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Microbiology

CITRATE UTILIZATION TEST

This test is performed in the identification of Enterobacteria:-     v Principle:- The test organism is cultured in a medium containing sodium citrate, an ammonium salt and a bromothymol blue indicator. The organisms use citrate (the only source of carbon) and ammonia (the only source of nitrogen). The citrate utilization is followed by an alkaline reaction (change of the color from light green to blue) and growth in the medium is indicated by the appearance of turbidity.     v Requirements           Test tube (15 x 125 mm),                 Simmon’s citrate medium,               Formula and preparation  1.      Potassium dihydrogen phosphate                    : 1.0 g 2.      Sodium ammonium phosphate                          : 1.5 g 3.      Magnesium sulfate                                               : 0.2 g 4.      Sodium citrate                                                        : 2.5 g 5.      Bromothymol blue                                                 :0.016 g 6.      Agar                                                                          :15.0g 7.      Distilled water                                                           1000ml The ingredients 1 to 6 are dissolved in about 900 ml of distilled water and after diluting to one liter, pH of this medium is adjusted to 6.7-6.9.     v Procedure            1.      Inoculate 3-4 ml of sterile Simmon’s citrate medium with a broth culture of test organisms.               2.      Incubate at 35°C up to 4 days.     v Results           1.       Turbidity and blue color: Positive test.              2.     No growth (no turbidity and persistence of original color): Negative test.     v Quality control            Use following microorganisms to confirm the reliability of reagents:              Positive control: Klebsiella pneumonia  Negative control: Escherichia coli

Microbiology

DITECTION OF COAGULASE ENZYME TEST

COAGULASE TEST:- This test is used to differentiate Staphylococcus aureus from S. epidermidis and S. saprophyticus –     v    Principle:-           Staphylococcus aureus produces the enzyme coagulase which causes plasma to clot                          converting soluble  fibrinogen to insoluble fibrin.     v  Requirements:- 1.      Oxalate or citrated plasma 2.      Glass slides 3.      Normal saline     v Procedure (Slide Method):- 1.      Place a drop of physiological saline on each end of a slide. 2.      Make thick suspensions of the organisms in each drop. 3.      Add a drop of plasma to one of the suspensions. Mix gently. Look for clumping of the organisms within 10 seconds.      v Results:-             1.      Clumping within 10 seconds: Staphylococcus aureus               2.      No clumping within 10 seconds: No production of coagulase  v Tube test Method:- 1.      Prepare 1.0 ml of saline suspension of the organism 2.      Add 1.0 ml of plasma 3.      Incubate at 37°C for 24 hours. 4.      Observe from clot formation. The formation of a clot indicates the presence of Staphylococcus aureus organism.

Microbiology

CATALASE TEST

SUMMARY:- This test is used to differentiate catalase-producing bacteria such, as Staphylococci from non-catalase-producing bacteria such as Streptococci.     v   Principle:-           Catalase produced by the organisms acts on hydrogen peroxide to produce water and oxygen (It is                     indicated by bubbles).     v  Requirements:-           1.      3% (v/v) Hydrogen peroxide              2.       Test tubes (15 x 125 mm)     v Procedure:- 1.       Pour 2 to 3 ml of hydrogen peroxide solution into a test tube. 2.       Immerse the growth of organisms in the test tube solution by using a sterile wooden stick (or a sterile glass rod). 3.       Look for immediate bubbling.     v   Observations:-           1.      Appearance of bubbles: Presence of catalase-producing organisms.              2.      No formation of bubbles: Presence of non-catalase-producing organisms.     v   Precautions:-           1.      The culture should not be for more than 24 hours.              2.      This test should be performed from a blood-free culture medium (nutrient agar) since catalase is                      also  present in red blood cells              v Quality control:- Use the following microorganisms to confirm the reliability of reagents: 1.      Positive control: Staphylococcus species 2.      Negative control: Streptococcus species

