Biosafety Flashcards

1
Q

What is the difference between Risk Group & Containment Level?

A

Risk Group: The relative hazard posed by an infectious agent in the lab.

Containment Level: The precautions needed perform a particular technique with a particular agent in order to protect lab workers/public/environment.

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2
Q

What are the requirements for a Containment Level 1 lab?

A

Lab Design:

  • An open benchtop
  • Sink

Equipment:

  • “Standard PPE:”
    • Gloves
    • Lab coat
    • Eye protection

Practices:

  • “Standard microbiological practices:”
    • Avoid splashes + aerosols.
    • Safe sharps handling.
    • Mechanical pipetting.
    • Decontaminate work surfaces.
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3
Q

What are the requirements for a Containment Level 2 lab?

A

Lab Design:

  • Biohaz signs
  • Autoclave

Equipment:

  • BSC I or II

Practices:

  • Limited access
  • Extra sharps precautions
  • Respiratory protection, as required
  • Biosafety manual with policies on decontam + medical surveillance
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4
Q

What are the requirements for a Containment Level 3 lab?

A

Lab Design:

  • Physically separated from the main access corridors.
  • Double doors, self-closing.
  • NEGATIVE pressure airflow into the lab.
  • Do not recycle lab exhaust air.

Equipment:

  • Respiratory protection as needed.

Practices:

  • Controlled access.
  • Decontaminate waste + clothes.
  • Store serum specimens of lab personnel.
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5
Q

What are the requirements for a Containment Level 4 lab?

A

Lab Design:

  • In a separate building, or an isolated zone.
  • Dedicated air supply+exhaust vacuum, and a decontamination system.
  • UV light rooms, + autonomous systems to detect + destroy pathogens.

Equipment:

  • BSC III,orNSC I/II plusfull-body positive-pressure personnel suit with its own air supply.

Practices:

  • Change clothes before entering.
  • Shower + decontaminate all material on exit.
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6
Q

Name 5 Risk Group 3 organisms

A
  • Bacillus anthracis
  • Brucella
  • Burkholderia (pseudo)mallei
  • Botulinum toxin
  • Chlamydia psittaci (avian strains)
  • Francisella tularensis (type A)
  • MTB/M. bovis (non-BCG)
  • Pasteurella multocida
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7
Q

What Risk Group is Bacillus anthracis?

A

RG3

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8
Q

What Risk Group is Brucella?

A

RG3

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9
Q

What Risk Group is Burkholderia mallei/B.pseudomallei?

A

RG3

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10
Q

What Risk Group is Clostridium botulinum?

A

RG3

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11
Q

What Risk Group is Chlamydophila psittaci?

A

RG3, for avian strains.

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12
Q

What Risk Group is Francisella tularensis?

A

RG3

(type A) {}

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13
Q

What Risk Group is Mycobacterium tuberculosis?

A

RG3

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14
Q

What Risk Group is Mycobacterium bovis?

A

RG3

(non-BCG)

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15
Q

What Risk Group is Pasteurella multocida?

A

RG3

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16
Q

What Risk Group is Yersinia pestis?

A

RG3

17
Q

What Risk Group are Blastomyces spp?

A

RG3

18
Q

What Risk Group are Histoplasma spp?

A

RG3

19
Q

What Risk Group are Coccidioides spp?

A

RG3

20
Q

What organisms is Brucella frequently mis-identified as by automated ID?

A
  • Psychrobacter phenylpyruvicus (prev. Moraxella ~).
  • Oligella ureolytica
  • Ochrobactrum anthropi
21
Q

Lab precautions for working with dimorphic fungi

A

In 2009, Coccidioides was reported as the #10 most frequently reported LAI (Singh 2009 CID 49:142).

They are RG3 pathogens, so need Level 3 precautions, e.g.:Work in BSC-ve airflow into labExhaust air not recirculated

Specific for dimorphic fungi:Mould isolates are handled within a BSC to prevent spread of conidia to the lab envt + to protect lab personnelGrow on slants rather than on petri plates

Do not do slide cx’s (wet mounts will show the identifying characteristics)

Careful with MALDI, this is a potential biosafety issue. (And must be sure the organisms are in the db you’re using)

For Coccidioides in particular:

Cocci grown in lab cx (and arthroconidia) are highly infectious, therefore also:Submerge tubed growth under sterile water before handling

22
Q

How can we monitor TB transmission to HCWs/lab staff?

A

Lab workers and HCWs receive annual TSTs to ensure early dx of LTBIs so that treatment can be provided ASAP.