Microbiology: History and Key Figures

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Questions and Answers

Which of the following is a characteristic of the bacterial nucleoid?

  • It is where the genetic makeup is found. (correct)
  • It is surrounded by a nuclear membrane.
  • It contains multiple linear chromosomes.
  • It is the site of protein synthesis.

Which of the following best describes the function of the bacterial cell wall?

  • To provide a rigid structure that gives the cell its shape and protects it from osmotic lysis (correct)
  • To synthesize proteins
  • To regulate the transport of molecules into and out of the cell
  • To generate energy through cellular respiration

Which of the following best explains the function of bacterial capsules?

  • Protecting bacteria from phagocytosis by immune cells. (correct)
  • Enhancing motility through the action of flagella.
  • Facilitating the exchange of genetic material between bacteria.
  • Enabling bacteria to adhere strongly to surfaces.

A bacterial cell is described as peritrichous. What does this indicate about its flagella?

<p>It has flagella distributed over the entire surface. (A)</p> Signup and view all the answers

Which of the following processes is directly associated with bacterial pili?

<p>Genetic material transfer (B)</p> Signup and view all the answers

Endospores are produced by some bacteria to:

<p>Ensure survival under harsh environmental conditions (D)</p> Signup and view all the answers

During which phase of the bacterial growth curve do cells adjust to their environment but show no net increase in cell number?

<p>Lag phase (D)</p> Signup and view all the answers

What is the primary difference between autotrophs and heterotrophs concerning their carbon source?

<p>Autotrophs use CO2 as a carbon source, while heterotrophs require organic materials. (A)</p> Signup and view all the answers

Why are obligate anaerobes unable to survive in the presence of oxygen?

<p>They lack the enzymes to detoxify toxic forms of oxygen. (A)</p> Signup and view all the answers

What is the function of superoxide dismutase in aerotolerant organisms?

<p>It neutralizes superoxide radicals to protect the cell from oxidative damage. (C)</p> Signup and view all the answers

Which of the following statements accurately describes mesophilic bacteria like pathogenic microorganisms?

<p>They grow best at moderate temperatures, typically around human body temperature. (A)</p> Signup and view all the answers

What is the significance of osmotic pressure in bacterial survival and growth?

<p>It influences the water balance across the bacterial cell membrane, affecting cell turgor and survival. (C)</p> Signup and view all the answers

What is the role of a calibrated loop in the CFU method for measuring microbial growth?

<p>To transfer a specific volume of sample onto the agar plate to count viable colonies. (A)</p> Signup and view all the answers

Why is it essential to use a pure culture when performing microbial identification tests?

<p>To ensure that the test results are accurate and reflect the properties of a single species. (D)</p> Signup and view all the answers

How does the streak plate method achieve isolated colonies for microbial cultures?

<p>By physically diluting the sample during streaking to separate individual cells on the agar surface (C)</p> Signup and view all the answers

What is the critical difference between differential and selective media in microbiology?

<p>Differential media distinguish between types of microorganisms, while selective media allow only certain microorganisms to grow. (D)</p> Signup and view all the answers

What is the function of agar in solid culture media?

<p>To act as a gelling agent, solidifying the media (B)</p> Signup and view all the answers

A microbiologist wants to grow Neisseria gonorrhoeae in the lab. Which type of media is ideal for this bacteria?

<p>Transgrow media (C)</p> Signup and view all the answers

What component of MacConkey agar makes it selective?

<p>Bile salts and crystal violet (B)</p> Signup and view all the answers

Thiosulfate Citrate Bile Salts Sucrose (TCBS) agar is used to selectively grow Vibrio species. What combination of components makes it highly selective?

<p>Bile salts and citrate (C)</p> Signup and view all the answers

When is a transport medium most essential when collecting a microbial specimen?

<p>When immediate culturing isn't possible (C)</p> Signup and view all the answers

Which sterilization methods achieve complete sterilization, as indicated by the inability of non-pathogenic spore-forming bacteria to survive?

