Handling Of Specimens Flashcards
defined as a representative sample of a tissue body fluid or other site that is analyzed in the clinical laboratory
Mas represent the actual infected site and does must be collected from the site of the infection
SPECIMEN
+Use for the removal of residual antibiotics in blood specimens +bcb contains resin that inactivates antibiotics
Antibiotic Removal Device{ARD}
Inadequate specimens should be marked
QNS
Gastroenteritis
Acute/early phase of diagnosis
Viral Meningitis
2-3 days after onnset of symptoms
Typhoid Fever
Week 1 blood. B
Week 2 Urine U
Week 3 Stool. S
Week 4 Antibody A
Specimen should be collected in sterile containers except for____ which can be collected in clean leak proof containers
STOOL
Swabs are not recommended for collection because
+Do not provide sufficient
+quantity are easily contaminated
+are prone to drying
+never appropriate for an aerobic culture because the atmospheric oxygen is toxic to anaerobics
Lesions wounds and abscesses should be collected from the advancing margin preferably by__ rather than swabs
Needle Aspiration
Is an order form that is sent to laboratory along with the specimen
Specimen Requisition
Specimen transport
Specimen should be transported to laboratory immediately with in 30 minutes and not longer than 2 hours after collection
Specimen transport
For an aerobic bacteria that transport should not take more than 10 minutes
For sterile sample such as csf and body fluids preferably 15 minutes after collection
Air transport. IATA and CAO
International Air Transport Association and Civil Aviation Organization
Maintains the appropriate colony counts at room for 24 hours use in urine sample
Boric Acid
Maintains integrity of tropozoids and cease examination
Should not be added on stool for bacteriological testing
Polyvinyl alcohol and buffered formalin
This organism should be collected without preservative
Clostridium difficile
Used to preserve clotting of specimens such as blood bone marrow and synovial fluid because microorganism will otherwise be bound in the clot
Anticoagulants
Commonly used anticoagulant for varial cultures and mycobacterium species.
May inhibit growth of gram positive bacteria and his
Heparin
Most common anticoagulant used for microbiology specimens
Anti complementary and anti phagocytic properties
May inhibit the growth of mycoplasma species, niserria species, gardnerla vaginalis,streptobacillus moliniformis, pepto streptococcus anaerobius
0.025% to 0.05% sodium polyanethol sulfonate
Citrate, ethylene diamine tetraacetic acid, acid citrate dextrose or other anticoagulants
should not be used for microbiology because they may suppress the growth of organisms
Has structural homology with sps but is less effective in neutralizing serum bacteriacidal activity and his inhibitory property to GNB
Sodium amylosulfate (SAS)
Sustain the viability of microorganisms present in a specimen but do not allow further multiplication
Transport media
is added to this media to absorb fatty acids present in specimens that could result in ph changes in the media and the killing of fastidious organisms such as nigeria gonorrhea and bordetella pertusis
Charcoal
PRAS
Pre-reduces anaerobic sterilize
JEMBEC
John E. Martin Biological Environment Chamber
Contain selective agar cap and the carbon dioxide co2 generating tablet
Commercial transport system used for neisseria gonorrhea specimen
Cary blair medium
Stool pathogen
Stuart medium
Multipurpose transport media
also to isolate viruses
Amies Medium
For Respiratory sample
Morified Todd Hewitt
For streptococcus a galact j from vaginal swabbing
Hanks balance salt solution
With bovine albumin and stuarts transport media
Leibovitis emory media
Viral transport like Hanks and Stuart
Transgrow
Good for nigeria species and bordetella pertussis
Viral transport medium
It is ideal for respiratory and gentle samples i and you discharge tissue and skin specimens intended for molecular test
Gentamicin and amphotericin b are present to suppress the growth and indigenous flora
Maintains the viability of the organism for 48 hours at 2 to 8 degrees celsius and even at room temperature while on storage requires negative 70° c
Specimen preservations
Jembeck
Carry blair medium
Stuart medium
Amies medium
Modified todd-hewitt
Hanks balance salt solution
leibvitis emery media
Transgrow
Viral transport medium
Recommend skin disinfectant for babies 2 months + and has allergies to iodine
Chlorhexidine gluconate