BASES MICROBIOLÓGICAS E INMUNOLÓGICAS
Synopsis
Infectious diseases remain a major public health problem, despite scientific advances in diagnosis, prevention, and treatment. Clinical microbiology identifies the etiology, as well as the mechanisms of pathogenicity, such as adhesion, invasion, immune evasion, and toxin production, while immunology explains the innate and adaptive defensive responses that determine the clinical course of the infection.
This literature review was based on scientific publications from 2020 to 2025 and integrated databases such as Scopus, PubMed, and Web of Science. The results highlight the protective role of the human microbiota and how its alteration (dysbiosis) favors opportunistic infections. Furthermore, immunological evasion strategies, such as antigenic variation or phagocytosis blockade, which allow for microbial persistence, are analyzed.
Advances in molecular biology, such as polymerase chain reaction (PCR), MALDI-TOF spectroscopy, and immunoassays, have optimized microbiological diagnostics, while the development of vaccines, immunotherapies, and microbiome-based therapies has transformed the clinical approach. In conclusion, the integration of microbiology and immunology provides a comprehensive view of the infectious process and guides medical practice toward more precise, personalized, and evidence-based interventions.
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