Mycobacterium tuberculosis<\/em>. He proposed Koch postulate which were published in 1884 and are the corner stone of the germ theory of diseases and are still in use today to prove the etiology (specific cause) of an infectious disease.<\/span><\/li><\/ul>\n\n\n\nKoch\u2019s four postulates are:<\/span><\/p>\n\n\n\n- The organism causing the disease can be found in sick individuals but not in healthy ones.<\/span><\/li>
- The organism can be isolated and grown in pure culture.<\/span><\/li>
- The organism must cause the disease when it is introduced into a healthy animal.<\/span><\/li>
- The organism must be recovered from the infected animal and shown to be the same as the organism that was introduced.<\/span><\/li>
- The combined efforts of many scientists and most importantly Louis Pasteur and Robert Koch established the Germ theory of disease<\/strong>. The idea that invisible microorganisms are the cause of disease is called germ theory. This was another of the important contributions of Pasteur to microbiology. It emerged not only from his experiments disproving spontaneous generation but also from his search for the infectious organism (typhoid) that caused the deaths of three of his daughters.<\/span><\/li>
- Fanne Eilshemius Hesse (1850 – 1934)<\/strong> one of Koch’s assistant first proposed the use of agar in culture media. Agar was superior to gelatin because of its higher melting (i.e. 96\u00b0C) and solidifying (i.e. 40-45\u00b0C) points than gelatin and was not attacked by most bacteria. Koch’s another assistant Richard Petri in 1887 developed the Petri dish (plate), a container used for solid culture media. Thus contribution of Robert Koch, Fannie Hesse and Richard Petri made possible the isolation of pure cultures of microorganisms and directly stimulated progress in all areas of microbiology.<\/span><\/li><\/ul>\n\n\n\n
<\/span>Development in Medicine and Surgery <\/u><\/strong><\/span><\/span><\/h2>\n\n\n\n- Once scientists knew that microbes caused disease, it was only a matter of time before medical practices improved dramatically. Surgery used to be as dangerous as not doing anything at all, but once aseptic (sterile) technique<\/strong> was introduced, recovery rates improved dramatically. Hand washing and quarantine of infected patients reduced the spread of disease and made hospitals into a place to get treatment instead of a place to die.<\/span><\/li>
- Lord Joseph Lister (1827-1912):<\/strong> A famous English surgeon is known for his notable contribution to the antiseptic treatment for the prevention and cure of wound infections. Lister concluded that wound infections too were due to microorganisms. In 1867, he developed a system of antiseptic surgery designed to prevent microorganisms from entering wounds by the application of phenol on surgical dressings and at times it was sprayed over the surgical areas. He also devised a method to destroy microorganisms in the operation theatre by spraying a fine mist of carbolic acid into the air, thus producing an antiseptic environment. Thus Joseph Lister was the first to introduce aseptic techniques for control of microbes by the use of physical and chemical agents which are still in use today. Because of this notable contribution, Joseph Lister is known as the Father of Antiseptic surgery.<\/strong><\/span><\/li><\/ul>\n\n\n\n
<\/span>Development of Vaccines <\/strong><\/span><\/span><\/h2>\n\n\n\n- Vaccination<\/strong> was discovered before germ theory, but it wasn\u2019t fully understood until the time of Pasteur. In the late 18th century, milkmaids who contracted the nonlethal cowpox sickness from the cows they were milking were spared in deadly smallpox outbreaks that ravaged England periodically. The physician Edward Jenner<\/strong> used pus from cowpox scabs to vaccinate people against smallpox.<\/span><\/li>
- Edward Jenner (1749-1823)<\/strong> an English physician was the first to prevent small pox. He was impressed by the observation that countryside milk maid who contacted cowpox (Cowpox is a milder disease caused by a virus closely related to small pox) while milking were subsequently immune to small pox. On May 14th<\/sup> , 1796 he proved that inoculating people with pus from cowpox lesions provided protection against small pox. Jenner in 1798, published his results on 23 successful vaccinators. Eventually this process was known as vaccination, based on the latin word ‘Vacca’ meaning cow. Thus the use of cow pox virus to protect small pox disease in humans became popular replacing the risky technique of immunizing with actual small pox material.<\/span><\/li>
