Postlab Discussions in Microbio1 Lab

download Postlab Discussions in Microbio1 Lab

of 71

Transcript of Postlab Discussions in Microbio1 Lab

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    1/71

    POSTLABDISCUSSIONS IN

    MICROBIO1 LABCompiled by:

    Fortune Lapira Torrecampo, RMT

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    2/71

    11/18/2011 copyright (your organization) 2003 2

    MICROSCOPE AND OTHER

    INSTRUMENTS

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    3/71

    11/18/2011 copyright (your organization) 2003 3

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    4/71

    11/18/2011 copyright (your organization) 2003 4

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    5/71

    11/18/2011 copyright (your organization) 2003 5

    RESOLUTION

    Ability of the lens to distinguish fine detail of the

    specimen

    Determined by the wavelength of light from the

    illuminator.

    A wavelength is the distance between the peaks oftwo waves.

    As a general rule, shorter wavelengths produce

    higher resolutions of the image seen through the

    microscope

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    6/71

    11/18/2011 copyright (your organization) 2003 6

    PHASE CONTRAST

    MICROSCOPE

    -Bends light that passes through the specimen so

    that it contrasts with the surrounding medium

    -Bending the light is called moving the light out of

    phase

    -Since the phase-contrast microscope compensates for

    the refractive properties of the specimen, you dont

    need to stain the specimen to enhance the contrast of

    the specimen with the field of view

    -This microscope is ideal for observing living

    microorganisms that are prepared in wet mounted

    slides so you can study a living microorganism.

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    7/71

    11/18/2011 copyright (your organization) 2003 7

    FLUORESCENCE MICROSCOPE

    Fluorescent microscopy uses ultraviolet light to

    illuminate specimens.

    Some organism fluoresce naturally, that is, give off

    light of a certain color when exposed to the light of

    different color.

    Organisms that dont fluoresce naturally can be stained

    with fluorochrome dyes. When these organisms are

    placed under a fluorescent microscope with an

    ultraviolet light, they appear very bright in

    front of a dark background.

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    8/71

    11/18/2011 copyright (your organization) 2003 8

    ELECTRON MICROSCOPE-Developed in the 1930s, the electron microscope uses

    beams of electrons and magnetic lenses rather than

    light waves and optical lenses to view a specimen.

    -Very thin slices of the specimen are cut so that the

    internal structures can be viewed.

    -Microscopic photographs called micrographs are taken

    of the specimen and viewed on a video screen.

    -Specimens can be viewed up to 200,000 times

    normal vision.

    -living specimens cannot be viewed because the

    specimen must be sliced.

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    9/71

    11/18/2011 copyright (your organization) 2003 9

    DARK FIELD MICROSCOPE

    If the regularly used condenser is

    replaced with what is known as a

    darkfield condenser, illuminated

    objects are seen against a darkbackground (or dark field), and

    the microscope has been

    converted into a darkfieldmicroscope

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    10/71

    11/18/2011 copyright (your organization) 2003 10

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    11/71

    MICROBIAL CONTROL

    11/18/2011 11

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    12/71

    Number of organisms initially

    present

    Killing effectiveness is gauged

    by decimal reduction time

    D value

    Time required to kill 90%

    of population under specific

    Conditions

    Effect of prior washing

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    13/71

    13

    MICROBIAL CONTROLPhysical Methods

    I. HEAT

    - coagulates protein

    A. Moist Heat

    - water aids in the disruption of covalent bonds

    1. Boiling

    - 1000C 15 30 minutes

    - kills vegetative forms but not spores and viruses

    -Mechanism of Action: Denaturation

    2. Fractional Sterilization2.a Tyndallization

    - steam for 30 minutes in 3 consecutive days

    2.b Inspissation

    - 75 800C for 2 hrs. on 3 successive days

    -Mechanism of Action: Denaturation

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    14/71

    11/18/2011 copyright (your organization) 2003 14

    3. Autoclaving

    - steam under pressure

    -1210C at 15 psi for 15 30 minutes

    -Mechanism of Action: Denaturation

    4. Pasteurization

    - sterilization for milk

    -620C for 30 minutes followed by rapid cooling (Flash

    Pasteurization)

