Scope of Microbiology

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Scope of Microbiology

WHY YOU NEED TO KNOW

HISTORY

To see where we’re going from where we are, we must know where we’ve been. Measles, whooping cough, mumps, polio, cholera, influenza, rheumatic fever, pneumonia, diphtheria, tuberculosis, typhoid fever, meningitis, leprosy, syphilis, gonorrhea, tetanus, anthrax, the common cold, chicken pox, smallpox, rabies, encephalitis, malaria, dysentery, etc., etc., etc., numerous epidemics, pandemics, and too many others to list have been with humankind from approximately 4000 bce. to the present. Humankind has lived with diseases and been able to survive with varying degrees of success. Knowledge of the nature of disease has been slow and difficult to obtain. Rational use of this knowledge to alleviate the distress caused by disease has been even slower. Technological advances were and are needed to cope with the problems. For example, cholera—a killer of epidemic proportions—was linked to a public water source by John Snow, an English physician in the mid-1800s. He removed the pump handle, preventing access to the water, and the epidemic ended—ingenious, but serendipitous and of limited use.

IMPACT

The advancement of microbiology began with Robert Hooke’s (1635–1703) observations utilizing the then new compound microscope that could magnify objects ×20 to ×30. Later, Antony van Leeuwenhoek (1632–1723), using his skills at lens grinding and the use of light, improved the resolving power of the microscope to ×200. His were among the first observations of bacteria and, arguably, the beginning of microbiology. Bacteria were eventually recognized as causative agents of disease. These observations and others led Pasteur and Koch in the late 1800s to develop the germ theory of disease, an understanding that boosted disease prevention and treatment significantly. For example, Robert Koch in 1883 microscopically identified the causative pathogen for cholera (Vibrio cholerae), which he had grown on a plate of agar. After acceptance of the germ theory of disease, new pathogens were reported on the average of every year and a half. Technological advancements in light microscopy and the development of electron microscopy permitted visualization of pathogens or their shadows, allowing assessment of the effectiveness of treatment. Although it was deduced that the causative agent for the influenza pandemic of 1918 was a filterable agent, it was the advent of electron microscopy that allowed visualization of the virus in a rare lung sample from a victim. More recent advances in the biotechnology of genetic analysis have provided information on the nature of the functions of hemagglutinin and neuraminidase, viral coat proteins of the influenza virus. It is hoped that this information will direct investigations for methods of protection from another potential influenza pandemic.

THE FUTURE

Microbiology not only affords the detailed study of recognized pathogenic microorganisms but is invaluable in the identification of new pathogens in emerging diseases. Such studies are essential in monitoring the presence of microbes everywhere from water supplies to door knobs. Results from these studies are used to direct personal as well as public health and hygiene practices and policies. Technological advances in microscopy and biotechnology have provided a basis for the scientific discipline of microbiology and have stimulated the development of new concepts for research and vice versa. Meanwhile, hospital microorganisms such as Staphylococcus aureus, enterococci, and Pseudomonas aeruginosa are becoming resistant to the old tried and true antibiotics. Cephalosporins in many cases are the last line of defense. Clearly, much work lies ahead if we wish to bias the balance in favor of survival.

Origins of Microbiology and Microscopy

Microbiology is the study of microorganisms, using a variety of techniques for purposes of visualization, identification, and study of their function. The science of microbiology originated with the invention and development of the microscope. Microscopy allowed humans to magnify objects and microorganisms not detectable by the naked eye. Technological advances then have led to the improvement of microscopes, which became an essential investigative tool for biology in general and for the study of cells, tissues, and microorganisms (Figure 1.1) in particular.

Microscopy and Its Founding Fathers

The development of microscopes started in the sixteenth century and evolved through time into a sophisticated tool used routinely in many branches of science. To this day all different types of microscopes continue to be improved and new ones are being developed.

Zaccharias and Hans Janssen, a father-and-son team of Dutch eyeglass makers (around the year 1590) found that optical images could be enlarged and viewed using different lenses. The first microscope they produced was a compound microscope consisting of a simple tube with lenses at each end. Depending on the size of the diaphragm, the part of the microscope that regulates the amount of light striking the specimen, the magnification of objects under view ranged from three times (or ×3) to ×9.

