micro notes pack 3 Flashcards

1
Q

what’s the three main purpose of culture media and the five functions of culture media

A

1) growth and isolation of all bacteria present
2) determination of pathogens vs contaminants or colonizers
3) achieve sufficient growth for testing (identification and susceptibility)

_____________

1) recover small numbers of potential pathogens
2) cover for a wide variety of potential pathogens
3) inhibit normal flora
4) aid in preliminary screening of potential pathogens
5) allow differentiation of organisms in mixed cultures

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2
Q

What are nutrient media? explain what nutrient media is

A

MH and TSA

supports non-fastidious organisms
non selective and no inhibition

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3
Q

what are enriched media? explain what enriched media is

A
BAP
CNA
^^CHOC
BRU
^^BHIB with Fildes
^^Trypic Soy 
Thioglycollate broth

supports fastidious organisms
no inhibition

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4
Q

what are examples of selective media? explain what selective media means

A
CNA
MAC
MAC-SORB
**Selenite broth
**GN broth

inhibitory agents suppresses some organisms
selects for growth of a particular organism

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5
Q

what are examples of differential media?

A

BAP
MAC
BRU
MAC-SORB

aid in distinguishing using factors

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5
Q

BAP

blood agar plate

A

enriched - 5% sheep blood to a base medium

differential - hemolysis pattern

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6
Q

what are the two enrichment broths?

A

selenite broth
GN broth

enhance a particular pathogen while suppressing others

agent becomes inhibitory to all after time and the broth needs to be subcultured

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8
Q

CNA - what does it stand for?

A
CNA - colistin Nalidixic Acid blood agar
enriched - 5% sheep blood
selective - 
antibiotics inhibit GN
selects for GP

CNA promotes growth of positive bacteria

  • *not differential -> hemolysis is changed with drugs
  • **inhibits swarming GNB proteus
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8
Q

MAC

A

MacConkey Agar

Selective
Differential

Selective - due to Crystal violets and bile salts
grows - GNB
inhibits - GP bacteria

Differential - GNB and their ability to ferment lactose
neutral red indicator - red when ferment lactose

90% LF - lactose fermenters
pink/magenta - opaque
if they make beta-galactosidase and permease, it can metabolize lactose and make acid products
pH indicator red

10% NLF - non-lactose fermentors
colourless and clear

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9
Q

CHOC

A

chocolate agar
enriched

supports growth of fastidious organisms
- gently cooked horse blood provides
hemin (X-factor), hemoglobin, NAD (V-factor)

  • *sheep blood have NADase, destroys NAD (V-factor)**
  • *horse blood provides NAD - V-factor**
in house (has lipids)
commercial ( no lipids) - no RBC, cannot support lipophilic organisms
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11
Q

MAC-SORB

A

Maconkey-Sorbitol Agar
selective - GNB, inhibits GP
differential - NSF vs SF

SF - majority is pink
most strain of E. Coli and Enteric GNB are SF

NSF - clear and colorless
potentially E. Coli O157:H7 - which may cause hemolytic uremic syndrome (possibly fatal)

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11
Q

MH

A
Mueller Hinton basal media
nutrient
clear/pale straw colour
won't support fastidious organisms
used in broth and plates

plates -> AST using Kirby-Bauer disk diffusion method
highly standardized for reproducibility and validity - strictly controlled for various factors

broth -> CAMHB
cation adjusted mueller hinton broth
AST testing/broth dilution

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12
Q

BRU

A

BRUCELLA for anaerobes (fastidious microorganisms) - peptones/dextrose/yeast

differential - hemolysis
enriched - sheep blood, hemin, Vitamin B, growth factors

sodium bisulphite - added to maintain
aerobic environment
maintain acidity, low pH

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14
Q

TSA

A

Tryptic soy broth/ tryptic soy agar

nutrient - basal media used as a base (plate/broth)
- soy digests - nutritious
- won’t support fastidious organisms, but will support more than MH
TSB is often used for the suspension of isolates

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15
Q

BHIB

A
  • brain/heart influsion broth with fildes
  • supports fastidious organisms
  • looking out for CSF H. influenzae - causes meningitis
  • has no selective properties
  • CSF, amniotic and synovial fluid
  • clear, so when it’s turbid it’ll select growth
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16
Q

THIO - thioglycollate broth

A
enriched media broth
- recovers anaerobes
- casein, soy, salt, dextrose, vitamin K1, hemin
-reducing agents
sodium thioglycollate with L-cysteine
sodium sulphite

