Part III: Introduction to Bacteriology Flashcards
detection of bacteremia, sepsis, fever of unknown origin in blood collection/phlebotomy
Blood
presence of viable bacteria in blood
Bacteremia
Common agents for Bacteremia
CoNS (Coagulase-Negative Staph) Saphrophyticus and epidermidis
H.influenzae
S.aureus
E.coli
B. fragilis
presence of viable bacteria in blood that causes SYSTEMIC INFLAMMATORY INFECTION
Septicemia
Decontamination of puncture site uses: (3)
70-95% alcohol
Chlorhexidine
Iodophor (1 min)
BLOOD common contaminants
DiBa EVA
Diptheriae spp.
Bacillus spp.
S. epidermidis
Viridans streptococci
p. Acnes
Blood-Broth ratio is:
1:10
BLOOD specimen media used
Brain Heart Infusion
Trypticase Soy Broth
Brucella Broth
BLOOD anticoagulant uses
0.25% Sodium Polyethanol Sulfonate
Addition of _______ in anticoagulant SPS will neutralize effect of SPS
1% gelatin
Anticoagulant SPS will inhibit growth of
Negative VMA
Neisseria
G. vaginalis
S. monoliformis
P. anaerobious
Other anticoagulants:
- Sodium amylosulfate
- Heparin
- 0.5-1% Sodium citrate
additive that CANNOT BE USED FOR BLOOD CULTURE
EDTA
BLOOD CULTURE
Heparin is usually used for
- viral agents
- capable of inhibiting gram (-) bacteria and yeast
Specimen used for the detection of Respiratory Tract Infection
Sputum
Sputum must be handled in
BSC Cabinet (BSL-3)
Specimen retrieved for Sputum Culture
Deep Cough 5-10 mL
Poor collection of sputum is confirmed in presence of
Alveolar macrophange
Columnar cells
Sterile sputum
Centrifugation –> process
Non-sterile sputum undergoes
Digestion - Decontamination - centri -process
BARTLETT’S CLASSIFICATION
Saliva
> 10
< 25 PMN
BARTLETT’S CLASSIFICATION
Sputum
< 10 PMN
> 25 PMN
Sputum Gold Standard sterilization
Digestion: n-acetyl-l-cysteine
Decontamination: NaOH
Other decontamination agent for Sputum
5 % oxalic acid
Sputolysin
Zephiran Trisodium Phosphate
4% NaOH
generally for aerobic bacteria, least preferred for anaerobic culture
SWAB
Major throat pathogen
S. pyogenes
SWAB
Clinical Significance of S.pyogenes
Pharyngitis
scarlet fever
erysipelas
SWAB
Virulence factor of S.pyogenes
M protein
SWAB
M protein of S.pyogenes is encoded by what gene
emm gene
SWAB
Major throat normal flora
Viridans Strep
SWAB
Viridans strep.
Hemolysis =
Optochin =
Neufeld Quellung’s Test =
Bile Esculin =
Hemolysis = Alpha
Optochin = Resistant
Neufeld Quellung’s Test = Neg
Bile Esculin = Neg
Major throat flora: Viridans strep causes
SBE
Sub-acute Bacterial Endocarditis
NASOPHARYNGEAL SWAB to detect
B. pertussis
B. pertussis is a carrier state of
N.meningitis (5-29 yrs old)
H. influenzae
SAR-CoV
MRSA
NASOPHARYNGEAL SWAB uses materials like (3)
- Dacron
- Rayon
- Calcium alginate
NASOPHARYNGEAL SWAB that is toxic to Neisseria
Cotton
NASOPHARYNGEAL SWAB that is toxic to VIRUSES
Calcium alginate
NASOPHARYNGEAL SWAB
Always a pathogen
Neisseria gonorrhoeae
NASOPHARYNGEAL SWAB
- Can be a normal flora
- Nasopharyngeal positive result can be non-significant
Neisseria meningitidis
manner of collection is thru LUMBAR TAP
CSF
CSF Sequence of Tube Collection
Tube 1: CC
Tube 2 : Microbio
Tube 2: Hema
CSF Specimen Handling
Storage Temp:
Transport Temp:
Storage Temp: 37
Transport Temp: 25-30
CSF Specimen must be refrigerated
false
CSF culture media
BAP
CAP
CSF usual pathogens
I Love SPAM
H. influenzae
Listeria
S. pneumoniae
S. agalactiae
N. meningitidis
– to detect enteric pathogens
Stool
Stool culture media
SSA
EMB
MacConkey Agar
Alternative Specimen for enteric pathogen
Rectal Swab
STOOL
Common pathogen
Shige Enter Viber Col JeSa
Shigella
Enterocolitica
Vibrio
E.coli
C. jejuni
Salmonella
submitted to detect UTI, usual request is culture, colony count, and sensitivity
URINE
URINE
Most common cause of UTI
E.coli
Most common cause of UTI in young females
S. saprophyticus