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96 Cards in this Set

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Removal of ALL life including bacterial spores

Sterilization

Inhibition, removal or killing of microorganisms using chemical agents; usually on inanimate objects. Does it remove spores ?

Disinfection. And no, it does not remove spores

Moist heat destroys vegetative bacteria at


100C for 10-15minutes

Autoclave is the most effective method and performed at

Steam under pressure




121C 15psi for 15mins



or



132C 15psi for 30-60mins

Biological indicator for autoclave is


Bacillus thearothermopillus

- Heating (kills vegetative cells)


- Incubation (allows spores to germinate)


- Heating (kills remaining cells)

Fractional/Intermittent Sterilization (Tyndallization)

Uses Arnold's sterilizer

Fractional/Intermittent steri.

Fractional/Intermittent sterilization is performed at

100C for 30mins for 3 consec. days

Used to disinfect/sterilize culture media, glassware & liquids

Autoclave

Involves thickening through evaporation



Used to sterilize protein rich medium

Inspissation

What are the tree types of Pasteurization methods?

1. Low temp holding


2. High temp holding


3. Ultra high temp.

Low temp pasteurization is performed at

63C for 30mins

High temp short time pasteurization is performed at

72C for 15sec

Ultra high temp pasteurization is performed at

140C for 3 sec. and cooled quickly in a vacuum

Known as "Batch Method" pasteurization

Low temp holding

High temp short time is also known as

Flash pasteurization

Used for disinfecting inoculating loop & needle

Flaming (direct heating)

Temp used for oven


Dry heat




160-180C for 1.5-2 hrs





What is the biological indicator for oven?


B. subtilis var niger

Most common method of treating infectious waste and infected lab animals.

Incineration

Incineration is performed at what temp?

870 - 980 C

Method of choice for sterilization of antibiotic solutions, toxic chemicals, vaccines and antibiotics

Filtration

Liquid filtration uses what?

Cellulose acetate & cellulose nitrate

Air filtration uses what?

High Efficiency Particulate Air filter. (HEPA filter)

Absence of water rendering microbes unable to grow/reproduce.

"Freeze drying"




Dessication & Lyophilization

Uses high concentrations of salt and sugar to create hypertonic environments

Osmotic pressure

A hypertonic environment leads to ___________ in which the water goes out of the cell.

Plasmolysis

The biological indicator for radiation is

B. pumilis

__________ radiation has a shorter wavelength (higher energy) and is used to sterilize plastic syringes, sutures, catheters and gloves.

Ionizing radiation

Type of radiation that has longer wavelength (lower energy)



used to disinfect surfaces, air, operating rooms and nurseries.

Non-ionizing radiation

The shortest period of time needed to kill bacteria at a prescribed temp

Thermal death time

Lowest temperature at which bacteria is killed is called

Thermal death point

Alcohol (70%) causes

Denaturation of proteins and dissolution of lipid membrane

Destroys organisms by oxidation (I.E. tineture of iodine)

Halogens

Give some examples of Salts of heavy metals


Copper


sulfate


mercuric chloride


silver nitrate

Inactivated by organic substances (salt, hard water, minerals)

QUATS




I.E. Benzalkonium chloride

An example of gas sterilization is

Ethylene oxide

Measures bactericidal activity of a compound in relation to phenol. (The higher the value the better disinfectant)

Phenol coefficient

Interpret PC>1

Disinfectant is Better than phenol

Interpret PC=1

Disinfectant is Equal to phenol

Interpret PC<1

Disinfectant is Less effective than phenol

Liquid culture mediums contain ________% agar. Give an example.

0% agar; Trypticase Soy Broth

Semi solid medium contains ______% agar. Give an example.

0.5% - 1% agar; Sulfide Indole Motility (SIM)

Solid medium contains _____ % agar and maybe liquiefiable or non-liquiefiable

2-3% agar




(chopped meat or rice grains)

In this medium, all components are known (chemically defined)

Synthetic medium

This medium has a presence of at least 1 component that is not chemically defined.

Complex medium.

This medium uses components such as Hepa 2 cells.

Tissue culture

Also known as "supportive or basal media. "

Gen. Isolation media

Supports growth of most non fastidious(not demanding) bacteria; no growth advantage is given to any group.

