Mikrobiologisk Diagnostik

Question 1

Neisseria Gonorrhea

Answer 1

1. Odling: Cervix, Svalg, urethra, Rektum och ögon.

2. DNA-påvisning

Question 2

Neisseria Meningitidis

Answer 2

1. Odling: LIkvor & blod.

2. PCR: Likvor

Question 3

Treponema Pallidum

Answer 3

Kan ej odlas!

1. Primärsåret: Mörkfältsmikroskopi
2. PCR.
   3: Ospecifika och specifika antikroppar, EIA, TPPA.

Question 4

Chlamydia Trachomatis

Answer 4

PCR

Question 5

Chlamydia Pneumonia

Answer 5

PCR

Question 6

Morhaxella Catarrhalis

Answer 6

Vid mediaotit:
Odling: Mun, ögon, svalg
Vid sinuit:
Odling på punktat

Question 7

Borrelia Burgdorferi

Answer 7

1. Klinisk bild

2. Antikroppar, serologi, PCR, odling men dessa mätmetoder är rätt dåliga.

Question 8

Bacteroides Fragilis

Answer 8

Anaerob odling

Question 9

Escherica Coli / EHEC

Answer 9

EHEC:

1. Odling + Toxinpåvisning (SGLT1/2)
2. Toxingener

Question 10

Francisella Tularensis

Answer 10

1. Klinisk bild
2. Antikroppar
3. PCR

Question 11

Haemophilus Ducrey

Answer 11

1. Odling

2. DNA-påvisning

Question 12

Haemophilus influenzae

Answer 12

1. Odling

2. PCR

Question 13

Helicobacter Pylori

Answer 13

Invasiv:
- Odling, Histopatolog, Ureastest

Icke-invasiv:
- Ureasutandningstest, Serologi, Avföringstest

Question 14

Legionella spp

Answer 14

1. Antigen i Urin

2. PCR: BAL

Question 15

Pseudomonas Aeruginosa

Answer 15

Odling

Question 16

Salmonella spp.

Answer 16

1. Odling: Fecal, Blod Urin.
2. PCR
3. Serologi

Question 17

shigella

Answer 17

1. Odling

2. PCR

Question 18

Yersinia

Answer 18

1. Odling: Fekal
2. PCR
3. Serologi

Question 19

Vibrio Cholerae

Answer 19

Odling

Question 20

Campylobacter Jejuni/coli

Answer 20

1. Odling: Fecal, blod
2. Antikroppar
3. PCR

Question 21

Bordetella Pertussis

Answer 21

1. PCR: Nasofarynx

2. Serologi

Question 22

Pasteurella Multocida

Answer 22

Odling

Question 23

Streptococcus Pygoenes

Answer 23

1. Strep- A test
2. Streptokockodling: blodagar
3. Odling: resistensbestämning
4. Snabbt Ag-test

Question 24

Streptococcus Pneumoniae

Answer 24

1. Odling: sekret
2. Odling: Likvor, blod
3. PCR
4. Antigen i Urin

Question 25

Streptococcus Agalactiae

Answer 25

Vid meningit: 1. Mikroskopering av Likvor 2. Odling: livkor, sekret 3. PCR: Screening, gravida

Question 26

KNS - Staphylococcus (staphylococcus saprophyticus)

Answer 26

1. Odling | UVI: Mittstrålepunktion

Question 27

Staphylococcus Aureus

Answer 27

Odling

Question 28

Bacillus Cereus

Answer 28

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Question 29

Clostridium Botulinum

Answer 29

Symptom

Question 30

Clostridium Difficile

Answer 30

1. PCR: Toxingener | 2. Isolering från fekalodling

Question 31

Clostridium Perfringens

Answer 31

1. Direktmikroskopi av infiltrerad vävnad (gasbran) | 2. Odling

Question 32

Clostridium Tetani

Answer 32

1. Klinisk bild | 2. Odling

Question 33

Corynebacterium Diphteriae

Answer 33

1. Difteriodling | 2. PCR- toxingener

Question 34

Listeria Monocytogenes

Answer 34

1. Odling | 2. Atypiska likvorfynd

Question 35

Mycobacterium Tuberculosis

Answer 35

- Lungröntgen - Mikroskopering av biopsi --> Syrefasta stavar - PCR: sputum - Odling: Känsligast men tar flera veckor . - Positivt tuberkulintest - IGRA

Question 36

Mycoplasma Pneumoniae

Answer 36

1. PCR: Likvor, sputum | 2. Serologi