Diagnostic microbiology Flashcards
Open wound with bluish discoloration
Pseudomonas
Yellowish sputum in cough
Streptococcus
Cough with blood secretion
Mycobacterium
Methods used to identify bacteria to the level of genus and species
Phenotypic
Immunologic
Genotypic
Phenotypic methods
Microscopic
Macroscopic
Physio/biochem
Chemical
Microscopic morphology
Cell shape and size
Gram stain rxn
Acid fast rxn
Special structures
Macroscopic morphology
Colony appearance
Speed of growth
Pattern of growth
Green metallic sheen
E. Coli
Speed of growth
Fastidious
Rapid
Pattern of growth
Linear
Accelerating
Physiological or biochemical characteristics
Presence if specific enzymes
Nutritional metabolic activities
Chemical analysis
specific structural substances
Advantage of genotypic over phenotypic
Culturing the microorganism is not always necessary
Antibody response to an antigen
Immunologic method
Rules in specimen collection
Adequate quantity
Sample represents the infectious process
Avoid contamination by using aseptic technique
Take specimen to the lab and exam promptly
Secure meaningful specimens before antimicrobial drugs are administered
Sources of material
Saliva Sputum Blood Urinary excretions Nasopharyngeal swabbing Csf Feces Vaginal swab Penile discharge
Microscopic testing
Gram stain
Acid fast
FAb stain
Gene probes
Macroscopic testing
Direct antigen
Gene probes
Test for isolates
Biochemical Stereotyping Antimicrobic sensitivity Gene probes Phage typing Animal incoulation
Lab techniques for patients
Immunologic
Serological test
In vivo reaction
Clinical signs and symptoms
Acid or gas formation
Carbohydrate fermentation
Miscellaneous tests
Phage typing
Animal inoculation
Antimicrobial sensitivity
Detecting single strains of bacteria
Phage typing
Based on the specificity of phage surface receptor for cell surface receptor
Bacteriophage typing
Viruses that infect bacteria
Bacteriophages
Used to identify different strains of bacteria within a single species
Phage typing
Establishment of an antimicrobial gradient in an agar medium to determine susceptibility
Antimicrobial gradient method
Broad classification of bacteria
Gram staining
Based in the composition of cell wall
Gram staining
Reagents for gram staining
Crystal violet
Grams iodine
95% ethyl alcohol
Grams safranin
Primary dye
Crystal violet
Mordant
Grams iodine
Decolorizer
95% ethyl alcohol
Counterstain
Safranin
Makes bacteria different to kill
Endospores
Identify presence or absence if endospores
Endospore staining
Example of endospore-forming bacterial pathogen
Clostridium difficile
Stain species of m. Tuberculosis
Ziehl neelsen stain
Stains used in ziehl neelsen stain
Carbol fuchsin
Methylene blue
Stains the bacteria red
Carbol fuchsin
Used to examine thin sections of tissue
H&E staining
Stains nuclei blue
Hematoxylin
Stains cytoplasm, connective tissue, and other extracellular substances pink or red
Papanicolaou staining
Frequently used to stain pap smear specimens
Papanicolaou staining
Used to ,ark carbohydrates
Periodic acid schiff staining
Distinguish different types of glycogen storage diseases
Periodic acid schiff staining
3 color staining protocol
Massons trichome
Distinguish cells from surrounding tissue
Massons trichome
Red keratin
Muscle fibers
Blue or green
Collagen and bone
Light red or pink
Cytoplasm
Black
Cell nuclei
Combination of eosinate and methylene blue
Romanowsky stains
Examine blood or bone marrow samples
Romanowsky stains
Preferred over H&E for inspection of blood cells
Romanowsky stain
Detect blood-borne parasites
Romanowsky stain
Show proteins and dna
Silver staining
Used to show both substances inside and outside cells
Silver staining
Used to determine the level of fecal fat to diagnose steatorrhea
Sudan staining
Staining true endospores using malachite green dye
Conklin’s staining
The most sensitive fluorescent stains for mycobacteria
Auramine-rhodamine
Used for confirmation of positive fluorescent stain
Ziehl neelsen stain
Other name for ziehl neelsen stain
Kinyoun stain
Nucleic acid selective fluorescent cationic dye
Acridine orange
Useful for cell cycle determination
Acridine orange
Imparts yellow color to acid mucins
Bismarck brown
Manchester brown
Intense red dye to stain glycogen
Carmine
Non specific staining of proteins
Blue color
Used in gel electrophoresis
Coomassie blue
Brilliant blue
Stains acidic components of neutralcytoplasm specifically nissl bodies
Cresyl violet
