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Infektionsdosis (ID₅₀): Definition, Determinanten und Beispiele

Definition

The infectious dose (ID₅₀) is the number of pathogen units required to infect 50% of exposed susceptible hosts. It is a population-level statistical measure, not a fixed threshold for individuals.

Key Determinants

  • Pathogen factors: Virulence genes, adhesion, immune evasion, inoculum phenotype.
  • Route of exposure: Inhalation < ingestion < percutaneous < mucous membrane (generally).
  • Host factors: Age, immunity (innate/adaptive), microbiome, genetics, nutrition, comorbidities.
  • Environmental: Temperature, humidity, UV, vehicle (food/water matrix).

Illustrative Examples (Approximate Human ID₅₀)

PathogenRouteEstimated ID₅₀
Ebola virusMucous membrane/percutaneous1–10 virions
NorovirusIngestion10–100 particles
ShigellaIngestion10–200 organisms
Salmonella TyphiIngestion10³–10⁵ CFU
InfluenzaInhalation10²–10³ TCID₅₀
Mycobacterium tuberculosisInhalation1–10 bacilli
Vibrio choleraeIngestion10⁶–10⁸ CFU (lower with low gastric acid)

Significance

Low ID₅₀ → high transmissibility, stringent infection control. Informs risk assessment, vaccine challenge studies, and biodefense planning.

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