MYCOVIRO - CH 59 Book Pt 2 Flashcards
Vaginal Samples
-transported to lab within ? hrs using culture transport swabs
24
Vaginal Samples
-transported to lab within 24 hrs using __
culture transport swabs
vaginal samples: both __ and __ agars be plated
selective and inhibitory
vaginal samples must be screened for __, incubated at 30C for 7 days
yeasts
vaginal samples must be incubated at (temp and how many days)
30C for 7 days
what urine sx is unacceptable for culture
24-hr urine
urine sample media must contain what ?
antibacterial agents
All tissues must be processed before culturing by: (2)
- Mincing
* Or placement in high speed lab blender
express the cytoplasmic contents of cells using pressure from the action of rapidly moving metal paddles
stomacher lab blender
what specimen may be placed directly onto the surface of appropriate culture media
BM
For optimal recovery, a battery of media should be used:
2
- Media with and without cycloheximide
* Media with and without antibacterial agent (not necessary if specimen is from a sterile site)
Agar plates – preferred because (3)
- Provide better aeration
- Larger surface area for better isolation of colonies
- Greater ease of handling
agar tends to dehydrate during extended incubation period
–minimized using: ??
culture dishes containing at least 40 mL agar and placing them in a humidified incubator
ADV OF SCREW-CAPPED CULTURE TUBES
- Easily stored
- Require less space for incubation
- Easily handled
- Lower dehydration rate
- Less hazardous
DISADV OF SCREW-CAPPED CULTURE TUBES
- Poor colony isolation
- Reduced SA
- Tendency to promote anaerobiosis
if using screwcapped culture tubes, after inoculation, must be placed in a horizontal position for at least ??? hours to allow the specimen to absorb the agar surface and avoid settling at the bottom of tube
1-2
?? tubes unsatisfactory for fungal cultures
cotton-plugged tubes
cultures should be examined at least how many times weekly during incubation
3x
– added to any media that contain or lack antibiotics
- if it is included, a medium w/o it must also be used
- partially or completely inhibits…
Cycloheximide
– recommended method for direct microscopic examination
KOH preparation
- better than KOH preparation
- slides are observed using 1) fluorescent microscopy (optimal because fungal cells fluoresce) or 2) bright field microscopy
Calcoflour white stain
Serology testing - may be useful for (4, CHAB)
- Cryptococcus
- Blastomyces
- Histoplasma
- Aspergillus
– useful but not for immunocompromised patients (incapable of producing a measurable humoral response)
Antibody testing
– sensitive method, difficult to perform and interpret
- requires a delay in testing that extends from exposure to onset of symptoms
- detection of antibody can take 2 to 3 months
- cross reactions with other fungal antibodies may be a problem
Complement fixation (CF)
– simple, cost-effective procedure
- 100% specific, relatively insensitive, not used as a screening tool
- requires 2-3 weeks to be positive
Immunodiffusion testing