ุฃุทุจุงุก ู
ู ุฌุงู
ุนุฉ ุจูุณููุงููุง ูุงู
ู ุจุญูู ุทููุฉ ู
ุฑูุถุฉ ุจุณุฑุทุงู ุงูุฏู
ุจููุฑูุณ ุงูุฅูุฏุฒ ูููุถู ุงูููุฑูุณ ุนูู ุงูุณุฑุทุงู... ุดููู ุงููุชูุฌุฉ!!!
ุฏุงููุง ุจุงูุชู ูุงูุช ูู ุงูุฏุงุก
http://www.youtube.com/watch?v=h6SzI2ZfPd4
@trqziz
ุฏุงููุง ุจุงูุชู ูุงูุช ูู ุงูุฏุงุก
http://www.youtube.com/watch?v=h6SzI2ZfPd4
@trqziz
โจ๐๐๐บ๐๐๐บ๐๐๐บ
๐๐๐บ๐๐๐บ
๐๐บ๐
๐บ
โโB A T E R I A L C U L T U R E โโ
โบ Ear / Eye / Skin / Wound
๐ด Negative: no growth of pathogens.
๐ต Speciment: Sterile fluid or swab from affected area placed in transport media tube provided by laboratory.
โโ @MicroMLS โโ
โซ๏ธ Method: Culture aerobic and/or anaerobic on selected media; DNA probe assays are available for identification of Neisseria gonorrhoeae.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐๐๐บ๐๐๐บ
๐๐บ๐
๐บ
โโB A T E R I A L C U L T U R E โโ
โบ Ear / Eye / Skin / Wound
๐ด Negative: no growth of pathogens.
๐ต Speciment: Sterile fluid or swab from affected area placed in transport media tube provided by laboratory.
โโ @MicroMLS โโ
โซ๏ธ Method: Culture aerobic and/or anaerobic on selected media; DNA probe assays are available for identification of Neisseria gonorrhoeae.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
โค1
โบ Throat (Nasal Pharyngeal)
culture
๐ดNegative: No growth of pathogens.
๐ตSpeciment: Throat or nasal pharyngeal swab.
Contamination with oral flora may invalidate results.
Specimen collection after antibiotic therapy has been initiated may result in inhibited or nongrowth of organisms.
โซMethod: Aerobic culture.
No growth. The routine throat culture is a commonly ordered test to screen or the presence of Group A
ฮฒ-hemolytic Streptococci.
S. pyogenes is the organism that most commonly causes acute pharyngitis.
The more dangerous sequelae of scarlet fever, rheumatic heart disease, and glomerulonephritis are less frequently seen because of the early treatment of infection at the pharyngitis stage.
๐ขThere are a number of other bacterial agents responsible for pharyngitis.
Specific cultures can be set up to detect other pathogens such as Bordetella, Corynebacteria, Haemophilus, or Neisseria if they are suspected or by special request from the health care practitioner.
โโ @MicroMLS โโ
Corynebacterium diphtheriae is the causative agent of diphtheria.
Neisseria gonorrhoeae is a sexually transmitted pathogen. In children, a positive throat culture for Neisseria usually indicates sexual abuse.
๐ขThe laboratory will initiate antibiotic sensitivity testing if indicated by test results. Sensitivity testing identifies the antibiotics to which the organisms are susceptible to ensure an effective treatment plan.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
culture
๐ดNegative: No growth of pathogens.
๐ตSpeciment: Throat or nasal pharyngeal swab.
Contamination with oral flora may invalidate results.
Specimen collection after antibiotic therapy has been initiated may result in inhibited or nongrowth of organisms.
โซMethod: Aerobic culture.
No growth. The routine throat culture is a commonly ordered test to screen or the presence of Group A
ฮฒ-hemolytic Streptococci.
S. pyogenes is the organism that most commonly causes acute pharyngitis.
The more dangerous sequelae of scarlet fever, rheumatic heart disease, and glomerulonephritis are less frequently seen because of the early treatment of infection at the pharyngitis stage.