<p>Autoclaving (D)</p> Signup and view all the answers

What is the primary mechanism of action of hot air ovens in sterilization?

<p>Oxidation of cellular components (D)</p> Signup and view all the answers

What is the key consideration when choosing a disinfectant antiseptic over other methods of microbial control?

<p>Its safety for application to living tissues (A)</p> Signup and view all the answers

What component of the biosafety cabinet prevents drying and inactivates the cell when transporting biological specimens?

<p>Gel/Carbon (A)</p> Signup and view all the answers

An antimicrobial agent inhibits bacterial growth but does not kill the bacteria. How is this action best described?

<p>Bacteriostatic (B)</p> Signup and view all the answers

Why is it important to select antimicrobial agents that are least toxic to normal flora?

<p>To maintain the natural balance of the body's microbiome and prevent opportunistic infections (B)</p> Signup and view all the answers

What is the significance of the Kirby-Bauer test in antimicrobial susceptibility testing?

<p>It determines whether a bacterium is susceptible, intermediate, or resistant to various antibiotics. (D)</p> Signup and view all the answers

In a Kirby-Bauer test, what does a larger zone of inhibition around an antibiotic disk suggest?

<p>The bacterium is highly susceptible to the antibiotic. (C)</p> Signup and view all the answers

What is the limitation of using a disk diffusion assay like the Kirby-Bauer method to determine the effectiveness of an antibiotic?

<p>It does not provide a quantitative value for antibiotic susceptibility. (D)</p> Signup and view all the answers

What modification should be made if the calcium or magnesium concentrations change for antimicrobial susceptibility testing?

<p>Acquire a new lot of agar that will meet requirements (A)</p> Signup and view all the answers

A bacterium shows resistance to methicillin in a disk diffusion test, but an MIC test indicates sensitivity. What is the most appropriate next step?

<p>Perform further testing, as the methicillin disk test may not accurately detect methicillin resistance. (A)</p> Signup and view all the answers

A Gram stain reveals the presence of Gram-positive cocci in clusters, which is indicative of what species?

<p>Staphylococcus aureus (D)</p> Signup and view all the answers

Which of the following enzymes is commonly tested for in Staphylococcus species to differentiate between coagulase-positive and coagulase-negative strains?

<p>Coagulase (D)</p> Signup and view all the answers

Based on Gram morphology and arrangement, how would you describe streptococcus?

<p>Gram (+) cocci in chains (B)</p> Signup and view all the answers

A microbiologist is working with an unknown streptococcal species in the lab and has identified some of its biochemical properties. Which tests, can be used for identification of the streptococci species?

<p>Gram stain, Bile esculin, and Bacitracin Test (B)</p> Signup and view all the answers

The alpha hemolysis exhibited by Streptococcus pneumoniae is best described as:

<p>a green or brownish discoloration around colonies (B)</p> Signup and view all the answers

Which test differentiates Streptococcus pneumoniae from other alpha-hemolytic streptococci?

<p>Optochin Test (C)</p> Signup and view all the answers

What is the name of the test frequently used to identify Group B Streptococci (S. agalactiae)?

<p>CAMP (C)</p> Signup and view all the answers

What is the purpose of adding 4-2% NaOH when collecting a microbial sputum culture?

<p>Decontaminating and Digesting agent (D)</p> Signup and view all the answers

What clinical detail of urine is most accurately tested using a calibrated loop?

<p>Organisms causing UTI (C)</p> Signup and view all the answers

Flashcards

Microbiology

Branch of science studying microorganisms.

Medical microbiology

Study of pathogenic microorganisms.

Pathogen

Microorganism that causes harm or disease.

Classification

Organizing microbes by physiology, morphology, genetic makeup.

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Binomial nomenclature

Naming microbes by genus and species.

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Phenotypic Identification

Observable features identifying microorganisms.

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Genotypic Identification

Genetic makeup used for microorganism identification.

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Bacterial Cell Wall

Provides shape, rigidity, antigenic properties to the cell.

