Logbook &laboratory Work Guide of Medical Microbiology and Immunology
Logbook &laboratory Work Guide of Medical Microbiology and Immunology
Logbook &laboratory Work Guide of Medical Microbiology and Immunology
Faculty of Medicine
Department
Logbook &Laboratory
Work Guide of Medical
Microbiology and
Immunology
For third year medical students
2013-2014
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Student name: ......
Student number:
Group number:
2
Preface
The purpose of this study guide and workbook is to introduce
the essentials of clinical and practical microbiology as well as to
provide the student with an organized, user-friendly tool to better
enable him or her to understand laboratory aspects of microbiology
using an interactive format of lab quizzes. This book is composed of
three sections. In the first section, the students studies the basic
methods for microbial isolation and identification and how to examen
their characteristic morphologies, cultural characters and biochemical
behavior, all help the student to establish a laboratory identification of
medically important microbes. Also in the first section the students
study different methods of sterilization and disinfection and laboratory
biosafety. The second section of this book comprises clinical
microbiology cases of medically important microorganisms, and how
to proceed in laboratory diagnosis of infections caused by these
microorganisms. In the end of each session, the student is asked to
observe the spots demonstrated in the laboratory and to draw some of
these demonstrations in the workbook as a part of student's activities.
The end of each session includes as well some highlight points that
help the students to self assess the knowledge that they acquired from
the session. The third section of the book includes the skill lab, which
improve infection control practice and heighten awareness of risks
associated with poor infection control practice in health care setting,
laboratory and community. We hope you enjoy this workbook and we
also hope it makes your study of microbiology a bit easier. We thank
all those who supported and helped in the preparation of this work.
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ATTENDENCE SHEET
Topic Section
Date Supervisor
Number
Section I
Biosafety, Microscopy and Staining Methods 1
Sterilization and Disinfection (1) 2
Sterilization and Disinfection (2) 3
Culture Media (1) 4
Culture Media (2) 5
Collection of samples for Bacteriological 6
Examination
Methods of isolation of bacteria, identification of 7
isolated bacteria and antibiotic sensitivity
testing.
Serological Tests (1) 8
Serological Tests (2) 9
Bacteriology cases: Staphylococci 10
Bacteriology cases: Streptococci 11
Bacteriology cases: Neisseria and haemophilus 12
Bacteriology cases: Clostridia 13
Bacteriology cases: Corynebacteria 14
Bacteriology cases: Mycobacteria 15
Bacteriology cases: Enterobacteriaceae 16
Bacteriology cases: Salmonella, Vibrio, 17
Bacteriology cases: Helicobacter and Brucella. 18
Mycoplasma, Legionella & Chlamydia
Bacteriology cases: Spirochetes (Treponema) 19
Virology cases 20
Mycology cases 21
Standards of Infection Control measures for 22
Hospital Acquired Infections
Section II: Microbiology skill lab (infection
control skills)
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Course specification
Overall Aims of Course:
a3- Explain the physiology of the immune system, its beneficial role, as well
as its detrimental role in immunopathology (hypersensitivity, autoimmunity
and transplant rejection).
a4- Recognize the most important infectious clinical conditions and outline
the diagnosis, treatment, prevention and control of the most likely organisms
causing such diseases.
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a 7- Describe the basics of antimicrobial uses and resistance.
b- Intellectual Skills:
c3- Elicit culture media ,biochemical tests and serological tests commonly
used for bacterial identification and distinguish positive and negative
results.
c4- Perform hand wash and identify different methods of physical and
chemical methods of sterilization.
c5- Use the virtual lab to learn standard practices and procedures, get
familiarity with the equipments, apply the scientific method and develop the
online critical thinking skills.
C6- Improve infection control practice by skill lab and heighten awareness of
risks associated with poor IC practice in health care setting, laboratory and
community.
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d2- Explain the danger of handling and use of infectious agents on
community and environment as a part of their ethical heritage.
d3- Interact and communicate effectively with other health care professionals
during infection control practice.