Microbiology, Uncategorized

BILE SOLUBILITY TEST

1.    Bile Solubility Test:- This test helps to differentiate S. pneumoniae from iridans streptococci.     v Principle:-        The test organisms are emulsified in normal saline. It gives a turbid suspension. The bile salt sodium deoxycholate is then added. S. pneumoniae organisms are soluble in bile salts and it is indicated by the clearing of turbidity. Viridans streptococci are insoluble in bile salts and it is indicated by persistence of the turbidity.    v Requirements:-        1.      10 g/dl sodium deoxycholate in 0.85 g/dl, sodium chloride.        2.  Normal saline.  3.   Test tubes (15 x 125 mm). v Procedure:- 1.      Pipette 2 ml of normal saline in a test tube. 2.      Suspend several colonies in the saline. 3.      Divide the suspension between two tubes. 4.      To the tube labeled as ‘T’, add 2 drops of sodium deoxycholate reagent, and to the tube labeled as ‘C’ add 2 drops of sterile distilled water. Leave both the tubes for 10-15 minutes. 5.      Observe the tubes. v Observation:- 1.      Clearing of turbidity: Probably S. pneumoniae. 2.      No clearing of turbidity: The organism is probably not S. pneumoniae.     v Quality control:-                Use the following microorganisms to confirm the reliability of reagents: Positive control: Streptococcus pneumonia                Negative control: Enterococcus fecalis  

Biochemistry, Uncategorized

SERUM DIRECT AND INDIRECT BILIRUBIN

SERUM DIRECT BILIRUBIN:-   Aim: – Determination of Serum Direct Bilirubin by DMSO method & Malloy and Evelyn method Summary:- Bilirubin is a breakdown product of hemoglobin, insoluble in water. It is transported from the spleen to the liver and excreted into bile. Hyperbilirubinemia results from the increase of bilirubin concentrations in plasma. PRINCIPLE:-   Bilirubin is converted to colored azobilirubin by diazotized sulfanilic acid and measured photometrically. Of the two fractions presents in serum, bilirubin-glucuromide and free bilirubin loosely bound to albumin, only the former reacts directly in aqueous solution (bilirubin direct), while free bilirubin requires solubilization with dimethylsulphoxide (DMSO) to react (bilirubin indirect). In the determination of indirect bilirubin, the direct is also determined; the results correspond to total bilirubin. The intensity of the color formed is proportional to the bilirubin concentration in the sample.  REQUIREMENTS:-   *Two test-tube, *Colorimeter, Bilirubin *Direct Reagents,  *Incubator, *Cuvette, *Pipette etc. *Fresh Serum. PROCEDURE-   1.      Adjust the instrument to zero with distilled water. 2.   Pipette into a cuvette or test tube: Contents Blank Test Direct Bilirubin Reagent (R2) 1.5 ml 1.5 ml Working Reagent (R3) – 50µl Sample /Calibrator 50µl 50µl 1.      Mix and incubate for exactly 5 minutes at room temperature.        2.      Read the absorbance (A). at 546 nm wavelength. Calculation:-  With Factor: Direct Bilirubin (mg/dl) =              (A) Sample – (A) Sample Blank x Factor Theoretical Factor Direct bilirubin = 14 Direct Bilirubin (mg/dl)  =             (A) Sample – (A) Sample Blank x 14 After Testing, If, (A) Sample = 0.21 (A)   Sample Blank = 0.16                                                                  =             0.05 X 14                                                                  =             0.7 mg/dl    D. Bilirubin in mg/dl to µmol/L   =             mg/dL x 17.1 =          0.7 X 17.1 =          11.97 µmol/L Normal Value:-    Direct Bilirubin (mg/dl)           =         <0.3 mg/dl Clinical Significance:-  Causes of hyperbilirubinemia:- Direct bilirubin: Hepatic cholestasis, genetic errors, hepatocellular damage. Indirect bilirubin:- Indirect Bilirubin (mg/dl)              =             Total Bilirubin – Direct Bilirubin =             1.146 – 0.7 =             0.446 mg/dl Or                      =             0.446 X 17.1 µmol/L =             7.62 µmol/L Normal Value:-    Indirect Bilirubin (mg/dl)        =         0.3  – 0.9 mg/dl

