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Usually after a patient's samples being cultured on agar shows significant isolates, it will be tested against beta-lactam antibiotics. Usually, Escherichia coli and Klebsiella especially can be resistant to these anti-biotics.
Beta-lactamase enzyme is a common bacteria resistance mechanism that is able to break down beta-lactam ring of penicillin-like drugs. They are able to hydrolyse antibiotics like CTX, AMC and CAZ. What lactamase enzymes do is that they break down the structural ring and make the molecules's anti-bacteria properties no longer functional. Therefore, when key-hole reaction can be seen, it shows that this bacteria strain is resistant to these antibiotics. The expression of the enzyme differs depending on the genetic control of the beta-lactamase production. TEM-1, TEM 2 and SHV-1 are the common plasmid-encoded enzymes that are resistant to penicillin.
The picture above shows Enterobacter being resistant.
So that is about all for this post. Hope that it is not too boring. Smiles =)
Zhenling TG02
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Picture taken from www.biotage.com/Print.aspx?id=35833)
1)Then, methanol (organic solvent) is loaded first to remove any impurities in the cartridges. Next, DI water is passed through these cartridges to wash away the methanol otherwise the desired compounds cannot be retained on the sorbent.
2)Then, the sample is passed through the cartridges, and the compounds will be bounded onto the sorbent by hydrophobic interaction.
3)DI water is then used to wash away impurities that may be present in the medium. It must be ensured that no DI water is left in the cartridges after washing otherwise it will inhibit the elution step.
4)To get the compounds from the sorbent, methanol is used as solvent to elute the compounds. The methanol will disrupt the hydrophobic interaction resulting in the compounds to detach from the sorbent and flow out of the cartridges with the methanol.
Actions carried out on the eluent and how to get the compounds from the eluent shall be explained in future posts. =)
Since, throughout the SIP, I will be dealing with a lot of methanol, PPE such as goggle, lab coat, and gloves are necessary. Also, the experiments are carried out in fume hood whenever possible. (Methanol is toxic when inhaled/consumed and can cause blindness.)
Hope everyone is enjoying your SIP. ^_^
Lim Xin Ni (0607325H)
TG02
Group 9
Hihihihi! This is the 3rd week of SIP and its my turn to post! Hope all of you guys are enjoying your SIP!
Well I’m attached to the Microbiology department for 4 weeks. It has 2 laboratories, Microbiology itself and Molecular microbiology. One easy and interesting method we learnt back in school to detect virus/bacteria is immunofluourescence. I had the opportunity to practice it daily in Molecular microbiology lab.
In the lab I was attached to, tests were mostly done to detect respiratory viruses in children and infants. Such viruses include Respiratory Syncytial Virus, commonly known as RSV, Adenovirus, Influenza and Parainfluenza. Among these, RSV is considered the most common virus affecting children, especially below the age of 6. It rarely affects adults. RSV infects the lungs and the breathing passages causing wheezing, whooping cough and other breathing difficulties in children.
Usually when the doctor diagnoses pneumonia, bronchitis, bronchiolitis or other respiratory illnesses, they would send for tests to detect what virus has affected the child.
Samples sent to the lab are nasopharyngeal swabs or aspirates. Most common ones are swabs.
This is how it is being processed:
1.Firstly, samples should be checked with patient’s test request form to confirm that the identity is similar to the sample.
2.About 0.5-1.0ml of PBS should be added into a clear tube and the swab is placed into the tube.
3.A wire cuter is being used to snip the swab into the tube and capped. It is then vortexes until the suspension becomes turbid enough to be placed on the slide.
4.The slide is contains small wells and 2 wells are allocated for 1 sample. 1 drop in being placed on each well. This step is quite crucial as the size of the drop depends on the turbidity of the cell suspension. Have to make sure the size of the drop is as similar as possible on each well.
5.The slides should be air dried and fixed in cold acetone for 10 mines. It should be air dried after the slide is taken out from acetone.
