Ch 34 Medical Microbiology

Bacilli (sing. bacillus)

Bacteria that have a rod shape

Cocci (sing. coccus)

Bacteria that have a round shape

Contagious

Capable of being transmitted directly or indirectly from one person to another

Culture

The propagation of a mass of micoorganisms in a laboratory culture medium

Culture medium

A mixture of nutrients on which microorganisms are grown in the laboratory

False-negative

A test result denoting that a condition is absent when it is actually present

False-positive

A test result denoting that a condition is present when it is actually absent

Immunization

In microbiology, the act of placing a culture in a chamber (incubator) that provides optimal growth requirements for the multiplication of the organisms, such as the proper temp, humidity, and darkness

Incubation period

The interval of time between the invasion by a pathogenic microorganism and the appearance of first symptoms of the disease

Infectious disease

A disease caused by a pathogen that produces harmful effects on its host (also known as a communicable disease)

Inoculate

To introduce microorganisms into a culture medium for growth and multiplication

Microbiology

The scientific study of microorganisms and their activities

Mucous membrane

A membrane lining body passages or cavities that open to the outside

Normal flora

Harmless, nonpathogenic microorganisms that normally reside in many parts of the body but do not cause disease

Resistance

The natural ability of an organism to remain unaffected by harmful substances in its environment

Sequela

A morbid (secondary) condition occurring as a result of a less serious primary infection

Smear

Material spread on a slide for microscopic examination

Specimen

A small sample or part taken from the body to show the nature of the whole

Spirilla (sing. spirillum)

Bacteria that have a spiral or curved shape

-cocci

berry-shaped

-immuno

immune

micro-

small

bi/o

life

-ology

study of

An infection is

An invasion of pathogens

Droplet Infection

Refers to an infection that is indirectly transmitted by tiny contaminated droplets of moisture expelled from the upper respiratory tract of an infected individual. (Breathing, talking, coughing, sneezing)

Stages of an infectious Disease

1. The infection
2. The incubation period
3. The prodromal period
4. The acute period
5. The decline period
6. The convalescent period

What it is the incubation period

Interval of time between the invasion by a pathogenic microorganism and the appearance of the first symptoms of the disease. Ranges from a few days to several months; During this time the pathogen is growing & multiplying

What is the prodromal period

A short period in which the first symptoms that indicate an approaching disease occur. Headache & a feeling of illness are common symptoms.

What is the acute period

When the disease is at its peak and symptoms are fully developed. Fever is a common symptom

What is the convalescent period

The stage in which the patient regains strength and returns to a state of good health

Bacteria

Microscopic single-celled organisms; of the 1700 species known to dwell in humans, only approx. 100 produce human disease

Smallest living organisms

Viruses

Examples of infectious diseases caused by viruses

Influenza, chickenpox, rubeola (measles), rubella (German measles), mumps, poliomyelitis, smallpox, rabies, herpes simple, herpes zoster, yellow fever, hepatitis, common cold, most upper respiratory diseases

How is Syphilis (spirilla) diagnosed?

Using serologic tests performed on the serum of the blood

Where in the body is E. Coli normally found?

Normal flora of the large intestine

Diseases caused by by bacilli include...

Botulism, tetanus, gas gangrene, gastroenteritis produced by Salmonella food poisoning, typhoid fever, pertussis (whooping cough), bacillary dysentery, diphtheria, tuberculosis, leprosy, and plague

Infectious diseases caused by diplocci

Pneumonia, gonorrhea, and meningitis

Diseases caused by Streptococci

Sore throat (strep throat), scarlet fever, rheumatic fever, pneumonia, puerperal sepsis, erysipelas, & skin conditions such as carbuncles & impetigo

Staphylococcus aureus is commonly associated with what pathologic conditions

boils, carbuncles, pimples, impetigo, abscesses, staphylococcus food poisoning, and wound infections...usually cause pus

What is the stage of a Microscope

Is the flat horizontal platform on which the microscope slide is placed

Substage condenser

A lens system between the light source and object. Popular condenser is the Abbe condenser. Collects concentrates the light rays and directs them up, bringing them to a focus on the object so that it is well illuminated.

Diaphragm of a microscope

Controls the amount of light focused on the object

Coarse adjustment

Is used first to obtain an approximate focus quickly

Fine adjustment

Is used to obtain the precise focusing necessary to produce a sharp, clear image

Low-power objective lens

Has a magnification of 10x

High-power objective lenses

Is known as the "high-dry objective" because it does not require the use of immersion oil; it has a magnification of 40x

Oil-immersion objective

Has the highest power of magnification, which is 100x

What is the purpose of oil?

The oil provides a path for the light to travel on between the slide and the lens and prevents the scattering of light rays, which permits clear viewing of very small structures. Also improves the resolution of the objective lens and provides sharp detail

Care of the microscope

1. Always carry with two hands
2. Do not touch the lens
3. Keep covered to protect from dust
4. Periodically clean the microscope
5. After each use, wipe metal stage clean
6. Keep all lenses spotlessly clean with special cleaner
7. Keep the light source f

If there is a delay in processing a specimen what could happen

May cause the death of pathogens or overgrowth of the specimen

What is the function of the transport medium

Prevents drying of the specimen & preserves it in its original state until it reaches its destination

To prevent extraneous microorganisms from contaminating the specimen...

All supplies used must be sterile and the specimen should not contain microorganisms from areas surrounding the collection site.

Where are specimens collected from

throat, nose, wounds, cervix, vagina, urethra, and rectum

What is the advantage of the direct antigen ID test

That it provides the physician with immediate test results rather than requiring an overnight culture

Where do you collect a wound specimen?

Must be collected from within wound, rather than from surface - to obtain accurate & reliable test results.

Types of Collection & Transport systems

Culturette
Starswab II

Examples of Rapid strep tests

Q Test Strep
Clearview Strep A
Quick Vue In-Line Strep A

If a pathogen is susceptible to an antibiotic

Clear zone without bacterial growth around disc - indicates antibiotic if effective against the pathogen

If pathogen is resistant to an antiobiotic

No clear zone around disc - Indicates antibiotic was unable to kill the pathogen

Gram-positive bacteria are what color?

They exhibit a purple color

Gram-negative bacteria are what color?

Exhibit a pink or red color