๐ขThere are a number of other bacterial agents responsible for pharyngitis.
Specific cultures can be set up to detect other pathogens such as Bordetella, Corynebacteria, Haemophilus, or Neisseria if they are suspected or by special request from the health care practitioner.
โโ @MicroMLS โโ
Corynebacterium diphtheriae is the causative agent of diphtheria.
Neisseria gonorrhoeae is a sexually transmitted pathogen. In children, a positive throat culture for Neisseria usually indicates sexual abuse.
๐ขThe laboratory will initiate antibiotic sensitivity testing if indicated by test results. Sensitivity testing identifies the antibiotics to which the organisms are susceptible to ensure an effective treatment plan.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
โนRoutine culture of sputum
๐ดThe presence of normal upper respiratory flora should be expected
๐ตSpeciment: Sputum (10 to 15 mL)
โโ @MicroMLS โโ
โซMethod: Aerobic culture on selective and enriched media; microscopic examination of sputum by Gram stain.) Tracheal aspirates and bronchoscopy samples can be contaminated with normal flora, but transtracheal aspiration specimens should show no growth.
๐ข Normal respiratory flora include Neisseria catarrhalis, Candida albicans, diphtheroids, ฮฑ-hemolytic Streptococcus, and some staphylococci. The presence of normal flora does not rule out infection.
๐ข A normal Gram stain of sputum contains polymorphonuclear leukocytes, alveolar macrophages, and a few squamous epithelial cells.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐ดThe presence of normal upper respiratory flora should be expected
๐ตSpeciment: Sputum (10 to 15 mL)
โโ @MicroMLS โโ
โซMethod: Aerobic culture on selective and enriched media; microscopic examination of sputum by Gram stain.) Tracheal aspirates and bronchoscopy samples can be contaminated with normal flora, but transtracheal aspiration specimens should show no growth.
๐ข Normal respiratory flora include Neisseria catarrhalis, Candida albicans, diphtheroids, ฮฑ-hemolytic Streptococcus, and some staphylococci. The presence of normal flora does not rule out infection.
๐ข A normal Gram stain of sputum contains polymorphonuclear leukocytes, alveolar macrophages, and a few squamous epithelial cells.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
โค1
โบ Blood Culture
๐ดNegative: no growth of pathogens.
๐ตSpeciment: Whole blood collected in bottles containing standard aerobic and anaerobic culture media; 10 to 20 mL for adult patients or 1 to 5 mL for pediatric patients.
โโ @MicroMLS โโ
โซMethod: Growth of organisms in standard culture media identified by radiometric or infrared automation, or by manual reading of subculture.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐ดNegative: no growth of pathogens.
๐ตSpeciment: Whole blood collected in bottles containing standard aerobic and anaerobic culture media; 10 to 20 mL for adult patients or 1 to 5 mL for pediatric patients.
โโ @MicroMLS โโ
โซMethod: Growth of organisms in standard culture media identified by radiometric or infrared automation, or by manual reading of subculture.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
โบ Urine culture
๐ดNegative: No growth of pathogens.
๐ตSpeciment: Urine (5 mL) collected in a sterile plastic collection container.
โซMethod: Culture on selective and enriched media.
No growth. Positive findings in UTIs.
Commonly detected organisms are those normally found in the genitourinary tract, including enterococci, Escherichia coli, Klebsiella, Proteus, and Pseudomonas.
โโ @MicroMLS โโ
A culture showing multiple organisms indicates a contaminated specimen.
๐ขColony counts of 100,000/mL or more indicate urinary tract infection (UTI). Colony counts of 1000/mL or less suggest contamination resulting from poor collection technique.
โโ @MicroMLS โโ
๐ขColony counts between 1000 and 10,000/mL may be significant depending on a variety of factors including patientโs age, gender, number of types of organisms present, method of specimen collection, and presence of antibiotics.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐ดNegative: No growth of pathogens.
๐ตSpeciment: Urine (5 mL) collected in a sterile plastic collection container.
