lab practical Flashcards
What rapid tests are used in the lab?
Immuno-based assays
What are rapid strep tests for?
Diagnosis of Strep. Pyogenes
what type of antigens do strep tests look for?
group A strepococcal antigens
what binds to an antigen when it has dye attached?
antibodies
what is being detected in an immuno-based assay test?
a protein that is specific to a pathogen or a condition
what is the most common point-of-care testing format?
rapid immunoassays that employ test strips
what are point-of-care tests?
tests that are conducted by healthcare workers or patient without the need for any other lab equiptment
if the specimen being tested contains Group A strep bacteria, the strep antigens extracted from the throat swab will what?
bind to these antibodies
what is the “test” region for the strep test?
retention of the dye-colored antigen/antibody complexes
what indicates that the sample is positive for Group A strep?
colored line at the test line region
what does the test region also contain in the strep A test?
fixed antibodies that will bind directly to dye-labeled antibodies
what does a strep test positive result look like?
2 lines running through the test region and control region
what does a strep negative result look like?
one line in the control region
what does an invalid result look like in a strep test?
one line in the test region
are rapid strep tests foolproof?
no
what is involved in a rapid staph test?
latex bead agglutination tests
how is a rapid staph test done?
coated latex beads are mixed with the test organism and allows to interact
what does a positive rapid staph test look like?
beads will appear and clump up
what does a negative rapid staph test look like?
the beads will reman in a a homogenous suspension
what type of species is the rapid staph test specific to?
staph. aureus
what do all pathogenic strains of S. aureus produce?
a bound coagulase and contain Protein A on their cell surface
what are the latex particles in a rapid staph test coated with?
human fibrinogen and IgG
what are the steps of a rapid strep test?
- add 4 drops of regeant A to the tube
- add 4 drops of reagent B to the tube
- place throat swab in the tube
- squeeze the swab against the tube
- remove group A test strip and put into tube
- read results
what color will the solution be after adding reagent A in a rapid strep test?
light red
what color will the solution be after adding the reagent B in a rapid strep test?
will turn a pale yellow
how many times do you agitate the swab in the tube for the rapid strep test?
10 times
how long is the throat swab left in the tube of the strep test?
1 minute
what is the correct end of the group A test strip?
wavy lines
how long does it take to read the results of a rapid strep test? when do you not read the results?
- 5 min
- 10 min
what are the steps of a rapid staph test?
- make sure the card is flat
- dispense 1 drop of test latex onto both of the circles on the reaction card
- dispense 1 drop of negative control solution onto one circle on the reaction card
- use a sterile loop and smear a colony onto the other test-latex-containing circle
- pick up a hand rock card
- dispose of the card
how long should you hand rock the rapid staph test card?
20 seconds
should the control latex agglutinate?
no
why is the test region placed before the control region on the rapid strep test?
so the antibodies can reach the test region but not reach the control region
what is critical throughout the unknown project?
to use appropriate aseptic technique to prevent introducing environmental organisms into your cultures
what is the initial step of the unknown isolation?
gram staining
what is an essential step for most microbial identification strategies?
obtaining pure cultures
what are the steps of part 1 of the unknown project?
- observation of mixed culture by gram staining
- obtaining isolated colonies
- identify isolated colonies that are pure by observing gram stains
- inoculate stock slants with bacteria from a isolated and pure colony
- confirm the purity of your stock slants
why do we gram stain our unknown project in the beginning?
to confirm mixed culture and assess arrangement
what are the 3 types of agars we use in our isolation streaks?
- nutrient/ TSA
- PEA
- MacConkey
is the TSA gram positive, negative or both?
both
is the PEA gram positive, negative or both?
gram positive
do we use the MacConkey agar to identify pure colonies?
no
what type of test did we do to properly classify gram positive organisms?
catalase test
what is the catalase test used to do?
differentiate staphlyococcal species from strep/enterococcal species
what is the catalase test based on?
how these organisms detoxify hydrogen peroxide
what exactly is catalase?
an enzyme that converts hydrogen peroxide into water and molecular oxygen
what is the catalase test’s first step?
collect a sample of gram positive organism
what is the catalase test’s 2nd step?
place 2 drops of 3% hydrogen peroxide into end of swab
what is the last step in the catalase test?
immediately look for bubbling reaction and record results
what is the presence of bubbles mean in the catalase test?
indicates the presence of catalase and positive test result
is the novobiovin sensitivity and growth characteristics on MH agar s catalase positive or catalase negative test?
catalase positive
what plate is divided in two sections in the Novobiocin sensitivity test?
Muller-hinton plate
what does college gram positive culture create?
a bacterial lawn on top portion
what do you put on the top half of the MH plate?
Novobiocin
is the DNAse agar plate preformed for a catalase positive or negative test?
catalase positive