Microbiology

INTRODUCTION OF CULTURE MIDEA

CULTURE MEDIA:- Most bacteria can be cultured artificially on culture media containing required nutrients, pH and osmotic pressure. The microorganisms grow in an atmosphere and temperature most suited to their metabolic reactions. The pathogens are isolated in pure culture so that they can be identified and tested for their sensitivity to antimicrobials. The specimens are cultured in known volumes, and the number of bacterial colonies appearing after incubation can be counted. Operation room requirements and blood from blood bank are frequently checked for sterility by using pure culture methods. Vaccines and antitoxins require the growing of bacteria under controlled conditions. Stock cultures are also useful for the teaching institutes for practical training purposes. COMPOSITION OF CULTURE MEDIA:- The basic ingredients, which are common to the many of the frequently used media are as follows: 1.     Water: It allows fluids to enter and leave cells more readily and to enhance the chemical reactions. 2.     Sodium  chloride: Presence of sodium chloride maintains the isotonicity of bacterial cells. 3.     Peptones: It is a source of readily available nitrogen. 4.     Buffers: They maintain a constant pH in culture media. 5.     Indicators: In culture media the indicators are useful in the detection of acid or alkali production by microorganisms. Indicators such as phenol red, methyl red and Bromocresol purple are used to adjust pH of the culture media. 6.     Solidifying agents: Agar, gelatin, egg yolks and serum are used as solidifying agents of the culture media. 7.     Selective agents: These are special chemicals introduced into the culture media for inhibiting some types of bacteria, while allowing other bacteria to grow. Examples: (a) Crystal violet inhibits Staphylococci but not tubercle bacilli (b) 6.5% (w/ v) sodium chloride is inhibitory to most Streptococci but not S. faecalis. 8.     Additive for enrichment: The substances such as sheep blood, horse blood, rabbit serum or calf’s ground hearts allow fastidious organisms to grow since these organisms, may not survive in ordinary culture media. 9.     Reducing substances: The substances such as thioglycollate are used to remove free oxygen from the medium for the growth of anaerobic bacteria. THE DIFFERNT TYPES OF CULTURE MEDIA:– Basic Media:- These support the growth of microorganisms that do not have special nutritional requirements. They are often used (a) To maintain stock cultures of control strains of bacteria and (b) For subculturing pathogens from selective media prior to performing biochemical and serological identification tests. Examples: (1) Nutrient agar (2) Nutrient broth. Enriched Media These are enriched with (a) Whole blood (b) Lysed blood (c) Serum (d) Extra peptones and (e) Vitamins to support the growth of particular pathogens such as Hemophilus influenzae, Neisseria and Streptococcus species. Examples: (I) Blood agar (II) Tryptone soya media. Selective Media  These media contain substances that accelerate the growth of required pathogens only and prevent or slow down the growth of other microorganisms.Example: XLD agar: It is used for the growth of Salmonellae and Shigellae. The bile salts present in this media inhibit the growth of many fecal commensals. Differential (Indicator) Media  These contain indicators, dyes or other substances which help to