Bacteriology Flashcards
Number of bacterial morphology
4
Unit of measurement for bacteria
Micrometer (microns)
Unique component of the outer membrane of Gram-negative bacteria
Lipopolysaccharides
They grow in the absence of O2 and obtain O2 from O2 containing compounds
Anaerobes
Term used to denote “cold-loving” bacteria
Psychrophile / Cryophile
Nutrient media is made of extracts of _____ & _____
Meats & soybeans
Proper manner of dispensing culture media
Weigh agar
Dissolve agar in flask
Sterilize
Dispense into petri dish
To dissolve the agar powder, pour half the amount of _____ in a vessel, then the _____ powder, then pour the rest of the _____
Water - agar - water
Type of water used in preparing culture media
Deionized / Distilled water
How to determine if an agar is completely dissolved?
Should be CLEAR (no particles)
Phenylethylalcohol is added on certain media to inhibit
Gram (-) bacteria
Why would thioglycollate broth be boiled for 10 minutes before being used?
To drive off oxygen
In thioglycollate broth, organisms will grow only in the part where _____ concentration meets their needs
Oxygen
__________ grow at the TOP of thioglycollate broth
Obligate aerobes
__________ grow NEAR THE TOP of thioglycollate broth
Microaerophiles
__________ grow at the BOTTOM of thioglycollate broth
Obligate anaerobes
__________ & __________ grow in the ENTIRE thioglycollate broth
Facultative anaerobes & Aerotolerant anaerobes
Added to the culture medium to tubes to provide and maintain an anaerobic environment
Mineral oil
Composition of blood agar
Nutrient agar + 5% sheep blood
How is chocolate agar prepared
Applying heat to blood agar to lyse RBC’s
Thayer-Martin medium is basically an __________ agar
Enriched chocolate agar
Clear medium for mycobacteria
Middlebrook 7H10 / 7H11
Component in SDA that is used as energy source
Dextrose
To make agar selective for fungi, what should be added on the medium?
Antibiotics + cycloheximide
Ideally, specimens should be transported to the laboratory within ___ hours of collection
2 hours
Suitable transport medium for bacteria and viruses
Stuart’s medium
Indicates that Cary-Blair medium has reached an acidic pH and cannot be used
Indicator become YELLOW
True or false: Some viruses in urine, CSF, or blood can be transported in the specimen ITSELF
True
Inhibitor used in mannitol salt agar
7.5% NaCl
Purpose of reducing agent in a medium
Prevents oxidation
Function of tellurite
Inhibit normal flora
Inhibitor used in Salmonella-Shigella agar
Bile salts, brilliant green
Indicator used in XLD agar
Phenol red
H2S production, other than in TSI agar, requires an organic source of _____ and a source of_____
Sulfur; metal
Most commonly used inoculation method to isolate desirable bacteria
Streaking method
No. of quadrants on a culture medium streaked for stool culture
4
What is the reason for flaming the inoculation wire loop
To sterilize
Contained volume of inoculating loop
10 uL or 1 uL
(0.01 or 0.001 mL)
Contained volume of inoculating loop for urine cultures
1 uL
Dilution factor if 1 uL loop is used
1000
Dilution factor if 10uL loop is used
100
McFarland standard is used to
Adjust turbidity of inoculum
0.5 mL 1.175% BaCl2 + 99.5 mL 1% H2SO4 is a standard composition of
0.5 McFarland
pH of Mueller Hinton agar for antimicrobial susceptibility testing
7.2 to 7.4
After inoculation, how long should the Mueller-Hinton plates dry before adding the disks?
Within 15 minutes
Agar plates should be kept _____ whenever possible to prevent water from dripping into the agar surface
Inverted / Upside down
In Quebec colony counter, the colonies are presented against _____ background
Dark
In MH agar, what can cause increase resistance of P. aeruginosa to aminoglycosides?
Increased Ca and Mg
Effect of NON-DILUTED bacterial inoculum to antimicrobial susceptibility testing
False resistant (heavy inoculum)
Effect of TOO MUCH MOISTURE to antimicrobial susceptibility testing
Smaller zone
A zone within a zone of inhibition is caused by
Swarming phenomenon
What to do if swarming organisms produces zone in an antimicrobial susceptibility testing?
Ignore swarming
To isolate an organism from a liquid specimen, what method is used?
Pour plate
In the pour-plate method, how does amount of agar added affect the dilution?
