ACCESS Human Biology. Disease Causing Micro organisms. Vera Harding. 4/9/2015 1 Aims. The student will be able to: • Define the meaning of infection. • Define communicable disease. • Differentiate between bacteria, viruses, fungi, protoctista and parasites. • Understand how infection is spread. • Discussion. 4/9/2015 2 Infection: • ‘The process by which organisms capable of causing disease gain entry to the body and establish colonies’ (Youngson 1992). • ‘The successful invasion, establishment and growth of micro-organisms in the tissues of the host. May be acute or chronic’ (Roper 1989). • ‘Invasion of the body by harmful organisms (pathogens) such as bacteria, fungi or viruses’ (Roper 2003). 4/9/2015 3 Infectious (Communicable) Disease: • ‘Any disease that can be transmitted from one person to another’ (Martin 2003). • ‘Diseases caused by organisms that can spread directly from person to person’ (Younson 1992). • ‘Disease caused by a specific, pathogenic organism and capable of being transmitted to another individual by direct or indirect 4/9/2015 4 contact’ (Roper 1989). Reason for health care workers to be concerned? YES!! • Infection poses a serious and continuing threat to the public with 1 in 10 (10%) NHS hospital patients affected each year. • This problem costs an estimated £1billion per annum. • Hand hygiene is one of the most important indicators in reducing the risk of infection. • (Pearce 2004). 4/9/2015 5 Bacteria. • A group of simple organisms. • Many bacteria are parasites. • Bacteria can survive for a long time as a spore that protects them in a latent (inactive) state. • Antibiotics cause damage to the spore wall. • Only bacteria is denatured (killed) by antibiotics, therefore they should not be used to treat fungi or viruses. 4/9/2015 6 Bacteria - not always bad! • Commensal: Bacterium thrives - host not affected, eg: – Staphylococcus aureus lives naturally on skin, only causing problems if it gains entry into the body through broken skin, when it causes abscesses to form. – Methicillin Resistant Staphylococcus Aureus lives in the noses and throats of general public. Dangerous only if entry is gained through broken or punctured skin. 4/9/2015 7 Bacteria - not always bad! • Symbiotic: Bacteria is beneficial to both bacterium and host, eg: – Intestinal flora, (flora - colonisation of microorganisms) produces Vitamins B12 and K. • Decomposition: Bacteria are involved in important processes of, eg: – The ‘Nitrogen Cycle’. 4/9/2015 8 Fungi. • Simple organisms that include yeasts, moulds and mushrooms. • Some fungi can cause disease in humans. • Some yeasts are a good source of Vit. B. • Many antibiotics are obtained from moulds. • Fungi can cause rapid deterioration of food, which can lead to disease. • Human skin (intact) prevents invasion. 4/9/2015 9 Viruses. • Minute particles that can only replicate inside living cells. • Viruses have specific targets, eg the cold virus targets the mucous membrane that lines the human nose. • Viruses are specific to one host, eg, myxomatosis is fatal to rabbits, (it causes the mucous membranes to swell), but not 4/9/2015 harmful to humans. 10 Protoctista. • • • • • Single and multiple eukaryotic, (animal), cells. Most are microscopic. Protozoan and worms. Amoeba ingest small particles of food. Amoebic dysentery via contaminated water. Eats intestinal flora. • Malaria via mosquito. Absorbs nutrients through cell membranes. • Trichomoas vaginalis. Causes trichomoniasis usually in vagina, sometimes in urethra or prostate. STI. 4/9/2015 11 Parasites. • Parasites include any living thing that lives in or off another organism. • The organism that the parasite survives on is called the ‘host’. • Human parasites include; – Bacteria. – Fungi. – Viruses. 4/9/2015 – Worms. 12 To cause disease pathogens: • • • • • Must be in sufficient numbers. Must be virulent (powerful enough). Must have a susceptible host. Must enter body by appropriate means. Must have appropriate environment: – Food. – Moisture. – Warmth. 4/9/2015 13 The pathogens enter the body by: • Inhalation: airborne spread (eg colds, measles, sore throats, tuberculosis). • Ingestion: through mouth via contaminated hands, infected food (eg salmonella). • Inoculation: through the skin (eg MRSA). 4/9/2015 14 Infection is spread by: • Airborne route: coughing and sneezing etc. • Direct contact: hands, sex, blood etc . • Indirect contact: equipment, bedding, food, (fomites) etc. • Vectors: flies, mosquitoes, rats, etc. • Waterborne. 4/9/2015 15 References. • Martin, E. (2003) Minidictionary for Nurses. RCN: London. P135, 301, 320. • Pearce, L. (2004) Beating the Bugs. Nursing standard. V.18.No.31.pp17-18. • Roper, N. (1989) Medical Dictionary. Churchill Livingstone. London. P133, 143. • Thompson, D. (1996) • Youngson, R. (1992) Dictionary of Medicine. Collins: Great Britain. P296, 313. 4/9/2015 16