
For their optimal growth, bacteria requires proper:
•Nutrition
•Oxygen (or absence of it)
•pH (neutral)
•Appropriate temperature



Click here to access Unit one Content..


Topic Two: Classes of Microorganisms: Fungi

Fungi

•Mycology: Is the study of fungi
• Fungi are a group of eukaryotic organisms with a diversity of morphological appearances depending on species.
•Mainly molds and yeasts
•Mycoses: Fungal infection
•Mycologist: scientists who study mycology
•organisms that usually enjoy a symbiotic, but sometimes parasitic relationship with their host
•provide numerous drugs and foods
•provide bubbles in bread, champagne, and beer
•cause a number of plant and animal diseases
•fungal diseases are very difficult to treat
     

  

importance
•Nutrition: Edible mushrooms
•Industrial use: (Penicillium) ripens cheese, adds flavor
•Fermentation: Brewers’ and Baker’s yeast
•Plant pathology: most plant diseases are caused by fungi
•Medical importance: 50-100 species recognized human pathogens
Eukaryotic in nature.
•Unicellular/Multicellular
•Mostly soil saprophytes
•Don’t possess chlorophyll
•Fungi are able to withstand certain extreme environmental conditions better than most other microorganisms.
•Fungi are heterotrophic, using a wide variety of materials for nutrition.
•Cell division (reproduction) is:
•Sexual
•Asexual
•May be unicellular like Yeast or
•May be multicellular like Mould




•Rickettsiae

•rod-shaped, parasitic bacteria
•live in the tissues of ticks, fleas, and lice
•transmitted to humans through bites
•invade the new host from within 
•Fungi are grouped into 4 morphologic classes:

1. Moulds

2. Yeasts

3. Dimorphic fungi

4. Yeast-like fungi

Mycoses

•Mycoses refers to the fungal infection.
•It can be divided into 4 broad categories:

  1. Superficial mycoses

  2. Cutaneous mycoses

  3. Subcutaneous mycoses

  4. Systemic mycoses

Assignment: read and write short notes on each



Click here to access Unit one Content..


Topic Two: Classes of Microorganisms: Virus

Virus
•Virus is latin word which means poison.
•A virus is an entity whose genome is an element of nucleic acid that replicate inside living cells, using host’s machinery leading to transfer of genome to other cells.
•Viruses
•small, infectious agent
•requires a host for survival
•over 5,000 types
•can combine in multiple ways to produce a wide range of diseases
•produce immune response in humans
•treated with antiviral drugs

General characteristics

•Consist either of RNA or DNA but never both
•Obligate intracellular parasites
•Fails to grow on artificial media
•Smallest infectious agents
•Nucleic acid is encased in a protein shell
•Not inactivated by antibiotics
•Divide by replication



structure
•Viruses are composed of nucleic acids and proteins.
•A single nucleic acid (RNA/DNA): stores all the vital information required by the virus for multiplication.
•Nucleic acid is surrounded by a coat of protein called capsid.
 
•Viruses are more sensitive to environmental changes than other organisms.

 Their infectivity is affected by:

•1. Temperature
•2. pH
•3. Lipid solvents

Replication of viruses

•Viruses are obligatory intracellular parasites.
•They make use of the metabolic machinery of the host cell to undertake replication.
•The virus undergoes a sequence of events to enable this replication in the host cell.

Replication process

•1. Attachment of virus to host cell
•2. Penetration
•3. Uncoating
•4. Transcription
•5. Translation
•6. Genome replication
•7. Assembly of virons
•8. Release

Viruses gain access to the host through:

• Skin
• Mucous membrane
• Respiratory tracts
• Gastrointestinal tract
• Genital tract


Click here to access Unit one Content..


Topic Two: Classes of Microorganisms: Helminths

Helminths
•Parasitic worm-like organisms
•Live inside the host
•Feed off their host
•Disrupt nutrient absorption
•Lead to weakness
•Excrete toxins making host susceptible to other diseases
•Approximately 30 billion people globally are infected

Click here to access Unit one Content..


Topic Three: Infection

What is Infection

•An infection is the colonization of a host by Microbial species. Infecting Microbes seek to use the host's resources to reproduce, often resulting in disease.
• Colloquially, infections are usually considered to be caused by microscopic organisms like viruses, prions, bacteria, and viroids, though larger organisms like macro parasites and fungi can also infect.

a. It’s the Invasion by and multiplication of pathogenic microorganisms in a bodily part or tissue, which may produce subsequent tissue injury and progress to overt disease through a variety of cellular or toxic mechanisms.

•b. The pathological state resulting from having been infected.

Definitions

Disease

•Any deviation from a condition of good health and well-being

Infectious Disease

A disease condition caused by the presence or growth of infectious microorganisms or parasites

Pathogenicity and Virulence

– Pathogenicity - The ability of a microbe to cause disease. This term is often used to describe or compare species

Principles of Infection

– Virulence

  • The degree of pathogenicity in a   microorganism

  • This term is often used to describe or   compare strains within a species

• Understanding the basic principles of infection is essential for any health care worker in any field of health care.

  1. Disease transmission

  2. Prevention of disease transmission

RECALL THAT

Microorganisms (microbes) are small living organisms that are not visible to the naked eye.

• Pathogens (germs) are microorganisms that cause disease.

• Non-pathogens are microorganisms that do not cause disease; can be beneficial.

COURSE OF INFECTIOUS DISEASES

Microorganisms (microbes) are small living organisms that are not visible to the naked eye.

• Pathogens (germs) are microorganisms that cause disease.

• Non-pathogens are microorganisms that do not cause disease; can be beneficial.

