Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for...

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Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID Check for hemolysis Catalase test Coagulase test Direct stain colonies Observe Throat cultures Check for hemolysis Catalase test Gm stain “isolated colonies”

Transcript of Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for...

Page 1: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Things to Do Today• Observe Unknown gm (-) results• Start Urinalysis• Start gm (+) ID

– Check for hemolysis

– Catalase test

– Coagulase test

– Direct stain colonies

• Observe Throat cultures– Check for hemolysis

– Catalase test

– Gm stain “isolated colonies”

Page 2: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Oxidase Test

Negative Positive

Page 3: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Urease Test

Negative Positive

Page 4: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Methyl Red Test

Negative Positive

Page 5: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

KIA Slants

uninoculated

Page 6: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

KIA Slants

uninoculated

Page 7: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Citrate test

Negative positive

Page 8: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

The Enterotube Multitest System

Page 9: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

The API System: Various species of Enteobacteriaceae are shown here with differences in reactions that enable them to be identified

Page 10: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Things to Do Today• Observe Unknown gm (-) results

– Perform oxidase test with culture from KIA slant

– Observe Urease tubes– Perform MR test by adding 6-8 drops MR

reagent to the culture– Observe KIA slants for the various reactions

Page 11: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Three species of Candida can be differentiated in mixed culture when grown on CHROMagar Candida plates

Page 12: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Identification of urinary tract pathogens with

differential media (CHROMagar)

Page 13: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.
Page 14: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

EMB with E. coli

Used with permission

Page 15: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

EMB

Pseudomonas auginosa

Enterobacter aerogenes

Page 16: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Fig. 15-22

Relative Frequencies of Nosocomial Infections I

John Wiley

Page 17: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Fig. 15-19

Relative Frequencies of Nosocomial Infections II

John Wiley

Page 18: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Things to Do Today• Start Urinalysis

– Do a 4 quadrant streak with the urine sample using a metal loop onto the EMB plate

– Perform the “$” streak with the urine sample using the plastic loop onto the BAP plate

Page 19: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

A tale of two Staphs

Page 20: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

BAP Hemolytic Reactions

Used with permission

Page 21: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Throat Swab

Used with permission

Page 22: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Catalase test

Positive negative

Page 23: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Coagulase test• Place a drop of the red latix suspension on

the card.

• Mix a tiny portion of the colony into the mix.

Page 24: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Things to Do Today

• Start gm (+) ID1. Direct stain with Crystal Violet

2. Check for hemolysis

3. Catalase test

4. Coagulase test

• Observe Throat cultures (Do in this order)1. Check for hemolysis

2. Catalase test and find cat (-) colony

3. Gm stain “isolated colonies” on slide with throat swab

Page 25: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.
Page 26: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

BAP Hemolytic Reactions

Alpha hemolysis

Beta hemolysisgamma

Page 27: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies.

Types of hemolysis:

A: Alpha or partial hemolysis of red blood cells results in a greenish zone

B: B-hemolysins, which produce complete breakdown of hemoglobin, causing clear zones to form around colonies on blood agar

A B