Lecture 1 Flashcards

1
Q

Culture medium :

A

Nutrient material for growth of micoorganisms in the lab

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2
Q

Inoculum

A

Introducing microbes to media to initiate growth

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3
Q

Culture

A

Organisms that grow on culture media

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4
Q

Culture & sensitivity testing)

A

describe the test for culturing bacteria from patient specimen in hospital lab
Specimens arrive in lab in one of three forms -Swab, tissue, or fluid

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5
Q

AGAR

A

made from a red purple marine algae
* Complex water- soluble polysaccharide
* Solidifying agent for culture media
* Transparent & colorless
* Withstands the rigors of streaking
* Resists digestion by bacterial enzymes
* Inert, little effect on bacterial growth
* Solidifies at 30- 420C- common incubation temp for bacteria
* Melting temp is around 85C
* Remains liquid at >45C – so can add ingredients while still liquid and pour after sterilization and cooling

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6
Q

Final Concentration 0.05-0.1%
of MEDIA
WHAT IS CONSISTENCY
PURPOSE
APPLICATION

A

Liquid
* Slows down mixing of fluid
* Reduce convection currents
* Thioglycollate broth

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7
Q

0.2-0.5%
Final Concentration
of MEDIA
WHAT IS CONSISTENCY
PURPOSE
APPLICATION

A

Semi-solid
* Determine motility
* Prevents dispersion of acid/alkaline products
* Motility media
* O/F sugars

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8
Q

1 -2%
Final Concentration
of MEDIA
WHAT IS CONSISTENCY
PURPOSE
APPLICATION

A

Solid
* Solidification
* MacConkey
* Blood Agar

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9
Q

2-5%
Final Concentration
of MEDIA
WHAT IS CONSISTENCY
PURPOSE
APPLICATION

A

Solid
* Prevent swarming growth
* MacConkey

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10
Q

In order to use a type of culture media it must:

A

Be sterile
* passed QC testing
not expired
* Contain the right nutrients
* Have sufficient moisture
* Proper PH
* Be incubated at proper temp and atmosphere
* Oxygen or other gases must be available if required

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11
Q

Bacterial growth requirements

A

Water
* Sterile distilled or deionized water
* Peptones, meat infusions or meat extracts

Energy source
* Sugars, carbohydrates

Essential elements
* Basic building blocks of cells- carbon, nitrogen, sulfur, calcium, magnesium, potassium, iron, phosphorus)

Trace elements
* Sodium, zinc, molybdenum, cobalt, copper, etc..

Organic growth factors
* Blood, serum, yeast extract, vitamins, NAD

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12
Q

peptones

A

Proteins - a source of nitrogen & enzymes
* water-soluble form
* can withstand autoclaving
*made from proteins by hydrolysis

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13
Q

hydrolysates

A

Enzyme hydrolysis –enzyme is used to incorporate a water molecule between bonds to break up the protein
* break down meat or milk
* Tryptone is the best choice in media

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14
Q

Extract

A

Made by slow cooking a protein source until concentrated to a paste

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15
Q

Infusion

A

Made by leaving protein source in water for long periods of time until liquid infused with protein
* Both provide an extra source of vitamins and organic growth factors
* Are heat stable – add before autoclaving
* infusions made from calf brain or beef heart

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16
Q

Carbohydrates

A

Source of energy & cellular building blocks (e.g. carbon)
Used also to detect fermentation reactions
(with added indicator)
0.1-0.2% concentration - promote growth but dont alter pH
0.5-2.0%promote growth but alter pH - fermentation
5-10% - used in sugar utilization tests

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17
Q

Blood and blood products addition

A

added Trypticase soy agar or Columbia base agar
* fastidious org can grow
* Most bacteria grow healthier
* Cannot be autoclaved so blood added to after sterilization and cooling
* So must be collected from animal by aseptic technique
* And media must be checked for for sterility before use
* Blood used must be anticoagulated or defibrinated
Anticoagulated: chemical clot prevention
Defibrinated: mechanical fibrin removal – glass beads

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18
Q

agar with whole blood

A

Adding anticoagulated blood to media
* Provides essential nutrients
* 5- 10 % sheep or horse blood commonly used - bacteria may not look the same on both
* Human blood not recommended - may contain antibiotics or antibodies
* allows for visualization of whether bacteria can make a hemolysis enzyme that can break down the RBC
BA & CNA

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19
Q

Agar with Lysed blood

A

Red blood cells broken down by heating (850 C)
* Cellular components released – nutrients readily available for fastidious bacteria

