Clinical Microbiological Testing Methods Flashcards

Understand the need for identification and susceptibility testing in bacterial infections. Differentiate the types of identification methods/systems – Pros and Cons. Differentiate the types of susceptibility testing methods/systems – Pros and Cons. Understand the clinical importance and implications of identification and susceptibility testing for both the physician and patient.

1
Q

What is a antibiotic sensitivity test?

A

A laboratory test which determines how effective antibiotic therapy MIGHT BE against a bacterial infection.

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2
Q

What are the biochemical ways to detect a bacteria?

A
  1. Catalase
  2. Oxidase
  3. Coagulase
  4. Analytical Profile Index kit
  5. VITEK 2
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3
Q

What does the catalase test do?

A

Differentiates between Staph and Strep

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4
Q

What does the oxidase test do?

A

Differentiates between Pseudomonas and E. coli

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5
Q

What does the coagulase test do?

A

Differentiates between S. aureus and S. epidermidis

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6
Q

When gram staining, what component attaches to the G+ organisms?

A

Purple crystal stain

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7
Q

When gram staining, what component attaches to the G- organisms?

A

Pink safranin counterstain

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8
Q

What is the order of gram staining?

A

Purple stain, iodine, alcohol, then pink safranin

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9
Q

What is the purpose of iodine in gram staining?

A

Acts as an morbant

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10
Q

What is the purpose of alcohol in gram staining?

A

Decolorization

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11
Q

What is the purpose of the Eosin-methylene blue (EMB)

test?

A

Differentiates lactose fermenters (E. coli) from non-fermenters

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12
Q

What is the purpose of the MacConkey agar test?

A

Used for the isolation of gram-negative enteric bacteria and the differentiation of lactose fermenting from lactose non-fermenting gram-negative bacteria

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13
Q

The use of MALDI-TOF MS identifies bacteria in what way?

A

Phenotypically

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14
Q

The use of DNA capillary electrophoresis identifies bacteria in what way?

A

Genotypically

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15
Q

What does the zone of inhibition reflect?

A

Susceptibility of bacterium to the antibiotic

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16
Q

Who has established standards for laboratory testing of bacteria and antibiotics involving methods, controls, and the designations susceptible, intermediate, and resistant

A

Clinical Laboratory and Standards Institute (CLSI)

17
Q

Zones of inhibition correlate with what?

A

Sensitivity or Resistance of the antibiotic tested

18
Q

What is an alternative measure of susceptibility?

A

Determine MIC + Minimum bactericidal concentration (MBC)

19
Q

When are MBCs used?

A

Differentiate static from cidal antibiotics

20
Q

Why are MICs important for diagnostic laboratories?

A

Confirm resistance of microorganisms to an antimicrobial agent

21
Q

But wait, what is MIC?

A

Lowest concentration of an antimicrobial that will inhibit the VISIBLE growth of a microorganism after a overnight incubation