Microorganism Identification Process

1. Microorganism Identification Process

2. Introduction to Bacterial Identification Accurate and definitive microorganism identification, including bacterial identification and pathogen detection, is essential for correct disease diagnosis, treatment of infection and trace-back of disease outbreaks associated with microbial infections. Bacterial identification is used in a wide variety of applications including microbial forensics, criminal investigations,bioterrorism threats and environmental studies.

3. Cultural Characteristics Microorganisms may show distinguishing gross morphologies when cultured on different media. This macroscopic appearance of bacteria (characteristic growth patterns which can be observed with the naked eye) is often used in their identification.

4. Cultural Characteristics are observed according to 1. Observe the amount of growth- none = 0, slight = +,moderate = ++, abundant = +++. 2. Coloration- Two types of pigmentation may occur: a. pigmentation occurring within the organism itself; or b. water soluble pigment that diffuses into the surrounding medium. Most organisms will lack chromogenesis (pigmentproduction), exhibiting a white, beige, or gray growth. Pigmentation within the organism may be red, yellow, violet, or other colors (see demonstration tubes). Soluble pigments may be blue, green, yellow, brown, or other colors (see demonstration tubes). Hold the slant up to the light to examine for diffusible pigments. It may be helpful to compare the color of the agar with an uninoculated slant.

5. Cultural Characteristics are observed according to 3. Opacity- Surface growth can be termed as opaque, as transparent, or as translucent partial transparency) depending on the degree of growth. 4. Form- The gross or macroscopic appearance ofthe growth from the single streak inoculation is described by comparing itto the drawings shown in Figure 1. a. filiform - uniform growth along the line of inoculation. b. echinulate- margins of growth have a toothed appearance. c. beaded- separate or semiconfluent colonies. d. effuse- growth is thin, veil-like, unusually spreading. e. arborescent- branched, tree-like growth. f. rhizoid- root-like appearance

6. Morphology and staining There are many different ways to stain bacteria so that they can be more easily visualized under the microscope. Some stains can also be used to identify and classify bacteria. 1. Gram stain 2. Acid fast Stain Other stains used to visualize bacterial structure 1. Spore stain 2. Capsular stain 3. Flagellar stain

7. Biochemical Characteristcs 1. Fermetation & oxidation 2. IMVIC 3. Biochemical tests 4. API 20 E

8. Serological characteristics To Identify several strains of the same type of bacteria we need to perform serotyping of themsuch as: 1. Widal test 2. Lancefield grouping 3. Protien A latex 4. others

9. Other Characteristics 1. PCR 2. Phage typing 3. Other molecular techniques

10. How to handle microbiological sample Some samples will demonstrate microbial growth and require further laboratory analysis to identify the contaminants. When growth is detected, the sample should be taken from the clean section of the laboratory to the live culture section without undue delay. Subculturing, staining, microbial identification, or other investigational operations should be undertaken in the live culture section of the laboratory. If possible, any sample found to contain growing colonies should not be opened in the clean zone of the laboratory. Careful segregation of contaminated samples and materials will reduce false-positive result..

11. How to handle microbiological sample Soo it necessary to ensure: 1. Proper collection of the sample 2. Adequate amount 3. Requisitions 4. Tightly capped container

12. How to handle microbiological sample When needed, a written test request must include the following information: 1. Hospital No. 2. Full name 3. Gender 4. Date of birth 5. Address 6. Social security no. 7. For female pregnant/ lactating 8. Date of illness 9. Signs/ symptoms 10. Date of onset 11. Recent travel history 12. Immunization

13. Identification of samples 1. Type of specimen 2. Collection date and time 3. Laboratory number 4. Laboratory findings 5. Test requested 6. Ordering physician

14. Specimen handling and storage Samples should be deliverd to microbiology central processing area, within the specified period and then CPA will 1. Check requisition for completeness 2. Store the sample untill they are picked up to microbiology staff. When STAT requests are received, the CPA staff should inform the microbiology supervisor.

15. Specimen rejection criteria 1. The information in the label doesn’t match the information on the request form. 2. The specimen was transported in improper container or at wrong temperature. 3. Leaking specimen. 4. The quantity of specimen is insufficient.

16. Comments 1. Blood received in blood culture is unsuitable sor fungal isolation. 2. Saliva is unacceptable for culture 3. Multiple samples sent with the same request should be noticed.

17. Samples not satisfactory for culturing 1. Sample in fixative 2. Dried out swab 3. 24hrs urine or sputum 4. Urine still more than 2hrs at room temperature. 5. Antibiotic medicated patient 6. Anaerobic culture for vaginal, cervical, or urine samples 7. Stool samples from more than 5 days inpatient.