ch 15 Flashcards
3 major categories of microbial identification techniques
phenotypic: what is actually expressed
genotypic: rna/dna (genes)
immunologic: analysis of antibodies/antigens
point of care testing
testing given at the bedside so continuous care can be ensured
CT, MRI
general collection procedures (skin, urine, fluids, sputum)
skin: swabbed, scrapped
urine: catherer, urine
fluids: sterile needle aspiration
sputum: discharged by coughing
3 different test that fall in indentification category
gram stain, biochemical testing, isolation media
benefits of direct gram stain
reveal if bacteria is present ( methods of determin microbial characteristics
test that differentiates staph and strep
catalase
clinical significance
Clinically important or if it is merely a contaminant or normal biota
2 drawback of phenotypic testing
when microbe is cultured it takes 18-24 hours
many infectious conditions may be caused by nonculturable organisms
serology
study of serous and other samples for presence of specific antibodies
principle
antibodies have extreme specificity for antigens
agglutination
antigens are whole cells or organism
precipitation
antigen examined is a soluble molecule
antibody titer test acute vs chronic
acute: lgm
chronic: lgg
direct vs indirect immunofluorescence test
direct: antigen detection
indirection: antibody detection
pcr
resutls in the production of numerous identical copies of dna or rna