    -Mechanism of Action: Denaturation

    5. Inspissation

    -75 to 800C for 2 hours fro 3 consecutive days (withincubation in between); used to sterilize culture media

    with egg, serum, or sugars

    -Mechanism of Action: Denaturation

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    15/71

    Pressurized steamAutoclave

    Achieves sterilizationat

    121C and 15psi in

    15 minutes

    Effective against

    endospores

    Prions destroyed at

    132C

    for 4.5 hours

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    16/71

    11/18/2011 16

    B. Dry Heat

    - kills by oxidation

    a. Hot air oven

    - 160 1800C for 1 2 hrs

    - time depends on the penetration of heat on

    objects to be sterilized

    - for metals and glasswares

    -Mechanism of Action: Oxidation

    b. Direct Flame

    - usually for inoculating loops and needles

    -Mechanism of Action: Burning contaminants to

    ashes

    C. Incineration

    -used for swabs, dressings, wipes, etc.

    -Mechanism of Action: Burning materials to ashes

    II FILTRATION

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    17/71

    11/18/2011 17

    II. FILTRATION

    - physical separation of microbes from liquid

    Example:asbestos, Millipore, nitrocellulose

    - Mechanism of Action: Physical removal of

    bacteria from suspending liquid or gas

    - Usually used for substances that could not

    tolerate heat ( injectable drugs, vitamins, amino acids)

    TYPES OF FILTERS FOR LIQUIDS:A. Membrane filters made of nitrocellulose or

    cellulose acetate with uniform pore diameters of

    0.45um or 0.22 um

    B. Depth fileters made of porcelain, glass or fibrous

    material (cotton, asbestos, and paper); microbesare retained by tortuous passageway

    AIR FILTERS high efficiency particulate air (HEPA)

    filter removes almost all microbes >0.3um in dm.

    Used for specialized hospital rooms and in laminar

    flow hoods

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    18/71

    Filtration

    Liquid filtration

    Membrane filters allow

    liquids to flow through

    Filtration of airHigh efficiency

    particulate air (HEPA)

    filter removes nearly allmicrobes from air

    Filter has 0.3m pores

    to trap organisms

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    19/71

    11/18/2011 19

    III. OSMOTIC PRESSURE

    -Mechanism of Action: by plasmolysis

    Example: immersion of meat in salt solution

    Fruits and vegetables in sugar solution

    -results in loss of water from microbial cells

    -Used in food preservation

    IV. SONIC VIBRATION, TRITURATION,

    AGITATION

    - mechanical methods that disintegrate bacteria

    Sonic vibration sound waves

    Trituration grinding

    Agitation shaking

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    20/71

    11/18/2011 20

    V. COLD

    - Mechanism of Action: Decreased chemial

    reactions and possible changes in proteins

    - used in the preservation of food, drug,

    and culture

    Refrigeration bacteriostatic effect

    Deep freezing- between -500

    C and -950

    CLyophilization water removed by high

    vacuum at low temperature; for long tern

    preservation

    VI. DESSICATION- Mechanism of Action: Disruption of

    metabolism

    - Used in food preservation, bacteriostatic,

    - Removes water from microbes

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    21/71

    VII Radiation

    Electromagnetic radiation

    Energy released as waves

    (microwaves, radio, gamma, X rays, ultraviolet light etc)

    Shorter wavelength, higher frequency = more energy

    Radiation can be ionizing or non-ionizing

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    22/71

    Ionizing radiationGamma radiation

    X-raysElectron accelerators

    Causes direct damage to DNA and potentially to

    cell membrane

    Causes indirect damage by producing reactive

    molecules such as superoxide and hydroxyl radicals

    Used to sterilize heat sensitive materials Medical equipment, surgical supplies, medications

    Some endospores can be resistant

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    23/71

    Ultraviolet radiation

    Non-ionizing (NI) radiation

    Damages DNA (causes thymine dimers)

    Used to destroy microbes in air, drinking water and

    on surfaces

    Limitation

    Poor penetrating power (thin films or coverings can limit itseffectiveness)

