Introductory Parasitology – PST05103 Pharmaceutical Microbiology

NTA Level 5 • Semester 1 • PST05103

Introductory Parasitology

Pharmaceutical Microbiology • Source Session/Topic 36
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Session 36: Introductory Parasitology

Total Session Time: 60 minutes

Pre-requisites

• Human anatomy and physiology

Students Learning Tasks

By the end of this session students are expected to be able to:

• Define common terms used in parasitology
• Classify and list general characteristics of parasites

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board and chalk/whiteboard markers

SESSION OVERVIEW

|Step |Time |Activity/ |Content |

| | |Method | |

|1 |5 minutes |Presentation |Introduction, Learning Tasks |

|2 | 15 minutes|Presentation |Common Terms used in Parasitology |

|3 |30 minutes |Presentation |Classification of and General |

| | | |Characteristics of Medical |

| | | |Parasites |

|4 |5 minutes |Presentation |Key Points |

| 5|5 minutes |Presentation |Evaluation |

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing

STEP 2: Common Terms used in Parasitology (15 minutes)

• Parasitology

o Parasitology is the study of parasites that infect humans.

Parasitology deals with characteristics, transmission, clinical

features and diagnosis, treatment and prevention of diseases caused

by the parasites.

• Parasite

o A parasite is an organism that depends on another organism (a host)

for food, shelter or other benefits and which receives these

benefits is such a way that the host experience detrimental effects

as a consequence. It is simply an organism that depends on other

organisms and at the same time causing harm to that organism.

o Examples of parasites included in parasitology are protozoa,

helminthes, and some arthopods.

• Host

o A host is an organism that harbours the parasite

• Intermediate host

o Is a host that harbours the larval or asexual stages of the

parasite. Sometimes larval development is completed in two different

intermediate hosts, referred to as first and second intermediate

hosts

• Definitive host

o Is a host that either harbors the adult stage of the parasite or

where the parasite utilizes the sexual method of reproduction. In

the majority of human parasitic infections, man is the definitive

host except for example in malaria however, man acts as the

intermediate host.

• Ectoparasite

o A parasite that lives on the outer surface of its host e.g. lice,

ticks.

• Endoparasite

o A parasite that lives inside the body of its host e.g. Entamoeba

histolytica

• Obligate parasite

o Is a parasite that completely depends on the host during a segment

or all of its life cycle e.g. Plasmodium species.

• Facultative parasite

o Is an organism that exhibits both parasitic and non-parasitic modes

of living and therefore does not absolutely depend on the parasitic

way of life but is capable of adopting it if placed in a host

• Erratic parasite

o Is a parasite that wonders in to an organism in which it is not

usually found e.g. Entamoeba histolytica in the liver or lungs of

humans

• Symbiosis

o Is an association in which both the parasite and the host are so

dependent upon each other that one cannot live without the other and

none suffers any harm from the association

• Commensalisms

o This is an association in which only the parasite derives benefit

from the association but without causing injury to its host.

• Parasitism

o This is an association in which the parasite derives benefit and the

host gets nothing in return but always suffers some injury

• Encystation

o This is the transformation of a parasite from an active

(trophozoite) to an inactive stage through losing its power of

motility and enclosing itself within a tough wall (cyst).

o The cyst is the resistant stage of the parasite and is also

infective to its human host.

• Extrinsic incubation period

o This is the interval between the acquision of an infectious agent by

a vector and the vector’s ability to transmit the agent to other

susceptible vertebrate host

• Carrier state

o A perfect host-parasite relationship where tissue destruction by a

parasite is balanced with host’s tissue repair

STEP 3: Classification and General Characteristics of Medical Parasites (30

minutes)

General Characteristics

• Parasites have multiple life stages

o Because of this they exhibit different immune response, makes it

difficult to formulate vaccines and are difficult to control

• Parasites spend part of their life cycle within or on a host body;
• Parasites require sustenance from the host in order to survive in the

period it is within or on the host

• Parasites can be ectoparasites or endoparasites
• Some parasites are unicellular parasites (protozoa) while others are

multicellular (helminths and arthropods)

Classification of Medical Parasites

• Medical parasites can be grouped into protozoa, helminths, and

ectoparasites.

