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What are Infectious Diseases | Max Hospital

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An Introductory Guide to Infectious Diseases

By Dr. Rajiv Dang in Internal Medicine

Aug 23 , 2024 | 7 min read

1

What are Infectious Diseases? 

Infectious diseases are illnesses triggered by a range of pathogenic microorganisms such as viruses, bacteria, protozoans, fungi, and parasites. These ailments can spread through animals, humans, insects, or other carriers.

The agents of infection are ubiquitous, varying in form and structure. They can be classified according to certain shared traits and include single-celled organisms like fungi, bacteria, and viruses. Diseases can also be caused by more complex, multicellular organisms, like worms.

Types of Infectious Diseases

Infectious diseases can be categorised into viral, bacterial, parasitic, fungal, and a rare type known as transmissible spongiform encephalopathies (TSEs).

Viral Infections 

Viruses consist of genetic material (DNA or RNA) encased in a protective coat called a capsid. These tiny entities are smaller than human cells and cannot reproduce independently. They invade human cells and hijack their machinery to replicate.

Bacterial Infections 

Bacteria are single-celled organisms with their genetic code in a strand of DNA. They are omnipresent, including on and within our bodies. While many bacteria are benign or beneficial, some can produce toxins, leading to illness.

Fungal Infections 

Numerous fungi coexist with us, residing on our skin and inside our bodies. Fungal infections can arise when the natural balance of these organisms is disturbed or when harmful fungi enter the body through ingestion, inhalation, or skin wounds.

Parasitic Infections

Parasites survive and multiply at the expense of other organisms. This group includes worms (helminths) and single-celled organisms (protozoa).

Transmissible Spongiform Encephalopathies (TSEs/Prion Diseases)

TSEs are the result of prions, which are defective proteins that cause normal proteins in the body, typically in the brain, to malfunction. The body cannot utilise or eliminate these defective proteins, leading to accumulation and illness. Prions are a very rare source of infectious diseases.

Common Infectious Diseases

Common infectious diseases caused by different pathogens include:

Infectious Diseases 

Pathogen

Common cold, influenza, AIDS, and dengue fever

Viruses

Typhoid, Cholera

Bacteria

Kala-azar

Leishmania (Protozoa)

Acne

Staphylococci (Bacteria)

Sleeping sickness

Trypanosoma (Protozoa)

Elephantiasis

Worms

Symptoms of Infectious Diseases 

The symptoms of infectious diseases vary based on the specific illness. Fungal infections often lead to localised issues, such as rashes and itching. In contrast, viral and bacterial infections can trigger symptoms across various body parts, including:

  • Fever
  • Shivering or shaking.
  • Nasal stuffiness.
  • Persistent coughing.
  • General tiredness.
  • Body and muscle pains, along with headaches.
  • Digestive disturbances like diarrhoea, nausea, and vomiting.

It is crucial to consult a healthcare professional if you experience persistent or worsening symptoms over time.

Causes of Infectious Diseases 

Most infectious diseases are easily contracted through contact with an infected individual or animal. The spread of these diseases can occur through various means:

Direct Contact 

Infectious diseases are often transmitted through the direct transfer of bacteria, viruses, or other germs from one person to another. This transmission can occur when an infected individual touches, kisses, coughs, or sneezes on someone who is not infected. Additionally, these germs can be exchanged through body fluids during sexual contact. Importantly, an individual who transmits the germ might not show any symptoms but could simply be a carrier.

Animal Transmission 

Infections can also be passed from animals to humans. This can happen through bites or scratches from an infected animal, including pets, and can sometimes be fatal. Handling animal waste poses risks too; for instance, toxoplasmosis can be contracted by cleaning a cat's litter box.

Mother to Child 

Pregnant women can transmit infectious diseases to their unborn babies. Some germs can cross the placenta or be passed through breast milk. Additionally, germs present in the vagina can be transmitted to the baby during childbirth.

Indirect Contact 

Organisms causing disease can be transmitted through indirect contact. Many germs survive on inanimate objects like tabletops, doorknobs, or faucet handles. For example, touching a doorknob handled by someone with the flu or a cold and then touching one's face without washing hands can lead to infection.

Insect Bites

Certain germs depend on insect vectors, such as mosquitoes, fleas, lice, or ticks, for transmission. Mosquitoes can carry malaria parasites or the West Nile virus, and deer ticks can carry the bacterium causing Lyme disease.

Food Contamination

Contaminated food and water are also common transmission routes. This allows germs to infect multiple people through a single source. For example, Escherichia coli (E. coli) is a bacterium that can be present in undercooked hamburger meat or unpasteurized fruit juice.

