The following outline is provided as an overview of and topical guide to concepts related to infectious diseases in humans.
Infection – transmission, entry/invasion after evading/overcoming defense, establishment, and replication of disease-causing microscopic organisms (pathogens) inside a host organism, and the reaction of host tissues to them and to the toxins they produce.[1]
Infectious disease – illness or disorder when pathogenic (disease-causing) microorganisms, such as bacteria, viruses, fungi, or parasites invade and multiply within the body of a host organism and release toxins, causing various clinical symptoms which can potentially lead to severe health complications or even death. Infectious diseases can be spread, directly or indirectly, from person to person, from animal to animal, or from animals to humans (zoonotic diseases), or through environmental exposure. They can be treated with medical interventions or prevented before they happen.[1]
Transmission – the process by which an infectious agent is spread from one host (an infected person) or environment (a reservoir) to another susceptible host person, facilitating the spread of disease.
Basic concepts
- Asymptomatic carrier – individual harboring a pathogen without showing symptoms (subclinical infection) and still capable of transmitting it to others.
- Chain of infection – sequential steps or process required for an infectious agent to pass from a source host to a susceptible host.
- Fomite – inanimate object contaminated with infectious agents facilitating their transmission between individuals/hosts.
- Host – organism providing shelter and sustenance to a pathogen, helping to survive and potentially replicate to cause health problems.
- Incubation period – time interval between exposure to a pathogen and the onset of clinical symptoms.[1]
- Index case/Patient zero – first identified case in an outbreak investigation, serving as a guide to public health interventions.
- Infectious period – time interval during which an infected individual can transmit the pathogen to other susceptible hosts.
- Latent period – time interval between exposure to a pathogen and when the individual/host becomes infectious, capable of transmitting pathogens.
- Natural reservoir – animal population or environment in which a pathogen normally lives and multiplies and can be transmitted directly or indirectly to humans.
- Opportunistic infection – infection caused by otherwise harmless organisms, taking advantage of a weakened immune system, thus becoming pathogens.
- Silent/Subclinical/Asymptomatic infection – infection with no apparent noticeable signs or symptoms but still capable of spreading, possibly due to a weak immune response or the nature of the pathogen.
- Superinfection – secondary infection occurring on top of a pre-existing one, often with a different pathogen and potentially leading to complex clinical presentations and treatment challenges.
- Super-spreader – infected individual transmitting a pathogen to a disproportionately large number of others (secondary cases) compared to others in an outbreak.
- Viral load – quantity of viral particles in a given volume of (typically per milliliter of) a patient's blood or other body fluids.
- Window period – time interval between exposure to an infection and the reliable detection (by a diagnostic test) of the presence of the pathogen or its specific antibodies in the body.
Modes
Transmission mode – the mechanism through which an infectious agent travels from a source (an infected host or a reservoir) to a new susceptible host.
Endogenous
Endogenous transmission – the spread of infectious agents within a single host organism, typically from their normal habitat in one part of the body to a new location within the body, rather than between individuals.
Exogenous
Exogenous transmission – the transfer and spread of infectious agents between different individuals or from an external source to a host organism.
Cross-species
Cross-species transmission (or host jump) – the transmission of infectious agents from one species (original animal reservoir) to a new one, potentially leading to infections in the recipient species.
- Spillover infection – cross-species transmission of pathogens from a domestic or wildlife animal reservoir to a new human host.
- Vector – organism, typically an insect or arachnid, that transmits pathogens from an infected host to a susceptible host individual.
- Zoonosis – infectious disease transmissible from animals to humans.
- Reverse zoonosis – transmission of pathogens from humans to infect animals.
Human-to-human / Cross-infection
Human-to-human transmission (also known as cross-infection) – direct or indirect transmission of infectious agents from one individual to another, leading to the spread of disease within a population.
- Contagious disease – Infectious disease readily spread by pathogen transmission
- Contagion – disease-causing infectious agent spread by direct or indirect contact.[1]
- Source
- Community-acquired
- Nosocomial/Hospital-acquired infection – An infection occurring in a patient within a hospital or a healthcare in a hospital or other healthcare facility, which was not present or incubating at the time of admission, and often associated with invasive procedures or compromised immune states.[4]
- Iatrogenic/Medical care – Causation of harm by any medical activity
- Generational difference
- Breakthrough infection – Infection following vaccine administration
Routes
Routes of transmission – specific pathways through taken by infectious agents to travel from one infected host or reservoir to a new host.
