Diagnostic Microbiology Flashcards

(54 cards)

1
Q

What are the objectives of Diagnostic microbio-

A

Confirm the diagnosis, Guide in treatment management

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2
Q

What are the points to consider for collecting a sample- Collection time period-

A

3rd week after infection in thyphoid, Handling and transport medium

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3
Q

What are the most common specimen types-

A

Blood, CSF, urine, Respiratory secretions, NP swab (COVID), feces, Genital secretions, Exudates and biopsy

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4
Q

What are the certain cases when blood is collected as a sample-

A

Hyperacute infection, G -ve sepsis and Subacute endocarditis- 3 samples in 24 hours

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5
Q

What are the steps to collect blood- Sterile syringe, tourniquet to expose veins, prepare the site-

A

2% iodine, 70% alc. And draw 20ml.

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6
Q

How long should the sample be incubated for Brucella infection-

A

37 deg, for 5-7 days

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7
Q

What are the criteria for diagnosing Bacteremia-

A

Growth of the same organism at different sites of sample

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8
Q

Criteria for diagnosing contamination-

A

Different bottles and different cultures at different times

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9
Q

What types of samples are etiologically significant?

A
  • S. viridans in endocarditis, G +ve; E. coli- sepsis, G -ve
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10
Q

How to collect samples for CNS infections?-

A

LP and CSF culture, Cell count, Protein

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11
Q

For a patient presenting with COVID-19 like symptoms, how to collect a sample?-

A

Throat swab/throat washing and Nasopharynx swab in charcoal for COVID-19 and Pertussis

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12
Q

If a patient presents with symptoms of LTRI, how to collect the sample?-

A

Wide mouth plastic sterile cont, before therapy, in the morning, Good sputum with WBC, saliva, >25 cells, bad sample.

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13
Q

What are the other ways to\collect LTRI samples-

A

Transtracheal aspirates, Bronchoscopy, Lung biopsy, and Bronchoalveolar lavage.

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14
Q

How are samples collected for an Eye infection?-

A

Sterile platinum loop, smooth, thin plastic/glass rod, Stuart medium swab, amd infection around eyes.

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15
Q

For a patient with an earache, what are the ways to collect a sample for diagnosis?-

A

Swabs

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16
Q

What are the various ways to collect samples for GIT infections?-

A

Feces- into a sterile bedpan, 1-2 ml, add 6ml glycerol to help transporting and rectal swab.

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17
Q

In the presence of an exudate- wounds, and abscess, how are samples collected?-

A

Pus from an abscess and open wounds, In closed spaces, Pleural or peritoneal or synovial surfaces aspiration.

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18
Q

What is the term for the wide open wounds?-

A

Carbuncle and cellulitis can still be aspirated.

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19
Q

What diseases constitute Upper UTI?

A

Kidneys- Leptospirosis, typhoid, and AGN

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20
Q

When to “catch” urine specimen for men?-

A

Clean meatus, midstream

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21
Q

Urine sample collection for a female-

A

Spread the labia and vulva, wash it thoroughly and collect midstream.

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22
Q

If suffering from urinating issues what method should be implemented?-

23
Q

How is vaginal infection confirmed?

A

often purulent,

putrid or fishy-smelling

24
Q

In cases of vaginosis, candidiasis, and trichomoniasis

A

Swab on the
cervical surface and not on the
vaginal wall.

