U2.1.1 L : Experiment 6-7 Flashcards
Differential Staining
Principle : used to distinguish if the isolate is Gr (+) or Gr (-)
Gram Staining
Gram Staining
Gram (+) bacteria : color
stained purple
Gram Staining
Gram (-) bacteria : color
stained red
T/F Gram Staining is based on the reaction of bacterial cell wall on staining solutions
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Two Types of Smear
prepared from colonies growing from plated media
Indirect Smear
Two Types of Smear
prepared from clinical specimen
Direct Smear
Staining Procedure Gram Stain
Stain :
Mordant :
Decolorizer :
Counterstain :
Stain : Crystal Violet for 1 minute
Mordant : Gram’s Iodine for 1 minute
Decolorizer : Acetone-alcohol or 95% Ethanol for 10 seconds
10 seconds
Counterstain : Safranin O for 30 seconds
T/F In Gram staining smear should have pink/red or clear background and cells are overlapping
F, cells should not be overlapping
Gram staining
Examine smear _____/____ scanning
Horizontal / Vertical Scanning
Microscopic Examination : Direct Staining
Microscopic Structures Present
Epithelial Cells, PMNs, RBCs, Host cellular material
Gram Staining
Microscopic Examination : Enumeration of Cells under LPO
1+
1+ = </LPF
Gram Staining
Microscopic Examination : Enumeration of Cells under LPO
2+
2+ = 1-9/LPF
Gram Staining
Microscopic Examination : Enumeration of Cells under LPO
3+
3+ = 10-25/LPF
Gram Staining
Microscopic Examination : Enumeration of Cells under LPO
4+
4+ = >25/LPF
Gram Staining
Microscopic Examination : Enumeration of Bacteria under OIO
1+
1+ (rare or occasional) = <1/OIF
Gram Staining
Microscopic Examination : Enumeration of Bacteria under OIO
2+
2+ (few) = 1-5/OIF
Gram Staining
Microscopic Examination : Enumeration of Bacteria under OIO
3+
3+ (moderate) = 6-30/OIF
Gram Staining
Microscopic Examination : Enumeration of Bacteria under OIO
4+
4+ (heavy) = >30/OIF
Differential Staining
Principle : For the detection of Tubercle bacilli in sputum specimen
AFS
AFS
What does it detect in sputum specimens
Tubercle bacilli
T/F In AFS, Tubercle bacili resist decolorization w/ acid-alcohol and appear red on a blue / green background after decolorization
T
AFS
Causative agent of Mycobacterium Tuberculosis
Tubercle bacilli
AFS
Primary diagnostic and monitoring tool for TB
Direct Sputum Smear Microscopy
AFS
Specimen Considerations
Time
Collected preferably early morning
AFS
Sputum should be ____
Sputum should be thick, cloudy, and sticky
AFS Procedure
Smear should be spread properly showing ____ patterns
concentric / coil-like patterns
AFS
Stain
0.3% Ziehl’s Carbol Fuchsin
AFS
Decolorizer
Acid alcohol
AFS
Counterstain
0.3% Methylene blue / Malachite Green
AFS Microscopic Examination
Manner of scanning
From left to right go downward a bit and then right to left
AFS
Microscopic Structures Present
Squamous Cells, Leukocytes, Mucus Threads, Bacterial cells aside from AFB
AFS
Color of Bacterial Cells aside from AFB
Blue and green
AFS
Color & Morphology of AFB
red or pink bacilli; thin,
filamentous or beaded
Enumeration of AFB under OIO
+n
+n : 1 - 9 AFB seen in 100 OIF
Enumeration of AFB under OIO
1+
1+ : 10-99 AFB seen in 100 OIF
Enumeration of AFB under OIO
2+
2+ : 1-10 AFB/OIF in at least 50
fields
Enumeration of AFB under OIO
3+
3+ : >10 AFB/OIF in at least 20
fields
Special Staining
T/F Pathogenic organisms have a protected covering made up of polysaccharide polymer and polypeptide
T