- Respiratory
- Linked to Vascular system (Blood vessels)
- Gastrointestinal (Alimentary canal)
- Cutaneous (Skin)
- Genitourinary
- Trans-placental
- Cervico-vaginal
- Other
Modelling
Mathematical modelling of infectious disease – mathematical equations, tools and simulations to represent the dynamics of disease transmission within a population in order to understand and predict them for disease control and public health decision-making.
- Agent-based model – Simulation of individual agent (human or animal) behavior and interactions within a defined environment to understand disease spread dynamics.
- Animal disease model – Mathematical model used in veterinary epidemiology to understand zoonotic disease spreading dynamics in animal populations and predict zoonotic spillover (animal to human transmission).
- Attack rate – proportion of a population of susceptible individuals who get infected and develop illness during an outbreak over a certain period of time.[2]
- Basic reproduction number – Average expected number of secondary cases infected by a single primary case in a completely susceptible population, useful for assessing epidemic potential.
- Compartmental models in epidemiology – Mathematical models that group individuals of a population into compartments based on infection status (such as susceptible, infected, recovered) to simulate disease dynamics and transmission patterns over time.
- Critical community size – Minimum population size needed for a disease to persist indefinitely within a community without new introductions, influenced by factors like transmission dynamics and immunity.
- Force of infection – Rate at which susceptible individuals acquire infection from infectious individuals, used to model incidence rate (number of infected individuals) and transmission dynamics.
- Herd immunity – Indirect protection of susceptible individuals from infectious diseases when a large proportion of a population becomes immune, either through vaccination or prior infection, reducing overall transmission risk.
- Infection rate – Rate at which new infections occur within susceptible individuals over a defined period.
- Machine learning – techniques enabling computers to analyze large datasets and identify patterns in disease spread, thus learning to forecast and detect disease outbreak and improve response strategies.
- Multiplicity of infection – Number of different pathogen strains (viral particles/genomes) infecting a single host at the same time, influencing disease severity, transmission dynamics, and evolutionary pathways.
- Serial interval – Time between symptom onset in a primary case and symptom onset in a secondary case infected by the primary case, useful for understanding disease spread patterns and assessing control measures.
- WAIFW matrix – (Who acquires infection from Whom, At what rate, For how long, and With what consequences) mathematical framework/matrix to quantify and summarize key transmission parameters for a disease, such as contact rates and probabilities of infection.
Occurrence in population
- Disease cluster – grouping of cases of a disease occurring closely in a specific time and place, suggesting possible local transmission.
- Endemic – constant presence of a disease within a specific geographic area or population at a predictable baseline level.[1]
- Epidemic – sudden, unexpected increase in the number of cases of a disease in a specific population and geographic area.[1]
- Epidemic curve – graphical representation of the rise, peak, and decline of the number of cases of an epidemic disease over time.
- Farr's laws – principles describing the relationship between population density, poverty, and the occurrence of infectious diseases.
- Holoendemic – highly prevalent and constantly present disease occurrence in a population or geographic area, affecting most individuals from an early age.
- Hyperendemic – consistently and persistently high incidence and/or prevalence of disease occurrence within a particular population or geographic area, equally affecting all age groups.
- Incidence – rate of new cases of a disease occurring in a specific population within a defined time period, typically expressed per 1,000 or 100,000 individuals.
- Inequality in disease – disparities in the burden (distribution and impact) of infectious diseases among different population groups, often due to social determinants of health.
- Mesoendemic – moderate level of constant disease prevalence within a specific geographic area or population.
- Disease outbreak – sudden unexpected increase in the occurrence of the cases of a particular disease cases for a given time period and a specific geographical area.[1]
- Pandemic – widespread epidemic, often affecting multiple countries or continents and involving a large number of people.[4]
- Prevalence – proportion of individuals in a population affected by a disease at a specific point in time.
- Seasonality – fluctuation in disease occurrence in different seasons or times of the year, often linked to environmental factors.
- Geographic distribution – spatial pattern of how disease cases are located and spread across different regions.
- Sporadic – scattered, irregular occurrence of disease cases without any recognizable pattern in space and time, often without any common source of infection.
- Syndemic – co-occurrence and interaction of two or more diseases or health conditions in individuals or a population, exacerbating their negative health outcomes.
- Twindemic – simultaneous occurrence of two epidemics, where two infectious diseases concurrently circulate in a population, potentially straining public health resources and increasing healthcare burden.
The specific area or organ within the body where pathogenic microorganisms invade and proliferate, leading to localized or systemic disease.
