What would you put up for...? Flashcards

1
Q

What would you put up for all sputa samples? (4)

A

Blood agar + optochin
Chocolate + C30
Chocolate dilution plate
1/4 Candida Chromagar

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2
Q

What would you put up for a BAL sample? (6)

A

Blood + optochin
Chocolate + C30 (NO DILUTION PLATE)
MacConkey
Full Candida chromagar
PDA slope

TB reflex testing

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3
Q

What would you put up for a sputa from a lung transplant patient? (8)

A

Blood + optochin
Chocolate + C30
Chocolate dilution plate
Own Candida plate
CxSA
CxMRSA
FAA + Metronidazole for anaerobes
Burkholderia plate

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4
Q

What would you put up for a lung transplant BAL? (10)

A

Blood + optochin
Chocolate + C30 (No dilution)
MacConkey
Own Candida
CxSA
CxMRSA
FAA + Metronidazole
Burkholderia Cepacia
PDA slope (5 days)

Lateral flow for aspergillus

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5
Q

What would you put up for an EBUS sample? (6)

A

Blood + optochin
Chocolate + C30
Dilution
1/4 Candida
FAA + metronidazole

TB testing (added on)

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6
Q

What would you put up for a Cystic fibrosis sputa sample?

A

Blood + optochin
Chocolate + C30
Chocolate dilution
1/4 Candida
CxSa
CxMRSA
Burkholderia Cepacia

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7
Q

What would you put up for a sputa sample of a COPD patient?

A

Blood + optochin
Chocolate + C30
Chocolate dilution
MacConkey
Candida chromagar
PDA slope

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8
Q

What would you put up for a positive blood culture? (5)

A

Blood + metronidazole (inc anaerobically)
Chocolate (CO2)
MacConkey (aerobic)
Miller Hinton (aerobic)

Gram stain

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9
Q

What direct sens are put up for blood cultures? (6)

A

○ Gram pos:
▪ Fox (MRSA indicater)
▪ Vanc (VRE indicator)
* Only works on gram positives
* If query staph/yeast look at vanc -> candida will grow right up to vanc
* All GNBs intrinsically resitant to vanc
▪ Cip
○ Gram neg
▪ TZP
▪ Aug
CPD (ESBL indicater)

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10
Q

What would you put up for a CSF?
(3)

A

Blood
Chocolate

Film array -> no gram

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11
Q

What plates are put up for swabs/wounds?

A

Blood + C30 (anerobic)
Chocolate
MacConkey
CxSA
NEO
FAA

If query fungal -> PDA plate

Corneal scrapings -> nutrient agar for acantomoeba

No gram for swabs but there is for tissues

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12
Q

What would you put up for fluids?

A

All = Blood, Choc, MacConkey, CxSA, FAA, NEO

All = Gram stain

Joint fluid might get cooked meat broth

Pleural fluid/joint fluid might get blood cultures

Bile gets a selenite broth

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13
Q

What would you put up a cooked meat broth for?

A

Heart valves, bone infection, small amount of joint fluid

Any infection where there might be very low bacterial numbers

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14
Q

What would you put up for a ?MRSA?

A

MRSA Chromagar
Cefoxitin + Oxacillin + Linezolid discs
VITEK Sens

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15
Q

What would you put up for a VRE?

A

VRE Chromagar
Disc sens = Vancomycin, ampicillin, linezolid, nitro
VITEK Sens

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16
Q

What would you put up for a CPE

A

Flow flex PCR
SuperCarba Chromagar
Resist 5 lateral flow
Ertapenem, Meropenem, Ceftazidime, E-tests

17
Q
A