Antony van Leeuwenhoek (1632–1723), another native of Holland, is considered to be the father of microscopy and is believed to be the first to observe live bacteria and protozoans. He was fascinated by the power of lenses, which made it possible to observe what the naked human eye could not see. The microscope he used contained only one convex objective lens and is now called a simple microscope. His interest in science and his native curiosity led him to some of the most important observations of biology. Van Leeuwenhoek was able to see small life forms that he called “animalcules” (little animals). Throughout the years he observed bacteria, protozoans, blood cells, sperm cells, microscopic nematodes, rotifers, and more. Much of his inspiration came from Hooke’s Micrographia (see later in this chapter). He published his observations in 1678 in a letter to the Royal Society of London. As a result of his findings, van Leeuwenhoek is referred to as the “father of microbiology.” After some early skepticism, scientists in the late seventeenth century finally became convinced that microorganisms did, in fact, exist. Van Leeuwenhoek did not comment further on the origin of the microorganisms nor did he relate them to any diseases. The definitive relationship between microbes and disease was established later by Hooke, Pasteur, Koch, and others in what became known as the “germ theory of disease.”

Robert Hooke (1635–1703), an English scientist with remarkable engineering abilities and an interest in many aspects of science, greatly improved the design and capabilities of the compound light microscope. With his microscope he observed insects, sponges, bryozoans, foraminifera, bird feathers, and plant cells. He published his observations with magnificent drawings in the book Micrographia. He was requested by the Royal Society of London to confirm van Leeuwenhoek’s finding of animalcules and succeeded in doing so.

Table 1.1 lists some significant events in the history of microbiology.

TABLE 1.1

Significant Events in Microbiology

Name Year Event
Zaccharias Janssen 1590 Invention of the first compound microscope
Robert Hooke 1660 Explores living and nonliving matter with a compound microscope
Francesco Redi 1668 Experiments to disprove spontaneous generation
Antony van Leeuwenhoek 1676 Observes bacteria and protozoan “animalcules” with simple microscope
Francesco Redi 1688 Published experiments on spontaneous generation of maggots
Lazzaro Spallanzani 1776 Conducts further experiments to disprove spontaneous generation
Edward Jenner 1796 Introduction of smallpox vaccination
Ignaz Semmelweis 1847–1850 First use of antiseptics to reduce hand-borne disease
Louis Pasteur 1857 Proves that fermentation is caused by microorganisms; introduces pasteurization
Louis Pasteur 1861 Completes experiments that show without doubt that spontaneous generation does not occur
Joseph Lister 1867 Antiseptic surgery—begins the trend toward modern aseptic techniques
Robert Koch 1876–1877 Studies anthrax in cattle and implicates Bacillus anthracis as causative agent
Louis Pasteur 1881 Develops anthrax vaccine for animals
Robert Koch 1882 Identifies causative agent of tuberculosis
Robert Koch 1884 Describes his postulates

Types of Microscopes

With advances in technology, continued development of microscopes for specific uses continues and many kinds of microscopes are now available to scientists. A brief overview and description of light and electron microscopes currently used in teaching, service, and research laboratories follows.

All light microscopes use visible light to illuminate, and optical lenses to observe, enlarged images of specimens. They are classified as either simple or compound. A simple light microscope, such as van Leeuwenhoek’s, has a single magnifying lens and a visible light source, and can magnify objects approximately ×266. A compound light microscope also uses visible light, usually provided by an electric source, but uses multiple lenses for magnification. The lens or lenses close to the eye are called ocular lenses and are located in the headpiece of the microscope. The lenses closer to the specimen are located in the body of the microscope and are referred to as objective lenses. Each lens has its own magnifying power, and the final magnification of a compound microscope is the product of the enlarging power of the ocular lens multiplied by the power of the objective lens. Most often the ocular lenses, either single (monocular) or in pairs (binocular), magnify by a power of 10 (×10). The objective lenses are mounted on a revolving nosepiece and usually magnify ×4 or ×5, ×10, ×40, and ×100. In general, compound microscopes can magnify an object up to 1000 times (i.e., an ocular lens with a magnification of ×10 times the objective lens with a power of ×100 = ×1000). The specimens for compound light microscopy can either be visualized as whole (i.e., bacteria and other microorganisms) or are specially prepared for viewing with a given type of microscope. After specific dehydration procedures larger specimens are cut into 1.0- to 10-µm sections. Both smear preparations, for single cells, and sections are usually stained for better visual images (see Chapter 4, Microbiological Laboratory Techniques). Photographs taken through a microscope are referred to as photomicrographs or micrographs.

Dissection microscopes and stereomicroscopes are low-power microscopes designed for observing larger objects such as insects, worms, plants, or any objects that may have to be dissected for further observation. These microscopes provide three-dimensional images to determine surface structures and specific locations on a specimen.

Phase-contrast Microscopes

Phase-contrast microscopy, first described in 1934 by Frits Zernike, is done with a contrast-enhancing optical instrument that can be used for a wide variety of applications. It produces high-contrast images of transparent specimens such as:

This type of instrument is ideally suited for the observation of cytoplasmic streaming, motility, and the dynamic states of cell organelles. Cell division and phagocytosis are examples of processes well suited for phase-contrast microscopy. The development of video technology enabled the recording and demonstration of these processes.