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    24/71

    Chemicals

    Chemicals can be used

    to disinfect and sterilize

    Called germicidal

    chemicals

    React with vital cell

    structures and components

    Proteins

    DNA

    Cell membrane

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    25/71

    Potency of chemicalsFormulations generally

    contain more than one

    antimicrobial agent

    Regulated by FDA

    Antiseptics

    EPADisinfectants

    Grouped according to

    potency

    Sterilants Destroy all microorganisms

    High-level disinfectants Destroy viruses and vegetative

    cells but not endospores

    Intermediate-level disinfectants

    Kill vegetative cells fungi, mostviruses but not endospores

    Low-level disinfectants Kill fungi, vegetative bacteria and

    enveloped viruses

    No effect on mycobacteria, nakedviruses or endospores

    II Ch i l M th d

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    26/71

    26

    II. Chemical MethodsANTISEPTIC

    a chemical substance that prevents growth of bacteria by

    either inhibiting or destroying microbes

    used on the surface of skin or mucous membranes

    DISINFECTANT

    kills many but not all microbes aims to kill disease-

    causing microbes but not spore formers used on inanimateobjects

    BACTERIOSTATIC

    agents that inhibit the growth of bacteria

    BACTERICIDE

    agents that kill bacteria

    SANITIZERa ents that reduce bacterial numbers to safe levels

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    27/71

    11/18/2011 27

    VARIABLES OF DISINFECTION

    1.Concentration

    2. Time3. Temperature

    4. pH

    N 1 where: N = no. of surviving bacteria

    CT C = concentration

    T = time

    Increased concentration

    Increased Time Decreased Survivors

    CHEMICAL AGENTS

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    28/71

    11/18/2011 28

    CHEMICAL AGENTS

    A. Disruption of Cell Membrane

    Alcohols

    - denatures protein

    - disorganizes the lipid structure in the membranesExample: 70% isopropyl alcohol

    - requires water for maximal activity

    Detergents/ soaps- surfactants interact with the lipid in the cell membrane

    and with the surrounding water

    - increases the surface tension

    Example: Quaternary ammonium (Quats or Zephiran)

    Phenols

    - original disinfectant of Lister

    - denatures protein

    Example: carbolic acid/ cresol (Lysol)

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    29/71

    11/18/2011 29

    B. Inhibition of Protein Synthesis

    1. Chloramphenicol

    - from Streptomyces venezuelae

    - for Gram + and Gram - bacteriostatic

    Disadvantage:suppresses the bone marrow (anemia)

    2. Erythromycin

    - freezes the ribosome3. Tetracycline

    - broad spectrum

    4. Streptomycin

    - from Streptomyces griseus

    - for MTB and N. gonorrhoeae

    5. Gentamycin, Lincomycin, Clindamycin andAminoglycosides

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    30/71

    11/18/2011 30

    C. Injury to Cell Membrane

    1. Amphotericin B

    2. Polymyxin B- from Bacillus polymyxa

    - for Gram

    Example: Brucella abortus, Klebsiella pneumoniae

    3. Tyrocidin

    4. Garamicidin S

    5. Imidazole and Triazole

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    31/71

    11/18/2011 31

    D. Inhibition of Nucleic Acid Synthesis

    1. rifampin

    2. Quinolones

    3. Sulfonamides

    4. Trimethoprim

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    32/71

    DIRECT EXAMINATION OFUNSTAINED SPECIMENS

    11/18/2011 copyright (your organization) 2003 32

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    33/71

    11/18/2011 copyright (your organization) 2003 33

    SALINE MOUNT

    A G G DROP

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    34/71

    11/18/2011 copyright (your organization) 2003 34

    HANGING DROP

    PREPARATION

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    35/71

    MOTILITY

    TRUE MOTILITY

    BROWNIAN MOVEMENT

    11/18/2011 copyright (your organization) 2003 35

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    36/71

    CYTOLOGY

    11/18/2011 copyright (your organization) 2003 36

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    37/71

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    38/71

    Bacterial Morphology

    SHAPE Cocci in Latin it means berry,

    spherical in shape

    Bacilli it means little stick or rod

    in Latin, rod shaped Spiral rod shaped with convolutions

    Vibrio curved rods that resemble acomma in serpentine S shape

    Spirilla spirals or corkscrew in shape

    Spirochetes spiral with an ability towriggle or flex

    Pleomorphic with no definite shape

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    39/71

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    40/71

    ARRANGEMENT1. Singles

    2. Pairs diplococci, diplobacilli

    - cell division occurs in a single plane

    3. Chains Streptococci, Streptobacilli

    - divides on 2 planes end to end4. Clusters staphylococci (grape-like)

