Diagnostic Micro Flashcards
Gram stains are important because
It gives the relative abundance - double checks that everything grew
Diagnostic Microbiology is focused on the study of what?
Bacterial pathogens
What is purulence?
Pus
How are gram stains used as a diagnostic tool from a primary sample?
Confirm physician suspicion of etiology of infection
Aid in correct antibiotic selection
Screen adequacy of specimen
Identify cellular components & debris of inflammation
Presumptive diagnosis
What are some examples of primary cultures?
Smears from swabs
Smears from thick liquids
Smears from thick mucoid material
Smears from thin fluids
What is the cytospin used for?
Thin fluids with low cellularity
What does the cytospin do?
Maximize cell recovery from a liquid & deposit the sediment on a slide
How do you make a smear from a plate?
Emulsify material in a drop of water on a slide
What does PMN stand for?
Poly morphonuclear leukocytes
What is an example of contaminatin of a sample?
Epithelial cells
What is quality control?
When known positive & negatives are stained
Direct gram stain from primary sample better match what grows on the plates - internal control
Is there a larger peptidoglycan layer in gram-positive or gram-negative bacteria?
Gram-positive
Do endotoxins stain gram positive or negative?
Gram-negative
The peptidoglycan layer consists of what two alternating peptides?
NAG & NAM
The NAG & NAM chains are cross-linked to form a thick network of what?
Peptide bridge connected to the tetra-peptides on the NAM
What are two special acids that are part of gram-positive cell walls?
Teichoic acid & lipo-techoic acid
Are gram-negative cell walls thick or thin?
Thin
What type lipid is an endotoxin?
Lipid A
What is endotoxin responsible for?
Producing fever & shock in patients infected with gram-negative bacteria