- Respiratory
- Gastrointestinal – Illnesses of the digestive systemPages displaying short descriptions of redirect targets
- Genitourinary/Urogenital disease - infection of organs involved in the excretion of fluids and reproduction.[1]
- Nervous system
- Skin/Cutaneous – Infections of the skin
- Soft tissue
- Bone – Infection of the bonesPages displaying short descriptions of redirect targets
- Joint – Inflammation of a joint due to infectionPages displaying short descriptions of redirect targets
- Cardiovascular
- Systemic/Generalized – Condition which affects multiple organs or the whole body
- Blood – Life-threatening response to infection
- Tooth – Infection originating in a tooth
- Mouth
- Fetus – placenta disease that is an inflammation of the fetal membranes (amnion and chorion) due to a bacterial infectionPages displaying wikidata descriptions as a fallback
- Eye
Infection prevention and control – strategies, measures and practices designed and implemented to prevent the spread of infectious diseases within healthcare settings and communities, reducing the risk of infections among patients, healthcare workers, and the general population.
Pharmaceutical
Pharmaceutical prevention and control – Use of medications, vaccines, and other pharmaceutical interventions to prevent the spread of infectious diseases, treat infected individuals, and manage outbreaks within populations.
- Antibiotic – medication used to prevent and treat bacterial infections by killing or inhibiting bacteria.[1]
- prophylactic antibiotic – administration of antibiotics to an uninfected individual to prevent the development of an infection, typically before a surgical procedure or in individuals at high risk of infection
- Antifungal – medication used to treat fungal infections.
- Anthelmintic – medication used to treat parasitic worm infections.
- Ascaricide – medication used to specifically treat roundworms.
- Antimicrobial – substance that kills, reduces or inhibits the growth of microorganisms.
- Antimicrobial stewardship – strategies to ensure appropriate and effective use of antimicrobial agents to prevent microbial resistance.
- Antiseptic – Chemical substance applied to skin or surface to reduce pathogens and prevent infection, but not strong enough to sterilize.
- Antiviral – Medication to treat or prevent viral infections.
- Asepsis – Techniques and practices to prevent contamination in healthcare settings and maintain sterility.
- Combination therapy – use of multiple medications (multiple active ingredients) simultaneously to treat a single disease, enhancing therapeutic efficacy and reducing the risk of drug resistance.
- Pharmacovigilance / Drug safety - science and activities involved in the monitoring, detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems to secure their safety and ensure that potential benefits outweigh the risks.
- Immunization – process of strengthening immune response and increase protection against infectious diseases by receiving vaccines.[1]
- Immunotherapy – treatment boosting the body's immune response against disease.
- Inoculation – introduction of a pathogen or antigen into the body to stimulate immunity.
- Phage therapy – treatment using bacteriophage viruses that infect and kill bacteria to combat bacterial infections.
- Pre-exposure prophylaxis – taking medication taken before potential exposure to prevent infectious disease.
- Post-exposure prophylaxis – taking medication taken after potential exposure to prevent infectious disease.
- Drug repositioning – use of existing medications for new indications or purposes not initially intended, including treating infections.
- Vaccine – biological preparation (usually containing weakened or inactive pathogens) to stimulate the immune system to fight against future infection.[1]
- Vaccination – administration of a vaccine to stimulate the immune system and prevent future infection.
- Vaccine efficacy/effectiveness - measurement of the ability of a vaccine to produce desired outcome (protection of individuals or populations from a specific disease) in controlled conditions/real-world settings.
- Booster dose – additional dose of a vaccine to enhance or prolong immunity or to strengthen waning immunity.
- Vaccine resistance – ability of a pathogen to evade the protective effects of a vaccine, potentially leading to breakthrough infections.
- Vaccine-preventable disease – disease preventable by vaccination.
- Ring vaccination – strategy of targeted vaccination of close contacts of infected individuals to prevent further spread and control outbreaks.
Non-pharmaceutical
Non-pharmaceutical intervention – strategies and measures implemented to stop the spread of infection without relying on medication or pharmaceutical products.
- Contact tracing – systematically identifying, assessing and managing individuals potentially exposed to infectious disease through contact with an infected person, in order to monitor and interrupt transmission chains.
- Cordon sanitaire – Emergency quarantine measure restricting movement into and out of a defined geographic area to contain the spread of infectious diseases.
- Disease surveillance – Continuous, systematic monitoring, collection, analysis, and interpretation of disease-related data to identify trends and inform public health interventions.
- Disinfection – use of germicidal chemical agents or physical methods to inactivate, eliminate or reduce harmful microbes on surfaces of inanimate objects, preventing further transmission.