โซMethod: Culture on selective and enriched media.
No growth. Positive findings in UTIs.
Commonly detected organisms are those normally found in the genitourinary tract, including enterococci, Escherichia coli, Klebsiella, Proteus, and Pseudomonas.
โโ @MicroMLS โโ
A culture showing multiple organisms indicates a contaminated specimen.
๐ขColony counts of 100,000/mL or more indicate urinary tract infection (UTI). Colony counts of 1000/mL or less suggest contamination resulting from poor collection technique.
โโ @MicroMLS โโ
๐ขColony counts between 1000 and 10,000/mL may be significant depending on a variety of factors including patientโs age, gender, number of types of organisms present, method of specimen collection, and presence of antibiotics.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
โบSyphilis Serology
Nonreactive or absence of treponemal organisms.
๐ดSpeciment: Serum (1 mL) collected in a red- or tiger-top tube.
โซMethod: Darkfield microscopy, rapid plasma reagin, enzyme-linked immunosorbent assay [ELISA], microhemagglutination, fluorescence.
โโ @MicroMLS โโ
๐ขThere are numerous methods for detecting Treponema pallidum, the organism known to cause syphilis.
Syphilis serology is routinely ordered as part of a prenatal workup and is required for evaluating donated blood units before release for transfusion. Selection of the proper testing method is important.
โโ @MicroMLS โโ
Automated reagin testing (ART), rapid plasma reagin (RPR), and Venereal Disease Research Laboratory (VDRL) testing should be used for screening purposes.
๐ขFluorescent treponemal antibody testing (FTAABS) and microhemagglutination- Treponema pallidum (MHA-TP) are confirmatory methods for samples that screen positive or reactive.
โโ @MicroMLS โโ
๐ขCerebrospinal fluid should be tested only by the FTA-ABS method. Cord blood should not be submitted for testing by any of the aforementioned methods; instead, the mother's serum should be tested to establish whether the infant should be treated.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐บ
๐๐บ๐
๐๐๐บ๐๐๐บ
โจ๐๐๐บ๐๐๐บ๐๐๐บ
Nonreactive or absence of treponemal organisms.
๐ดSpeciment: Serum (1 mL) collected in a red- or tiger-top tube.
โซMethod: Darkfield microscopy, rapid plasma reagin, enzyme-linked immunosorbent assay [ELISA], microhemagglutination, fluorescence.
โโ @MicroMLS โโ
๐ขThere are numerous methods for detecting Treponema pallidum, the organism known to cause syphilis.
Syphilis serology is routinely ordered as part of a prenatal workup and is required for evaluating donated blood units before release for transfusion. Selection of the proper testing method is important.
โโ @MicroMLS โโ
Automated reagin testing (ART), rapid plasma reagin (RPR), and Venereal Disease Research Laboratory (VDRL) testing should be used for screening purposes.
๐ขFluorescent treponemal antibody testing (FTAABS) and microhemagglutination- Treponema pallidum (MHA-TP) are confirmatory methods for samples that screen positive or reactive.
โโ @MicroMLS โโ
๐ขCerebrospinal fluid should be tested only by the FTA-ABS method. Cord blood should not be submitted for testing by any of the aforementioned methods; instead, the mother's serum should be tested to establish whether the infant should be treated.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐บ
๐๐บ๐
๐๐๐บ๐๐๐บ
โจ๐๐๐บ๐๐๐บ๐๐๐บ
๐ุงูููููุณุชุฑูู ุงูู
ูุฎูุถ ูุณุงุนุฏ ูู ู
ูุงูุญุฉ ุงูุงู
ุฑุงุถ ุงูู
ุนุฏูุฉ ู
ุซู ุงูุชููููุฏ ูุงูุงุตุงุจุฉ ุจุงูููุฑูุณุงุช ุ
ูุงู ูุฐู ุงูู ููุฑูุจุงุช ุชุณุชุฎุฏู ุงูููููุณุชุฑูู ูู ุงูุฏุฎูู ููุฎูุงูุง .
