Baby - Micro Flashcards
Chain of infection
6 components
Shaeffer-Fulton stain
Used for Spores
Acridine orange
Stains Nucleic Acids
Fungal elements with acridine orange
Fluoresce green
Trypticase Soy Broth (TSB)
Used for subcultures Contains soybean and casein Uses sodium chloride for osmotic stability contains glucose as fermentable CHO contains dipotassium phosphate as buffer
Thioglycollate broth
Casein, soy broth, glucose
supports growth of anaerobes, aerobes, microaerophilic and fastidious organisms
Thioglycollate broth boiled for 10 minutes
To drive off oxygen
Todd-Hewitt broth
Selection and enrichment for S. agalactiae in female genital specimens
MacConkey agar
Most frequently used primary selective and differential agar; Contains crystal violet dye to inhibit g(+) bacteria and fungi
Culture media sterilization
Autoclave sterilization, membrane filtration
Methods that directly measure antimicrobial activity
- in board exams 1,2,3
Broth dilution, agar dilution, disk diffusion
Incubation for disk diffusion method
Incubation is at 35°C in air but increased CO2 is used when testing certain fastidious bacteria; incubation time may be increased beyond 16 hours to enhance detection of certain resistance patterns
CLSI performance standard for antimicrobial disk susceptibility
Susceptible, intermediate and resistant, definitions same as those for dilution methods
Automated antimicrobial susceptibility test systems
- Vitek
- WalkAway system
- Pheonix system
Advance Expert System (AES) software (in VITEK)
A category interpretation is assigned, and organisms antimicrobial resistance patterns are reported
_______ is an antimicrobial agent and is not an antibiotic because it is not produced by a microorganism
Sulfanilamide
Methods for testing production of beta-lactamase
- Chromogenic cephalosphorin method
- Acidometric method
- Iodometric method
Positive for the beta-lactamase chromogenic cephalosporin method
Color change
Half a dose of antibiotic to disappear from the blood
Half-life
Acid-fast stained smear
1000x magnification (OIO is 100x while the ocular has 10x magnification) for 300 fields
AFB is red
Background is blue or blue-green
Grade A milk
Bacterial count 75,000 per mL when raw and will not exceed 15,000 bacteria per mL once pasteurized
Milk borne disease for human
B. anthracis
Milk borne disease for cow
S. typhi
SPS, 0.025%
Anticoagulant for microbiology
Heparin
Commonly used especially for viral cultures
Type of filter that can give 100% sterility
Millipore (0.22um)
Capsule can be used for
Serotyping by swelling
Staphylococcal protein A
Coagulation
DNase positive
S. aureus
DNase negative
S. epidermidis
Positive control for acetamide test
P. aeruginosa
Positive control for acetate test
E. coli
Incubation for acetamide, acetate test
35°C for up to 7 days
Positive malonate test
Blue
Negative malonate test
Green, yellow
Diagnosis is based on patient history
Primary Amoebic Meningoencephalitis (PAM) Naegleria fowleri
Added to MAC to inhibit g+ fungi
Crystal violet
MR and VP result for Enterobacteriaceae
Opposite
Most common pathogen in throat cultures
Group A Streptococcus
Destroyed by oxygen
Streptolysin O
Bacitracin, 0.04 units
Taxo A, S. pyogenes sensitive
G+ cocci, S to Bacitracin, R to SXT
S. pyogenes
Optochin
Sensitive, zone of inhibition 14 mm or greater
PPNG
Penicillinase-producing gonococci
Inhibitor in Salmonella Shigella Agar (SSA)
Bile salt, brilliant green
Approproate specimen for culturing N. gonorrhoeae
Eyes, rectum, oral cavity
Preferred medium for isolation of Brodetella pertussis
Charcoal-perplexin
Nasopharyngeal swab
*ans. board exams is AOTA
H. influenza, N. meningitides, B. pertussis, MRSA
Clear medium for mycobacteria
Middlebrook 7H11
Selective media suitable for isolation of C. dipthariae
Tinsdale’s, CTBA
Confirm laboratory diagnosis of diphtheria
Demonstrate toxin production
Final diagnosis of diphtheria is made from
Virulence test
Woolsorter’s disease
B. antracis
Confirm laboratory diagnosis of tetanus
Demonstrate toxin production
Antibiotic-associated pseudomembranous colitis and diarrhea
C. difficile
Patientes in the intensive care unit (ICU) who are mechanically ventilated may quickly become colonized with:
P. aeruginosa
Fungi should be incubated
25 to 30°C
Fungal culture be held before reporting as negative
30 days
Temperature for fungi is 30°C, and the suggested incubation time is:
21 days
Candida albincans produces
Blastosphores, chlamydosphores and psedohyphae
Cornmeal agar plus Tween 8- is used to identify Candida albicans through the organisms production of
Chlamydospores
Candida albicans in sterile serum
Germ tube
Macroconidia that are large, multicellular and club-shapred with smooth walls
Epidermophyton floccosum
Farmer’s lungs; Aflatoxin
Aspergillus
Stain in Aman’s medium
Lactophenol cotton blue
Storage of viral specimen
4°C
Transport of viral specimen (several days)
-70°C
Difference of enterovirus from rhinovirus “EAR”
Enterovirus is acid resistant
Rhinovirus is acid sensitive
Specimen collected from a patient with
Stool, throat swab and CSF
Specimen collected from a patient with influenza
Throat swab
Severe Acute Respiratory syndrome (SARS)
RT-PCR, cell culture using the Vero-E6 cell line (CPE: rapid cell rounding, refractivity and detachment)
First intermediate host of flukes
Snail
Second intermediate host of flukes
Crabs, crayfish
Echinostoma ilocanum egg
straw-colored, operculated and ovoid.