Fluorescence Microscopes

If a specimen can emit light (fluoresce) of one color when illuminated by ultraviolet radiation then fluorescence microscopy may be the method of choice. Fluorescence microscopes are used to visualize specimens that contain natural fluorescent substances such as chlorophyll or those stained with a fluorescent dye such as fluorescein, auramine, or rhodamine B (Figure 1.5). Fluorescence microscopy is an important and widely used tool in the diagnosis of infectious disease and in studies in microbial ecology. Fluorescence techniques are applied to identify specific antibodies, which are proteins produced in response to antigens (see Chapter 20, The Immune System). By attaching a fluorescent dye to these protein molecules, labeled antibodies are created that can be visualized, monitored, and studied.

Electron Microscopes

Electron microscopes (EMs) are sophisticated instruments of the twentieth century that use a beam of electrons rather than light as the source of energy to visualize specimens. Magnetic fields instead of optical lenses are used to focus the electron beam. This allows much better resolution of the image than is possible with the light microscope. Specimens for EM studies require more extensive preparation, expensive laboratory equipment, and specially trained personnel than are required for the preparation of specimens used for light microscopy.

Bacteria can be visualized by light microscopy, but their detailed structure or specifics of their attachment to hosts are best seen by electron microscopy. Although most viruses are not visible by light microscopy, their effects on cells and tissues are. Investigations of specimen surfaces use scanning electron microscopy (SEM), whereas studies of the interior of cells and tissues use transmission electron microscopy (TEM).

Spontaneous Generation

Before microorganisms were discovered and described by Antony van Leeuwenhoek, life was hypothesized to develop from nonliving matter (abiogenesis). Maggots, for example, were believed to arise spontaneously from rotting meat. The big question among scientists at that time was whether microbes were produced spontaneously by decay and fermentation, or whether they caused decay and fermentation—raising the basic dilemma of “which comes first, the chicken or the egg?”

One of the first serious attacks on this controversial spontaneous generation theory came in 1688 from Francesco Redi, an Italian physician. He believed that maggots developed from fly eggs. In his experiments he put meat into different flasks, kept some of them exposed to the atmosphere and flies, and the rest sealed. As he expected, maggots developed only in the open flasks where flies had access to the meat.

At about the same time, Antony van Leeuwenhoek’s invention of the first microscope allowed him to observe small organisms, which he called “animalcules.” He further showed that when hay was placed into a mixture of water and soil and allowed to incubate for a few days, new creatures in the hay infusion could be observed. Yet, these findings were interpreted by some scientists of the time as being additional proof of spontaneous generation.

This debate over the existence of spontaneous generation continued for centuries and in 1745 an English clergyman, John Needham, claimed victory for spontaneous generation with his experimental observations. He boiled chicken and corn broth, put it into a flask, and sealed it. After a few days cloudiness appeared in the broth, which is evidence of microbial growth. However, Lazzaro Spallanzani, an Italian priest, questioned Needham’s interpretation and suggested that microorganisms could have entered the flask from the air before the tube was sealed. In his own experiments he also placed chicken broth in a flask, sealed it, and then drew off the air before boiling the broth. As a result no microorganisms grew, which he interpreted as evidence that spontaneous generation did not exist. However, proponents of spontaneous generation held that Spallanzani only proved that spontaneous generation could not occur in the absence of air.

Louis Pasteur (1822–1895), a French chemist, finally ended the controversy. In 1861 he designed and conducted a definitive experiment in which he boiled meat broth in a flask and then heated the neck of the flask until it could be bent it into an S shape (swan-necked flask). Thus air could enter the flask but microorganisms trapped in the S-shaped neck were unable to reach the broth. There was no evidence of microbial growth. However, when he tilted the flask so that the broth could reach the organisms in the neck, the broth gradually became cloudy due to microbial growth (Figure 1.8).

In 1877 John Tyndall (1820–1893) demonstrated that microorganisms exist in dust. In a set of experiments similar to Pasteur’s, but in the absence of dust, the broths remained sterile even when exposed to air. In addition, Tyndall provided evidence of the existence of heat-resistant bacteria. Ferdinand Cohn (1828–1898), independent of Tyndall’s studies, also described heat-resistant bacterial endospores (see Chapter 3, Cell Structure and Function).

Pasteurization

In addition to his other findings Louis Pasteur invented the process we know as pasteurization (Box 1.1). The Emperor Napoleon III asked Pasteur to investigate the spoiling of wine that caused a negative impact in the production of wine, damaging the French wine industry. Pasteur discovered that wine spoilage (wine disease) is caused by microorganisms. He “pasteurized” the wine by heating it to 55° C for several minutes, which killed enough microorganisms to prevent the wine from spoiling. Pasteurization does not kill all microorganisms, but reduces the number of viable organisms so they are less likely to cause spoilage or disease. Sterilization (see Chapter 4, Microbiological Laboratory Techniques), on the other hand, kills all microorganisms including their endospores.