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Peptidoglycan layer

The backbone of gram (+) cell wall; also known as Murein.

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Porins

(Lipopolysaccharide) - point of entry for molecules in gram (-) bacteria

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Endotoxin (Lipid A)

Gram (-) - produces fever and shock; gives stimulus for pathogenicity

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Staining

Artificial coloring of cells using different dyes.

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Simple stain

Uses one dye.

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Differential stain

Uses two dyes.

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Zeihl-Neelsen (Hot method)

Uses steam to act as mordant

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Capsule Stain

Special stains help visualise?

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Culture

Growth of microorganism (n).

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Culture Media

Preparation for organisms containing nutritional requirements.

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Inoculate/Plant/Cultivate

Transfer from a source to a culture media.

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Pure Culture

True result, reaction of test stems from one source.

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Sterile

Free from contamination.

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Liquid Culture Media

Contains no hardening agent.

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Solid Culture Media

Polysaccharide extract of seaweeds.

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Semi-solid Culture Media

Contains small amount of agar (0.5-1%).

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Basic/Basal/Simple Culture Media

Basic requirements for non-fastidious microorganisms.

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Synthetic Culture Media

Exact chemical composition is known.

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Non-synthetic Culture Media

Non- chemically defined.

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Tissue culture Media

Contains viable cell for growth of obligate intracellular microorganisms.

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Enriched culture

Additives enhance growth of fastidious organisms.

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Enrichment culture

Enhance growth of pathogenic microorganisms where non-pathogens.

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Selective culture media

Inhibitory substances for growth of unwanted microorganisms.

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Swarming phenomenon

Wave-like growth on a plated media.

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Non-pathogenic spore-forming bacteria

Complete Sterilization

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Biosafety cabinet class 1

Used to create toxic powder weighing

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Used for bacteria, viral

Personal access only, no product protection

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Antibiotics

Products of microorganisms inhibit growth of another.

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Study Notes

Introduction

  • Anton van Leeuwenhook is the father of microbiology.

Timeline of Discoveries and Scientists

  • 1665: Robert Hooke published the first description of microbes.
  • 1667: Anton van Leeuwenhoek observed "Little Animals".
  • 1796: Edward Jenner validated small pox vaccination.
  • 1850: Ignaz Semmelweis advocated handwashing to prevent disease spread.
  • 1861: Louis Pasteur disproved spontaneous generation.
  • 1862: Louis Pasteur's paper supported germ theory of disease.
  • 1867: Joseph Lister practiced antiseptic surgery.
  • 1876: Robert Koch discovered Bacillus anthracis, proving germ theory.
  • 1881: Robert Koch utilized solid culture media for bacterial growth and outlined Koch's postulates.
  • 1882: Robert Koch discovered M. tuberculosis, and Paul Erlich developed the Acid-fast Stain.
  • 1884: Hans Christian Gram developed the Gram stain.
  • 1885: Louis Pasteur created the first rabies vaccination.
  • 1887: Richard J. Petri invented the petri dish.
  • 1892: Dmitri losifovich Ivanoski discovered viruses.
  • 1893: T. Smith, F.I. Kilbourne first described Zoonosis.
  • 1899: Martinus Beijerinck recognized viral dependence on living host cells for reproduction.
  • 1900: Walter Reed proved mosquitoes carry the agent of yellow fever.
  • 1910: Paul Erlich discovered a cure for syphilis.
  • 1928: Alexander Flemming discovered penicillin.
  • 1953: J. Watson and F. Crick proposed and built the DNA model.
  • 1977: W. Gilbert and F. Sanger developed the DNA sequencing method.
  • 1983: Kary Mullis invented the polymerase chain reaction (PCR).
  • 1995: The Institute of Genomic Research published the first microbial genomic sequence.