25
Syphilis:
Try to irritate the surface of the wound, the Chancre, with acetone or ether. Then, observe the development of some fluid coming out, which is the one collected and used for examining Treponema pallidum. Organisms will be inside the lesion.
26
ANAEROBIC INFECTIONS
The large majority of human normal flora are anaerobes, and when they are displaced from their normal sites, they produce disease.
27
CHARACTERISTICS / CONDITIONS WHICH | SUGGEST ANAEROBIC INFECTIONS
``` SUGGEST ANAEROBIC INFECTIONS 1. Often contiguous with the mucosal surface 2. Tend to involve many organisms, which these organisms are the anaerobes plus the aerobes; a multi-etiology. 3. Tend to form closed-space infections either as discrete abscess (e.g. Lungs, brain, pleura, peritoneum, pelvis) or by burrowing through tissue layers 4. Pus with a foul odor 5. Favored by the reduced blood supply ```
28
Collection of specimens for anaerobic
``` ○ Swabs are not used ○ For closed abscesses, aspirate aseptically, avoid entry of air by sealing the needle after the procedure ○ Use appropriate transport media when the specimen has to be brought to a distant laboratory. ```
29
THE 5 I’S OF CULTURING MICROBES
Inoculation, incubation, isolation, Inspection, and Identification
30
Media -
providing nutrients in the laboratory
31
Most commonly used media
○ Nutrient broth - liquid medium containing beef extract & peptone ○ Nutrient agar - solid media containing beef extract, peptone & sugar
32
Agar -
- a complex polysaccharide isolated from red algae. - Solid at room temperature, liquifies at boiling (100℃), does not resolidify until it cools to 42℃) - Provides a framework to hold moisture & nutrients - Not digestible for most microbes
33
Forms of physical Media
liquid, semisolid and solid
34
Types of media
Synthetic- pure inorganic or organic Complex/non-syn- non chemically defineable ingredient General-purpose media - grows a broad range of microbes, usually nonsynthetic Enriched media - contains complex organic substances such as blood, serum, hemoglobin or special growth factors required by fastidious microbes
35
ENRICHED MEDIA
● The most common enriched media is blood agar. ● The organism in plate A produces hemolysis ● Chocolate agar is a variation of blood agar plate. It is blood agar which is heated, it turns to a brown color.
36
Selective Media
● Contains one or more agents that inhibit growth of some microbes and encourage growth of the desired microbes ● Example: Salmonella/Shigella agar medium- will only allow the growth of Salmonella species and Shigella species
37
Differential media
● Allows growth of several types of microbes and displays visible differences among desired and undesired microbes ● A good example of this is the MacConkey agar. It will allow the growth of organisms that can ferment lactose and organisms that do not ferment lactose
38
misc. media
Reducing medium - contains a substance that absorbs oxygen or slows penetration of oxygen into medium; used for growing anaerobic bacteria Carbohydrate fermentation medium - contains sugars that can be fermented, converted to acids, and a pH indicator to show the reac
39
Magnification
ability to enlarge objects
40
Resolving power -
ability to show detail; the higher the resolving power, the higher the ability to see the details of the particular object being examined
41
Oil immersion lens
● The oil makes it possible for the organism being examined to be seen more clearly in the microscope. ● The rays of light are concentrated to the point of examination and bounce back to the eyes. Without oil, you lose some of the light waves.
42
Bright- field -
The most widely used, the specimen is | darker than the surrounding field
43
Dark Field-
brightly illuminated specimens surrounded by darkfield; a special type of light microscope whereas instead of seeing the field to be brightly illuminated, what you will see is a background of black and only the ones that you want to see are illuminated. So they will stand out. This is the one used for Treponema pallidum and also for Leptospirosis
44
Phase-contrast -
transforms subtle changes in light waves passing through the specimen into differences in light intensity, best for observing intracellular structures
45
FLUORESCENCE MICROSCOPY
Modified compound microscope with an the ultraviolet radiation source and a filter that protects the viewer’s eye Useful in diagnosing infections-For example, Treponema pallidum (Syphilis), you can tag the antibodies against the T. pallidum with special dye
46
ELECTRON MICROSCOPY
Forms an image with a beam of electrons that can be made to travel in wavelike patterns when accelerated to high speeds. ● Electron waves are 100,000X shorter than the waves of visible light.
47
Two types of electron microscopy
``` ○ Transmission electron microscope (TEM) - transmits electrons through the specimen; darker areas represent thicker, denser parts and lighter areas indicate more transparent, less dense parts ○ Scanning electron microscope (SEM) - provides detailed three- dimensional view. SEM bombards the surface of a whole, metal- coated specimen with electrons while scanning back and forth over it. ```
48
STAINING PROCEDURES
● In bacteriology, staining procedures are very important because one staining procedure gave us a very big classification of the bacteria. The Gram staining classified the bacteria into two types of microorganism-- the gram positive organism and the gram negative organism. Their cell walls are responsible for their classification.
49
Wet mounts & hanging drop mounts -
allow examination of characteristics of live cells: motility, shape, & arrangement; you examine the specimen as is
50
Fixed mounts
are made by drying & heating a film of specimen. This smear is stained using dyes to permit visualization of cells or cell parts.
51
Dyes
○ Cationic dyes - basic, with positive charges on the chromophore ○ Anionic dyes - acidic, with negative charges on the chromophore ○ Positive staining - surfaces of microbes are negatively charged and attract basic dyes; the cell wall will be stained ○ Negative staining - microbe repels dye & it stains the background; an example of this is when you want to see the capsulated microorganism,
52
Simple stains -
one dye is used
53
Differential stains
use a primary stain and a | counterstain to distinguish cell types or parts. Gram stain Acid- fast stain
54
Special Stain
``` - India ink capsule stain of Cryptococcus neoformans. You use the India ink so what you see is the Cryptococcus’ very thick capsule. - Flagellar stain. The red ones are the flagellar stains ```