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Infection. Pathogenicity and virulence of microorganisms. Types of infection. Vinnitsa National Pirogov Memorial Medical University / Department of microbiology Infection is the active penetration of pathogenic microorganism into the host organism. In result of penetration infectious process is developed. The main properties of pathogen 1. Pathogenicity 2. Infectivity 3. Communicability 4. Adhesiveness 5. Invasiveness 6. Toxigenicity 1. Adherence factors Adhesins of the microorganisms: 1. Fimbriae and adhesive pili 2. Capsule 3. Peptidoglycane 4. Teichoic and lipoteichoic acids 5. Fatty acids 6. A-protein (S.aureus) and M-protein (S.pyogenes) 7. Ligands Pathogenicity factors: Invasion factors 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Hyaluronidase Lecithinase Deoxyribonuclease and ribonuclease Fibrinolysine Plasmocoagulase Collagenase Hemolysins Elastase IgA protease Leukocidins Pathogenicity factors:Toxins Toxin is a specific substance, often a metabolic product of microorganism, that damages the host. Classification: 1. Endotoxin 2. Exotoxin Classification of exotoxins Cytotoxins (enterotoxins and dermatonecrotoxins) Neurotoxins Membranotoxins Miscellaneous group Infectious process Infectious process is a complex of physiological, adaptive and pathological changes that arise in the host organism due to infection Infectious disease Infectious disease is any change from a state of health in which part or all of the host body is not able of carrying on its normal functions due to presence of a parasite or its products Phases of infectious disease 1. Incubation period 2. Prodromal period 3. The period of illness 4. Outcome of disease Outcome of infectious disease The outcome of infectious disease may be: 1. The recovery 2. The formation of convalescent carrying 3. The persistence of pathogen in the host 4. The death Mechanisms and types of infection transmission The main types of infection transmission are by: Inhalation (air-borne transmission) Mechanisms and types of infection transmission Ingestion (waterborne, food borne, and hand borne transmission) and poor sanitation Mechanisms and types of infection transmission Inoculation Mechanisms and types of infection transmission Contact (contact transmission) Direct contact Indirect contact Sexual intercourse Mechanisms and types of infection transmission Biting of blood sucking insects (vector borne transmission) Mechanisms and types of infection transmission Person-to-person through the placenta (congenital transmission) Classification of the infections Manifested infection Atypical infection Inapparent infection Endogenous infection (autoinfection) Exogenous infection Acute infection (till 3 months) Chronic infection (after 6 months) Persistent infection (years) Classification of the infections Primary infection Secondary infection Mixed infection Reinfection Super infection Pandemic Epidemic Endemic Sporadic