Professional Documents
Culture Documents
1 PROPERTY OF ECHO
MLSP 112 INTRO TO BACTERIOLOGY
Prepared and organized by: Jericho Morales
Four basic morphological types of
Collection and handling of
GRAM GRAM Clinical Specimen
POSITIVE NEGATIVE
Collection
CELL WALL Thick Thin 1. Safety
(Peptidoglycan) (peptidoglycan) - UNIVERSAL PRECAUTIONS
are followed throughout
LIPOPOLYSACCHARIDE Absence Presence the collection and handling
process.
GRAM STAINING Purple Red or Pink - Persons collecting or
handling specimens should
REPRESENTATION Picture of Picture of gram wear gloves and a laboratory
Gram positive negative gown
“PURPLE or “PINK” - Eye protection should also
VIOLET” Result be worn if splashing
Result - Accidents or injuries
bacteria (needle prick) must be reported
immediately.
1. COCCI: spherical-shaped cells
2. BACILLI: rod-shaped cells 2. General Guidelines
3. SPIRILLA: spiral shaped cells - Specimen should be from the infection
4. VIBRIOS: comma- shaped cells site and not
contaminated by the surrounding area
- Specimen should be collected before
antimicrobials are
administered (Antibiotics)
- Appropriate collection devices and
containers should be used
and must be STERILE! ASEPTIC
TECHNIQUE is required.
- Specimen container should LABELED with
patient’s identification, the date and time of
collection and the source of
specimen
I. Throat
1. FERMENTATION
- Process by which bacteria catabolize
carbohydrates to produce energy
2. RESPIRATION
- also known as oxidation
- Process of bacterial energy generation
rather than fermentaion - Tongue should be depressed before
swabbing between the tonsillar pillars and
2 PROPERTY OF ECHO
MLSP 112 INTRO TO BACTERIOLOGY
Prepared and organized by: Jericho Morales
behind the uvula. - Exudates may be expressed from the
- The cheek, tongue, and teeth should NOT urethral orifice or a small-diameter swab
be touched. inserted 3 to 4 cm into the urethra.
- WOMEN (vaginal discharge)-
II. Sputum - A sterile swab is inserted into the cervix
with an aid of speculum
- Swab is rotated and allowed to remain for
a few seconds
Handling &Transport
1. Anaerobic specimens must be
transported in an anaerobic system.
2. Swab samples are not allowed to dry out
3. Most specimen can be held at 2ºC to 8ºC
if transport cannot occur immediately
EXCEPT:
a. Temperature-sensitive organisms
b. Blood culture bottles
- Expectorated specimens from deep cough c. CSF (Cerebrospinal fluid)
should be collected into
a sterile specimen cup PROCESSING
-NOTE: Early morning specimens are the
best. I. Media Selection
IV. Stool
- Should never be taken from the toilet and
should not be contaminated with urine
V. Urine
- Midstream clean-catch is the most
common collection method.
- Culture for catheterized urine specimens
usually have less contaminating bacterial
flora
VI. Blood
- 2 to 3 cultures should be collected at
random times during 24- hour period.
- Skin is disinfected with 70% alcohol,
followed by Iodine
- ADULT: 20-30mL of blood per culture is 1. NUTRITIVE MEDIA
collected - Support the growth of a wide range of
- INFANTS: 1-5mL of blood per culture is microorganisms and are considered non
collected selective because, the growth of most
organisms is supported
VII. Cerebrospinal fluid - Example: Blood Agar Plate and Chocolate
- Should be collected aseptically by Agar
PHYSICIAN
- Should be processed immediately and not 2. DIFFERENTIAL MEDIA
exposed to heat or refrigeration - Microorganisms that can be distinguished
on the basis of certain growth
VIII. Genital Tract characteristics evident on the medium
a. MEN (penile discharge) - Example: Blood agar plate
3 PROPERTY OF ECHO
MLSP 112 INTRO TO BACTERIOLOGY
Prepared and organized by: Jericho Morales
2. Specimen contaminated with barium or
3. SELECTIVE MEDIA other foreign substances
- Support the growth of one group of 3. 24- hour urine or sputum collections
organisms, but not another, by adding 4. Saliva instead of sputum
antimicrobials, dyes, or alcohol to a 5. Unrefrigerated urine specimens 2 hours
particular medium. or more post- collection
- Example: MacConkey Agar, Columbia
agar with colistin and nalidixic acid (CNA)
4. BACKUP BROTH
- Also called supplemental or enrichment
broth
- For detection of small numbers of
organisms present
- Example: Thioglycollate (Thio) broth,
brain-heart infusion broth (BHIB) and
tryptic soy broth (TSB)
5. SPECIALIZED MEDIA
- Used when specific organisms are
suspected
- Example: Mannitol salt agar, bismuth
sulfite agar, Campylobacter agar,
Thiosulfate-citrate-bile salts- sucrose
(TCBS) agar
Incubation
1. 35ºC-37ºC: Normal incubation
temperature for bacterial cultures
2. Anaerobic jars, bags, or an anaerobic
chamber are appropriate for incubation of
anaerobic cultures
3. 42ºC to 45ºC: for stool cultures for
detection of Campylobacter jejuni