Germ Theory of Disease

During the time when the existence of spontaneous generation was being debated, several physicians began to suspect that microorganisms not only could cause spoilage and decay but might also play a role in infectious disease. Two physicians in different parts of the world, one in the United States and one in Vienna, significantly contributed to the concept that microorganisms had a role in infectious diseases. Oliver Wendell Holmes (1809–1894) in the United States showed that death following childbirth was often caused by material on the hands of midwives or physicians. Ignaz Semmelweis (1818–1865) in Vienna observed that women in the maternity ward became infected after being examined by physicians or students who came directly from the autopsy room or from examining infected patients. Semmelweis also noted that these students’ and physicians’ hands stunk from putrefaction and that they did not wash their hands before examining patients in the maternity wards. He also suspected that microorganisms were responsible for the odor. Consequently, he required everyone to wash their hands in a solution of chlorine before entering the maternity ward and examining patients. The result was a drastic decline in the death rate on the wards.

Joseph Lister (1827–1912) studied the observations of Semmelweis and hypothesized that airborne microbes might play a role in postsurgical infections as well. He discovered that applying carbolic acid to dressings and using an aerosol of carbolic acid on the surgical field significantly decreased the number of wound infections. He was the first physician to introduce the use of aseptic techniques.

The germ theory of disease proposed by Louis Pasteur and Robert Koch (1843–1910) is based on the existence of infectious microorganisms. Although Pasteur was convinced that microbes caused disease in humans he was never able to link a specific microbe with a particular disease. Koch’s investigations focused on anthrax, an infectious disease that seriously affects animal herds and humans brought in contact with the microorganism. Koch also discovered that anthrax produced endospores that persist after the death of the exposed animals. Moreover, he proved that these spores can survive and later develop into the active anthrax microbe and infect other animals. This established that a specific organism caused a specific disease. After many years of experimentation he developed what we now know as Koch’s postulates (Box 1.2), which set forth the conditions that should identify an organism as the specific cause of a specific disease.

Immunology begins with the work of Edward Jenner (1749–1823). Jenner observed that milkmaids who had contracted cowpox did not become infected with smallpox, a major killer during the eighteenth century. He applied material from cowpox lesions, containing the vaccinia virus, to small incisions or puncture wounds made in human arms. These human subjects did not develop smallpox but only occasionally showed a mild fever associated with the disease. With this procedure Jenner proved that immunity against smallpox could be achieved through vaccination.

Origin and Evolution of Microorganisms

Origin

Although earth formed about 4.5 billion years ago, life on earth probably has been present for most of the planet’s history and likely began remarkably early, between 3.5 and 4.0 billion years ago. Although no one knows precisely how or when life began, scientists tend to agree on several things:

The origin of microorganisms is described in geological time. The rich fossil record of prokaryotic life suggests that microbes were perhaps the first living things on earth. Microbes impact human life from birth to death and even to this day microbes are found in almost every environment on earth. Stromatolites (layered mound-shaped deposits along ancient seashores) represent some of the oldest microbial communities. Evolution of plants and animals as we know them has occurred in the last 550 million years.

Evolution

Evolution is an important concept that involves all living things including microorganisms. Evolution implies that living things gradually change over millions of years, resulting in structural and functional changes of organisms throughout generations. The millions of different species on earth and their successful adaptation to different habitats are indicators of the evolutionary process.

For the first three quarters of evolutionary history the only organisms on earth were microscopic and mostly unicellular. Fossils of prokaryotes go back to 3.5 to 4 billion years followed by eukaryotic life approximately 2.2 billion years ago. Eukaryotic cells are larger and more complex than prokaryotic cells and scientists believe that eukaryotes have evolved from prokaryotic symbiotic communities. It is estimated that there are about 5 to 100 million species of organisms living on earth today. The evolutionary relationship between organisms is the subject of phylogeny. Today, the phylogenetic relationship between organisms can be determined by nucleic acid and nucleotide sequencing. Results from ribosomal RNA (rRNA) sequencing identify three evolutionarily distinct cell lines that are classified as bacteria, archaea, and eukarya. These three distinct lineages, based on the origin of cell lines, are referred to as domains (Figure 1.9).

Classification of Microorganisms

To better understand the different types of microorganisms (microbes), they are grouped or classified in various ways. Microbes are diverse and in terms of numbers, most of the diversity of life on earth is represented by microbes. Further detailed description and discussion of the individual groups of microorganisms is provided in Chapter 6 (Bacteria and Archaea), Chapter 7 (Viruses), and Chapter 8 (Eukaryotic Microorganisms).