-adding 0.075% agar makes it more viscous and decreases oxygen diffusion

  • THIO is used with an Eh indicator - Resazurin
    if O2 is high, it turns red due to high Eh
17
Q

name the three types of obligate anaerobes

A

aerotolerant anaerobes - can grow in CO2 incubator, but doesn’t use oxygen metabolically, it can withstand 15-19% oxygen

moderate anaerobes - most of the clinically significant anaerobes
-can grow when exposed to less than 3% oxygen, won’t work on routine incubator

strict anaerobes - absolutely no O2 exposure

18
Q

bacteria are classified by optimal growth temperature

A

psychrophiles 0-20

mesophiles 25-45

thermophiles 45-70

19
Q

what is microaerophilic organisms?

A

grow best in low oxygen tension of 5-10%
and increased CO2 8-10%

they grow in the presence of oxygen but do not use it as a terminal electron acceptor

20
Q

what is capnophiles

A

^^^^^^grow best in increased CO2
5-10%
vary in their need for CO2
obligate capnophiles - cannot grow in the absence of CO2

21
Q

What is Eh and describe Eh indicators

A

Eh is the tendency of a substance to donate or accept electrons

measured in volts or mV

when reduced Eh indicators = colourless (no oxygen)

when oxidized, methylene blue is blue, resazurin is pink (oxygen present)

22
Q

aerobic cellular respiration

A

uses oxygen as terminal electron acceptor

makes CO2, water and ATP

23
Q

anaerobic cellular respiration

A

uses inorganic terminal acceptor other than oxygen

makes CO2, reduced species and ATP

24
Q

fermentation

A

organic compounds acts as both donor and acceptors of electrons

anaerobic - no oxygen required

products vary and can include ethanol, lactate, propionate, acetate, succinate, formate, butanediol butyrate, butanol, CO2 and H2

25
Embden-meyerhof parnas pathway EMP glycolytic pathway
most common pathway makes pyruvate enterobacteriaceae
26
pentose phosphate phosphogluconate pathway hexose monophosphate shunt
alternate to EMP produces pentoses for nt synthesis and NADPH used by heterolactic bacteria
27
Entner-Doudoroff pathway
converts glucose to pyruvate and glyceraldehyde aerobic pseudomonas
28
anaerobic utilization of pyruvate - fermentation
mixed acid fermentation strong acids, many genera with enterobacteriaceae butanediol fermentation neutral end products other genera within the Enterobacteriaceae
29
Identification methods
``` Biochemical identification serological methods antibiogram molecular methods mass-spec - MALDI-TOF-MS ```
30
what is biochemical identification?
kits using tube kids, test kits or automated instruments
31
what is serological methods?
antigenic uniqueness based on antigenic uniqueness of certain cellular components and may be used for identification.
32
what is antibiogram?
using patterns of susceptibility to identification organisms have Patterns of susceptibility to antibiotics which help with identification
33
what is molecular methods?
may replace growing organisms or as ID using isolated colonies why should we use molecular methods? - slow growers (save time) - not normal flora - super bugs (using genetic markers) - when it's difficult or impossible to culture - viruses, mycoplasmas, chlamydiales
34
what is maldi-tof-ms
matrix assisted laser desorption ionization time of flight mass spectroscopy needs to be monomicrobic
35
advantages and disadvantages to traditional culture
advantages - compare amounts of growth of different organisms - isolation of pathogens for susceptibility testing - isolation of unexpected pathogens disadvantages -time
36
transport media
preserve organisms in a state as close as possible to the condition that was present when collected from the patient - goal : maintain viability without overgrowth by any particular organism, retain ratio of microbes - media in tube, samples on swab - media contains nutrients and moisture to support life but not encourage reproduction, agar to minimize air exposure and neutralizing agents to prevent toxicity
37
why is agar an excellent material for media?
high rate of dissolution, high clarity with minimal colour, surface hardness and resilience for streaking, inert (low content of metabolizable and inhibiting impurities) - can withstand 121 degrees (needed for sterilization) - consistantly gels at 32-40 degrees and melts at 85 degrees can be melted and re-solidified (in practice) antibiotics and other heat-liable substances can be added at 45-50 degrees
38
what is media selection based on?
specimen site potential pathogens patient population
39
why shouldn't you incubate MAC in a CO2 incubator?
CO2 changes pH MAC has neutral red pH indicator and this may affect the lactose fermenting