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STUDENT ASSESSEMENT
Attendance Criteria:
Assessment Schedule:
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Contents
Topic Page
number
Section I
Biosafety and Microscopy 1
Staining Methods 2
Sterilization 3
Culture Media 4
Collection of samples for Bacteriological Examination 6
Laboratory diagnosis of infection 7
Serological Tests 8
Section II: Clinical microbiology cases
Bacteriology cases: Staphylococci 10
Bacteriology cases: Streptococci 12
Bacteriology cases: Neisseria 13
Bacteriology cases: Bacillus and Corynebacteria 14
Bacteriology cases: Clostridium 15
Bacteriology cases: Mycobacteria 16
Bacteriology cases: Enterobacteriaceae 17
Bacteriology cases: Vibrio, Pseudomonas, Hemophilus, 19
Bordettela, Yersinia, Mycoplasma, rickettsia &
Chlamydia
Bacteriology cases: Spirochetes 20
Virology cases 21
Mycology cases 22
Standards of Infection Control measures for Hospital 24
Acquired Infections
Section III: Microbiology skill lab (infection control skills) 26
9
Section no: .. Tutor.
Date: ..
Title: MICROSCOPY
Objectives:
By the end of this session, students should acquire the following knowledge:
1- Types of microscopes.
2- Structure of ordinary light microscope.
3- Precautions for the use and care of microscopes.
4- Magnification power of the microscope.
5- Uses & principle of Dark ground microscope.
6- Uses & principle of Phase contrast microscope.
7- Uses & principle of Fluorescence microscope.
8- Uses, advantages, disadvantages& principle of Electron microscope.
Assessment questions
Complete the following sentences:
The magnification power of the ordinary light microscope is.
Mark Supervisor
10
Section no: .. Tutor.
Date: ..
Student activities:
Mark
Supervisor
11
12
Section no: .. Tutor.
Date: ..
Title: Sterilization
Objectives:
By the end of this session, students should acquire the following knowledge:
Student activities:
Assessment questions
Define sterilization:
Define disinfection:
a. Boiling.
b. Autoclave.
c. Koch's steamer.
d. Formaldehyde vapour.
Mark Supervisor
13
Section no: .. Tutor.
Date: ..
Student activities
14
Dorsets egg slope Lowenstein- Jensen medium MacConkeys agar
Assessment questions
e. Chocolate agar
Mark Supervisor
15
Section no: .. Tutor.
Date: ..
1- The general rules that should be applied during collection of samples for
laboratory diagnosis.
2- The appropriate samples required to diagnose a case of respiratory tract
infection.
3- How to transport a respiratory specimen to the lab after collection.
4- The proper samples needed to diagnose a case of intestinal infection.
5- The appropriate methods of collection and transport of urinary specimens.
6- How to collect a CSF sample from a case of meningitis.
7- The appropriate samples required for diagnosis of wound sepsis.
8- The blood culture technique for diagnosis of septicemia.
Assessment questions
Mark
Supervisor
16
Section no: .. Tutor.
Date: ..
Student activities:
Assessment questions
What is the value of direct microscopic examination of specimens?
.......................................................................................................................
Mark Supervisor
17
Section no: .. Tutor.
Date: ...
Student activities
A. The students should perform the following tests:
1- Blood grouping of various blood samples.
2- Latex agglutination tests: ASO and CRP
B. The students will observe the demonstrated Widal tube agglutination
tests and interpret the positive results.
C. The students will observe the demonstrated Wasserman test and
interpret its results.
Widal test
Slide agglutination Widal test
Salmonella typhi
Salmonella paratyphi A
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Double immunodiffusion Immunofluorescence slide
Single immunodiffusion
Microtitration plate
Assessment questions
Mark Supervisor
19
Section no: .. Tutor.
Date: ..
Objectives:
By the end of this session, the student should gain the following knowledge:
1- The different species of staphylococci.
2- The different diseases caused by Staph.aureus.
3- The appropriate samples to diagnose each of the staphylococcal diseases.
4- The morphological characters of staphylococci.
5- The cultural characters of staphylococci.
6- The principle of each of the biochemical tests used to identify
Staph.aureus as well as the methods and interpretation of these tests.
