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Diagnostic Testing in the Microbiology Laboratory Jane Wong Public Health Microbiologist September 30, 2003 [email_address]
Topics ,[object Object],[object Object],[object Object],[object Object]
Media and Culture ,[object Object],[object Object]
Direct and Indirect Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sterile versus Non-sterile Body Sites ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Specimens from Sterile Sites ,[object Object],[object Object]
Specimens from Non-Sterile Sites ,[object Object],[object Object],[object Object]
Sensitivity ,[object Object],[object Object],[object Object],[object Object]
Specificity ,[object Object],[object Object],[object Object]
Documentation ,[object Object],[object Object],[object Object],[object Object]
Specimen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Appropriate Specimen ,[object Object],[object Object],[object Object]
Collection ,[object Object],[object Object],[object Object]
Transport to Laboratory ,[object Object],[object Object],[object Object]
Inoculation of Media ,[object Object],[object Object],[object Object]
Culture media ,[object Object],[object Object],[object Object],[object Object],[object Object]
Microbiological Culture Media
Isolation of Individual Bacteria ,[object Object],[object Object],[object Object],[object Object],[object Object]
“Streaking a Plate”
Growth of Colonies ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Mixed Culture of Soil Organisms Containing  Bacillus anthracis
Colony “Picking” ,[object Object],[object Object]
Colonies of Bacteria in Pure Culture
Pure Culture of  Francisella tularensis Colonies After 72 hours Growth
Pure Culture of  Yersinia pestis Colonies   on Blood Agar After 48 hours of Growth
Yersinia pestis  Colonial Morphology Viewed With Transmitted Light
Confirmation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gram Stain of  Streptococcus  sp.
Yersinia pestis Gram stain
Gram stain of  Brucella  sp.
B. anthracis  Gram stain showing spores
  Gram stain   of  B.  anthracis   from broth culture
Examples of Biochemical Tests Left: API 50 Test Above: Antimicrobial Sensitivity Test
Yersinia pestis  E-Test (Antimicrobial Sensitivity Test)
Nitrate and Urea Reactions
Reactions on MacConkey Agar
Triple Sugar Iron (TSI) Test
Case Study ,[object Object],[object Object],[object Object]
Patient Admitted to Hospital ,[object Object],[object Object]
Blood Bottles Incubated  ,[object Object],[object Object],[object Object]
18 Hours of Incubation ,[object Object],[object Object]
 
Microbiologist Suspects  Bacillus anthracis ,[object Object],[object Object],[object Object],[object Object]
Bacillus anthracis India Ink Preparation
Growth on a Blood Agar Plate (Petri Dish) After 18-24 Hours
  Gram stain   of  B.  anthracis   from broth culture
Motility B. anthracis   is non-motile. Other  Bacillus   species are  motile.
Laboratory Cannot Rule Out  Bacillus anthracis ,[object Object]
Report ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Molecular Tests ,[object Object],[object Object],[object Object]
The Flip Side! ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other Factors in Personnel Shortage ,[object Object],[object Object],[object Object]
Licensing Applications/Year For Clinical Laboratory Scientist Certification
 

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microbiological diagnosis