Quality control and Susceptibility Flashcards

(80 cards)

1
Q

what is quality assurance?

A
  • monitor ongoing total tests and effectiveness
  • correct problems to ensure accurate results
  • assess competency of staff (pre, post, analytical)
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2
Q

what is quality control

A

monitor quality of each method to ensure accuracy and reliability

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3
Q

what are examples of benchmarking

A
  • reference point
  • seeking best practices to imitate
  • done willingly
  • productivity and cost
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4
Q

what does CLSI stand for

A

clinical and laboratory standards institute

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5
Q

what does NCCLS stand for

A

national committee for clinical laboratory standards

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6
Q

what is the CLSI vision

A

leader in clinical and lab standards to improve quality of care

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7
Q

what is CLSI mission

A

develop best practice in lab in the wold

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8
Q

what is CLSI values

A

excellence, responsiveness, inclusiveness, fairness

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9
Q

what is ATCC and what do they do

A

american type culture collection

  • global supply of standard strains of typical morphs and biochem characteristics
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10
Q

what are the routine schedule components of a QC program

A

mechanical
media
reagents
antisera
antimicrobial disksw

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11
Q

when should incubators and fridges be cleaned inside

A

every 3 months

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12
Q

when should freezers be defrosted

A

every 6 months

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13
Q

where are chemical indicators seen

A

monitoring temperature and pressure of autoclaves

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14
Q

when should biological spore strips be performed on autoclaves

A

every month

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15
Q

what are the chemical controls in anaerobe/CO2 conditions

A

methylene blue for CO2
resazurin for anaerobes
fyrite CO2 testing

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16
Q

what are biological controls in anaerobic and CO2 conditions

A

Clostridium haemol - strict anaerobe
Neisseria gonnorrh - needs CO2
Campy jejuni - microaerophilic

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17
Q

how many plates undergo sterility testing

A

2-5% of final product are test plates for sterility

<100 plates received = all plates tested for sterility

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18
Q

what is sterility testing

A

media is placed in temperatures for 24 hours when those temperatures are needed for testing

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19
Q

how is pH of plates tested

A

surface electrodes or macerate the media and test at RT

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20
Q

does the pH get affected by sterilization T/F

A

T

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21
Q

what is performance testing for plates

A

nutrient quality and reliability using heavy inoculum

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22
Q

what are macroscopic tests for media before use

A

clairty and color
moisture free
no signs of dryness

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23
Q

how should reagents be stored

A

closed brown or opaque containers
-20 to 20 degrees

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24
Q

how long is short term storage for antimicrobial disks

A

1 week

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25
where are long term antimicrobial disks stored
in freezer
26
what is required for each antimicrobial kit and why
desiccant to prevent moisture
27
how does an internal proficiency testing work
supervisor introduces unknown specimens to regulate the workflow and check for errors
28
purpose of internal proficiency testing
check sensitivity of routine methods to detect pathogens and staff ability to isolate
29
how does external proficiency testing work
rare and unusual samples received from outside associations are run and then compared by supervisors
30
what is the purpose of external proficiency testing
determines lab ability to ID difficult organisms - accuracy
31
who is the source of stock cultures
American type culture collection (ATCC)
32
how is semi stock cultures prepared
1. lyophilized vial is subbed to media. 2. second subbing is inoculated to freezer vials. 3. new vial of same organism removed to prevent repeated thawing and freezing (prevent mutations)
33
what should semi stock media should not contain and why
no sugars organisms will use sugars while maintained and acids produced can kill organisms over time
34
examples of semi stock media
glycerol skim milk chopped meat - for anaerobes tryptic soy sugar cysteine tryptic agar withOUT carbs
35
what should organisms in freezer temp be
-70 to -80 C or use liquid nitrogen and lyophilisation
36
what are working cultures
every month, fresh subculture from frozen stock is used on appropriate media
37
QC for ALA (porphyrin)
H parainfluenzae pos H influenzae neg
38
QC for oxidase
pseudo and neisseria pos e coli neg
39
QC for DNase
pos: staph aureus serratia m cat steno neg: other staph sp. other enterobac other moraxel other NFB
40
QC for TSB at 42
pseudo aeru pos pseudo fluor or putida neg
41
QC for ONPG
shigella sonnei pos other shigella for neg
42
QC for Butyrate disk
m cat pos Neisseria gonorrh neg
43
QC for BCSA
burk pos steno neg
44
QC for BCYE
legionella pos NFB neg
45
QC for PYR
Ent or strep pyo for pos strep bovis or agal for neg
46
QC for spot indole
E coli pos Proteus mirabilis neg
47
QC for HEK
Salmonella pos (blk) E coli neg (ng or yellow)
48
QC for salmonella shigella (SS)
shigella sp pos (clear/wh) ECOLI *** (ng)
49
QC for catalase
staph aur pos Ent weak pos Strep pyo neg
50
what guidelines are used in antimicrobials
pharmacodynamics guidelines
51
what antimicrobials belong to the Aminoglycosides class
Amkikacin Gentamicin Tobramycin
52
what antimicrobials belong to the Glycopepties class
Vancomycin
53
what antimicrobials belong to the Quinolines class
Naladixic Acid
54
what antimicrobials belong to the Macrolides class
Erythromycin
55
what antimicrobials belong to the Cephalosporin class
Cefuroxime Cephalothin
56
what antimicrobials belong to the Fluoroquinalones
Ciprofloxacin
57
what antimicrobials belong to the Beta Lactams class
Meropenem Amipicillin
58
what antimicrobials belong to the Sulfonamide
Co trimoxazole
59
what antimicrobials belong to the Lincosamides
Clindamycin
60
what antimicrobials belong to the Thienamycin
Imipenem
61
MOA of bacterial cell wall syntyhesis
inhibit synthesis of peptidoglycan wall
62
class of bacterial cell wall synthesis
glycopeptides beta lactams
63
MOA of protein synthesis
Inhibit 30S or 50S ribosomal subunit
64
Class ofprotein synthesis
aminoglycosides tetracycline macrolides lincosamide stretogramins
65
MOA of DNA and RNA synthesis
inhibit DNA/RNA replication
66
class of DNA and RNA synthesis
quinolones fluoroquinolones
67
MOA of metabolic pathways
inhibit folic acid production
68
class of metabolic pathways
sulforamides
69
MOA of cell membrane integrity
detergents of phospholipids in cell membrane to increase permeability (GNB affected)
70
class of cell membrane integrity
polymixins colistins
71
SPICE group consists of?
Serratia Providenicia Indole pos Proteus Citrobacter Enterobacteraciaes
72
significance of SPICE group
quickly develops resistance to antibiotics
73
Mechanism, Detection, and Organism of MRSA
MecA-PBP2 altered Chromagar / Cefoxitin S. aureus
74
Mechanism, Detection, and Organism of VRE
VanA + VanB gene Vancomycin E test E. faecium
75
Mechanism, Detection of VISA/VRSA
VISA - thicken cell wall VRSA - VanA from VRE Vancomycin E test
76
Mechanism, Detection, and Organism of B Lactamase
Class A - basic penicillinase Cefimase or nitrocefen H. Influenze, neisseria, M Cat
77
Mechanism, Detection, and Organism of ESBL
Class A penicillinase ESBL disk E coli
78
Mechanism, Detection, and Organism of MBL
Class B - zinc required MAST disc (no b-lactmase) CPO organism
79
Mechanism, Detection of MCR
MCR + Enterobac from livestock PCR
80
Mechanism, Detection, and Organism of inducible clindamycin resistance
erm gene Erythro = I/R and clindamycin = S S. aureus