Microdeck_14431061 (1) Flashcards
TSA w/sheep blood, diff w/hemolysis, most nonfastidious bacteria
SBA Sheep blood agar
Isolation of Haemophilus and Neisseria, factors X &V, incubated at increased CO2But best for…Neisseria gonnerhea better on…
CHOC, chocolate agarBetter for HaemophilusBest for gonnerhea and meningitis is modified thayer martin
CHOC supplies which factors and is incubated with increased what?
X, V, increased CO2
Columbia colistin-nalidixic acid agar, CNAisolates…suppresses…
isolates GPsuppresses GN
Phenyl ethyl alcohol agarPEAisolates for … and …inhibits
isolates GPC and anaerobic GNRinhibits enteric GNR
PEA
Phenyl ethyl alcohol agar
Columbia colistin-nalidixic acid agar
CNA
EMB
eosin methylene blue
EMB, isolates…inhibits….LF are … To … E.coli what kind of color…
isolates enteric GNRinhibits GPLF are green-black to purpleE.coli have a green metallic sheen
MACisolates…inhibits…LF color…
isolates enteric GNRinhibits GP
bile salts and crystal violet that inhibit most GP are in what medium
MAC
SMACsorbitol MacConkey isolates……doesn’t ferment sorbitol and are colorless
E.coli 0157:H7
4 medias for isolation of salmonella and shigella
SS, HE, XLD, GN
Hektoen enteric (HE) isolates these twoinhibits
Salmonella and shigellainhibits normal GI flora
XLD
xylose lysine deoxycholate
Cold loving, optimum temp 15C
psychrophiles
moderate temp, 37C most pathogenic organisms
mesophiles
heat loving, 50-60C
thermophiles
obligate anaerobes are harmed by
O2
Facultative anaerobes can grow…
with or w/out O2
microaerophiles prefer
lower O2
capnophiles prefer
higher CO2
Aerotolerant
do not need O2, and not hurt by it
Typical incubation CO2% temp/name of ideal temphumidity
5-10% CO235-37C/98.6F/optiumum50-70% humidity
Autoclave lbs, mins, temp
15lbs, 15min, 121C
QC for wet sterilization/autoclave
Bacillusstearothermophilus
Two halogens that are disinfectants
idoine and chlorine
Process that inactivates or inhibits microbes (not spores)and example
disinfectionBleach (1:10)
Process that kills all microbes including sporesand examples
sterilizationautoclaves
Penicillin
beta lactaminhibits cell wells
Gram neg anaerobe resistant to peniciilin
B.fragilis
Two antibiotics best indicators for poor disk storage
penicilin and methicillin
Vancomycin is drug of choice for these two microbes
C.difficile and MRSA
Vancomycin is a
glycopoeptide
Kirby-Bauer Method uses what agar
MHMueller-Hinton
McFarland is what concentration and how many organisms
0.510*8
MIC
minimum inhibitory concentrationlowest concentration that prevents growthfirst dilution w/no growth
MBC
minimum bacteristatic concentrationlowest concentration results in >99.9% killing
E-test
MIC on a stick
Modified Thayer-Martin good for these two
N.gonorrhea and N.meningitis
Thayer Martin media is what kind of agar
enriched chocolate
Difference between TM and Modified
MTM has trimethroprim lactate which inhibits swarming of Proteus
Middlebrook 7H10 and Lowenstein-Jenson good forWhich one best for observing microscopically
MycobacteriumMiddlebrook 7H11
Species for QC of dry heat oven
B.subtilis
BBE good for
B.fragilisBacteroides Bile Esculin
CCFA Cycloserine-Cefoxitinfor
C.difficile
Regan-Lowe andBordet-Gengou for…which one preferred…
B.pertussisRegan-Lowe preferred
BCYEbuffered charcoal yeast extract for
Legionella
Cystine-Tellurite, Tinsdale and Loefflers Medium
C.diphtheriae
Never refridgerate these 3
CSF, anaerobic and GC
Blood culture preped with…draw before…dilution/ml
prep with alcohol, iodinedraw before fever spike1:10 dilution, 10mL
2 Stains for acid fast/mycobacteriabest of the two…
Kinyoun and Ziehl-NielsonKinyoun
Calcofluor white stains…KOH is used to…
stains yeast/fungiKOH breaks down debris and mucous
Gram stainprimary stain, decolorizer, mordant and counterstain
Crystal violetacohol/acetoneiodinesafranin
JEMBEC plates used to
transport and grow N.gonorrhoeae
Modified Thayer-Martin, Martin LewisNYC, GC-LECT,JEMBEC isolate
N.gonorrhoeae and meningitidis
Two species of enterobacteriaceae that are nonmotile
shigella and klebsiella
Species of enterobacteriaceae that is both motile and nonmotile at diff temps
Yersinia
Two genuses that form spore
Bacillus and clostridium
Disinfectant for walls/floors that doesn’t kill spores/myco/noneveloped
quarternary ammoniums
Phenol
disinfectant, doesn’t kill spores
2% aqueous glutaraldehyde
used when items can’t be sterlized by heatcold sterlization
Sodium polyanethod sulfonate (SPS)
used to grow bacteria by preventing clotting, phagocytosis and bactericial effects
Urethral contamination of urine is greather than Squamous epis/hpf
10
Resistance to penicillin should be tested for