  • Chocolate Agar also has 2% hemoglobin & growth supplements
  • Hemoglobin can be made by washing & autoclaving whole blood
    *example Haemophilus influenzae )
  • New York City agar (w antibiotics) – for isolating Neisseria gonorrhoeae
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20
Q

make Laked blood agar

A

Adding a lysing enzyme like pepsin or saponin to whole blood
-Hoyle’s medium (Corynebacterium diphtheriae)
* Brucella Kanamycin Vancomycin Laked Blood agar(KVLB) – used to isolate anaerobic gram negative
* Fildes agar- peptic digest of blood whole blood lysed by pepsin enzyme- for fastidious organisms (Haemophilus)

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21
Q

media with serum

A

-Serum is the fluid left over when whole blood clots
-serum = blood- fibrinogen
-source of electrolytes
* Enriches and helps solidify media
* Inspissation = heating of media & serum to 850 C so the proteins coagulate and solidify
* Horse serum most often used
Example: Loeffler’s medium for C. diphtheriae

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22
Q

Supplements added to media

A

selectivity for growth of a specific bacteria
* Or enhance growth of any bacteria
Vitamins
* Coenzymes
(example –Iso VitaleX)
Example : Thioglycollate broth

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23
Q

media with pH Indicators:

A

acidity or alkalinity detected by a color change
* dye that acts as a pH indicator is added
* Neutral red, Phenol red, ,Bromthymol blue

Redox or Eh Indicator:
* detect presence or absence of oxygen.
* Used in Thioglycollate broth
* Example of a redox indicator in media: Resazurin

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24
Q

Selective agents in media

A

-select for some bacteria but inhibit others
-heat stable add before autoclaving
Bile salt mixtures -inhibit gram positive organisms
Desoxycholate -inhibit gram positive organisms Dyes
* Crystal violet (inhibit gram positive organisms)
* Brilliant green (inhibit gram positive and some negative organisms)
Salts - In high concentrations is a selective agent.