- Jenner’s experimental significance was realized by Pasteur who next applied this principle to the prevention of anthrax and it worked. He called the attenuated cultures vaccines (Vacca = cow) and the process as vaccination. Encouraged by the successful prevention of anthrax by vaccination, Pasteur marched ahead towards the service of humanity by making a vaccine for hydrophobia or rabies (a disease transmitted to people by bites of dogs and other animals). As with Jenner’s vaccination for small pox, principle of the preventive treatment of rabies also worked fully which laid the foundation of modern immunization programme against many dreaded diseases like diphtheria, tetanus, pertussis, polio and measles etc.<\/span><\/li>
- Elie Metchnikoff (1845-1916)<\/strong> proposed the phagocytic theory of immunity in 1883. He discovered that some blood leukocytes, white blood cells (WBC) protect against disease by engulfing disease causing bacteria. These cells were called phagocytes and the process phagocytosis. Thus human blood cells also confer immunity, referred to as cellular immunity.<\/span><\/li><\/ul>\n\n\n\n
<\/span>Development of Chemotherapeutics, Antitoxins and Antibiotics<\/strong><\/span><\/span><\/h2>\n\n\n\n- Emile Roux (1853-1933)<\/strong> and Alexandre Yersin,<\/strong> the two notable French bacteriologists demonstrated the production of toxin in filtrates of broth cultures of the diphtheria organism. Emil von Behring (1854 -1917) and Shibasaburo Kitasato (1852-1931) both colleagues of Robert Koch, in 1890 discovered tetanus (lock jaw) antitoxin. Only about a week after the announcement of the discovery of tetanus antitoxin, Von Behring in 1890 reorted on immunization against diphtheria by diphtheria antitoxin. The discovery of toxin-antitoxin relationship was very important to the development of science of immunology.<\/span><\/li>
- Paul Ehrlich (1854-1915)<\/strong> in 1904 found that the dye Trypan Red was active against the trypanosome that causes African sleeping sickness and could be used therapeutically. This dye with antimicrobial activity was referred to as a ‘magic bullet’. Subsequently in 1910, Ehrlich in collaboration with Sakahiro Hata, a japanese physician, introduced the drug Salvarsan (arsenobenzol) as a treatment for syphilis caused by Treponema pallidum. Ehrlich’s work had laid important foundations for many of the developments to come and the use of Salvarsen marked the beginning of the eni of chemotherapy and the use of chemicals that selectively inhibit or kill pathogens without causing damage to the patient.<\/span><\/li>
- Gerhard Domagk<\/strong> of Germany in 1935 experimented with numerous synthetic dyes and reported that Prontosil, a red dye used for staining leather, was active against pathogenic, Streptococci and Staphylococci in mice even though it had no effect against that same infectious agent in a test tube. In the same year two French scientists Jacques and Therese Trefonel showed that the compound Prontosil was broken down within the body of the animal to sulfanilamide (Sulfa drug) the true active factor. Domagk was awarded nobel prize in 1939 for the discovery of the first sulpha drug.<\/span><\/li>
- The credit for the discovery of this first ‘wonder drug’ penicillin in 1929 goes to Sir Alexander Fleming<\/strong> of England, a Scottish physician and bacteriologist. Fleming had been actually interested in searching something that would kill pathogens ever since working on wound infections during the first world war (1914-1918).<\/span><\/li>
- Antibiotics were discovered completely by accident in the 1920s, when a solid culture in a Petri dish (called a plate) of bacteria was left to sit around longer than usual. As will happen with any food source left sitting around, it became moldy, growing a patch of fuzzy fungus. The colonies in the area around the fungal colony were smaller in size and seemed to be growing poorly compared to the bacteria on the rest of the plate. The compound found to be responsible for this antibacterial action was named penicillin. The first antibiotic, penicillin was later used to treat people suffering from a variety of bacterial infections and to prevent bacterial infection in burn victims, among many other applications. In this way, Sir Alexander Fleming in 1929 discovered the first antibiotic penicillin.<\/span><\/li>
- Waksman <\/strong>at the Rutgers university, USA discovered another antibiotic, streptomycin produced by two strains of actinomycete, Streptomyces griseus<\/em> in 1944. Waksman received the noble prize in 1952 for his discovery of Streptomycin used in the treatment of tuberculosis, a bacterial disease caused by Mycobacterium tuberculosis<\/em> that had been discovered by Robert Koch in 1882. By 1950, three other microorganism were identified that produced antibiotics, such as chloramphenicol (Chloromycetin) from Streptomyces venezuelae<\/em> by Dr. Paul R. Burkholder in 1947, Aureomycin from S. aureofaciens<\/em> by Dr. B.M. Dugger in 1948; and Terramycin from S. rimosus<\/em> by Finlay, Hobby and collaborators in 1950.<\/span><\/li>