6.10 µl of respiratory screen reagent should be added to one well. The respiratory reagent contains the seasonal reagent to detect the respiratory viruses.( RSV, influenza, Para influenza and adenovirus)
7.10 µl of RSV reagent should be added to the other well to detect for RSV as it is the most common virus affecting the children.
8.Slides should be incubated at 35-37 degree Celsius for 15-30 mins. After incubation slides should be rinsed with PBS for 5 mins to wash off the screening dyes.
9.They should be air dried and mounting fluid should be added followed by cover slips to be read under microscope.
10.If respiratory screen turns out positive and not the seasonal viruses, then the procedure is repeated again.
How to read the slides and recognize the viruses?
It is quite beautiful to see the slides under microscope. In fact, they are quite glaring when they turn out to be positive. Positive results mean that the cells fluoresce, which indicates that the patient is infected by that virus. Usually if the screening reagent and the RSV turn out to be positive, it proves that that patient is infected by RSV. However, if RSV turns out to be negative and screening reagent turns out to be positive, it means that the patient is infected by other viruses. It could be predicted by the morphology of the cells.
Parainfluenza would have a granular cytoplasm and the cells would look a little ‘bloated’.
Influenza virus would have a green cytoplasm.
RSV would have a crescent like shape at the edge of the nucleus.
These are the typical characteristics of the cells. However, this is not the case in all situations. Sometimes, it very difficult to identify them unless you are very used to looking at them
Hence, most of the time confirmatory screening has to be done using the specific screening reagents (like influenza, parainfluenza or adenovirus). If Influenza or parainfluenza is being identified, they are being sub grouped into influenza A or B, Parainfluenza 1,2 or 3.
So this is how immunofluourescence is done in Molecular microbiology! I know it’s quite lengthy, but sorry, I have to add all the details. Have fun!
BY NEELA
TG 02
References
http://kidshealth.org/parent/infections/lung/rsv.html
Picture taken from:
HI all, sorry for the late submission, computer was down and all. In any case, for my first 2 weeks, I was posted to the Urinalysis/ Routine section. As most of the tests done are through automation, I was required to learn how to operate the machines, the quality control tests made at the start of the day or at specfic hour of the day. There were times when the urine FEME tests are required to be done manually using dipsticks due to insufficient amount of sample. My job was to load up the specimen into a tube, ensuring that it has been labeled correctly before being placed in a rack for loading into the Atlas machine.
Picture taken from:
Clinitek Atlas is a fully automated reflectance spectrophotometer used to perform urinalysis testing. The various results retrieved are the glucose level, bilirubin, ketone, specfic gravity, blood, pH, protein, urobilinogen, nitrie. Leukocytes, the color and the clarity of the urine. It is capable of performing up to 200 samples at one go and that each roll is made up of 490 reagent strips. The samples(minimum volume ≥ 5ml) are loaded onto the sampler tray (maximum 10 tubes) and placed onto the infeed area.
Firstly, the bar code reader would scan the sticker on the tube for identification purposes and the automatic pipette will come forth to collect the specimen via the syringe pump and then dispenses a specific amount of sample onto each of the reagent strip pads and into the SG well for determination of the specific gravity and clarity. The remaining sample are dispensed into the rinse well followed by a larger volume of rinse solution that rinses both the inside and outside of the pipette. Finally, the pipette dispenses the rinse solution into the SG well to ensure complete rinsing of the well.
Quality controls are done every morning by the morning shifts. The CLINITEK ATLAS Control solution(s) are prepared by soaking CLINITEK ATLAS positive and negative control strips in 12ml of deionised water each for 30 minutes before being run under ‘ Control analyze mode’. The results should tally with the reference range provided by bayer healthcare.
Yup, that’s all for now. Any questions, feel free to ask me. Haha. I will do my best to answer them. =)
Debbie.