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General epi flashes

Sno Veterinary epidemiology Inglés 29 fichas

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  1. 1TOPIC 1. INFECTIOUS DISEASES A. DEFINITION OF INFECTIOUS DISEASEA DISEASE C BY ENTRANCE INTO THE BODY BY AN ORGANISM (BAC/VIRUS/FUNGI/PROTOZOA) WHICH GROWS AND MULTIPLIES THERE
  2. 2TOPIC 1. INFECTIOUS DISEASES B. SOURCES OF INFECTIOUS DISEASESHUMANS OR ANIMALS:
    DIRECT OR INDIRECT VIA:
    1. EXCRETION/SECRETION (blood, faeces, urine, saliva, genital discharge, milk)
    2. PRODUCTS (wool, hair. skin, meat, milk)
    3. WATER, FEED, SOIL, ENVIRONMENT, AIR, ARTHROPODS, IATROGENIC, NOSOCOMIAL (HOSPITAL)
  3. 3TOPIC 1. INFECTIOUS DISEASES C. ROUTES OF TRANSMISSIONVERTICAL
    GERMINATIVE
    INTRA UTERINE
    GALACTOGENIC
    HORIZONTAL.
  4. 4TOPIC 1. INFECTIOUS DISEASES TYPES OF ZOONOSISORTHO: BIRD TO ANIMAL
    CYCLO: AT LEAST 2 VERT HOSTS (IM)
    META: VERT + INVERTEBRATE HOST
  5. 5TOPIC 1. INFECTIOUS DISEASES ENTRANCE OF INF INTO BODYNATURAL ORIFICES: NOSE, PO, GENITAL, UDDER, CONJUNCTIVA, SKIN.
    OTHER: WOUND.
    IMP: OPTIMAL ENTRANCE
  6. 6TOPIC 1. INFECTIOUS DISEASES FORMS OF INFECTIONREINFECTION
    EXACERBATION/AGGREVATION
    SUPERINFECTION (esp post antibiotics),
    SECONDARY (during pre-existing or secondary to)
    MIXED
  7. 7TOPIC 1. INFECTIOUS DISEASES FACTORS AFFECTIONG OUTCOMES OF INFECTION: AGENT (AGENT - HOST - ENVIRONMENT)AGENT: relationship w/ host, width of host range (euryxen= narrow, stenoxen=wide)pathogenicity, virulence, obligate/facultative, virulence (virulence factors + changes in virulence), amount of agent MLD/ LD50(median lethal dose dose required to kill half the members of a tested population after a specified test duration), route of infection, invasiveness (intra/extracellular).
  8. 8TOPIC 1. INFECTIOUS DISEASES FACTORS AFFECTIONG OUTCOMES OF INFECTION: HOST (AGENT - HOST - ENVIRONMENT)age
    species related resistance
    non-specific resistance
    specific resistance
    environment
    nutrition
    management
    production (feeding, laying)
    physiological factors: skin type, mucous membranes, excretions (HCl, fatty acids, bile etc), MPS (macrophage-phagocytic system), complement factors (properidin opsonin), IL, IF, TNF specific resistance, passive immunity, (passive, induced) active immunity(natural, induced, specific), humoral resistance (IgA, IgG etc), cellular resistance (ic, bacteria, viruses), effect of immune suppresion (toxicosis, medicines, mycotoxins, parturition), fetal immune reaction (hierarchy, age). Immune reaction in newborns (Calf: ig 4-32 days. piglet: local immune reactions immediately, disappear, no immune memory). cellular imm reaction (weaker): 0-2 weeks.
  9. 9TOPIC 1. INFECTIOUS DISEASES FACTORS AFFECTIONG OUTCOMES OF INFECTION: ENVIRONMENT (AGENT - HOST - ENVIRONMENT)survival of agent in environment
    environmental effects on animal
    predisposition to facultative pathogens
    nutrition
    managment
    technology (weaning, grouping, treatment, castration, sheering, transport).