beta lactamase production
beta-lactamase test that uses nitrocefin and there is hydrolysis of the beta lactim ring resulting in red color
Chromogenic cephalosporin metodor Nitrocefin test
Tests beta lactamase w/penicillin-pheno red substrate leading to color change from red to yellow to penicilloic acid
Acidimetric method
Test for beta lactamase where betalactamse hydroyze penicillin G and reduce iodine, resulting in fading of blue to colorless
Iodometric method
Potassium tellurite used to id
Corynebacterium diphtheriae
Potassium tellurite inhibits…color of C.diph
gp/gn nornal floragray black
Loeffler serum agar enhances these two things for C.diph
pleomorphism and metachromatic granules
Elek test detects toxin for
C.diph
TCBSthiosulfate citrate bile salts used for
Vibrio
2 kinds of alpha heme
s.pneumoviridians
3 kinds of beta heme
Group A, BL.mono
1 gamma heme
enterococci
GPC resistant to bacitracin
Staph
Cause of toxic shock and food poisoning
S.aureus
Staph that is nonheme and common cause of hospital aquired UTI
S.epi
staph that is mostly novobiocin sensitive
CNS
Antibiotic disk that diff between CNS and S.saproS.Sapro versus CNS susceptibility
NovobiocinAll CNS suspectible to Novobiocinexcept S.sapro is resistant
Strain of CNS that is resistant to novobiocin
S.sapro
Pigmented, high domed large GPC
micrococcus
Test that diff staph versus strep
catalase
Mannitol salt agar, MSA selects for
S.aureus, pos
90% of strep, cause of rheumatic fever, scarlet fever
Group A StrepS.pyogenes
Strep that is sensitive to BacitracinHow many units on disks
Group A strepS.pyogenes0.02-0.04
Strep NF of female genital and cause of neonatal issues
Group B strepS.agalactiaae
Diff Group A from B with what antibiotic…which one is which
BacitracinGroup A is sensitiveGroup B is resistant
Strep that is hippurate poss and CAMP pos (shows arrowhead)
group B strepS.agalactiae
beta Strep that is PYR pos
Grp A strep
Non heme strep that causes nosocomial UTI and hydrolyzes esculin
Group D Strepnonenterococci
two examples of Group D strep
S.bovis, S.gallolyticus
Used to be called strep, alpha/non heme, hydrolyzes esculin and grows in NaCL
enteroccouccus
Two oval GPC organisms that can cause nosocomial UTI, is in GI, and hydrolyze esculin
Group D and enterocccocci
What diff Group D and enterococci
Enterococcus grows in NaCl
GPC lancet shaped, alpha heme, encapsulated normal in uppper respiratory
S.pneumo
Strep that is sensitive to Optochin
S.pneumo
P disk is called
Optochin
Strep that is sensitive to optochin and is bile soluble
S.pneumo
2 Tests that diff S.pneumo from viridiansWhich one is pos for both
optochin and bile solubilityS.pneumo posviridians neg
Group F
microaerophillicS.milleri
GPC that has butterscotch odor
microaerophillics.milleri
Large GPC that are nonpatho, in environment/skin, pigmented and microdase pos
micrococcus
Antibiotic that will kill MRSA
Vancomycin
Two genera with GN dipplococci and oxidase pos
Neisseria, Moraxella
GNDC coffee bean shaped, oxidase pos,
Neisseria
GNDC that ferments glucose only
N.gonn
GNDC that is uppe respir, ferments both glucose and maltose
N.meningitidis
GNDC of upper respiratory in kids, ferments all glucose, maltose and lactose
N.lactamica
Organism that causes upper respiratory, otitis media, hockey puck colonies
M.cattarhalis
GNDC that is neg for sugars, DNase pos, butyrate esterase pos
M.catarrhalis
3 oxidase pos GNDC
N.mening,gonnM.catt
GNDC needs Co2, 48hrs to grow, ferments glucose only
N.gonn
N.mening transmitted by…seen mostly in…ferments these two sugars…
respiratory dropskidsglucose, maltose
These two test diff M.cat from Neisseria
DNase posbutyrate esterase pos
M.cat seen in…
resp infections
spore forming GP rods
bacillus
4 nonspore forming GP rods
CLENCorynebacteriumLiseriaErysipelothrixNocardia
CLEN acronym for nonspore forming GP rods
CorynebacteriumListeriaErysipelothrixNocardia
Gram variable/pos with clue cells, bacterial vaginosis
Gardnerella vaginalis
GPR that appears as chinese letters and has metachromatic granules
Corynebaceriumdiphtheriae
Which medium will help enhance metachromic granules in C.diphtheriae
Loefflers
Which GPR has metachromatic granules on Loefflers
C. diphtheriae
Elek test tests for…in what organism
toxin productionC.diphtheriae
Ingrient in Tinsdale agar and color change due to its hydrolysisorganism diff on this
telluriteblackC.diphtheriae
GPR with tumbling motility/umbrella motility at RT
L.monocytogenes
GPR with test tube brush growth in gelatin and cause of occupational infections for fisherman etc
Erysipelothrixrhuiopathiae
GPR spores, ground glass
Bacillus
Bamboo shoots, medusa head
B.anthracis