Specimen Collection Flashcards
How many swabs are preferred when requesting gram stain and culture
2 swabs
Most common form of skin cleansing
70% alcohol followed by an iodophor
Antiseptics to be used for specimen collection
Betadine
70% alcohol
Inhibitor of bacterial growth
Fatty acids
Why are CSF samples transported within 15 minutes
No preservatives
Maximum hours when preserving CSF samples
Maximum 6 hours
Pathogenic bacteria present in CSF
Neisseria meningitidis
Hemophilus influencing
Maximum hours of transport
2 hours
Ideally: 30 minutes
Preservation temp for g/s and c/s
35 C
This preservative maintains the appropriate colony counts (urine)
Boric acid
These are media that maintain the viability of microorganisms present in a specimen
Transport media
Added to transport media to absorb fatty acids that could kill fastidious organisms
Charcoal
Common stool transport medium
Buffered glycerol-saline
Examples of transport media
Stuarts medium
Cary blair
Amies medium
Used to prevent clotting of blood, bone marrow, synovial fluid
Anticoagulants
Conc of sps used for blood culture
0.025% (w/v) sodium polyanethol sulfonate
Loosen mucus of sputum
Digestion
Specimen for afb
Sputum
Needs decontamination
Sputum
Top: stuart swab
Blue
Top: aerobic swab
White
Top: chlamydia swab
Yellow
Top: cary blair
Red
Top: mrsa pcr copan dual swab
Orange
MRSA
Methycelene resistant s.aureus
This type of stain helps visualize rods, cocci, wbc, rbs or squamous epithelial cells
Gram stain
Acid fast stains
Ziehl-neelsen
Kinyoun
Auramine-rhodamine
Fungal stains
Koh
Pas (periodic acid schiff)
Calcofluor white
This process requires grinding of tissue
Homogenization
Days required for culture media
3 days
Days required for broth
7 days
Form of oxigenation
Refrigenation
Refrigerator temp
4 C
Incubator temp
35 C
Ambient temp
22 C
Freezer temp
-20 to -70 C
Swab collection that is collected by medtech
Throat swab collection
PPM
Primary plated media
Fluid in joints
Synovial fluid
Fluid in the peritoneal of the abdomen
Peritoneal fluid
Fluid in the lungs
Pleural fluid
Automated blood culture system designed to do blood culture
Bacte alert
Latest machine for blood culture
Bactec fx