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23 Cards in this Set

  • Front
  • Back
clinical microbio
the study of organisms that cause disease
-bacteriology, virology, mycology, parasitology
bacteria and archae
-single-celled, no membrane bound nucleus, no other oragnelles
-prokaryotes = prenucleus
-common type in human infection
-rod-shaped, spherical and spiral
-rigid cell walls
-binary fission
normal bacterial flora
- aka microbiota
-bacteria outnumber cells in the body
-keep disease-causing organisms from breaching host defenses
eucarya
-organisms contain membrane bound nucleus, eukaryotes = true nucleus
-contains organelles
-fungi: single (yeast) or multicellular (molds)
-gain energy from organic materials
-protozoa: microscopic, found in water, complex, large, motile
nomenclature
- first word is genus capitalized, second word is species name, not capitalized
-full name italicized or underlined
microscope
important factors: magnification, resolution, contrast
acidic and basic dyes
-basic dyes carry positive charge and bond to cell structures that carry negative charges-STAIN THE CELL (ex. methylene blue, crystal violet, safranin, malachite green)
-acidic dyes carry positive charge and are repelled by cell structure that carry negative charge-STAIN THE BACKGROUND
how to prepare the smear for staining
1. sterilize the inoculating loop
2. obtain a loopful of broth culture and place on slide "smear" with a loop to make a thin, uniform film on the slide
3. air dry completely
gram stain steps
1. flood with crystal violet-stain cells-wait 1 min
2. gently wash with tap water
3. flood with iodine- holds primary dye onto cell- at this point it is purple-wait 1 min
4. decolorize with ethyl alcohol- at this point gram + are purple and gram - have no color (IMPT STEP)
5. wash with tap water
6. flood with safrinin- wait 10 secs-recolorizes cells that lose stain through decolorization- stains both but only see gram - appear red
7. wash with h2o
8. air dry
acid fast stain
-for genus mycobacterium
-uses heat to facilitate staining
1. primary dye: carbol fuchsin- colors acid fast bacteria red
2. decolorize with acid alcohol- remives stain from non acid-fast bacteria
3. counter stain with methylene blue- non acid fast bacteria-->BLUE, acid fast -->RED
capsule stain
do this if u suspect a capsule
-negative stain, only stains bacjground
-capsule stands out
endospore stain
-enhances endospore
-uses heat
-if u suspect baciliius infection
flagella stain
-single or several flagella
-staining increases diameter of flagella
morphology of prokaryotic cells
1. coccus: spherical
2. bacillus: rod or cylinder shaped
3. coccobacillus: short round rod
4. vibrio: curved rod
5. spirillum: spiral shaped
6. spirochete: helical shape
7. pleomorphic: bacteria able to vary shape
-Cells adhere together after cell division for characteristic arrangements
-division along a single plane may result in pairs or chains of cells- pairs = diploccoci; chains = streptococci
-division along 2 or 3 perpendicular planes form cubical
-division along several random planes form clusters
direct testing
-Demonstration of the presence of an infectious agent
- culture, microscopy, molecular methods such as PCR
indirect testing
-Demonstration of presence of antibodies to a particular infectious agent: Serology
sterile body sites
-normally do not contain any bacteria, so any bacteria found there are significant (if they are not sterile that means there is an infection
-blood, CSF, urine
non-sterile body sites
-open to the external environment and normally contain bacteria
-throat, feces, skin
-specimens only look for specific pathogens
specimen
1. collection
2. aprropriateness
3. transport to lab
4. innoculation of media
5. culture and isolation
6. identification
7. report
urine culture- how to minimize contam
-: transfer urine to a tube with preservative within 10 min then can be kept for 48hrs at room temp; important to tell patient how to collect sample (clean area, collect mid stream
how to minimize contamination
-*look at chart
criteria for rejection of a specimen
o Unlabeled or improperly labeled specimen
o Prolonged storage or transport
o Improper or damaged container
o Specimen received in fixative
o Oropharyngeal contaminated sputum
o Specimens unsuitable for culture request (anaerobic culture from not acceptable source, urine from Foley catheter)
o Dry Swab
end of lecture
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