Infectious disease primary prevention: Difference between revisions
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==Primary Prevention== | ==Primary Prevention== | ||
===Immunity=== | ===Immunity=== | ||
[[Image:Mallon-Mary 01.jpg|thumb|[[Mary Mallon]] (a.k.a. Typhoid Mary) was an asymptomatic carrier of [[typhoid fever]]. Over the course of her career as a cook, she infected 53 people, three of whom died.]] | [[Image:Mallon-Mary 01.jpg|thumb|[[Mary Mallon]] (a.k.a. Typhoid Mary) was an asymptomatic carrier of [[typhoid fever]]. Over the course of her career as a cook, she infected 53 people, three of whom died.]] | ||
Infection with most pathogens does not result in death of the host and the offending organism is ultimately cleared after the symptoms of the disease have waned. | Infection with most pathogens does not result in death of the host and the offending organism is ultimately cleared after the symptoms of the disease have waned. This process requires [[immune system|immune mechanisms]] to kill or inactivate the [[inoculum]] of the pathogen. Specific acquired [[immunity (medical)|immunity]] against infectious diseases may be mediated by [[Antibody|antibodies]] and/or [[T lymphocyte]]s. Immunity mediated by these two factors may be manifested by: | ||
* a direct effect upon a pathogen, such as antibody-initiated [[complement system|complement]]-dependent bacteriolysis, [[Opsonin|opsonoization]], [[phagocytosis]] and killing, as occurs for some bacteria, | * a direct effect upon a pathogen, such as antibody-initiated [[complement system|complement]]-dependent bacteriolysis, [[Opsonin|opsonoization]], [[phagocytosis]] and killing, as occurs for some bacteria, | ||
* neutralization of viruses so that these organisms cannot enter cells, | * neutralization of viruses so that these organisms cannot enter cells, | ||
* or by T lymphocytes which will kill a cell parasitized by a microorganism. | * or by T lymphocytes which will kill a cell parasitized by a microorganism. | ||
The immune system response to a microorganism often causes symptoms such as a high [[fever]] and [[inflammation]], and has the potential to be more devastating than direct damage caused by a microbe. | The immune system response to a microorganism often causes symptoms such as a high [[fever]] and [[inflammation]], and has the potential to be more devastating than direct damage caused by a microbe. | ||
Resistance to infection ([[immunity (medical)|immunity]]) may be acquired following a disease, by [[asymptomatic carrier|asymptomatic carriage]] of the pathogen, by harboring an organism with a similar structure (crossreacting), or by [[vaccination]]. Knowledge of the protective antigens and specific acquired host immune factors is more complete for primary pathogens than for opportunistic pathogens. | Resistance to infection ([[immunity (medical)|immunity]]) may be acquired following a disease, by [[asymptomatic carrier|asymptomatic carriage]] of the pathogen, by harboring an organism with a similar structure (crossreacting), or by [[vaccination]]. Knowledge of the protective antigens and specific acquired host immune factors is more complete for primary pathogens than for opportunistic pathogens. | ||
Immune resistance to an infectious disease requires a critical level of either antigen-specific antibodies and/or T cells when the host encounters the pathogen. Some individuals develop natural [[blood plasma|serum]] antibodies to the surface [[polysaccharide]]s of some agents although they have had little or no contact with the agent, these natural antibodies confer specific protection to adults and are [[passive immunization|passively transmitted]] to newborns. | Immune resistance to an infectious disease requires a critical level of either antigen-specific antibodies and/or T cells when the host encounters the pathogen. Some individuals develop natural [[blood plasma|serum]] antibodies to the surface [[polysaccharide]]s of some agents although they have had little or no contact with the agent, these natural antibodies confer specific protection to adults and are [[passive immunization|passively transmitted]] to newborns. | ||
===Other Methods of Prevention=== | ===Other Methods of Prevention=== | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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{{WikiDoc Sources}} | |||
[[Category:Infectious disease|*]] | [[Category:Infectious disease|*]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
Latest revision as of 22:23, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [3]
Primary Prevention
Immunity
Infection with most pathogens does not result in death of the host and the offending organism is ultimately cleared after the symptoms of the disease have waned. This process requires immune mechanisms to kill or inactivate the inoculum of the pathogen. Specific acquired immunity against infectious diseases may be mediated by antibodies and/or T lymphocytes. Immunity mediated by these two factors may be manifested by:
- a direct effect upon a pathogen, such as antibody-initiated complement-dependent bacteriolysis, opsonoization, phagocytosis and killing, as occurs for some bacteria,
- neutralization of viruses so that these organisms cannot enter cells,
- or by T lymphocytes which will kill a cell parasitized by a microorganism.
The immune system response to a microorganism often causes symptoms such as a high fever and inflammation, and has the potential to be more devastating than direct damage caused by a microbe.
Resistance to infection (immunity) may be acquired following a disease, by asymptomatic carriage of the pathogen, by harboring an organism with a similar structure (crossreacting), or by vaccination. Knowledge of the protective antigens and specific acquired host immune factors is more complete for primary pathogens than for opportunistic pathogens.
Immune resistance to an infectious disease requires a critical level of either antigen-specific antibodies and/or T cells when the host encounters the pathogen. Some individuals develop natural serum antibodies to the surface polysaccharides of some agents although they have had little or no contact with the agent, these natural antibodies confer specific protection to adults and are passively transmitted to newborns.