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25
antibiotics as selective media
very heat sensitive * prepare aseptically must be added to media after autoclaved and cooled CNA: * has Colistin & Nalidixic acid which allows gram positive organisms to grow while preventing the growth of most gram negative NYC: * has numerous antibiotics to try and grow only N. gonorrhoea – See later slide for specific antibiotics and which organisms are killed
26
Buffers
Control pH fluctuations in media due to bacterial metabolism * Peptones * Inorganic phosphates: buffer and serve as a source of phosphorous
27
Charcoal/Starches
Absorb toxic substances * inhibit the growth of fastidious organisms -Transport media, BCYE (Buffered Charcoal Yeast Extract agar)
28
Basic media
Simple media, only barest amount of nutrients water, agar, simple proteins Fastidious organisms will not grow No differential or selective properties Trypticase soy Agar * Nutrient Agar * Brain Heart Infusion Agar * Columbia Agar Base * Mueller Hinton Agar
29
Enriched media:
-Basic media + extra nutrients like vitamins or blood -usually a broth -Brilliant green, selenium salts (feces) or tetrathionate suppress growth of normal flora for a short period of time Selenite broth, Tetrathionate broth, Brain Heart Infusion broth, Cooked meat broth
30
Differential media:
Has ingredients that allow you to tell one bacteria from another when you have mixed bacteria growing.
31
Mueller Hinton Agar
A Basic media for susceptibility testing (AST) of non fastidious organisms * Has proteins in the form of extracts & enzyme hydrolysates * Has starch to absorb toxins ,helps with antibiotic diffusion & has dextrose for energy * Agar is loose for better diffusion of the antibiotics * Shows batch-to-batch reproducibility for AST testing * Is low in sulfonamide, trimethoprim, and tetracycline inhibitors like thymidine and thymine can add sheeps blood to make more selective
32
Chocolate agar
Enriched because has 5-10% Sheep blood that has been hemolysed by heating to 800C or by adding an enzyme – agar looks brown like chocolate because has 2% hemoglobin + supplements * Grows most organisms but used especially, to grow more fastidious microorganisms * Not a differential media because you can’t see whether hemolysin enzyme produced by bacteria- blood already hemolysed you cannot see homolysis on this plate because the blood is already hemolysed
33
Thioglycollate broth
-General-purpose, enriched, differential media -Enriched with hemin and vitamin K to grow fastidious & anaerobes. * Differential because you can see O2 requirements of what is growing * Some have redox resazurin dye to monitor levels of O2 – turns pink in O2 when growing aerobes the colonies will be at the top - highest oxygen anaerobic - at the bottom of the test tube facaltative anaerobes - everywhere but concentrated on the top
34
Colistin Naladixic Agar
CNA Enriched because has 5-10 % whole sheep blood * Selective because has antibiotics Colistin and Naladixic acid that will inhibit gram neg growth * Allows gram positive organisms and yeast to grow * Differential because allows you to see which organisms can hemolyze RBC
35
Macconkey Agar
selective Ingredients: * Bile salts * Crystal violet * Eliminate Gram positive & grows gram negative Differential ingredients: * Lactose (carbohydrate) * Neutral Red (pH indicator) * Lactose fermenters (LF) – bright pink colonies * Non-lactose fermenters (NLF) – colourless colonies
36
mannitol salt agar
Selective differential agar for Staphylococcus aureus Selective ingredients: * A high concentration of salt 7.5% (halophilic) Differential ingredients: * pH Indicator: Phenol red (yellow in acid, pink/red in basic) * Carbohydrate: Mannitol * Differentiate between pathogenic and nonpathogenic Staphylococcus * S. aureus grow and ferment mannitol – yellow * Other Staph species grow but do not ferment mannitol – pink
37
Sorbitol Macconkey SMAC
Selective and differential media * Selective for gram negative – inhibitory to gram positives * Same ingredients as MAC except sorbitol instead of lactose * Differentiates between entero-hemorrhagic Escherichia coli (EHEC) which fail to ferment sorbitol and Escherichia coli which will ferment sorbitol and do not cause diarrhea Sorbitol Fermenters = PINK
38
Salmonella SHIGELLA SS
Selective & differential agar for enteric (intestinal) pathogens Selective ingredients: * Bile salts + sodium citrate + brilliant green * Inhibits all gram-positive & gram-negative that are normal flora * Highly selective for enteric pathogens - that cause food poisoning Differential ingredients: * Lactose and neutral red (pH indicator) * Differentiate between LF and NLF * Sodium thiosulphate + ferric ammonium citrate * Differentiate between H2S and non-H2S producing colonies
39
hydrogen sulfide production in media
▪ hydrogen sulfide reacts with ferric ions from the ferric ammonium citrate to make an insoluble heavy metal black precipitate ▪ H2S positive result is seen as a blackening of the center or entire colony LF, H2S positive Pink colonies with black centres NLF, H2S positive Clear colonies with black centres NLF H2S negative Clear colonies
40
Hektoen Agar
Selective and differential agar used to isolate enteric pathogens Selective ingredients: * Bile salts inhibit gram positive organisms Differential ingredients: * sugars- lactose, sucrose and salicin * Indicator: Bromthymol blue + acid fuchsin * Na thiosulfate and ferric ammonium citrate in the medium produces a black precipitate in the presence of H2S fermenters that are H2S postive - orange/yellow colonies with black center non fermenters with h2s postive - green with black centers fermenters with NO H2S -orange/yellow non fermenter with no h2s blue green colonies
41
Cefsulodin irgasan novobiocin - CIN agar
Selective and differential media specifically used to isolate the enteric pathogen Yersinia enterocolitica Selective ingredients * Cefsulodin, Irgasan, Novobiocin, Na desoxycholate & crystal violet all inhibit gram positive organisms * Also inhibit gram negative that are normal flora in stool Differential ingredients * Sugar = Mannitol & Neutral red pH indicator * mannitol fermenters -pink with clear edges * Look like a bulls eye