    - divides in 4 or more planes

    5. 4s tetrads

    - divides in 2 planes

    6. 8s sarcina- divides in 3 planes

    7. Pallisade side-by-side division

    - picket fence in appearance

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    41/71

    PROKARYOTES AND EUKARYOTES

    11/18/2011 41

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    42/71

    The Bacterial Cell and itsStructures

    I Cell Wall

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    43/71

    I. Cell Wall- maintains cell shape

    - determines if the bacteria is Gram + or Gram

    - protects against osmotic pressure change

    a. Peptidoglycan / Murein or Mucopeptide- thicker in Gram +- susceptible to tears, saliva and mucus due to thepresence of the lysozyme

    Functions:

    1. maintains integrity of the cell wall

    2. target of some antibioticsEx. Penicillin

    *Protoplast

    - seen in bacteria whose peptidoglycan layer

    is removed but are still viable, this makes themresistant to penicillin

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    44/71

    b. Teichoic Acid

    - protein attached to the peptidoglycan layer

    - found in Gram + only

    Functions:Antigenic

    c. Outer Membrane- found in Gram negative only

    - composed of lipopolysaccharide (LPS),lipoprotein and phospholipids

    ***Periplasmic space

    - space between the outer membrane and theplasma membrane

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    45/71

    Other Properties:

    1. Endotoxin (LPS)

    2. Antigenic

    - capable of producing Antibodies

    Ex. Streptococcus pyogenes (ASTO)

    Salmonella typhi (Typhidot)

    3. Contains Proteins

    - regulates the passage of materialsfrom inside to outside

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    46/71

    II. Cytoplasmic Membrane / PlasmaMembrane- similar to eukaryotes (phospholipids bilayer)

    - fluid mosaic model

    Functions:

    1. Active Transport- requires energy

    - movement is against concentration gradient

    2. Energy generation

    - oxidative, phosphorylation

    3. Synthesis for the precursors of the Cell Wall

    4. Secretion of enzymes and toxins

    **Mesosomes

    - invaginations of the cell membrane

    C l i b

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    47/71

    II. Cytoplasmic Membrane /Plasma Membrane (continued)

    Functions: shown in cell division

    binding site of DNA

    III C t l

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    48/71

    III. Cytoplasm- contains the Cytosol or the Amorphous Matrix to which nearly all

    other functions not conducted by the cell membrane occur

    - it is where interior structures are suspended

    CONTENTS:

    1. Ribosomes- for protein synthesis

    - it is significant because it is the target of some antibiotics

    2. Granules- storage sites of nutrients

    - also important for staining purposes

    Ex. Corynebacterium - Babes-EarnstMycobacterium - Muchs

    Yersinia - Bipolar bodies

    3. Nucleoid- single circular molecule of DNA

    - the essence of a Prokaryote

    III C t l ( ti d)

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    49/71

    III. Cytoplasm (continued)4. Plasmids

    - extrachromosomal circular molecule of DNA

    - it can replicate by themselves independent from the chromosomes

    - it can be integrated into the DNA of another nucleoid

    2 Types of Plasmids1. Transmissible

    - transferred from one bacteria to another thru CONJUGATION by the pili2. Non-transmissible

    Functions:

    1. Antibiotic Resistance

    - this is the reason why resistance of bacteria to antibiotics are carriedfrom one bacteria to another

    2. Resistance to heavy metals

    3. Resistance to UV light

    III C t l ( ti d)

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    50/71

    III. Cytoplasm (continued)

    5. Transposons- also known as Jumping Genes

    - these are short straight

    extrachromosomal molecule of DNA

    Functions:

    1. Drug resistance2. Mutations

    S i li d St t

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    51/71

    Specialized Structures

    1. Capsule

    - an excretory product that is polysaccharide in natureImportance:

    a. Virulence- limits phagocytosis

    - encapsulated bacteria are pathogenic

    b. Identification

    - in the Neufeld-Quellung Reaction for Streptococcuspneumoniae

    c. Production of Vaccines- due to its high antigenic properties

    d. Adherence or Attachment

    S i li d St t

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    52/71

    Specialized Structures(continued)

    2. Flagella

    - contains the proteinflagellin

    - requires energyFunction: Locomotion

    -

    observed thru thehanging drop slide orin biochemical tests

    Importance:

    a. Chemotaxis

    - attraction to chemicalstimuli

    b. Identification

    Arrangementa. Atrichous

    - no flagellum

    b. Monotrichous- 1 flagellum atone pole

    c. Lophotrichous- tuft of flagellaat one pole

    d. Amphitrichous- tuft of flagellaat both poles

    e. Peritrichous- flagellated allover

    Specialized Structures

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    53/71

    Specialized Structures(continued)