Dilution is not affected
Filiform, echinulate, beaded, effuse, arborescent, and rhizoid are types of growth on
Agar slant
Most common method for determination of antimicrobial susceptibility testing
Kirby Bauer disk diffusion
It is the lowest concentration of antibiotic that INHIBITS microbial growth
Minimum inhibitory concentration
It is the lowest concentration of antibiotic that KILLS 99.9% of bacteria
Minimum bactericidal concentration
The zone diameter of inhibition is _____ related to the minimum inhibitory concentration (MIC)
Inversely
Used to measure the zone diameter of inhibition
Ruler / Caliper
Most commonly used AUTOMATED instrument for antimicrobial susceptibility testing
Vitek 2
Resistant that resulted in the organism being resistant to an antibiotic
Biological resistance
Resistance wherein the antibiotic is no longer effective for clinical use
Clinical resistance
It has series of antibiotic concentrations for determining antimicrobial susceptibility in a broth
Broth dilution
It provides homogenous atmosphere to bring culture up to optimal conditions faster
Smart incubator
Incubator should be set at _____ to meet the temperature of most human pathogens
35C
Phase where bacterial cells INCREASE IN SIZE but not in number
Lag phase
Capnophilic organisms require how much CO2?
5-10%
It can be used as an alternative to anaerobic jar
Candle jar
Primary use of candle jar
Create atmosphere with approximately 3% CO2
% of gases in a microaerophile environment
5% O2; 10% CO2; 85% N2
% of gases in an anaerobic environment
5% CO2; 10% H2; 85% N2
Most common failure concerning GasPak jar
Inactivated catalyst
Smears of CSF are prepared from
CSF sediment
Correct order in Gram Staining
Crystal violet
Iodine
Alcohol
Safranin
Purpose of mordant in gram staining
Dye fixative
Most critical step in gram staining
Decolorization
Differentiation of Gram staining occurs during _____
Decolorization
Safranin is replaced by 0.1% fuschin to better visualize
Legionella spp.
Mordant used in Zeil-Neelsen acid fast stain procedure
Heat
Acid-fast stain that does not use heat as a mordant
Kinyoun stain
Difference between modified acid fast stain and regular acid fast stain
Weaker decolorizer
Stain retained by acid fast organism
Carbolfuchsin
Color of AFB
Pink / red
Color of non-AFB
Blue
Precaution to treat all human blood and other body fluids as potentially infectious
Standard precaution
Precaution to all human blood and all other body fluids containing visible blood
Universal precaution
DONNING
Gown
Mask
Goggles
Gloves
DOFFING
Gloves
Goggles
Gown
Mask
Check the face velocity of safety cabinets every
Month
Setting of RPMs on face of rheostat control on centrifuge is checked every
Month
Mask protects an individual from
Droplet nuclei
Respirator in the lab must have _____ if engineering controls are not feasible
HEPA filter
For the N95 respirator to be an effective barrier, it is essential that is is __________, yet comfortably on the face
Snug fit
Chain of infection requires a continuous link between
Source, mode of transmission, susceptible host
6 component (chain of infection)
Infectious Agent
Reservoir
Portal of Exit
Mode of Transmission
Portal of Entry
Susceptible Host
TRUE OR FALSE: Modes of infection transmission include direct contact, inhalation, ingestion and animal or insect vector bite
True
Parenteral inoculations, spills and splashes, ingestions, and inhalation of aerosols are the __________ of laboratory acquired infections
Major routes
__________ of microorganisms may result from needlestick, broken glass, animal bites and scratches on fingers
Direct inoculation
Generally, bacteria are attracted to a _____ environment
Moist
Safest method of sterilization
Autoclave
QC for autoclave; it dies after autoclave sterilization
Bacillus stearothermophilus
QC for dry heat oven
Bacillus subtilis var. niger
Morphology or B. Stearothermophilus used as an indicator of autoclave sterilization
Spores
Autoclave sterilization is based upon moist heat at ___ C under ___ psi for ___ minutes
121C under 15 psi for 15 mins
It is a fumigant used for COLD STERILIZATION of surgical instruments
Ethylene oxide
Disinfectant for machines that cannot be autoclaved or heated
Ethylene oxide
Term for “hospital acquired”
Nosocomial
Process of killing all pathogenic organisms but NOT bacterial spores
Disinfection
Process of killing all microorganisms INCLUDING highly resistance bacterial SPORES
Sterilization
Most effective method of sterilization
Autoclave
Surface disinfectant used for biosafety cabinets
10% bleach / Sodium hypochlorite solution
If chlorox is not available in the laboratory, what can be used as a substitute
Vinegar
Quarternary ammonium disinfectants are easily inactivated by
Organic material
Number of bacteria of Grade A milk BEFORE pasteurization
75,000/mL
Number of bacteria of Grade A milk AFTER pasteurization
15,000/ mL
Certified milk contains _____ or less bacteria per mL
10,000
Boiling is (sporicidal or non-sopicidal)
Non-sporicidal
Term that means safe to drink and safe to use for cooking
Potable
Concentration of H2O2 used for cleansing wounds
3% to 6%
Iodine in alcohol
Tincture of iodine
Iodophores are composed of iodine and _____
Detergents
_____ specimen may be used in blood cultures because it PREVENTS PHAGOCYTOSIS and NEUTRALIZES bactericidal effect of serum
SPS
Least responsible in specimen collection
Intern