Discovery of Specific Bacteria

  • 1876: Robert Koch discovered Bacillus anthracis.
  • 1879: Albert Neisser discovered Neisseria gonorroheae.
  • 1880: Louis Pasteur discovered Staph, Strep, Pneomococcus.
  • 1882: Robert Koch discovered Mycobacterium tuberculosis.
  • 1883: Edward Klebs and Fredrick Loeffler discovered Corynebacterium diphtheriae.
  • 1892: William Welch and George Nuttal discovered Clostridium perfringes.
  • 1894: Emile John Yersin and S. Kitasato discovered Yersinia pestis.
  • 1900: W. Ophuls and H.C. Moffett discovered Coccidiodes immitis (fungi).
  • 1903: William Leishman discovered Leishmania donovani.
  • 1905: Fritz R. Schandinn and Erich Hoffman discovered Treponema pallidum.
  • 1918: Alice Evans discovered Brucella abortus.
  • 1977: Joseph McDade and Charles Shepard discovered Legionella pneumophilla.
  • 1982: Stanley Prusiner discovered Prions.

Microbiology Defined

  • Microbiology studies microorganisms invisible to the naked eye.
  • General microbiology deals with a wide spectrum of microorganisms.
  • Medical microbiology studies pathogenic microorganisms.
  • A pathogen is any microorganism causing harm/disease to humans.

Scope of Microbiology

  • Pure microbiology includes bacteriology, parasitology, virology, mycology, and phycology.
  • Integrative microbiology: medical, agricultural, industrial, environmental, immunology, biotechnology, food, and dairy.

Microbial Taxonomy

  • Microbial taxonomy classifies microorganisms consistently.
  • Classification: organizing microorganisms by physiology, morphology, and genetic makeup.
  • Robert Whittaker used cellular classification and mode of nutrition for classification.
  • Cellular classification distinguishes between unicellular and multicellular, prokaryotic and eukaryotic organisms.
  • Nutritional modes include absorption (Monera, Protista, Fungi), ingestion (Animalia), and photosynthesis (Plantae, some Monera).

Five Kingdoms

  • The five kingdoms are Animalia, Plantae, Monera, Fungi, and Protista.
  • Monera includes true bacteria (Eubacteria) and ancient bacteria (Archeobacteria).

Carl Woese Domains

  • Carl Woese used domains instead of kingdoms.
  • The three domains are Bacteria/Prokaryoteya, Archea, and Eukaryoteya.

Levels of Classification

  • Levels of classification include Kingdom, Phylum/Division, Class, Order, Family, Genus, Species, and Strain/Variant/Subspecies.
  • Example: Monera/Eubacteria, Proteabacteria, Gamma-proteabacteria, Proteobacteriales, Enterobacteriaceae, Escherichia.

Nomenclature

  • Nomenclature names microorganisms by established rules and guidelines.
  • Binomial nomenclature includes genus and species (e.g., Escherichia coli).

Identification

  • Identification describes key features of microorganisms.
  • Phenotypic traits: size, shape, arrangement, biochemical characteristics, serological identification, environmental requirements, staining property, and nutritional requirements.
  • Genotypic traits relate to an organism's genetic makeup.
  • IJSB (International Journal for Systematic Bacteriology) is now IJSEM (International Journal for Systematic & Evolutionary Microbiology).

Prokaryotic vs. Eukaryotic Cells

  • Prokaryotes lack a nucleus; eukaryotes have a nucleus.
  • Prokaryotes have peptidoglycan cell walls (murein); eukaryotes lack peptidoglycan.
  • Prokaryotes have cytoplasmic membranes made of phospholipids; eukaryotes have membranes with sterols.
  • Prokaryotes lack organelles like mitochondria and lysosomes; eukaryotes possess them.
  • Prokaryotes have 70S ribosomes; eukaryotes have 80S ribosomes.
  • Protein synthesis occurs in the cytoplasm of prokaryotes and the endoplasmic reticulum of eukaryotes.
  • Energy production occurs on the cytoplasmic membrane of prokaryotes and in the mitochondria of eukaryotes.
  • Prokaryotes reproduce asexually via binary fission (mitosis); eukaryotes reproduce sexually (meiosis) and asexually (mitosis).
  • Pili and flagella may be present in prokaryotes; microtubules may be present in eukaryotes.

