Microbial diagnostic tests Flashcards

(36 cards)

1
Q

What does PCR do?

A

Makes multiple copies of a segment of DNA of interest from a small initial sample

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2
Q

What is used to carry out temperature cycles?

A

Thermal cycler

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3
Q

How is PCR carried out?

A

Target DNA, primers, nucleotides and DNA polymerase added to tube
Tube put in thermocycler
Temperature increased to 95 degrees (denatures enzymes and causes strands of DNA to separate)
Taq DNA polymerase is heat resistant
Annealing occurs at 55-65 degrees where primers attach to target DNA
Extension occurs t 72 degrees where DNA polymerase creates DNA strand complementary to target strand
Cycle repeats until have two loose molecules of DNA

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4
Q

Gram stain procedure

A
Smear bacteria onto slide
Heat fix slide
Flood slide with crystal violet for 20 seconds
Wash with water
Flush with iodine for a minute
Decolourise with gram's alcohol
Wash with water
Flush with safranin counterstain for 1 minute
Wash again
Blot dry
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5
Q

What are gram positive bacteria?

A

Thick peptidoglycan layer retains crystal violet-iodine complex

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6
Q

What colour do gram positive bacteria turn?

A

Purple

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7
Q

What are gram negative bacteria?

A

Thin peptidoglycan layer which doesn’t retain crystal violet but is stained with safranin

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8
Q

What colour do gram negative bacteria turn?

A

Pink

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9
Q

How to conduct ELISA test

A
Coat microtiter plate with antigens
Add sample
Specific antibody can bind to antigen
Wash
Enzyme labelled antibody
Wash
Add substrate
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10
Q

How do you treat meningitis?

A

Antibiotics

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11
Q

How do you rule in/out meningitis?

A

Lumbar puncture

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12
Q

Which bacterium causes meningitis?

A

Neisseria meningitidis

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13
Q

When are broad spectrum antibiotics useful?

A

When we don’t know causative pathogen

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14
Q

Is blood agar selective?

A

No

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15
Q

When is blood agar culture useful?

A

Sterile sites or where you are uncertain of cause of infection

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16
Q

Is Maconky culture selective?

17
Q

Characteristics of maconky agar

A

Entrobacteriacae
Restricts growth of gram positive and support understanding of coliform present
Can have lactose fermentive side and lactose non-fermentive side

18
Q

Characteristics of chromogenic candida agar

A

Green indicates candida albicans

Useful for non-sterile sites where you know that causative bacteria belong to one family

19
Q

What are the three types of streptococcus?

A

Alpha beta and gamm

20
Q

What does alpha streptococcus indicate?

A

Partial haemolysis

21
Q

What does beta streptococcus indicate?

A

Complete hemolysis

22
Q

What does gamma streptococcus indicate?

23
Q

What is a DNA template?

A

dsDNA of interest, separate from sample

24
Q

What is DNA polymerase?

A

Thermostable enzyme that doesn’t denature at high temperatures

25
What are oligonucleotide primers?
ssDNA complementary to 3' end of sense and anti-sense strands of target sequence
26
What are the 4 deoxynucleotide triphosphates?
dATP, dTTP, dGTP, dCTP
27
What doe the deoxynucleotide triphosphates do?
Provide energy for polymerisation and building blocks for DNA synthesis
28
What does ELISA do?
- Quantification of a desired marker in biological sample - Marker can be antibody or antigen - Antigen on bottom of plate, antibodies added. Sometimes add antihuman IgG with conjugate enzyme. Add dye that is cleaved by enzyme, the color change is detected by electric plate reader
29
Advantages of microscopy
Quick | Visualise bacteria, fungi, protozoa and metazoa
30
Disadvantages of microscopy
Not definitive identification No information on antibiotic sensitivity Can't detect viruses
31
Advantages of cultures and confirmatory tests
Confirmed identification Information on antibiotic sensitivity Bacteria and fungi
32
Disadvantages of cultures and confirmatory tests
Slow Commensal bacteria may interfere Some organisms difficult to culture Can't culture viruses, protozoa and metazoa on agar
33
Advantages of PCR
Quick Confirmed identification Detects full range of microorganisms Automated
34
Disadvantages of PCR
Each PCR looks for one organism only | No information on antibiotic sensitivity
35
Advantages of antibody detection
Detects whether antibodies are raised against full range of microorganisms Automated
36
Disadvantages of antibody detection
Slow - antibodies will only be present once immune system has responded Antibodies may be result of previous infection