Chapter 7: |
Microbiology |
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Gram Stain
Bacterial organisms are broadly classified into
one of four groups by performing a gram stain. The classifications
include:
- Gram-positive rods
- Gram-positive cocci
- Gram-negative rods
- Gram-negative cocci
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The bacteria can be then be further classified as being
either aerobic or anaerobic.
Cultures and Sensitivity
Tests
Cultures involve the propagation of microorganisms or
living tissue cells in special media conducive to their growth. These
tests are performed whenever identification of specific organisms is needed
to prescribe therapies. Most cultures can be completed within two or three
days, but some, such as mycobacterium tuberculosis can take as long as
eight weeks. Once the organism has been identified, it is necessary to
conduct sensitivity tests to ascertain the most appropriate and
effective antibiotic therapy.
Using a technique called the acid-fast stain generally
tests for the presence of mycobacterium organisms. Urinalysis is used
to diagnose diseases involving the liver, kidney, cardiovascular, and
endocrine systems. Pleural fluid analysis is used to distinguish transudate
and exudate fluids in the pleural space.
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