Used in brain research
Cresyl violet
Stains cell wall purple
Used in gram staining
Crystal violet
Fluorescent nuclear stain excited by UV light
Strong blue fluorescence when bound to DNA
Dapi
For cell counting
Dapi
Counterstain to hematoxylin
Pink or red color to cytoplasmic material, cell membranes and extracellular structures
Eosin
Intercalates and stains dna
Fluorescent red-orange stain
Ethidium bromide
Identify cells that are in the final stages of apoptosis
Ethidium bromide
Stain collagen, smooth muscle or mitochondria
Acid fuchsine
Indicator for starch
Iodine
Blue green counterstain to safranin in the gimeneZ staining technique
Malachite green
Diamond green B
Victoria green B
Dye the chromatin cells
Methyl green
Stain animal cells to make their nuclei more observable
Methylene blue
Stain blood film
Methylene blue
Stains nissl substance red
Neutral red
Toluene red
Stains nuclei blue
Used with living cells
Nile blue
Formed by boiling nile blue with sulfuric acid
Nile red
Nile blue oxazone
Lipophilic stain that accumulate in lipid globules inside cells, staining them red
Nile red
Nile blue oxazone
Used in optical microscopy to stain lipids
Osmium tetraoxide
Protein specific fluorescent stain
Rhodamine
Nuclear stain
Produces red nuclei
Counter staim
Give yellow color to collagen
Safranin
Bacillus
Single
Chains
Coccus
Singles Pairs Chains Packets Cluster
Spore forming bacteria
Bacillus
Clostridium
Non spore forming
Corynebacterium
Actinomyces
Types of motility
Swarming
Tumbling
Darting
Gliding
Rapid coordinated translocation
Swarming
Ex. Of microorg with swarming motility
Proteus Pseudomonas Bacillus Salmonella Serratia
Microorg with tumbling motility
Listeria
Microorg with darting motility
Helicobacter
Non flagellar motility
Gliding motility
Genotypic methods
Dna analysis using probes
Nucleic acid sequencing and ribosomal rna analysis
Polymerase chain reaction
Nucleic acid hybridization
Nucleic acid probes (DNA Probe)
Detects for specific dna sequence
Hybridization
Comparison of the sequence of nitrogen based on the rRNA
Nucleic acid sequencing and rrna analysis
Effective for differentiating general group differences
Nucleic acid sequencing and rrna analysis
Rapid identification of pathogen
Polymerase chain reaction
In vitro testing of the serum
Serology
Strategies of immune testing
Agglutination Precipitation Immunity infusion Complement fixation Fluorescence antibody test Amino acid test
Sensitivity
True positive rate
Specificity
True negative rate
Series of serial dilution used to reduce a dense culture of cells to a more usable concentration
Serial dilution
Antigens are whole cells
Agglutination
Antigen is a soluble molecule
Precipitation
Antibodies cross link to the antigens to form visible clumps
Agglutination testing
Determine ABO and Rh blood types
Agglutination testing
Diagnosing salmonellosis and undulant fever
Widal test
Test for antibodies to syphillis
Rapid plasma reagin test
Diagnose sicketsial infection
Weil felix reaction
Tiny latex beads with antigens affixed
Latex agglutination test
Precipitation test for diagnosis of syphillis
Vdrl test
Precipitation test for antibody testing amd hemoglobin hereptophoresis
Immunoelectriphoresis
Detecting proteins
Western blot
Electrophoretic separation of proteins
Immunoassay
Western blot
Used for detection of hiv
Western blot
Difference between hiv and aids
Hiv - only infected with the virus
Aids - susceptible to opportunistic infections
Antibody requires complement to complete the lysis of its antigenic target cell
Lysin or cytolysin
Misc serological test
Tpi
Toxin neutralization
Serotyping
Quellung test
For encapsulated microorganism
Quellung test
Fluorescent direct testing
Unknown test specimen
Fluorescent antibody solution of unknown composition
Fluorescent indirect testing
Fluorescent antibodies
Fc region of another antibody
Permit rapid and accurate measurement of trace antigen or antibody
Immunoassays
Pinpoint minute amounts of a corresponding antigen or antibody
Radioimmunoassay
For autoimmune diseaseffecting goiter
Radioimmunosorbent test
Immunoassays
Radioimmunoassay
Radioimmunosorbent
Radioallergosorbent
Color tracer for antigen antibody reactions
Elisa
Done for cases of hiv
More general
Antigen-antibody reaction
Direct elisa
Primary screening test for diagnosis of hiv-1 infection
Elisa
Test that differentiate tcells from bcells
Rosette formation
First method of diagnosis of disease
History & PE