Bacterial Cell Wall

  • The bacterial cell wall provides shape and rigidity.
  • It's responsible for antigenic and pathogenic properties.
    • Example, S. pyogenes - M protein and Gram (-) - endotoxin
  • The Gram (+) cell wall has surface proteins and a thick peptidoglycan layer (murein).
  • The peptidoglycan layer is made of N-acetyl-D-muramic acid and N-acetyl-D-glucosamine subunits.
  • Teichoic acid is not anchored in the cell membrane in Gram(+), and act as passageways
  • Types of teichoic acid are Ribitol Teichoic Acid = S. aureus and Glycerol Teichoic Acid = S. epidermydis
  • Lipoteichoic acid - anchors cell membrane and is alcohol insoluble
  • Mycobacterium & Nocardia cells contain Hydroxymetoxy Acid/Mycolic Acid - To differentiate them, Mycobacterium is Acid fast.
  • The Gram (-) cell wall has surface proteins, an outer membrane with LPS, porins, endotoxins (Lipid A), and phospholipids.
  • The Gram (-) cell wall has a thin peptidoglycan layer and a periplasmic space/periplasm.

Staining Types

  • Staining uses dyes/reagents to artificially color cells.
  • Simple staining uses one dye.
  • Differential staining uses two or more dyes.

Gram Staining

  • Crystal violet stains all cells purple.
  • Gram's iodine acts as a mordant, intensifying the purple stain.
  • Acetone alcohol decolorizes Gram-negative cells.
  • Safranin counterstains Gram-negative cells red, while Gram-positive cells remain purple.

Acid-Fast (AFB) Staining

  • Ziehl-Neelsen stains with steam, hot method.
  • Carbol fuchsin is used, along with acid alcohol and methylene blue.
  • AFB stains red, and Non-AFB blue
  • Mordant: Tergitol #7 and method Kinyoun Cold
  • Pappenheim's method uses uses Rosalic acid for Acid Alcohol, M. tuberculosis is read and M. smegmatis is blue.
  • Baumgarten's method uses Alcoholic fuchsin instaead of Carbol fuchsin, M. tuberculosis = blue and M. leprae = red
  • Special stains identify specific structures such as Hiss/Tyler/Muir (capsule stain), Albert/Neisser/LAMB (metachromatic granules), and flagella stain.

Special Stains

  • Capsule Stain uses Welch & Novelli and Hiss, Tyler, and Muir.
  • Metachromatic granules uses Albert, Neisser, and Lindergren & Ljubinsky.

Other Stains

  • Leiffson
  • Gray method & Silver technique = flagella
  • Endospore uses Fulton & Schaeffer & Dorner
  • Negative - India ink Stain && Nigrossin Stain = Direct/Relief

Rules For Gram Staining - Cocci

  • All Cocci stain Gram+ except Neisseria Moraxella Veilonella.

Rules for Gram staining - Bacilli

  • All Bacilli stain Gram- except Bacillus Clostridium Mycobacterium Corynebacterium Nocardia Erysipelothrix Actinomyces Listeria.

Rules for Gram staining - Spirals

  • All Spirals stain Gram- but are hard to stain, Borrelia Treponema & Spirochetes are the examples.

Rules for AFB Staining

  • All Stain Non-Acid Fast BUT for Bacteria exception when it’s Mycobacteria and Nocardia

Internal Parts of the Cell

  • Responsible for the viability of the cell, for the permeability of the cell, Site of energy production is the function.
  • The internal parts of a cell are the plasma membrane/cell membrane/cytoplasmic membrane, free ribosomes, and metachromatic granules.
  • Plasma membrane: has the layer after the cell wall and made up of lipoprotein and functions with Site of septum formation during cell division & Site of attachment of naked chromosome and with Site of enzymatic activity of the cell.
  • Free Ribosomes has the Site of protein synthesis.
  • Metachromatic granules Used as food reserve with example such as Corynebacterium diptheriae, or Mycobacterium tuberculosis, and Yersinia pestis