https://telegram.me/joinchat/Cfk6YTvWj9IjjybM4eFBjA
ูุงู ูุฐู ุงูู ููุฑูุจุงุช ุชุณุชุฎุฏู ุงูููููุณุชุฑูู ูู ุงูุฏุฎูู ููุฎูุงูุง .
https://telegram.me/joinchat/Cfk6YTvWj9IjjybM4eFBjA
Levinson'Review of Medical Microbiology
ุงูุทุจุนุฉ 13
โโโโ๐โโโโ
@MicroMLS โ
โโโโ๐ฌโโโโ
ุงูุทุจุนุฉ 13
โโโโ๐โโโโ
@MicroMLS โ
โโโโ๐ฌโโโโ
Gram negative diplococci; coffee bean shape; oxidase positive, catalase positive......... Neisseria
@MicroMLS
@MicroMLS
๐Acanthamoebae cysts (Gram stain / culture)
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
Nematodes, also known as Roundworms, are a very common phyla of animals of which there are many parasitic forms.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐ฆ MICROBIOLOGY๐งฌ
Levinson'Review of Medical Microbiology ุงูุทุจุนุฉ 13 โโโโ๐โโโโ @MicroMLS โ โโโโ๐ฌโโโโ
Levinson'Review of Medical Microbiology
ุงูุทุจุนุฉ 13
โโโโ๐โโโโ
@MicroMLS โ
โโโโ๐ฌโโโโ
โคต๏ธโคต๏ธ
ุงูุทุจุนุฉ 13
โโโโ๐โโโโ
@MicroMLS โ
โโโโ๐ฌโโโโ
โคต๏ธโคต๏ธ
๐Strept. Antibodies Profile
๐ขNote: Normal value ranges may vary slightly among different laboratories.
๐Streptococcus Antibodies Profile: -
This profile screens for the two most common antibodies against streptococcus:
โขDNase antibodies in serum (ADB)
โขAntistreptolysin O titer (ASO)
@MicroMLS
๐ขThese antibodies may cross-react with brain tissue causing abnormal behaviors.
Both of these tests are performed to identify a previous infection of group A beta-hemolytic Streptococcus.
These infections cause rheumatic fever or a kidney disease called glomerulonephritis, poststreptococcal versions of these diseases, as well as scarlet fever.
@LabMed2016
Recently, high titers of these antibodies have been associated with PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections) and with autism, Tourette syndrome, tic disorder, and OCD.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐ขNote: Normal value ranges may vary slightly among different laboratories.
๐Streptococcus Antibodies Profile: -
This profile screens for the two most common antibodies against streptococcus:
โขDNase antibodies in serum (ADB)
โขAntistreptolysin O titer (ASO)
@MicroMLS
๐ขThese antibodies may cross-react with brain tissue causing abnormal behaviors.
Both of these tests are performed to identify a previous infection of group A beta-hemolytic Streptococcus.
These infections cause rheumatic fever or a kidney disease called glomerulonephritis, poststreptococcal versions of these diseases, as well as scarlet fever.
@LabMed2016
Recently, high titers of these antibodies have been associated with PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections) and with autism, Tourette syndrome, tic disorder, and OCD.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐1
๐ฎWhat are PANDAS?
Group A ฮฒ-hemolytic streptococci (GABHS) infections can cause several immune-mediated diseases.
@LabMed2016
โขRheumatic fever (RF), primarily a childhood disease, is a classic example of a complication resulting from a GABHS infection.
โขRF is an inflammatory disease of the heart, joints, and central nervous system that occurs two to three weeks after a GABHS infection. Antibodies that formed against the GABHS organisms cross-react with normal human tissues, causing heart valve damage, inflamed joints and neurological disorders.
โขSydenham's Chorea, characterized by uncontrolled movements of the face, hands, and feet is a common neurological disorder seen in rheumatic fever caused by the cross reactivity of antibodies with brain tissue.