    3. Fimbriae or Pili

    - straight and short appendages

    - contains the protein pilin

    - seen in Gram bacteria

    Importance:

    a. Attachmentb. Sex Pilus

    - for conjugation

    Specialized Structures

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    54/71

    Specialized Structures(continued)

    4. Glycocalyx or Slime Layer- composed of loose

    polysaccharides

    Function:adherence orattachment

    Ex. Streptococcus mutans

    Specialized Structures

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    55/71

    Spec al ed St uctu es(continued)

    5. Spores

    - formed in response to adverse conditions in theenvironmentFunction: Protection

    Processes of Sporulation1. Axial Filament formation

    2. Forespore Septum formation- infolding of the cell membrane toproduce a double membrane

    3. Engulfment of Forespore- results to the synthesis of 2 special

    layers forming the cell envelope

    4. Cortex Synthesis5. Coat Deposition6. Maturation7. Lysis of Mother Cell

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    56/71

    SPECIMENCOLLECTION

    11/18/2011 56

    Microbiological examination

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    57/71

    Specimens for microbiological examination must beappropriate eg, sputum rather than saliva.

    In general, specimens should be collected into, andtransported in, a sterile container.

    Aspirated pus may be transported in a syringe, which mustbe capped immediately the needle has been removed and

    disposed of safely.

    Specimens should be delivered promptly to the laboratory.Although many specimens will tolerate a delay of several

    hours if refrigerated, cerebrospinal fluid must be transported

    to the laboratory immediately, without refrigeration.

    Similarly, for the detection of Neisseria gonorrhoeae and

    other fragile organisms, special arrangements may beneeded: eg, express delivery, inoculation of plates at the

    time and place of collection, provision of special transportcontainers.

    Special requirements, for individual tests, are noted in the

    Test listing

    Microbiological examination

    Tube Guide

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    58/71

    Tube content Determination Instructions Shape

    Heparin

    Produce blue background inblood smeer

    Plasma testing

    some general chemistry(Glucose, urea,Cr)

    Invert slowly several times

    to ensure mixing

    EDTAInhibit ALK, CK

    Unsuitable for Ca&coagulation

    Routine hematology ,

    blood cont, Retc. CT.

    Sickle test, Glyco HB,

    HBelectro, ACTH,AS

    Invert slowly several times

    to ensure mixing

    Plain, No additive Hormones, Generalchemistry

    Blood group, RH, Cross

    match,, Serology &Allergy,

    Sodium Citrate1:9Calating Ca,Inhibit

    aminotransferase. ALK &

    stimulate ACP

    Fibrinogen, PT, PTT, TT,

    ATIII, coagulation Screen

    Ensure tube fills correctly

    to volume on label

    Sodium Citrate1:4 ESR Ensure the presence ofanticoagulant Invert slowly

    http://liancheng.en.alibaba.com/product/50178336/51016876/Medical_Equipment/Blood_Collection_Tubes_for_Single_Use/showimg.htmlhttp://liancheng.en.alibaba.com/product/50178336/51016878/Medical_Equipment/Vacuum_Blood_Collection_Tubes/showimg.htmlhttp://liancheng.en.alibaba.com/product/50178336/51016886/Medical_Equipment/Vacuum_Quantification_Sampling_Tubes/showimg.html
  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    59/71

    anticoagulant, Invert slowly

    several times to ensure mixing

    Plane Urine &Stool

    analysis,

    Plane Urine &

    Stool

    culture

    Media for

    maintenance ofbacteria

    Blood 1- clean the area from which the

    blood is collected by iodine2- withdraw for 8-10 ml of blood

    3- insert the blood immediately in

    the vial and bring it to the lab

    quickly (2-3 ml for children and

    5-7 ml for adult)

    Type of urine specimens

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    60/71

    1) Random specimens (drug abuse)

    2) First-morning (microscopic examination, b-

    HCG, 8-hours)

    3) 24-hours specimen

    Some analyses produce in different time though 24 hours of

    collection morning or noon like Creatinine, protein, Ca, phosphorsand electrolyte (the sample must be refrigerated)