  10. 10TOPIC 2. PATHOGENESIS, COURSE, EPIDEMIOLOGY OF INF DISEASES. FACTORS INFLUENCING SPREAD OF INF DISEASE. PATHOGENESIS (AND INFECTION TYPES)INF TYPES: local, localized (in diff organs), generalized.
    PATHOGENESIS:
    INCUBATION
    (inf --> colonization --> replication)
    GENERALIZATION
    (spreading: blood, lymph, perineural)
    teratogenic: fetus results in: resorption, embryonic death, abortion).
    DECREASED RESISTANCE
    TOLERATED INFECTIONS
    MANIFESTATION
    (CS`s, lesions (dep on virulence factors).
  11. 11WHAT ARE VIRULENCE FACTORS? (VF)molecules expressed and secreted by pathogens, enabling them to achieve:
    colonization (including adhesion to cell), immunoevasion, immunosuppression, inhibition of imm response, entry and exit into cell (if IC), obtain nutrition from host.
    VF`s are often resp for causing disease due to them often converting non pg bacteria to dangerous pathogens. in bacteria, VF = often encoded on mobile genetic elements ex bacteriophages, and are easily spread horizontally.
  12. 12TOPIC 2. PATHOGENESIS, COURSE, EPIDEMIOLOGY OF INF DISEASES. FACTORS INFLUENCING SPREAD OF INF DISEASE. COURSE (+ TIME) OF INF DISEASESVIRUSES:
    PRIMARY REPLICATION: at entry site and regional lnn. localization by macrophages and further replic in inf macrophages, lymphocytes and blood. (VIREMIA).
    REPL IN CELLS LEADS TO:
    lymph cells: imm suppr.
    blood cells: dmg bl vsls.
    SECONDARY REPLICATION: in tissues
    DMG TISSUE LEADS TO: CS`s, reactive inflammation, allergic reaction.
    TIME: incubation time, course of infection time: PER ACUTE, ACUTE, SUBACUTE, CHRONIC.
  13. 13TOPIC 2. PATHOGENESIS, COURSE, EPIDEMIOLOGY OF INF DISEASES. FACTORS INFLUENCING SPREAD OF INF DISEASE. OUTCOME OF INF DISEASESRECOVERY(full or partial)
    CARRIER
    DEATH
    can be:
    abortive, inapparent, persistent (virus), latent (virus), tolerated (virus). NB! inf without CS (carrier) is very important in epi.
  14. 14TOPIC 2. PATHOGENESIS, COURSE, EPIDEMIOLOGY OF INF DISEASES. FACTORS INFLUENCING SPREAD OF INF DISEASE. EPIDEMIOLOGYESTABLISH THE FOLLOWING:
    I. characteristics of the disease: infectious/contagious/soil inf.
    II. statistical evaluation:
    morbidity, mortality, surveillance (passive and active), lethality, incidence, prevalence.
    III: analysis methods: data collection, diagnostic workup, monitoring, surveillance, screening, hypotheses control, statistical methods, blind examinations.
    IV: extent of diseases: endemic (enzootic), epidemic (epizootic), pandemic (panzootic)
  15. 15ENDEMICin a population when that infection is maintained in the population without the need for external inputs. For example, chickenpox is endemic (steady state) in the UK, but malaria is not.
  16. 16EPIDEMICoccurs when new cases of a certain disease, in a given human population, and during a given period, substantially exceed what is expected based on recent experience.
    Epidemiologists often consider the term outbreak to be synonymous to epidemic, but the general public typically perceives outbreaks to be more local and less serious than epidemics
  17. 17PANDEMICan epidemic of infectious disease that has spread through human populations across a large region; for instance multiple continents, or even worldwide.