• Protozoa

o Protozoa are microscopic, unicellular organisms that can be free-

living or parasitic in nature

o Protozoans are eukaryotic

o They are made up of cytoplasm and nucleus

▪ Cytoplasm is differentiated into endoplasm and ectoplasm
▪ Nucleus contains karyosome and peripheral chromatin

o They are able to multiply in humans, which contributes to their

survival and also permits serious infections to develop from just a

single organism

o Transmission of protozoa that live in a human’s intestine to another

human typically occurs through a fecal-oral route (for example,

contaminated food or water or person-to-person contact).

o Protozoa that live in the blood or tissue of humans are transmitted

to other humans by an arthropod vector (for example, through the

bite of a mosquito or sand fly)

o The protozoa that are infectious to humans can be classified into

four groups based on their mode of movement;

▪ Sarcodina (pseudopods)
• Belong to phylum Sarcomastigophora
• Move by pseudopodia, e.g. Amoeba such as Entamoeba

histolytica

• Found in the intestine and others are free living
• Life cycle involves two important stages

o Tropozoite (feeding stage)

o Cyst (non-feeding stage)

▪ Mastigophora (flagellates)
• Use flagella for movement e.g., Giardia lamblia,

Leishmania

• Found in the intestines, urogenital tract and in

bloodstream

• Intestinal and urogenital flagellates have trophozoites

and cyst stages

• Blood flagellates

o Trypanosoma have trypomastigote (in human) and

epimastigote (in vector) stages in their life cycle

o Leishmania have amastigote (in human) and promastigote

(in vector) stages in their life cycle

▪ Ciliophora (ciliates)
• They use cilia for movement, they are cilliatese.g.

Balantidium

• Found in the intestines
• Trophozoites and cysts are important stages in their life

cycle

▪ Sporozoa (Coccidia)
• Organisms whose adult stage is not motile e.g.,

Plasmodium, Cryptosporidium

• They are members of phylum apicomplexa
• They are found in intestines, tissue and blood
• Important stages in their life cycle are sporozoites,

schizonts, merozoites, gametocytes and oocyst

• Helminths

o The helminths are invertebrates characterized by elongated, flat or

round bodies

o They are large, multicellular organisms that are generally visible

to the naked eye in their adult stages

o Like protozoa, helminths can be either free-living or parasitic in

nature.

o In their adult form, helminths cannot multiply in humans.

o There are three main groups of helminths that are human parasites:

▪ Flatworms (platyhelminths) – these include the trematodes

(flukes) and cestodes (tapeworms)

▪ Roundworms (nematodes) – the adult forms of these worms can

reside in the gastrointestinal tract, blood, lymphatic system

or subcutaneous tissues.

• Arthropods (Ectoparasites)

o Although the term ectoparasites can broadly include blood-sucking

arthropods such as mosquitoes (because they are dependent on a blood

meal from a human host for their survival), this term is generally

used more narrowly to refer to organisms such as ticks, fleas, lice,

and mites that attach or burrow into the skin and remain there for

relatively long periods of time (e.g., weeks to months).

o Arthropods are important in causing diseases in their own right, but

are even more important as vectors, or transmitters, of many

different pathogens that in turn cause tremendous morbidity and

mortality from the diseases they cause.

o The Neglected Tropical Diseases (NTDs), which have suffered from a

lack of attention by the public health community, include parasitic

diseases such as lymphatic filariasis, onchocerciasis, and Guinea

worm disease.

STEP 4: Key Points (5 minutes)

• Parasitology is the study of parasites that cause diseases in humans
• Parasites live in or on the body of a host
• Major groups of medical parasites include protozoa, helminths and

ectoparasites (arthropods)

• Parasites have multiple stages in their life cycle
• Important stages in the life cycle of a parasite are trophozoite and

cyst

• Trophozoites are active feeding form while cysts are inactive forms that

are resistant to harsh environmental conditions

• When they encounter harsh conditions, parasites transform from

trophozoites to cyst, a process known as encystation. And when the cysts

return to conducive environment they open to form trophozoiets

(excystation).

STEP 5: Evaluation (5 minutes)

• What are classes of medical parasites?
• What are the characteristics of protozoa?
• What are characteristics of helminths?

References

Hugo and Russell (2011), Pharmaceutical Microbiology 8th Edition, Willey-

Blackwel publications

Karen C. Carroll et al (2013); Jawetz, Melnick and Adelberg’s Medical

Microbiology 26th Ed. McGraw Hill Co. Inc.

Greenwood et al (2012); Medical Microbiology, 18th edition Churchill

Livingstone

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