differentiate microorganisms. Example: TCBS agar contains the indicator bromothymol blue which differentiates sucrose fermenting from non-sucrose fermenting vibrio species. Transport Media  When specimens are not cultured soon after collection, to prevent overgrowth and also to ensure survival of pathogens, transport media are used. These are mainly used to transport microbiological specimens from health centers to the district pathological laboratories. Example: (1) Amies transport medium (2) Cary Blair medium. DIFFERENT FORMS OF CULTURE MEDIA:- 1.      Solid Culture Media        This is used in petri dishes and in test tubes (slope cultures) and prepared by adding Solidifying agent  (1.0 – 1.5%) (w/v).Microorganisms grow on this and form colonies after multiplication. This helps to identify the organism.       2.      Semisolid Culture Media:-          This is prepared by adding Solidifying agent (0.4-0.5%) (w/v) to a fluid medium. These are used mainly as transport media and for the testing of motility of the organisms.       3.      Fluid Culture Media           These media are mainly used as biochemical testing media, blood culture media or the enrichment media.  PREPARATION OF CULTURE MEDIA:- Most culture media are available commercially in readymade dehydrated form. It is less costly to use readymade media, since the ingredients are often required in small amounts but available in large quantities if purchased. Some of the chemicals are also difficult to obtain. To ensure good performance and reproducibility in the results the following must be performed correctly- 1.      Weighing and dissolving of the ingredients 2.      Addition of heat sensitive material 3.      pH testing 4.      Dispensing and sterilization 5.      Sterility testing and quality control 6.      Storage Note        1.      The heat sensitive ingredients such as blood or serum should be brought to room temperature and added when the medium has cooled to about 50°C.        2.      A fluid medium should be tested for accurate pH by using a narrow, range pH paper.        3.      For sterilizing culture media, it is necessary to use manufacturer’s instructions. The commonly used methods for sterilization are- a) Autoclaving (b) Steaming at 100°C and (c) Filtration. It is necessary to use correct temperature and correct length of time. Precautions:- ·        Autoclaving is used to sterilizemost agar and fluid media. ·        Steaming at 100°C: Media such asCary Blair transport medium contain ingredients that would break down above100°C. Steaming can be performed in an autoclave with a loose lid. ·        Filtration:Serum and solutions containing carbohydrates, urea, etc. are heat sensitive andhence cannot be autoclaved. Hence, the media containing such substances arefiltered to remove bacteria. ·        Sterility testing: Media in tubes and bottles: Incubate the entire batchat 37°C overnight. Contamination is indicated by appearance of turbidity in afluid medium and growth on a solid medium. ·        Control of media: Appropriate control species are used to inoculateslants or plates of the medium (quarter part). After overnight incubation, thecultures are examined for (a) Degree of growth (b) Size of colonies and (c)Other characteristics. ·        Storage of culture media: Dehydrated culture media and dryingredients (agars, peptones, bile salts, etc.) can be stored at roomtemperature (25°C ± 5°C) in