Bacteria, Archaea, and Eukaryotes

Bacteria, archaea, and eukaryotes are examples of diversity and the root of microbial diversity is evolution. Within bacteria several evolutionary branches are present including some pathogenic (disease-causing) bacteria, occurring in soil and water, in animal digestive tracts and skin, as well as in many other environments. Also, different bacteria require different sources of energy such as light, organic chemicals, inorganic chemicals, or combinations thereof.

Archaea are a group of single-celled microorganisms, similar to bacteria because they are also prokaryotes, but evolutionarily different. They are characterized by their preference to live in extreme environments including hot springs, glaciers, or highly salty environments (see Chapter 6, Bacteria and Archaea).

Eukaryotic microorganisms include algae, fungi, and protozoans (see Chapter 8, Eukaryotic Microorganisms). Algae are a large and diverse group of simple organisms, ranging from unicellular to multicellular forms, containing chlorophyll that is needed for photosynthesis. They are common in aquatic bodies (both freshwater and saltwater) and in all types of soil, but have limited medical significance. Fungi include yeasts, molds, and mushrooms, which are not microbes. Their energy sources are organic compounds found in soil and water. Fungi play a major role in the breakdown of dead organic matter in a variety of environments. However, some fungi are pathogenic and can cause disease in humans and animals. Protozoans are colorless, mobile organisms feeding on other organisms for their energy source. In general, protozoans are free-living microorganisms and several of them are also pathogenic to humans and animals.

Taxonomy

The formal system of organizing, classifying, and naming of living organisms is called taxonomy. Taxonomy sorts organisms on the basis of mutual similarities into nonoverlapping groups called taxa. The goal of taxonomy is classification, nomenclature, and identification for clarification and ease of reference.

The current system of taxonomy began with a Swedish botanist, Carolus Linnaeus (1707–1778). He provided a system that standardized the naming and classification of organisms on the basis of common characteristics. Linnaeus’s system groups similar species into genera, genera sharing common features into families, similar families into orders, orders into classes, classes into phyla, and phyla into kingdoms (see Figure 1.9). In addition, in 1990, Carl Woese (1928–) and his colleagues introduced a three-domain system of taxonomy (archaea, bacteria and eukarya) based on genetic rather than morphological similarities (see Figure 1.9).

All these categories in the Linnaeus system are taxa, which are hierarchical, starting with the species and genera, followed by successive taxa, each with a broader description than the preceding one. All names in the taxa are Latin or Latinized.

Linnaeus assigned each species a descriptive name of its genus and a specific name for the species. This method of assigning the scientific name is called the binomial (two-name) system of nomenclature. A genus is the name of an organism and is often abbreviated by a single capital letter, whereas the species name is never abbreviated. For example, Escherichia coli can be abbreviated to E. coli. A genus typically contains several species, and a particular species can be further subdivided into different strains. For instance, there are several species in the genus Bacillus, such as B. subtilis or B. cereus.

The taxonomic resource for bacteria is the Bergey’s Manual of Systematic Bacteriology, the second edition of which is being published in five volumes. In addition to the number of keys for bacterial identification, newer versions of the manual also contain some molecular sequencing information for various bacterial groups. An outline of Bergey’s Manual can be found in Appendix A of this book.

Microorganisms in Health and Disease

Microbes form various mutualistic relationships with different organisms, and many of these are important to human well-being. Microbial ecology is the study of the interrelationship between microbes and their environment. Microbes are everywhere in the environment and generally have an impact in maintaining ecosystems.

Microbes in the Environment

Microorganisms in nature are often organized into complex communities of different organisms called biofilms. A biofilm consists of surface-associated microbial cells enclosed in an extracellular polymeric substance matrix. Antony van Leeuwenhoek observed and described layers of microorganisms on tooth surfaces, representing a microbial biofilm (see Chapter 3, Cell Structure and Function). However, detailed, high-magnification observations of microbial biofilms did not occur until electron microscopy became available. Biofilms are found on a variety of surfaces such as medical devices (Table 1.2), industrial water system piping, natural aquatic systems, foods, and also on living tissues. An established biofilm structure provides a perfect environment for the exchange of genetic material between different organisms in the biofilm community.

Intrauterine device

Prosthetic heart valve Urinary catheter Venous catheter Voice prosthesis

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Free-living fungi and bacteria decompose organic matter and return minerals and other nutrients to the soil. Decomposition is dependent on microbes, as is the cycling of elements. Examples of nutrient cycling in nature that requires microorganisms are the nitrogen, carbon, oxygen, sulfur, and phosphorus cycles.