  18. 18NOTIFICATIONINTERNATIONAL COOPERATION REGARDING INF DISEASE: OIE, FAO, WHO
  19. 193. DX AND TREATMENT DXCOMPLEX:
    epid data.
    cs, pm lesions, all reactions, lab (diagnostic institutions), evaluation.
    allergic tests: tuberculin, mallein.
    lab diagnosis: sampling, covering letter, histology, microscopic smears, electron microscopes ex isolation (medium - cell culture - egg - laboratory animal). serological testing: classical: agglutination, precipitation, page, cft. cellular tests: lymphocyte stimulation test, immune rosette formation, cytotoxic reaction, macrophage migration, g-interferon test.
    method for det nucleic acids (DN HYBRID, PCR). (USE MORE THAN ONE)
  20. 203. DIAGNOSTIC AND TREATMENT TREATMENTAETIOLOGICAL TREATMENT:
    BACTERIA: antibacteria, hyperimmune serum, symptomatic. individual/mass.
    remember: some diseases are illegal to treat! some chronic diseases as it is not reasonable.
    - prevention of complications (diseases c/by viruses).
  21. 214. PREVENTION AND CONTROL OF INFECTIONS DISEASES list the 3 main headingsveterinary administration
    prophylaxis
    monitoring and surveillance
    chemoprophylaxis
  22. 224. PREVENTION AND CONTROL OF INFECTIONS DISEASES VET ADMINgen rules: all in all out, disinfection, isolation (spp, age grps etc), closed keeping, limited traffic, wild an isol, rodents, birds. rendering of dead, waste disposal, rules on hatching, transport of day old chicks. exclusion of carriers. specific rules: applied to specific diseases
  23. 234. PREVENTION AND CONTROL OF INFECTIONS DISEASES IMMUNE PROPHYLAXIS types?passive, active and hyperimmune serum
  24. 244. PREVENTION AND CONTROL OF INFECTIONS DISEASES PASSIVE IMMUNITYmaternal:
    epitheliochorical: colostrum
    syndemochorial: mainly colostrum
    endotheliochorial: diaplacentar + colostrum.
    imp aspects of colostrum:
    - Ig content decreases.
    - enteral absorption of Ig`s decreases. - enteral lymphocytes can be transferred.
    bisection time, effect of antigen on amnt of maternal antibodies. immunisation can be inhibited by colostrum (important reg vaccination).
  25. 25COLOSTRUM %DAY 1: Protein: 18.8%, ig: 13.1%
    DAY 3: Protein: 7.5% Ig: 1.0%
    Commercial milk: Protein: 3.29% Ig: 0.09%
  26. 264. PREVENTION AND CONTROL OF INFECTIONS DISEASES TYPES OF ACTIVE IMMUNIZATION (VACCINES)live (attenuated) (virulence is reduced) vs inactive (killed)
    NEW GENERATION VACCINES:
    live: deletion vacc, vector vacc
    killed: subunit, inactivated deletion, VLP (virus like particles).
    Vaccines: ISCOM, synthetic, nucielic acid (DNA, ss+RNA), anti idiotype vaccines. DIVA: differ inf from vacc animal.
    DIVA vaccines carry at least one epitope less than the microorganisms circulating in the field. An accompanying diagnostic test that detects antibody against that epitope allows us to actually make that differentiation.
    (epitope= antigen determinant. "marker" the part of the antigen that is recognized by the imm syst)
  27. 274. PREVENTION AND CONTROL OF INFECTIONS DISEASES CHEMOPROPHYLAXISantibacterials
  28. 284. PREVENTION AND CONTROL OF INFECTIONS DISEASES control and eradicationSELECTION (test + remove) (+ vaccinate), generation shift, herd replacement, SPF method, embryo transfer.
    examples of eradication of human diseases: smallpox: 59-79. polymyelitis (some years), rubella, mumps (target 2010-2015).
    in animals: rinderpest: 2011
  29. 29TOPIC 178. PRINCIPLES OF SAMPLING FOR LABORATORY EXAMINATIONS, TRANSPORT OF SAMPLES.PRINCIPLES OF SAMPLING:
    anamnesis or epidemiology:
    species, nr animals sick, age groups affected, is the disease infectious, seasonality etc.
    CS: fever, inappetence, depression, respiratory, GI, reprod fail, neurol signs.
    PM LESIONS: inflam, necrosis, hemorrhages.
    LAB: histology, det antigens (IF, capture ELISA), nucelic acid (PCR), culture (cells, embryonated eggs), SEROLOGY: HI, VN, ELISA, Immunoblot etc.

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