Endospore/Spore

  • A spore is used to resist extreme conditions (high temp, dryness) in G+ bacilli = Clostridium & Bacillus and are based on location by using location.
  • Central/Equatorial spore B. subtilis, B. anthracis & B. subtilis, B. anthracis also has the Terminal, Terminal and Sub.
  • A Nucleiod is where: the genetic makeup is found
  • A Plasmid Is made: of Extra chromosomal circular pieces of DNA often carrying antibiotic resistant genes and virulent genes

External Parts of the Cell

  • The capsule surrounds the cell wall and is a thick, slimy layer for mucoid colonies made of virulence factors + antigenic property.
  • Virulence Factor the capsule makes bacteria antiphagocytic and Antigenic property is for antigen property.
  • N. meningitidis & K. pneumoniae are example for capsule.
  • Flagellum is composed of flagellin, with Functions for locomotion/movement & Provide antigenic property and it’s Types is also is Monotrichous & Amphitrichous & Lophotrichoues and Peritrichous w/Atrichous

Pili/fimbriae

  • Pili/fimbriae are tiny and hairlike.
  • Fimb. serve for Attachment while Sex pili for genetic transfer for bacterial .
  • Axial are made of protein responsible for like movement with Treponema and Leptospira.

Bacterial Growth

  • Bacterial growth reproduces by binary fission.

Bacterial Growth Requirements

  • Macronutrients are needed in large amounts and such Macronutrients consist of Carbon from CO2 + Organic + Heterotroph/Organotroph and Nitrogen for free , and Culture media for Nitrogen and Sulfates+Nutrients source
  • Micronutrients (trace elements, Zn/Mn) are needed in small amounts for biological metabolic activity.
  • Example - X Factor-Hemophilus & V Factor -Nicotinamide Adenine

Environmental Requirements

  • Gas: Obligate such requires oxygen or its toxic Singlet oxygen
  • Temperature Requirements, Psychrophiles ,Mesophiles, Thermophiles, Hyperthermophiles, Sternothermophilic

Temperature requirements range

  • Optimum-like 42 -60 degrees optimums for Hyperther. and also 42 -40, 30 -40 and 25 degrees

pH requirement

  • Acidophile, Needs acidic and is º 3 while Neutrophile pH 7 & º 10 for Alkaliphile/Basophile

Osmotic Pressure

  • Pressures - 0.55 with Osmophilic = requires high somotic /high/ requires
  • Phases is, the Phases are: Log; Stationary, and Death phase.

Bacterial Growth Curve Phases

  • Lag phase: preparing for new environment but with no multiplication for and will happen from Susceptible-like state till 4 or 12 Hr by which is: • Physiologic or with Microorganisms-like setup.

  • Log phase because constant/ multiplication/ binary

  • Stationary a level phase where death levels =the -living from H 19 or with 60-80 hr: • Number=the- same with 10th hr till 19 hrs later till decline that’s for:

  • Death like at 1 hour stage

  • Microbls that will die than = live by -24 Hours!

  • All will-be spore forming instead = or that 24hr stage

Measurement of Microblal Growth

  • Refers to the Colonies number to = Grow on loop area AND will use loop in samples: • AND=Urine or which samples at 0.01 ml; • Infectd. @ > 100,000 or @ (U/s (col)
  • B/ By- Direct: Plate or = Counts
  • And w serial-Like for count/broth or with Use Mcf-with (sal soln)
  • Or Memb. filt AND @ Chamber
  • By - Indirect: - for Tur-bid -o/ by - Spect-r, (L.)-ike

Cultivation of bacteria

  • Culture - to: Grow micro with: to grow, plant and isolate

B. Culture Media in (La/):

  • Nutrition/Organisms for- soil-& (Foods). C-I: The/s of Specs & (s/ : Med)

Requirements for cultivating bacteria

  • 1- For Culture Mediums-with medium needs • TRUE in source as or Pure AND • Specs that = ( = ase-like for).