Ecological interactions between organisms in a community, including mutualism, commensalism, synergism, and parasitism, are classified according to the degree of benefit or harm they pose to one another. In mutualism both organisms benefit, in commensalism the waste product of a microbe provides useful nutrients for another organism, in synergism two organisms are dependent on each other to break down a nutrient that neither breaks down alone, and in parasitism one organism benefits and the other is harmed (see Chapter 9, Infection and Disease).

Normal Flora

Blood, lymph, cerebrospinal fluid, and internal organs are sterile. Before birth the entire healthy body is free of microbes. However, starting at birth microorganisms contaminate some of these previously sterile environments; for example, bacteria and other microorganisms colonize the mucous membranes of the upper respiratory tract, the digestive tract, and the surface of the skin. Microorganisms regularly found at any anatomical site in healthy humans and not causing infection or disease are referred to as the normal flora. The normal flora provides protection against pathogens by preventing attachment to the host tissue and by competing for the same nutrients. If successful, the pathogens cannot flourish or colonize and therefore are unable to reach sufficient numbers to cause infection (see Chapter 9, Infection and Disease).

Pathogens

The human body is in continual contact with microorganisms and if a particular microbe is pathogenic, colonizes, and is present in sufficient numbers, this interaction can lead to disease. Diseases caused by communicable microorganisms are referred to as infectious diseases. Control of these diseases can be achieved by application of the aseptic technique, the development and use of antimicrobial drugs, and immunization. These practices have drastically reduced the death rate from infectious diseases in the United States. However, death from infectious diseases in developing countries remains extremely high, due in large part to inadequate healthcare and poor sanitation. Infectious diseases may be transmitted by direct or indirect contact and can be acute, subacute, or chronic. Within communities they can be epidemic, pandemic, endemic, or sporadic (see Chapter 9, Infection and Disease).

Infectious diseases in economically important species, such as domestic animals, are of great concern to agriculture. Not only is there an economic impact, but also the possibility that the disease can become zoonotic, meaning transmissible from the primary animal host to humans. Some typical examples are rabies and yellow fever. Fortunately, many of these infectious diseases can be prevented by vaccination and compliance with regulated practices of public health and hygiene.

Foodborne diseases result from consuming food that is contaminated with different pathogenic species of bacteria, viruses, parasites, or microbial toxins. At greater risk are young children, the elderly population, pregnant women and their fetuses, and anyone with a weakened or compromised immune system. Treatments vary depending on the severity of the illness and they range from fluid and electrolyte replacement to hospitalization for severe conditions. In general, foodborne diseases can be prevented by:

Waterborne disease is the general term used to describe diseases acquired from contaminated water supplies, resulting in four fifths of all illness in developing countries and a high infant death rate. Major floods contribute to large cholera epidemics, such as occurred in West Bengal, and have caused serious outbreaks in 1968, 1984, 1992, 1998, and 2000. Increased risk factors for waterborne diseases are multiple and include but are not limited to travel, living in rural areas, poverty, geographical location, the immediate environment (flooding, feces, overcrowding, and poor sanitation), inadequate personal health and hygiene, and poor water treatment practices and facilities. Floodwaters also often contain raw sewage, silt, oil, and chemical wastes. Parasites, viruses, and bacteria are readily transmitted by floodwaters. To reduce exposure to waterborne disease, the following recommendations should be practiced.

The Centers for Disease Control and Prevention (CDC) estimates that approximately 900,000 people in the United States become ill each year from drinking contaminated water. Mortality from a lack of clean water and sanitary waste disposal, especially in underdeveloped countries, coupled with inadequate personal health and hygiene practices is likely responsible for over 12 million deaths per year.

HEALTHCARE APPLICATION
Foodborne Diseases and Waterborne Diseases

Disease Organism Mode of Transmission Symptoms
Cholera Vibrio cholerae Ingestion of contaminated water, raw or partially cooked fish or shellfish Sudden onset of vomiting, watery diarrhea, rapid dehydration, acidosis, possible circulatory collapse and death
E. coli infection Escherichia coli Uncooked meat or other food contaminated by fecal material; swimming in contaminated water Severe bloody diarrhea, abdominal cramps
Shigellosis Shigella spp. Hand-to-mouth contact with feces from infected people or animals; contaminated foods Diarrhea, fever, stomach cramps
Salmonelloses Salmonella choleraesuis, S. enteritidis Contaminated poultry, eggs, and meat, fecal–oral route Gastroenteritis, enteric fever, septicemia
Hepatitis (inflammation of the liver) Hepatitis A virus Contaminated food, water contaminated with human feces Fever, anorexia, nausea, abdominal discomfort
Gastroenteritis Norwalk virus Ingestion of contaminated seafood, handling of contaminated food; person-to-person transmission by fecal–oral route Watery diarrhea, vomiting
Dysentery Shigella Contaminated water, contaminated milk Abdominal pain, watery diarrhea, fever, blood and mucus almost always present in stool
Leptospirosis Leptospira interrogans Exposure to urine, contaminated water from infected animals High fever, severe headache, chills and vomiting; kidney and liver failure
Shigellosis or bacillary dysentery Shigella dysenteriae, S. sonnei Drinking contaminated water Diarrhea, fever, stomach cramps
Typhoid fever (enteric fever) Salmonella typhi Water contaminated with feces and urine from carriers Septicemia
Gastroenteritis Norwalk virus Water contaminated by infected individuals Watery diarrhea, vomiting
Giardiasis Giardia lamblia Water contaminated by feces of infected person or animal Diarrhea, abdominal cramps