Non-operculated egg with small lateral spine
S. japonicum
Non-operculated egg with lateral spine
S. mansoni
Non-operculated egg with terminal spine
S. haematobium
Schistosomal egg recovered in rectal biopsy
S. mansoni, S. japonicum
Schistosomule
Cercaria minus tail
Characterized by an undulating membrane
Trichomonas, Trypanosoma
Vector for African sleeping sickness
Tsetse fly, Glossina sp.
Definitive host of Plasmodium sp.
Anopheles mosquito
Gay bowel syndrome
G. lamblia
Unholy 3/ triad of infection (HAT)
Hookworm, Ascaris, Trichuris
Nematode with parasite with heart to lung migration (ASH)
Ascaris, Strongyloides, Hookworms
Ascaris egg lacking its mammillated coat
Decorticated
First stage larva of intestinal nematodes
Rhabditiform larva
Hermaphroditic
Flukes, tapeworms
First intermediate host of D. latum
copepods
Second intermediate host of D. latum
Fresh water fish
Taenia saginata scolex
4 cuplike suckers, No rostellum
Taenia solium scolex
4 cuplike suckers, armed rostellum
Tree-like, dichotomous uterine branches: 15-20
T. saginata
Finger-like, dendritic branches: 7-12
T. solium
Hexacanth embryo in a radially striated shell
Taenia
Hexacanth embryo that lacks polar filaments
H. diminuta
Stain for Naegleria and Acanthamoeba
H & E, Wright’s
Trophozoites what color with iodine
Iodine destroys trophozoites, nigggaaaahhh
Cytoplasm for protozoan cysts in iodine
Yellow-brown
Chromotoidal bodies of protozoan cysts in iodine
Do not stain, niggaaaaahhh
Trophozoite structures with trichrome stain
Glycogen: colorless
Nucleus: red-purple
Charcot-Leyden crystals: bright red
Chromatoid bodies with trichrome stain
Bright to red
Preservative in trichrome staining
Polyvinyl alcohol
Entamoeba polecki nucleus
One nucleus
Trophozoite with achromatic granules surrounding its karyosomal chromatin
Iodamoeba butschlii
Granulomatous encephalitis
Acanthamoeba
Mistaken for cysts of amoeba
Blastocystis hominis
Found within the reticuloendothelial cells
Leishamania donovani, Histoplasma and Toxoplasma
90% cases of malaria
P. vivax and P. falciparum
Definitive host to Plasmodium
Female Anopheles mosquito
Synchronized rupture of RBC’s every 72 hours
Plasmodium malariae
Parasite associated with AIDS
Cryptosporidium
Preferred blood specimen for blood smear for protozoa
Finger puncture
To detect stipplings, prepare blood fimls
30 min to 1 hour after being drawn
Direct fecal smear, 2 mg stool
0.85% NaCL (NSS)
Kato-thick smear
Cellophane paper soaked in mixture of glycerine and malachite green solution
Definitive diagnosis
Demonstration of the parasite
Presumptive evidence of infection only
Detection of immune response
Basic knowledge of the biology of parasite
Proper procedure can be determined
Study of parasite life cycle
Determines frequency and timing of specimen collection
For quality control when monitoring reagents, how often should reagent disks be checked
When container is first opened and once each week of use
How often should catalase, oxidase and coagulase reagents be tested
Once each day of use and when vial is first opened
Record temperatures of incubators, water baths, heating blocks, refrigerators, freezers and thermometers
At each time of use, at the beginning of each day and at the end of each day
Check the face velocity of safety cabinets each
Month
Settings of RPMS marked on the face of the rheostat control on the centrifuge should be checked once every:
Month
Free chlorine in water sample of swimming pool
Neutralized with sodium thiosulfate
Commonly transmitted in water
Salmonella,. Shigella and Vibrio
Not commonly transmitted in water
Pasteurella
Bacteriological examination of water
Total plate count
MPN* Most probable number
Milk-borne Diseases
Bovine origin or Diseased human handlers