Microbiology, Uncategorized

Introduction of microbiology

“Microbiology Worlds”  Microbiology is the scientific study of microorganisms, which are microscopic living organisms that include bacteria, viruses, fungi, and protozoa. These microorganisms play a crucial role in various biological processes and have a significant impact on human health, agriculture, industry, and the environment. French chemist and Microbiologist Louis Pasteur (1822-1895) coined the term “microbiology”. He used the term to describe his work with organisms at the microscopic level. The field of microbiology has a rich history that spans several centuries, with important discoveries and developments contributing to our understanding of the microbial world. Historical Background of Microbiology:- 1.0Aristotle (384-322 BC) The concept of spontaneous generation was proposed by various ancient civilizations and philosophers, including the ancient Egyptians and Greeks. One of the most notable proponents of spontaneous generation in ancient times was the Greek philosopher Aristotle. He proposed the idea that certain animals, insects, and even mice could arisespontaneously from decaying organic matter. In the Middle Ages, spontaneous generation was further supported by prominent figures such as Avicenna and Albertus Magnus. 2.0 Antonvan Leeuwenhoek (1632 – 1723):- Anton van Leeuwenhoek made significant contributions to the field of microbiology, earning him the title of the “father of microbiology & Protozoology.” Here are some of his key contributions:-       1. Discovery of Microorganisms:  In the 17th century, Leeuwenhoek designed powerful single-lens microscopes, enabling him to observe tiny organisms that were previously invisible to the human eye. He was the first to describe and document various microorganisms, including bacteria, protozoa, and othermicroscopic life forms.  In 1676 Observations of bacteria, which he called “animalcules,” provided crucial evidence against the theory of spontaneous generation.       2. Microscopic Studies of Biological Samples: Leeuwenhoek examined a wide range of biological samples, including water, dental plaque, and even his own feces.        3. Advancements in Microscopy: Leeuwenhoek’s innovative improvements to microscope design, including using high-quality lenses and precise grinding techniques, significantly enhanced the magnification and clarity of his observations.  4.The term “microbe”was first used by Sedillot in 1878. The word comes from the Greek words “mikros” meaning “small” and “bios” meaning “life”. It literally means “small life” or “microscopic life”. 3.0 Francesco Redi (1626-1697):- Francesco Redi was an Italian physician, naturalist, and poet who made significant contributions to the field of microbiology, particularly in the context of spontaneous generation, which was the widely held belief at the time, that living organisms could arise from non-living matter. Redi conducted a series of experiments that challenged this idea, providing evidence against spontaneous generation Francesco Redi experiments:- In 1668, Redi conducted a famous experiment to test the hypothesis that maggots (the larvae of flies) spontaneously generated from decaying meat.                                                He set up three groups of jars, each containing decaying meat. One group was left open, allowing flies to access the meat and lay eggs, another group was covered with gauze, preventing flies from touching the meat but allowing air to pass, and the third group was completely sealed.                                                                                                                          Redi observed that maggots only appeared in the open jars, where flies could accessthe meat, and not in the covered or sealed jars.                                                                        This experiment provided strong evidence against spontaneous generation, demonstrating that maggots only appeared when flies were able to lay their eggs on the decaying meat. 4.0 John Needham (1713 – 1781):-  In 1745, Needham conducted experiments where he heated nutrient broths and then sealed them in flasks. Afterward, he observed the growth of microorganisms in the sealed flasks and concluded that life could arise spontaneously from non-living matter. 5.0 Lazzaro Spallanzani (1729 – 1799)- Lazzaro Spallanzani Disproving Spontaneous Generation Theory and support Biogenesis Theory.  In 1765, Lazzaro Spallanzani conducted experiments where he boiled nutrient-rich broth in sealed containers, effectively sterilizing the broth. His experiments showed that no microorganisms grew in the sealed flasks, even after long periods, unless they were exposed to air.                                                                                                                                 This demonstrated that living organisms did not arise spontaneously but were introduced to the broth from the external environment. 6.0 Louis Pasteur (1822 – 1895):- Louis Pasteur made several significant contributions to the field of microbiology, , earning him the title of the “father of Medical microbiology.” He coined the term “microbiology”, Aerobic and Anaerobic. 1.Disproving Spontaneous Generation:  Pasteur conducted experiments that disproved the prevailing notion of spontaneous generation 2.Germ Theory of Disease:  Germ theory states that microorganisms are the cause of many diseases 3.Pasteurization: Pasteurization is a heat treatment process developed by Louis Pasteur to kill or deactivate harmful microorganisms in food and beverages, such as milk and wine. 4.Vaccination: He developed vaccines against several diseases, including rabies and anthrax. 5. Fermentation: Chemical process by which molecules such as glucose are broken down anaerobically. 7.0 John Tyndall: John Tyndall was a prominent 19th-century Irish physicist and naturalist who made significant contributions to the field of microbiology, particularly in the areas of sterilization. 1.   Tantalization:  Tyndall developed a process known as Tantalization, which involves intermittent sterilization through boiling, incubation, and re-boiling. This method was used to kill heat-resistant bacterial spores and became an important technique in microbiology for ensuring