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Airborne diseases are transmitted from infected people by coughing, sneezing, or talking. Pathogens are in small mucous saliva particles suspended as aerosols. Movements and directions of air currents play an important role in the spread of airborne respiratory diseases such as tuberculosis, legionellosis, and influenza. The public healthcare issues related to travel and airborne diseases are also discussed in Chapter 18 (Emerging Infectious Diseases).

HEALTHCARE APPLICATION
Airborne Diseases

Disease Organism Mode of Transmission Symptoms
Influenza Influenza viruses Aerosols Fever, chills, headache, muscle aches
Tuberculosis Mycobacterium tuberculosis Aerosols Range from asymptomatic to fever, cough, fatigue, lack of appetite, weight loss, pulmonary hemorrhage
Legionellosis Legionella pneumophila Aerosols from humidifiers, air conditioning equipment Atypical pneumonia, fever, cough, difficulty in breathing, chest pain
Psittacosis Chlamydia psittaci Bird to human by aerosols Headache, fever, nonproductive cough, occasional septicemia
Common cold Rhinoviruses, adenoviruses, coronaviruses, and other viruses Aerosols Slight fever, headache, sore throat, coughing, sneezing, nasal discharge
Mumps Paramyxovirus Airborne droplets or contact with saliva of infected person Swelling of parotid glands, fever, headache, generalized muscle aches

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Applied Microbiology

Applied microbiology is the human use of microorganisms to improve certain aspects of life. Microbes are used in this capacity by the food, pharmaceutical, and agricultural industries, and in forensics and other endeavors. Application of new technologies in genetic engineering has further increased the industrial use of microbes.

Microorganisms in Food Production

Many nonpathogenic microorganisms occur naturally in food, are beneficial, and are used as starter cultures to produce foods such as vinegar, sauerkraut, pickles, fermented milks, yogurt, cheese, and bread (Box 1.3). For example, vinegar is made from foods containing starch or smaller sugars. The production requires a two-way fermentation process that begins with apple juice or other raw materials, to which the yeast Saccharomyces cerevisiae is added to speed up the fermentation process. In the second stage, cultures of acetic acid bacteria such as Acetobacter aceti are added to this alcoholic liquid, converting the alcohol into acetic acid. In the United States most vinegar is produced from apples and is named apple cider vinegar.

Sauerkraut is another product made by fermentation of shredded cabbage in the presence of salt. The shredded cabbage is tightly packed in an anaerobic environment, where it becomes dehydrated. The addition of salt promotes the growth of lactic acid bacteria.

Dairy products such as butter, buttermilk, sour cream, cottage cheese, and yogurt are produced from fermented milk. Raw milk contains the fermentable sugar lactose in addition to several acid-producing microorganisms. The natural microflora of raw milk is often inefficient, uncontrollable, and can produce unpredictable results. Moreover, these organisms are destroyed during heat treatments needed to pasteurize milk. Therefore, starter cultures that can provide a more controlled and predictable fermentation process are added to produce the desired products. The function of the lactic acid starters is the production of lactic acid from lactose of the milk. Other starter cultures may provide flavor, aroma, and alcohol production.

Microorganisms in the Production of Alcoholic Beverages

Wine is produced by yeast fermentation of carbohydrates in freshly harvested grape juice, peaches, berries, pears, and other fruits or plants (even dandelions), and is marketed as such. In beer production barley or other grain is used as the source of fermentable carbohydrate. Beer and wine generally are limited to about 15% alcohol because yeast fails to ferment beyond this point. Beverages higher in alcohol content are produced through distillation and are called spirits or liquor.

Microbes in Agriculture

Agricultural microbiology focuses on the relationships between microbes and domesticated plants and animals. Farmers use microbes and their products in a variety of ways, particularly for crop management via recombinant DNA biotechnology (see Chapter 25, Biotechnology). Plant microbiology involves the management of plant disease, soil fertility, and nutritional interactions. For example, the availability of nitrogen in the soil is essential for the growth of crops and bacteria involved in the nitrogen cycle of the soil are essential (see Soil Microbiology in Chapter 24, Microorganisms in the Environment and Environmental Safety). On the animal side, agricultural microbiology deals with the management and prevention of infectious diseases in farm animals as well as other associations animals have with microorganisms.

