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BODY DEFENSES Methods of Transmission • Direct Contact • Airborne Transmission • Bodily fluids • Oral Transmission DIRECT CONTACT • IN THE OR ONLY STERILE SUPPLIES AND STERILE INSTRUMENTS ARE USED! • Sterile- Completely free of ALL microorganisms • Contaminated- These items can then become a FOMITE AIRBORN TRANSMISSION • Water droplets carry organisms from one surface to another. Then can enter the body directly through the respiratory tract or another entry site. • Aerosol droplets (droplet nuclei) are dried remnants of previously moist secretions. Aerosol droplets can remain suspended in the air because of their size. TRANSMISSION OF BODILY FLUIDS • Blood-borne pathogens are a high risk to hospital personnel and may acquire a disease through contact with blood and bodily fluids. • Strict protocols for handling/isolating medical waste, body fluids, specimens and soiled equipment ORAL TRANSMISSION • Pathogens ingested in food or through fecaloral transmission. • Poor hygiene among patients and hospital staff contributes to the spread of pathogens in this way. FREQUENT HANDWASHING!! PORTAL OF ENTRY; COMMON MEANS OF ENTRY • Urogenital infection • Skin penetration • Sexually Transmitted Diseases (mucous membrane) • Mother to infant transmission IMMUNITY • This is the body’s ability to accept substances that are part of the body (“self”) and eliminate those that are not! GENERAL TYPES OF IMMUNITY – Exists from time of birth – Conferred through exposure to a specific substance or microbe, called an antigen. • When exposure occurs the immune system develops antibodies, which are specific proteins that trigger the immune system to launch its defenses Chemical and Mechanical Body Defenses……… • Intact skin • Respiratory system Bacteriostatic chemicals in saliva, low PH in the stomach and resident Flora In the intestine prevent infection • NORMAL FLORA…….(RESIDENT) Bacterial colonies that live in symbiosis INFLAMMATORY RESPONSE • • • • • Inate immune response to injury Heat Redness Swelling Pain Cellular response – Microorganisms invade the body. Specialized Leukocytes rush to the site; surround and engulf them • PHAGOCYTOSIS – Immune response triggered by the process of inflammation ACTIVE IMMUNITY……. • Develops when the body is stimulated to form its own antibodies against specific disease antigens…….Examples: • 1. By getting the disease • 2. By Vaccination (small amount of disease in vaccination, just enough to formulate antibodies). PASSIVE IMMUNITY…….. • Develops when the body receives the specific disease antibodies from an outside source….. Fetus receives antibodies in utero from moms immune system, or breast milk Receives a specific antigen, i.e.; tetanus antitoxin VACCINES • PROVIDE A FORM OF ACQUIRED IMMUNITY HYPERSENSITIVITY • IMMUNE RESPONSE TO A SUBSTANCE…. • Occurs in individuals who have previous exposure and sensitivity to the substance ANAPHYLACTIC SHOCK Severe immediate reaction Can lead to death ALLERGY • Hypersensitivity to a substance in the environment, is a process mediated by the immune system…… Immediate and Delayed Reactions…. • TYPE I – Release of Histamine, difficulty breathing, (Anaphylactic Shock) • TYPE II – Cytotoxic Reaction, Mismatched blood transfusions and hemolytic disease in newborns • TYPE III – Antigen/Antibody complexes, tissue damage, itching, rash, severe tissue swelling • TYPE IV- Cell-mediated (not related to antibodies) occur after 24-72 hours after exposure….example, positive reaction to the tuberculin skin test AUTOIMMUNITY • Rheumatoid Arthritis • Systemic Lupus • Ulcerative Colitis