Biochemistry

VLDL AND LDL Cholesterol Test

Indirect method:- Fairly accurate determination of VLDL & LDL can be done for the values of cholesterol less than 400 mg/dl, by using the following formulae based on “The Friedewald equation”. Determine-    a) Total cholesterol    b) HDL- cholesterol and    c) T.G. Then calculate VLDL and LDL as follows: VLDL (mg/dl)                      =          Triglyceride/5 LDL-cholesterol (mg/dl)    =          Total Cholesterol – HDL – VLDL  Normal Value:- VLDL                =          2 – 38 mg/dl  LDL                  =          < 130 mg/dl Clinical Significance:- This test measures the amount of very low-density lipoprotein (VLDL) in your blood. VLDL cholesterol is a type of blood fat. It’s considered one of the “bad” forms of cholesterol, along with LDL cholesterol and triglycerides. This is because high levels cholesterol can clog your arteries and lead to a heart attack. High levels of LDL (low-density lipoprotein) cholesterol are associated with an increased risk of atherosclerosis, which can lead to other health conditions like stroke, coronary artery disease, and peripheral arterial disease

Histopathology

Histopathology & Cytology Practical Index

Practical index:-       1.    Safety guidelines of histopathology       2.    Important Histopathology Laboratory Instruments              a.      Microtome              b.      Wax Bath              c.       Slide Warmer              d.      Automatic Tissue Processor       3.    Sample Receiving and identification       4.    Gross Examination of Specimen       5.    Fixation (Merits, Demerits, and application) a.    Type of Fixative b.    Selection of fixative        6.     Dehydration        7.     Decalcification        8.     Clearing        9.     Impregnation       10.  Embedding and blocking       11. Trimming      12.  Section Cutting or Microtomy      13.  Slide Preparation      14. Staining of section slide a.     Routine H & E Stain b.     Special Stain      15. Mounting      16. Frozen Section processing      17. Museum Techniques a.     Preparation of Specimen b.     Storage of Specimen c.      Mounting of museum specimen

Laboratory instruments

Calorimeter Instruments Basics and Working

Calorimeter Principle,Components,Working & Applications:-  calorimeter:- A Colorimeter involves the measurement of Color and is the widely used method for finding the concentration of biochemical compounds. It Measures absorbance and wavelength between 400 to 700 nm (nanometer) i.e. from the visible spectrum of light of the electromagnetic spectrum. Absorption of light :- Light falling on a colored solution is either absorbed or transmitted. A colored solution absorbs all the colors of white light and selectively transmits only one color. This is its own color. PRINCIPLE OF COLORIMETER:-   A colorimeter is based on the photometric technique which states that When a beam of incident light of intensity I0 passes through a solution, a part of the incident light is reflected (Ir), a part is absorbed (Ia) and rest of the light is transmitted (It) Beer’s Law :-  This law states that the amount of light absorbed is directly proportional to the cocentration of the solute in the solution . Lambert’s Law:-  The Lambert’s law states that the amount of light absorbed is directly proportional to the length and thickness of the solution under analysis. In simplified form, The working principle of the colorimeter is based on Beer-Lambert’s law which states that the amount of light absorbed by a color solution is directly proportional to the concentration of the solution and the length of a light path through the solution.                                                     A ∝ cl Where, A = Absorbance / Optical density ofsolution c = Concentration of solution   l = Path length                                                 A = ∈cl     ∈ = Absorption coefficient PARTS OF COLORIMETER:- There are 5 essential parts in a calorimeter Light Source – The most common source of light used in colorimeter is a tungsten filament. Monochromator – To select the particular wavelength filter or monochromators are used to split the light from the light source.  Sample holder – Test tube or Cuvettes are used to hold the color solutions they are made up of Glass at the visible wavelength. Photo Detector System – when light falls on the detector system, an electric current is generated, this reflects the Galvanometer reading. Measuring device – The current from the detector is fed to the measuring device, the Galvanometer, shows the meter reading that is directly proportional to the intensity of light.   the formula used for determining the concentration of a substance in the test solution                                      A = ∈cl For two solutions i.e. Test and standard,            ∈ = Constant    l = Constant (using the same Cuvette or Standard cell)        AT = CT                ….. (i)        AS = CS               ….. (ii) From (i) & (ii),       AT × CS = AS × CT       CT = (AT/AS) × CS Where, CT = Concentration of the Test solution AT =Absorbance/ Optical density of the test solution CS =Concentration of the standard AS =Absorbance / Optical density of the standard solution

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