Microbes, Biomass, and Energy

By a process referred to as bioconversion, microorganisms can convert biomass such as organic matter and human, agricultural, and industrial wastewater into alternative fuels, including ethanol, methane, and hydrogen.

Ethanol produced during fermentation is one of the simplest alternative fuel sources to produce and can be mixed with gasoline to make gasohol. Although at present crops such as corn are used, it would be more economic to utilize crop wastes (i.e., corn stalks).

Some communities already use landfills as immense sources of methane, where methanogens anaerobically convert wastes into methane by the process of fermentation. Methane gas can be piped through natural gas lines and used as an energy source in common households.

The concept of using microbes to power fuel cells is not new; however, in 2003, scientists found a way to generate electricity by feeding bacteria common sugars and other carbohydrates. In this study bacteria were grown on graphite electrodes within a fuel cell. When the organisms were fed sugars, they generated electrons and transferred them to the graphite electrodes. This flow of electrons generated electricity that the battery could store. The generation of power by microbes has led many scientists to develop microbial fuel cells. In 2005, Pennsylvania State University environmental engineers and scientists at Ion Power Inc. (in New Castle, Delaware) published the first process that shows bacteria can retrieve four times the amount of hydrogen out of a biomass than would typically be generated by fermentation alone.

Microbial Forensics

Microbial forensics is a relatively new field applied to solving bioterrorism cases, medical negligence, and outbreaks of foodborne diseases. Use of microorganisms as weapons is not a new idea. They can be the weapon of choice in terrorists’ activities such as in the anthrax attacks of 2001. Forensic cases also have been reported about HIV-infected people intentionally infecting others as well. Microbes are also of interest in cases of medical negligence, in which medical personnel are implicated in postsurgical or other hospital-acquired infections due to inadequate or relaxed hygiene practices. In the case of outbreaks of foodborne diseases or intentional food contamination, it is critical to trace the infecting microbe to the source, either the company or person(s) of origin. Microbial forensics is becoming an essential part of data collection and their interpretation. Inquiries should stand up to the review of scientists and healthcare professionals as well as to the scrutiny of judges and juries.

Summary

• The invention of microscopes made it possible to observe details of organisms and microorganisms that are invisible to the naked eye.

• Different types of microscopes developed over the years have been and continue to be specialized to perform different functions.

• Spontaneous generation was disproved and the germ theory of disease developed. This promoted vaccination and the use of aseptic techniques in surgery among other hygienic practices to reduce infection.

• The first life on earth is dated at 3.5 to 4 billion years ago, and is believed to be represented by prokaryotes, which are still found in every environment on earth today. Through evolution, eukaryotic life appeared approximately 2.2 billion years ago.

• Microorganisms include bacteria, viruses, prions, algae, fungi, and protozoans.

• Taxonomy is the classification, nomenclature, and identification of living organisms. Classification starts with domain, followed by kingdom, phylum, class, order, family, and genus.

• Microbes occur in every environment, may build relationships with other organisms, and often form biofilms. Biofilms represent problems for many industries including healthcare.

• Microorganisms are routinely found in and on humans without causing an infection or disease. These organisms are part of the normal flora.

• Transmission of infectious diseases can be airborne, waterborne, foodborne, or through direct contact.

• Microorganisms play a major role in the production of food, alcoholic beverages, and pharmaceuticals. They are also used in water treatment, agriculture, bioremediation, forensics, and as fuel cells.

Review Questions

1. One type of microscope that provides a three-dimensional image of a specimen is a:

2. One type of microscope capable of observing living microorganisms is the:

3. Which scientist is most responsible for ending the controversy about spontaneous generation?

4. Fossils of prokaryotes go back __________ billion years.

5. Which of the following is not a microorganism?

6. The correct order of the taxonomic category is:

7. Complex communities of microorganisms on surfaces are called:

8. A relationship between organisms in which the waste product of one provides nutrients for another is called:

9. Which of the following sites of the human body does not have a normal flora?

10. Which of the following industries use(s) microorganisms?

11. All bacteria are __________ cells.

12. Cells that contain a nucleus are __________ cells.

13. The taxonomic resource for bacteria is the __________.

14. The proteins implicated in spongiform encephalopathy are __________.

15. The cleanup of different industrial waste is referred to as __________.

16. Name and briefly describe the different types of microscopes.

17. Describe Koch’s postulates.

18. Compare and contrast prokaryotic and eukaryotic cells.

19. Describe how foodborne diseases can be prevented.

20. Describe the role of microorganisms in food production.