Laboratory Methods Flashcards
What is direct diagnosis
direct diagnosis? when it provides the diagnosis of the disease or condition by itself or when it provides decisive information for the diagnosis.
What is the importance of laboratory diagnosis of infectious diseases
- It is needed in the treatment of infection
- It improves the effectiveness of treatment ( monitoring patients reactions the the treatment)
- Early diagnosis helots to stop or prevent th spread of the infection . Example: if you’re sick and instead of going to the hospital for the doctor to diagnose the disease , you stay home and treat your disease it may get out of hand and worsen. Also if the disease you have is contagious and other people contract that disease, the disease will keep spreading.
What are the main organisms that cause infection
Bacteria- Cholera( Vibrio Cholerae, Tuberculosis (mycobacterium tuberculosis),syphilis( Treponema pallidum )
Fungi- candidiasis(candida albicans ), athlete’s foot, ringworm
Virus- AIDS(HIV), common cold(rhinovirus),influenza(influenza virus, H1N1)
Helminths(worms)- hookworm infection, schistosomiasis
Protozoa -malaria(plasmodium parasite),trypanosomiasis (trypanosoma brucei), amoebic dysentery ( entamoeba histolytica
What re the Methods of lab diagnosis
Direct method: detects the pathogen or the structural components of the pathogen (example DNA or RNA)
Examples: microscopy, culture,molecular test
Indirect: it shows a reaction that has occurred due to the infection or due to the presence of the pathogen in you body. It only shows positive or negative. ExMple: serological method,imaging, X-ray, CT scan, Ultrasound
Microscopy can detect all the five groups of pathogens. True or false
True
Name four Types of microscope , how they work and three merits and demerits of each.
Brightfield or light microscope: Examines stained and unstained specimen. Specimen appears dark in a white or bright background.
Merits: easy to use, not expensive to buy and maintain, Very specific( helps you see a specific pathogen), portable
Demerits: Time consuming, low resolution, low sensitivity especially when the pathogen load is low( sensitivity is the ability of a test to correctly identify all the true positive patients). If it’s high then the test will identify all the positive patients if it’s low test will be able to identify few of the positive patients.
Dark field microscope: Observes specimen that are unstained. It views live pathogen if present in the sample. Pathogens appear bright in a dark background.
Merits:
Demerits:
Fluorescent microscope: Intensity of the light source is high. This excites the molecules of the fluorescent dye used to stain the specimen, emitting light from the pathogen of it is present. Mainly used in research labs.
Merits
Demerits
Electron microscope: Uses beam of electron to create an image. It has high resolution to detect extremely small sized pathogens. It’s mainly used to examine viruses because of this.
Merits
Demerits
Types of preparation
Stained- uses dye
Unstained - doesn’t ( examples, urine is put on slide and covered, shit is put on slide and normal saline is added to it then it is covered
Types of stains
Simple stains: one color is used. Examples- iodine, methylene blue
Differential stains: two or more stains in staining procedure. ExMple, Gram staining
fluorescent stains( best used for mycobacterium species)
When are concentration methods used
When parasitic infection is suspected
Types of concentration methods
A.Sedimentation - example( if urine is centrifuged,the sediment is observed)
- Simple sedimentation-only
- Formalin ethyl centrifugation- formalin preserves pathogen there , then ethyl is added.
Microscopy observes how specimen looks. It’s collie and all
B.Floatation- NaCl or zinc sulphate are the reagents used. When centrifuged, pathogens appear at the upper portion. Upper portion is taken and lower portion is discarded
Types of substrate for culture
- Culture media(artificial media)(contains all necessary nutrients needed for pathogen to grow and is created in the laboratory )(viruses can’t grow in this media)
- Living eukaryotic cell examples viruses, some bacteria need living cells to grow (intracellular pathogens), some Protozoa example toxoplasma
Types of culture
- Blood culture
- Urine culture
- Stool culture
Sputum culture
Merits and demerits of culture
Very good sensitivity
Demerit- requires longer time to get results
Explain molecular method and the principle it works on and it’s merits and demerits
Detects nucleic acid of the pathogen. Works on the method of PCR- polymerase chain reaction ( makes many copies of the DNA or RNA using different temperatures or temperature cycles)
Demerits- expensive and requires training
Merits- useful for fastidious pathogens ( pathogens that are difficult to culture in the lab), doesn’t need many samples, even one sample is okay
Serology detects what and what
Antigen in the body and the antibodies induced by the antigen
What is sterilization
It is the complete removal of viable pathogenic microbes using physical or chemical methods
Merits and demerits of serological methods
Easy to use
Not expensive
Demerits: can produce a negative result if the time the body takes to develop antibodies in response to the antigen is long
ELISA stands for
Enzyme linked immunoassay