    4) clean-catch specimen (MSU) for bacterial culture

    5) catheter specimen6) suprapubic specimen especially for infant

    7) urine collected from children

    collection bags with hypoallergenic skin adhesive

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    61/71

    If the sample left at RT

    if the organism urase producer, ammonia release willincrease Ph resulting in destruction of cells and cast

    the bacteria will break down any glucose

    RBC, WBC, Cast will lyze

    Protein conc will alter Bilirubin and Urobilinogen oxidized-not detected

    Uric acid and urate deposited to for oxalate or phosphatecrystal

    normal bacteria will multiply producing contaminated sample

    Microbiological sample

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    62/71

    specimen container instruction

    sputum Clean,

    wide nick

    Early morning, cough deeply for

    sputum, for children gastric wash,delay of specimen TB, Pn, HI

    Throat swab Sterile

    swab

    Not contaminated with saliva, no

    antibiotic by 8-hours

    stool Wide nick Must be fresh sample within 2

    hours

    Rectal swab For

    cholera

    alkaline

    peptone

    waterBlood culture Bldculture

    bottle

    Take the sample when tempt high, use

    iodine for sterilization, mix it and must

    reach the lab early, never refrigerated

    semen Clean and

    sterile

    3-7 days of sexual abstinence, no

    condom, time of collection and

    deliver to the lab within 2 hour

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    63/71

    Criteria for rejection of specimens

    oMissing or inadequate identiification

    oInsufficient volume

    oSpecimen collected in wrong collection tube

    oContamination

    oInappropriate transport and storage

    oUnknown time delay

    Oropharyngeal (Throat) Swab

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    64/71

    Oropharyngeal (Throat) Swab

    64

    Transporting Specimens

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    65/71

    Transporting Specimens

    from Field to Lab

    65

    Gram staining

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    66/71

    Gram staining

    - a principal stain

    - most clinically significant bacteria are detected

    except:

    a. intracellular bacteria

    b. bacteria that lacks cell wall

    c. bacteria with insufficient dimensions to be

    resolved by light (i.e. spirochetes)- provides preliminary diagnosis for initial treatment

    11/18/2011 copyright (your organization) 2003 66

    G t i i

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    67/71

    Gram stainingPrinciple

    - Gram (+) bacteria have thicker peptidoglycan layer

    (40) with numerous teichoic acid cross-linkages thanthat of G (-) (1or 2)

    - teichoic acid prevents decolorization

    - G(+) bacteria may loose CW integrity by:

    - antibiotic treatment

    - old cells

    - use of autolytic enzymes

    11/18/2011 67

    Gram staining

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    68/71

    Gram stainingRule:

    1. All cocci are Gram (+) except:

    Neisseria

    Branhamella

    Veilonella

    2. All bacilli are Gram(-) except:Bacillus

    Clostridium

    Corynebacterium

    Erysipelothrix

    LactobacillusListeria

    Mycobacterium

    11/18/2011 copyright (your organization) 2003 68

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    69/71

    Gram staining

    Reagents

    Crystal Violet - initial stain

    Grams Iodine - mordant

    95% Alcohol - decolorizer

    Safranin - counter satin

    Gram (+) - stains BLUE / VIOLET

    Gram (-) - stains RED / PINK

    11/18/2011 copyright (your organization) 2003 69

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    70/71

    Acid Fast Staining

    other commonly used stain for light

    microscopy

    - for Mycobacterium species

    Principle

    - designed for bacteria whose cell wall

    contains long chain fatty acids (mycolic

    acid)

    - mycolic acid render the cells resistant to

    decolorization

    - Acid fast organisms may be Gram (+)

    11/18/2011 copyright (your organization) 2003 70

  • 8/3/2019 Postlab Discussions in Microbio1 Lab

    71/71

    Acid Fast StainingReagents

    1. Carbol Fuchsin- initial stain2. Acid Alcohol - decolorizer

    HCl + ethyl alcohol

    3. Mehtylene Blue - counter stain or Malachite Green

    a. Hot Method Ziehl - Neelsen

    - uses steam as a mordant

    b. Cold Method Kinyoun Modification

    - uses phenol or tergitol as mordant

    Acid Fast Bacilli- stains RED or PINK

    Non-Acid Fast Bacilli- stains BLUE or GREEN