โขThese movements are strikingly similar to motor tics, and many patients also display phonic tics, OCD, and ADHD. This observation, along with reports of sudden-onset tics and psychiatric disorders following an outbreak of GABHS in Rhode Island in the early 1990's, lead to a new diagnostic subcategory of Tourette's syndrome called PANDAs.
@LabMed2016
โขPediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, or PANDAs, display episodic symptoms of Tourette's syndrome following streptococcal infections. There is often a recovery period as the GABHS antibodies reduce to normal.
โขHelping the brain recover with nutrients may reduce vulnerability to further damage by the strep antibodies.
@LabMed2016
๐ฎAntibody Reactivity: -
โขDuring a streptococcal infection, the immune system elicits the production of antibodies.
โขThese antibodies attach to the streptococcus cell wall, identifying the organism as foreign.
โข This organism is then destroyed. Antibodies attach to the cell wall by recognizing a certain molecule that is on the surface of the streptococcus organism. In some cases, these antibodies also react with molecules found on neuronal cells of the basal ganglia.
โข When antibodies target normal human tissue cells for destruction, they are called autoantibodies.
@LabMed2016
PANDAS are thought to be caused by autoantibodies targeting the basal ganglia, an area of the brain associated with movement and behavior.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
Group A ฮฒ-hemolytic streptococci (GABHS) infections can cause several immune-mediated diseases.
@LabMed2016
โขRheumatic fever (RF), primarily a childhood disease, is a classic example of a complication resulting from a GABHS infection.
โขRF is an inflammatory disease of the heart, joints, and central nervous system that occurs two to three weeks after a GABHS infection. Antibodies that formed against the GABHS organisms cross-react with normal human tissues, causing heart valve damage, inflamed joints and neurological disorders.
โขSydenham's Chorea, characterized by uncontrolled movements of the face, hands, and feet is a common neurological disorder seen in rheumatic fever caused by the cross reactivity of antibodies with brain tissue.
โขThese movements are strikingly similar to motor tics, and many patients also display phonic tics, OCD, and ADHD. This observation, along with reports of sudden-onset tics and psychiatric disorders following an outbreak of GABHS in Rhode Island in the early 1990's, lead to a new diagnostic subcategory of Tourette's syndrome called PANDAs.
@LabMed2016
โขPediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, or PANDAs, display episodic symptoms of Tourette's syndrome following streptococcal infections. There is often a recovery period as the GABHS antibodies reduce to normal.
โขHelping the brain recover with nutrients may reduce vulnerability to further damage by the strep antibodies.
@LabMed2016
๐ฎAntibody Reactivity: -
โขDuring a streptococcal infection, the immune system elicits the production of antibodies.
โขThese antibodies attach to the streptococcus cell wall, identifying the organism as foreign.
โข This organism is then destroyed. Antibodies attach to the cell wall by recognizing a certain molecule that is on the surface of the streptococcus organism. In some cases, these antibodies also react with molecules found on neuronal cells of the basal ganglia.
โข When antibodies target normal human tissue cells for destruction, they are called autoantibodies.
@LabMed2016
PANDAS are thought to be caused by autoantibodies targeting the basal ganglia, an area of the brain associated with movement and behavior.
https://telegram.me/joinchat/AAAAAD-9_z56fB6h3kDmTA
๐1
๐ฎ Streptococcal Antibodies Panel: -
โซTest: -Streptococcal DNase B
โชRange in UnitsAnti- < 200.00 (U/mL)
โซTest :- Anti- Streptolysin O
โชRange in UnitsAnti- < 200.00 (IU/mL)
๐ขSpecimen Requirements:-
1 mL of serum in a gold-topped SST or royal blue-topped no additive tube.
๐ @MicroMLS
โซTest: -Streptococcal DNase B
โชRange in UnitsAnti- < 200.00 (U/mL)
โซTest :- Anti- Streptolysin O
โชRange in UnitsAnti- < 200.00 (IU/mL)
๐ขSpecimen Requirements:-
1 mL of serum in a gold-topped SST or royal blue-topped no additive tube.
๐ @MicroMLS