1. One person must be infected with a microorganism

2. The other person must be susceptible to infection with that microorganism

3. The microorganism must be able to leave the body of the infected person and enter the body of the susceptible person.

Classification of Infections

• Primary Infection

Reinfection

• Secondary Infection,

• Focal infection,

• Cross infection,

• Nosocomial infections

• Iatrogenic infection

Acute infection vs. chronic infection

–Acute Infection

•An infection characterized by sudden onset, rapid progression, and often with severe symptoms

–Chronic Infection

•An infection characterized by delayed onset and slow progression

Primary infection vs. secondary infection

–Primary Infection

•An infection that develops in an otherwise healthy individual

–Secondary Infection

•An infection that develops in an individual who is already infected with a different pathogen

Localized infection vs. systemic infection

–Localized Infection

•An infection that is restricted to a specific location or region within the body of the host

–Systemic Infection

•An infection that has spread to several regions or areas in the body of the host

Clinical infection vs. sub- clinical infection

–Clinical Infection

•An infection with obvious observable or detectable symptoms

–Subclinical Infection

•An infection with few or no obvious symptoms

Opportunistic infection

–An infection caused by microorganisms that are commonly found in the host’s environment This term is often used to refer to infections caused by organisms in the normal flora

Source of Infections


• Humans from patient or carrier

• A healthy carrier

• Convalescent carrier

• Temporary carrier

• Contact carrier

• Paradoxical carrier

• Animals

• Insects vectors

• Mechanical vector

• Biological vector

• Soil and water

• Food


CHAIN OF INFECTION

Infectious agent – A microbial organism with the ability to cause disease. The greater the organism's virulence (ability to grow and multiply), invasiveness (ability to enter tissue) and pathogenicity (ability to cause disease), the greater the possibility that the organism will cause an infection.
Reservoir – A place within which microorganisms can thrive and reproduce. For example, microorganisms thrive in human beings, animals, and inanimate objects such as water, table tops, and doorknobs.
Portal of exit – A place of exit providing a way for a microorganism to leave the reservoir. For example, the microorganism may leave the reservoir through the nose or mouth when someone sneezes or coughs.
Mode of transmission – Method of transfer by which the organism moves or is carried from one place to another. The hands of the health care worker may carry bacteria from one person to another.
Portal of entry – An opening allowing the microorganism to enter the host. Portals include body orifices, mucus membranes, or breaks in the skin. Portals also result from tubes placed in body cavities, such as urinary catheters, or from punctures produced by invasive procedures such as intravenous fluid replacement.
Host – A person who cannot resist a microorganism invading the body, multiplying, and resulting in infection. The host is susceptible to the disease, lacking immunity or physical resistance to overcome the invasion by the pathogenic microorganism.

The Infectious Process/ stages of infection

•Incubation period – The time interval between the invasion of the pathogen into the body and the first signs and symptoms of infection (length of time varies).
•Prodromal stage – The time interval between the onset of nonspecific signs and symptoms (malaise, achiness in joints) to more disease specific signs and symptoms. The disease is communicable and it is recommended that the patient take precautions to prevent the spread of the infection.
•Illness stage – The time during which the disease specific signs and symptoms are present. The nurse knows that this is the acute illness stage and patient will need added rest, increased fluids, medication, treatment and probably a modified die
Convalescence – That time between the disappearance of the acute signs and symptoms of infection and full recovery

Signs & Symptoms of Infection

• Redness

• Swelling

• Tenderness

• Warmth

• Drainage

• Red streaks leading away from wound


Click here to access Unit one Content..


Topic Three: Infection (continuation)

Signs & Symptoms of Infection

• Redness

• Swelling

• Tenderness

• Warmth

• Drainage

• Red streaks leading away from wound

Local signs

– Inflammation

– Purulent exudate if bacterial infection; serous exudate if viral

– Tissue necrosis

– Lymphadenopathy

– Respiratory effects

• Systemic signs

– Fever, fatigue, headache, nausea

The Normal Flora of Humans

•Normal flora are the microorganisms that live on another living organism (human or animal) or inanimate object without causing disease

Types of Symbiosis

–Mutualism

•A symbiotic relationship in which both species benefit

–Commensalism

•A symbiotic relationship in which one species benefits, and the other species is neither helped nor harmed

Parasitism

•A symbiotic relationship in which one species benefits, and the other species is harmed

•Generally, the species that benefits (the parasite) is much smaller than the species that is harmed (the host)

•Normal flora is present in

–skin

–upper respiratory tract

–oral cavity

–intestine, especially large intestine

–vaginal tract

•Very little normal flora in eyes & stomach


Benefits of the normal flora

–Nutrient production/processing eg Vitamin K production by E. coli

–Competition with pathogenic microbes

–Normal development of the immune system

•Normal flora and opportunistic infections


Steps to Minimize Risk of Infection

 Locate, remove reservoir host

• Block portal exit of microbes from reservoir

• Know mode(s) of transmission of specific infections

• Block portals of entry

• Cleaning

• Sterilization

• Disinfectants

• Antiseptics

SUMMARY

•infection is the colonization of a host by Microbial species.
•Infection is caused by microorganism
•Principles of Infection : transmission and prevention
•Chain of infection
• signs and symptoms of infection
•Normal flora and its benefits to the host

Click here to access Unit one Content..


Unit One: Summary

In this topic, you have learnt about the:

    •Can be classified as either:
    •Non-pathogenic or pathogenic
    •Aerobic or anaerobic
    •6 classes of microorganisms
                    •Bacteria
                    •Protozoa
                    •Fungi
                    •Rickettsiae
                    •Viruses
                    •Helminths