Types of Streaking

  • Overlap & 1 Culture by Edge OR @ 0 ,
  • Or multiple ,Ino., and, ( 0 isolated 0 like

Types+Cul

To - Pure: Or Mix =2, = - grow Contaminated: Accidental AND from Inoculating loops.

Classification of Culture media

State: Broth & No & Hard W/T , or Tsb+Bhib+N With. Agar+ Med. For 1-3 or can be .S/ & With Sim AND For: • Solid = - Agar

And /With- Med Agar - / - * Solid, like and Medium that - ,Bact And 2 and: • For= with: Sem- • Bi - phase, or medium, With Like:

• Basic, ,Basal,:Only, Basic & +Media. • Synth: C- ly is • Non.: N/Chemicals To Disp+Like : Tube + Test "Solid ++ Slant, and 3/ -Weigh4/: / = 1.

Med +Dish - To with Plate With, "Weigh & "Dissolve With

", Sterilize: Autoclav- with.

  • 50 to "Disp or:
  • 150- 15 ml for Big.P 60--1- for Small.

(D) -Func: "L U":Simple+ ,For Non Fast E - is: ++for + Organ- - Med for ++++ Organ.

  • Is:++ Of Organ +P+B,
  • Sterile+ Flora+

To Enrlc Med and Bact that+

  • Sele + with or for . ""ForInhi - Subst that for Un: Gro and . Inhib. Org L Sw- Phenom -"" for-On in Plate in Pr+++, C Inhibited/s Like -

:Med and Antibiotics that

  • T+agar(antibs)-& M+++, that.

Page - Used & Chemical.

  • B-St: M + and to 0, 00. 0+and ( Steriles). +Septis +P micro/l/ and Abs+ -

Collection & preservation

  • S+ (To iso + ID for S- if clinical - to test micro/D/antibs).

  • Meds/s - For /C/ Specimens if to - .

  • Specimen : (Meds Chemical/ ) - Acid And + for that B+Sal To - Stools.

  • Stor + "P"/4 C 0 and to and 30 /L

Media to: And 1- 2 And s. L+ B/ For/s and B/ C Used 2 AND "

1- (3) and 10 AND and 6" 3 AND 9". To Microbe Co + ++( and To 2" .

Sputum (For):

(I - Res - Low Tract +D/P and +A ++ MAC . Ind Sp For test that is: * For and stain .

: By M/O

  • To ++ To org ( and, To kill/to 0).

Specimens parts for test if:

For: for and test. ,+

Blood collection steps (I) for & -

1- F: Ori and B* With for > to =Seps ,+""T 1 And 0 = that's Ant, +To & (and), - ,and

Types of micro-test and results for blood-culture in and 2" *

: Bact For/Sp /For 3+ L - Test In / Test + / Test to ++ Test, and the++ for the/ is and The .

  • And + / - on Culture/test 1 and to.++ + - and . .++
  • And 1 2 3 . . =BA"D =4+1 ++"A++ / And++

Urine and its test (16" + C - To Test)C

From "" ""and is "C." for - From Test -15" .

From And can - To 2++ Bacs . .L++++, (From . and And+++ and for to * 3* (C + 13+

  • ( .""0+++++, . C and / . From
  • ( ."( . . .3

Urine test methods

From: B And *+ from the Test : In( - and "to "00 and L( From And /L (1".

  • ( )/ - to =To to and Like . L/Like ++ And +++, = A.++B.C Like+++13."* .

Test & "0" +C ++ and+ .+++.. + + L

""To =*To 0 Test From + ++ "" and +++ = Test " and =

  • :From + To++ - From Tests+ from And * the Test

Other specimens and test

  • Sputum++ Lw- Like+++- For and *Like +A++- *1 /L * (A +and++And And , ++++",to /+++

  • To = 0 /From A+to+++++ &++++ TEST*"TO AND FROM * "

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