42
Campy agar
Selective enriched media for Campylobacter – is microaerophilic Enriched ingredients: * 10% sheep blood Selective ingredients: * Vancomycin inhibit gram positive organisms * Amphotericin B & Polymyxin B inhibit yeast/fungus * Trimethoprim inhibits a swarming gram negative called Proteus * Cefoperazone inhibits gram negative organisms * Na bisulfite lowers the O2 levels enhancing the recovery of microaerophilic organisms
43
new york city agar
Selective enriched media used specifically for the isolation of Neisseria gonorrhoea and Neisseria meningitidis Enriched ingredients: * Has hemoglobin from lysed horse blood, yeast dialysate & horse plasma Selective ingredients: * Vancomycin inhibits gram positive * Colistin inhibits gram negative * Amphotericin B inhibits yeast * Trimethoprim inhibits swarming Proteus
44
chromogenic agar
has soluble colourless molecules called chromogens * Chromogens consist of a substrate and a chromophore * If the target organism is present the specific enzyme it makes cleaves the colourless chromogenic conjugate, releasing the chromophore * When the chromophore is not in the conjugated form (unconjugated) it exhibits it’s distinct color which precipitates on the colony advantages - Provides a color based differentiation * Clearly distinguishable * Colonies of specific microorganisms can be recognized by their colour
45
quality control of media
Expiry date, lot numbers * Physical appearance: depth of agar (4mm), cracks, excessive bubbles, contamination * Performance: test with known ATCC strains to ensure proper growth and appearance
46
BETA HEMOLYSIS
RBC are destroyed by exotoxins or enzymes produced by the bacteria as they grow on media only report on (BA, CNA) NOT choc * Causes complete breakdown or lysing of RBC cell membrane * Seen as a clear zone (media becomes see through) around and under the colony Some bacteria produce multiple toxins or enzymes and have larger zones of beta hemolysis * Some produce haemolysins that are oxygen labile-only active in decreased O2 Clostridium perfringens is a strict anaerobic** organism Called double zone beta hemolysis Theta & alpha toxin staph aurea
47
ALPHA HEMOLYSIS (AH or α H)
partial breakdown of RBC * Bacteria produce hydrogen peroxide which oxidizes hemoglobin to methemoglobin * Result is a green zone in the media around and under colony BUT THE COLONIES ARE GREY * Seen more intensely on the CNA plate * Streptococcus pneumoniae
48
Umbilicate
innie”, “like a checker piece” ^-^ * Streptococcus pneumoniae * tilt plates to examine
49
Umbonate
“outie” Viridans streptococcus _^_
50
ways to report size
pinpoint, small , medium and large
51
Most common colors used to describe bacteria
white yellow tan grey red
52
METALLIC SHEEN
Pseudomonas (a strict aerobe), is a NLF gram negative organism only for this organism
53
Quantity
Scant Light Moderate Heavy depending on quadrant
54
GRAM STAIN
based on cell wall structural differences of GN GP infections caused by a single organism = monomicrobial * by multiple organisms = polymicrobial
55
Gram positive cell wall
Thick, peptidoglycan layer (90%) * Many teichoic acid cross-linkages * Lower lipid content , 0-2% * No periplasmic space * Resists decolourization
56
Gram negative cell wall:
Thin peptidoglycan layer (5-20%) * No teichoic acid cross-linkages * Higher lipid content 10-20% * Have both an outer and inner membrane * Has periplasmic space * Does not resist decolourization
57
CRYSTAL VIOLET- PRIMARY STAIN
Basic stain so it binds to the negatively charged groups in the cell with ionic bonds (po4) * Diffuses through cell wall pores & bonds with negatively charged cell groups (e.g. phosphate groups in nucleic acid) -water does not decolorize
58
IODINE (MORDANT)
Diffuse into the cell * Combines with crystal violet forming crystal violet-Iodine (CVI) complex * Traps crystal violet making it hard for it to leave the cell * CVI complex is stable in water but soluble to solvents such as alcohol & acetone TRAPPING AGENT
59
ACETONE ALCOHOL (DECOLORIZER)
Most important step …. Timing is critical * ethanol and acetone * Extracts lipid creating larger pores in cell wall makes it more permeable * Dehydrates peptidoglycan reducing pore size & movement In GN cell wall: * high lipid, low peptidoglycan * Lipids extracted and CVI complex leaves cell In GP cell wall: *low lipid, high peptidoglycan * Peptidoglycan dehydrated and CVI complex trapped Looking under the microscope at this point: GN will look colorless and GP will appear bluish purple
60
SAFRANIN COUNTERSTAIN
can also use dilute Carbolfuchsin * No effect on GP as binding sites were blocked by CVI complex * Forms bonds with cell groups in GN cell wall * GP are bluish purple and GN are pink
61
general rules of aseptic techniques
Keep petri dishes closed when possible Clean and disinfect lab surfaces prior to and after use Avoiding talking/breathing on cultures Use a face shield when procedures create aerosols Wash your hands & wear gloves & lab coat Open packages in a manner where you do not touch the parts that will come in contact with your sterile media Sterilize inoculating loops and other equipment that comes into contact with cultures
62
gram positive color
white(staph) gold/yellow staph aur , grey - shiny on the edges - strep smaller colonies - CNA
63
the smallest bacteria we see very pinpoint in a slide
coccobacilli - negative
64
gram postive bacilli
always either large or small (small chinese letter paliside)
65
diplococci
football or cat eye shape in gram pos only cant have gram neg
66
why is gram stain important in csf
to determine the antibiotic type can be used to differentiate and quntitate inflammatory and epithelial cells first test in culture test
67
cells are naturally
transparent
68
gram stain is a
differntial stain because it uses two dyes and seperates two types of bacteria
69
if there is under decolorization
decolorization time was too short gram negs appear blue
70
if there is over decolorization
decolorization time too long gram pos are red can happen if the cells are too old