- Flattening the curve – public health strategy aimed at slowing the spread of an infectious disease over time to reduce the peak number of cases, thus mitigating strain on healthcare systems so that they are not overwhelmed.
- Hygiene – practices that promote cleanliness and other sanitary measures to prevent the spread of pathogens.
- Food hygiene – scientific principles and practices related to the handling, preparation, and storage of food to ensure food safety and minimize foodborne illness risk.
- Hand washing – cleaning hands with soap and water or hand sanitizer to remove dirt, germs, and other contaminants to prevent or reduce infectious disease transmission.
- Gloves – Disposable protection worn on hands during medical examinations and procedures to protect both the patient and healthcare provider from cross-contamination and infection by providing a physical barrier for hands, minimizing contact with infectious material.
- Isolation – separation of individuals infected with a contagious disease from healthy populations to prevent infectious disease spread.
- Barrier nursing – outdated term referring to nursing practices that create a barrier between infectious patients and other patients or healthcare workers to prevent infection spread.
- Stay-at-home order/Lockdown – restriction on population movement requiring individuals to remain at home except for essential activities to limit infectious disease spread.
- Notifiable disease – disease that, by law, must be reported to public health authorities upon diagnosis due to its potential to cause outbreaks and public health emergencies.
- Protective sequestration – public health practice of isolating a group of people or a community potentially exposed to a disease for monitoring and prevention of disease spread.
- Public health – science and practice of strategies to protect and improve the health of populations through education, policy making, and research for disease and injury prevention.
- Community health services – health services designed to improve the health and well-being of community members by providing accessible healthcare, education, and preventive measures.
- Health communication – study and application of disseminating health information dissemination and promoting health literacy to educate and empower individuals and communities about health.
- Health education – Educational programs and initiatives aimed at raising awareness, disseminating knowledge, building skills and influencing attitudes and behaviors so that people can make informed decision about health and wellness.
- Outbreak response – coordinated strategies and interventions to detect, control, contain and mitigate the impact of a disease outbreak in a community or region.
- Quarantine – restriction of movement and activities of individuals with symptoms of potential exposure to a contagious infetious disease to prevent further spread during the incubation period.
- Respiratory source control – Implementation of measures like masking to capture respiratory droplets and aerosols in order to prevent or reduce airborne transmission of respiratory pathogens.
- N95 respirator – protective mask designed to fit very closely to the face and provide protection against at least 95% of very small, airborne particles (dust, microbes, pollutants, etc.) less than 0.3 microns in diameter.
- Surgical mask – loose-fitting device covering the nose and mouth that primarily protects the wearer from inhaling infectious respiratory droplets and aerosols in medical and public settings.
- Personal protective equipment – Equipment such as masks, gloves, gowns, and face shields worn by healthcare workers or others at risk to shield them from exposure to infectious agents or hazardous materials.
- Safe sex – sexual practices that minimize the risk of contracting sexually transmitted infections, including the use of condoms and engaging in mutually monogamous relationships.
- Sanitation – Measures and practices to maintaining hygienic living conditions through proper waste management, clean water access, and sewage disposal to prevent disease spread.
- Screening – Brief medical evaluations and tests to detect the early signs of a disease, often administered to asymptomatic individuals.
- Social distancing – Public health measure to maintain physical distance between people to reduce the chance of respiratory transmission of infectious diseases in crowded settings.
- Standard infection control precautions – fundamental infection prevention and control practices to be adopted by staff in healthcare settings, irrespective of patient's infectious status.[4]
- Sterilization – process of destroying infectious agents (as well as all other life forms) from a surface, fluid, or biological medium by using heat, chemicals, irradiation, high pressure, filtration, or a combination of these methods.[1]
- Transmission-based precautions – Additional or tailored infection control measures based on the specific mode or epidemiology of disease transmission.
- Travel restrictions – Policies and regulations that limit or restrict the movement of people across regions or countries to control the spread of infectious diseases.
- Universal precautions – Approach in which all human blood and certain bodily fluids are treated potentially infectious, requiring healthcare workers to wear PPE all the time.
- Vector control – Strategies to reduce or eliminate populations of animals and insects that can transmit diseases to humans.
- Wastewater surveillance – Monitoring and analysis of wastewater to detect and track the presence of specific infectious agents to identify trends in disease prevalence or to provide early warning of disease outbreaks
- Zoning – Designating clean and dirty areas to prevent contaminated objects from being placed in a clean area and creat cross-contamination.
Emerging infectious disease – diseases caused by newly identified or reemerging infectious agents that have recently rapidly increased in incidence or geographic range, posing a potentially significant threat to public health in the near future.[5]