Microbial diagnostic tests Flashcards

1
Q

What does PCR do?

A

Makes multiple copies of a segment of DNA of interest from a small initial sample

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2
Q

What is used to carry out temperature cycles?

A

Thermal cycler

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3
Q

How is PCR carried out?

A

Target DNA, primers, nucleotides and DNA polymerase added to tube
Tube put in thermocycler
Temperature increased to 95 degrees (denatures enzymes and causes strands of DNA to separate)
Taq DNA polymerase is heat resistant
Annealing occurs at 55-65 degrees where primers attach to target DNA
Extension occurs t 72 degrees where DNA polymerase creates DNA strand complementary to target strand
Cycle repeats until have two loose molecules of DNA

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4
Q

Gram stain procedure

A
Smear bacteria onto slide
Heat fix slide
Flood slide with crystal violet for 20 seconds
Wash with water
Flush with iodine for a minute
Decolourise with gram's alcohol
Wash with water
Flush with safranin counterstain for 1 minute
Wash again
Blot dry
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5
Q

What are gram positive bacteria?

A

Thick peptidoglycan layer retains crystal violet-iodine complex

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6
Q

What colour do gram positive bacteria turn?

A

Purple

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7
Q

What are gram negative bacteria?

A

Thin peptidoglycan layer which doesn’t retain crystal violet but is stained with safranin

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8
Q

What colour do gram negative bacteria turn?

A

Pink

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9
Q

How to conduct ELISA test

A
Coat microtiter plate with antigens
Add sample
Specific antibody can bind to antigen
Wash
Enzyme labelled antibody
Wash
Add substrate
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10
Q

How do you treat meningitis?

A

Antibiotics

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11
Q

How do you rule in/out meningitis?

A

Lumbar puncture

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12
Q

Which bacterium causes meningitis?

A

Neisseria meningitidis

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13
Q

When are broad spectrum antibiotics useful?

A

When we don’t know causative pathogen

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14
Q

Is blood agar selective?

A

No

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15
Q

When is blood agar culture useful?

A

Sterile sites or where you are uncertain of cause of infection

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16
Q

Is Maconky culture selective?

A

Yes

17
Q

Characteristics of maconky agar

A

Entrobacteriacae
Restricts growth of gram positive and support understanding of coliform present
Can have lactose fermentive side and lactose non-fermentive side

18
Q

Characteristics of chromogenic candida agar

A

Green indicates candida albicans

Useful for non-sterile sites where you know that causative bacteria belong to one family

19
Q

What are the three types of streptococcus?

A

Alpha beta and gamm

20
Q

What does alpha streptococcus indicate?

A

Partial haemolysis

21
Q

What does beta streptococcus indicate?

A

Complete hemolysis

22
Q

What does gamma streptococcus indicate?

A

No hemolysis

23
Q

What is a DNA template?

A

dsDNA of interest, separate from sample

24
Q

What is DNA polymerase?

A

Thermostable enzyme that doesn’t denature at high temperatures

25
Q

What are oligonucleotide primers?

A

ssDNA complementary to 3’ end of sense and anti-sense strands of target sequence

26
Q

What are the 4 deoxynucleotide triphosphates?

A

dATP, dTTP, dGTP, dCTP

27
Q

What doe the deoxynucleotide triphosphates do?

A

Provide energy for polymerisation and building blocks for DNA synthesis

28
Q

What does ELISA do?

A
  • Quantification of a desired marker in biological sample
  • Marker can be antibody or antigen
  • Antigen on bottom of plate, antibodies added. Sometimes add antihuman IgG with conjugate enzyme. Add dye that is cleaved by enzyme, the color change is detected by electric plate reader
29
Q

Advantages of microscopy

A

Quick

Visualise bacteria, fungi, protozoa and metazoa

30
Q

Disadvantages of microscopy

A

Not definitive identification
No information on antibiotic sensitivity
Can’t detect viruses

31
Q

Advantages of cultures and confirmatory tests

A

Confirmed identification
Information on antibiotic sensitivity
Bacteria and fungi

32
Q

Disadvantages of cultures and confirmatory tests

A

Slow
Commensal bacteria may interfere
Some organisms difficult to culture
Can’t culture viruses, protozoa and metazoa on agar

33
Q

Advantages of PCR

A

Quick
Confirmed identification
Detects full range of microorganisms
Automated

34
Q

Disadvantages of PCR

A

Each PCR looks for one organism only

No information on antibiotic sensitivity

35
Q

Advantages of antibody detection

A

Detects whether antibodies are raised against full range of microorganisms
Automated

36
Q

Disadvantages of antibody detection

A

Slow - antibodies will only be present once immune system has responded
Antibodies may be result of previous infection