Infectious Diseases Risk Factors 

Anyone is susceptible to infectious diseases, but individuals with compromised immune systems are more prone to become ill. This can happen under several circumstances:

  • When they are on steroids or other medications that suppress the immune system, like anti-rejection drugs following an organ transplant.
  • If they are living with HIV or AIDS.
  • If they have certain types of cancer or other disorders that impact their immune system.

Additionally, other medical conditions can increase the likelihood of infection, including having implanted medical devices, suffering from malnutrition, or being at the extremes of age, among other factors.

Infectious Diseases Diagnosis

Infectious disease specialists might conduct laboratory tests or imaging scans to identify the cause of a patient's symptoms.

Laboratory Tests 

Since many infectious diseases share similar symptoms, analysing body fluid samples can provide evidence of the specific microbe responsible for the illness, aiding in tailored treatment.

  • Blood tests: A blood sample is usually taken by inserting a needle into a vein in the arm.
  • Urine tests: This involves urinating into a container. Patients are often instructed to clean their genital area with an antiseptic pad and to collect the sample midstream to prevent contamination.
  • Throat swabs: A sterile swab is used to collect samples from the throat or other moist body areas.
  • Stool samples: Patients may be asked to collect a stool sample for the laboratory to check for parasites and other organisms.
  • Spinal tap (lumbar puncture): In this procedure, a needle is carefully inserted between the bones in the lower spine to collect cerebrospinal fluid. Patients are typically asked to lie on their sides with knees pulled up to the chest.

Imaging Scans 

Procedures like X-rays, computerised tomography (CT), and magnetic resonance imaging (MRI) can assist in making accurate diagnoses and excluding other conditions that may be causing the symptoms.

Biopsies

This involves taking a small tissue sample from an internal organ for analysis. For instance, a lung biopsy can be examined for various fungi that cause certain types of pneumonia.

Infectious Diseases treatment 

Identifying the specific germ responsible for an illness allows doctors to prescribe the most effective treatment.

Antibiotics

These drugs are categorised into "families" based on their similar characteristics. Similarly, bacteria are grouped by type, like streptococcus or E. coli. Certain bacteria are more susceptible to specific antibiotic classes, enabling more precise treatment when the type of bacterial infection is known. Antibiotics are typically used for bacterial infections, as they are ineffective against viral illnesses. However, distinguishing between germs can be challenging; for instance, pneumonia can be caused by bacteria, viruses, fungi, or parasites. The excessive use of antibiotics has led to some bacteria developing resistance to one or more types of these drugs, making treatment more difficult.

Antivirals 

Medications have been developed to treat several viruses, though not all. These include viruses responsible for HIV/AIDS, herpes, hepatitis B and C, and influenza.

Antifungals 

Topical antifungals are used for skin or nail infections caused by fungi. Oral antifungals can treat fungal infections in the lungs or mucous membranes, while severe internal organ fungal infections, particularly in individuals with compromised immune systems, may require intravenous treatment.

Anti-Parasitics

Certain diseases, like malaria, are caused by small parasites. Although medications are available to treat these diseases, some parasites have developed resistance to these drugs.

Can infectious Diseases be Prevented? 

To minimise infection risk, individuals should adhere to the following guidelines:

  • Hand hygiene: Regularly wash hands, particularly before and after handling food, eating, and using the restroom. Avoid touching the eyes, nose, or mouth, as these are common entry points for germs.
  • Vaccinations: Keep vaccinations up-to-date for yourself and your children, as they significantly lower the risk of contracting many diseases.
  • Isolation when sick: Avoid going to work or sending children to school when experiencing symptoms like vomiting, diarrhoea, or fever.
  • Safe food preparation: Maintain cleanliness on kitchen surfaces while cooking. Ensure foods are cooked to safe temperatures: at least 160 F (71 C) for ground meats, 165 F (74 C) for poultry, and 145 F (63 C) for most other meats. Promptly refrigerate leftovers and avoid leaving cooked foods at room temperature for extended periods.
  • Sexual health: Engage in safe sex practices, including the use of condoms, particularly if one or the partner has a history of sexually transmitted infections or high-risk behaviour.
  • Personal items: Avoid sharing personal items like toothbrushes, combs, and razors, as well as drinking glasses and dining utensils.
  • Travel precautions: Consult a doctor for any special vaccinations needed when travelling internationally, such as for yellow fever, cholera, hepatitis A or B, or typhoid fever.

Conclusion

In conclusion, "An Introductory Guide to Infectious Disease" provides essential insights into how these diseases spread, their symptoms, and prevention methods. Understanding these factors is crucial for maintaining health and well-being. For further guidance and expert healthcare, consider Max Healthcare. With its advanced medical facilities and skilled professionals, Max Healthcare is dedicated to providing top-notch care and personalised treatment plans. Visit Max Healthcare for comprehensive support in managing and preventing infectious diseases.


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