Gen. Isolation media

Also known as Non selective Isolation media and contains a nutrient supplement.

Enriched media

Give examples of Gen. Isolation media

Nutrient agar/broth

Give examples of Enriched media.

Chocolate and blood agar

This media provides distinct colonial appearances of microorganisms to aid in identification.

Differential media.

Give some examples of Differential media.

MAC, EMB

Throat cultures are usually used to diagnose

Group A Strep.

Nasopharynx cultured with a wire swab can be used to diagnose

Bordetella pertussis

A nasopharynx culture can determine the carrier status of what two bacteria ?

S. aureus & N. meningitides

What is the preferred specimen to diagnose pneumonia ?

Expectorated sputum

Why is the first morning sputum specimen recommended ?

Because it contains a more pooled bacteria <10 epith. cells

Used to asses quality of sputum

Bartlett's Classification

What types of urine specimen are not accepted?

Foley catheter and bagged urine

Uncultured urine must be refrigerated at

4C

The highest concentration of bacteria occurs before the fever strikes, but you should collect blood when ?

During the fever

No more than 3 sets of blood should be collected in 24hrs. How much should you collect for an adult and pediatric patient?

Adult : 20ml


Pediatric : 1-10ml

What type of specimen is collected via Lumbar Puncture and must go under cytocentrifugation to enhance detection of bacteria ?

CSF specimen

You must screen CSF specimen quickly to look for presence of bacteria by performing

Gram staining or a simple stain

Trichomonas may be identified using ____________________ while N. gonorrheae requires ________ to grow.

Wet mount



Chocolate agar

For collecting a wound/abscess specimen the best method is using a __________ because it avoids collection of normal flora

Needle & Syringe

Antibiotic susceptibility test that adds various conc. of antibiotics to individual plates.

Agar disk diffusion

First tube in well and shows no bact. growth

Min. Inhbibitory Concentration (MIC)

Lowest concentration that kills 99.9% of standard inoculum

Min. Bacterial Conc.

Gives a quantitative value and has predefined antibiotic conc. on plastic strip.

Epsilometer test (E test)

Automated system for Antibiotic Susceptibilty Testing

VITEK

Antibiotic Susceptibility Test for Mycobacteria

Disc Elution Test

Kirby Bauer Disk Diffusion


Uses :


Medium :


pH :


Depth :


Condition :


Temp. :


Incubation period :


Standard :


Kirby Bauer Disk Diffusion


Uses : pure culture


Medium : M. Hinton agar


pH : 7.2 - 7.4


Depth : 4mm


Condition : Aerobic environ.


Temp. : 36-37C


Incubation period : 16-18hrs


Standard : 0.5 McFarland stand.

Heavy inoculum gives a false resistant result because

There's too much bacteria

A thick medium gives false resistant results because

It gives smaller zones of inhibition

An increased pH gives false resistant results for

Tetracycline


Erythromycin


Clindamycin

A delay in disc application gives false resistant results because

The delay causes bacteria accumulation

A decrease in pH gives false resistant results for

Aminoglycosides & erythromycin

What are 3 examples that might give a false sensitive result.

Light inoculum


Thin medium


Old culture

Inhibits growth of one organism while enhancing growth of another.

Enrichment broth

Selenite broth contains






Tetrathionate broth contains

Sodium hydrogen selenite



Bile salts and thiosulfate

__________ inhibits growth of bacteria not sought after

Selective media

_______ pathogens grow best at 30-37C

Mesophilic

_______ pathogens grow best at low temperatures of -5 to 15C

Psychrophilic

_______ pathogens grow best between 20-30C

Psychrotroph

_______ pathogens grow best at 50-60C

Thermophilic

_______ pathogens grow best above temperature of boiling water

Hyperthermophilic

Have absolute oxygen requirement. I.e. Pseudomonas

Strict/obligate aerobe

Can multiply in presence of oxygen

Facultative anaerobe

Have absolute oxygen requirement. I.e. Pseudomonas

Strict/obligate aerobe

Unable to multiply in the presence of oxygen

Strict/obligate anaerobe

Prefers to grow in presence of C02 and small amounts of oxygen

Capnophilic

Requires small amount of oxygen (2-10%) for aerobic respiration

Micro aerophilic

Grows in presence of oxygen but does not need it

Aero tolerant