7- How to differentiate the species of staphylococci.
8- How to diagnose staphylococcal food poisoning.
9- Phage typing of Staph.aureus.
Student activities:
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Phage typing
Assessment questions
Staph.aureus shows the following type of arrangement:
a-Clusters. b- Chains.
a- Nutrient agar
b- Blood agar
d- DNAase agar
1- .
2- ..
3- .
4- .
Mark Supervisor
21
Section no: .. Tutor.
Date: ..
Title: Streptococci
Objectives:
By the end of this session the student should be able to:
1. Identify Streptococci.
2. Know the basis of classification, grouping and typing of Streptococci.
3. Diseases caused by and remote complications of streptococcal infections.
4. Samples collected to diagnose each of streptococcal infections.
5. How samples are processed until an accurate diagnosis is obtained.
Student activities:
a. b.
c d.
Supervisor
Mark
22
Section no: .. Tutor.
Date: ..
Title: Neisseria
Objectives:
By the end of this session the student should be able to:
6. Identify Neisseria
7. Know the basis of classification and typing of Neisseria
8. Diseases caused Neisseria infections.
9. Samples collected to diagnose each disease.
5- How samples are processed until an accurate diagnosis is obtained.
Student activities:
The student should be able to:
Assessment questions
Mention one method for rapid diagnosis of meningococcal meningitis other
than the direct smear
Mark
Supervisor
23
Section no: .. Tutor.
Date: ..
Student activities:
Assessment questions
Mc Fadyean stain is used to demonstrate ................................
Mark Supervisor
24
Section no: .. Tutor.
Date: ..
Objectives:
By the end of this session, the student should gain the following knowledge:
10- The important members of genus Clostridium.
11- The different diseases caused by Clostridium.
12- The appropriate samples to diagnose each of the Clostridium diseases
13- The morphological characters of Clostridium.
14- The cultural characters of Clostridium.
15- The principle of each of the biochemical tests used to identify C.
perfringens as well as the methods and interpretation of these tests.
16- How to diagnose Tetanus.
17- How to diagnose Gas gangerene.
18- How to diagnose botulism.
10- Methods of detection of toxins produced by Clostridium species.
Student activities:
Assessment questions
Clostridial toxins can be detected by:
1- 2- .
3- .
Mark Supervisor
25
Section no: .. Tutor.
Date: ..
Title: Mycobacteria
Objectives:
By the end of this session, the student should gain the following knowledge
and skills:
Colonies of M. tuberculosis on LJ
Sputum smear stained by ZN stain Lowenstein Jensen media
media
showing Acid fast bacilli
Assessment questions
Mention the principle of tuberculin test
.
Describe the CSF picture of TB meningitis
Mark Supervisor
26
Section no: .. Tutor.
Date: ..
Title: ENTEROBACTERIACEAE
Objectives:
By the end of this section, students should acquire the following knowledge
and skills:
1. Examination of Gram stained smear of Gram-negative bacilli from
culture.
2. Basis of classification and special features of different members of
Enterobacteriaceae family.
3. Laboratory diagnosis of diseases caused by different members of
Enterobacteriaceae family.
4. Principle, procedure and interpretation of Widal test.
Student activities:
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B.R. of Salmonella B.R. of Salmonella B.R. of Shigella
typhi paratyphi dysinteriae
Urease test
Assessment questions
Mark Supervisor
28
Section no: .. Tutor.
Date: ..
Assessment questions
Choose the single best answer:
Mark Supervisor
29
Section no: .. Tutor.
Date: ..
Title: Spirochetes
Objectives:
By the end of this session the student should be able to know and gain skills
about the following:
10- The special characters of spirochetes family.
11- The pathogenic species in spirochetes.
12- The disease caused by Terponema pallidum.
13- Methods of diagnosis of syphilis.
14- Methods of diagnosis of relapsing fever.
15- The pathogenesis of leptospirosis.
Supervisor
Mark
30
Section no: .. Tutor.
Date: ..
Student activities:
1- The student should know the instruments demonstrated.
2- The student should try to search on the web and find the following
Assessment questions
Viral antigens can be detected by:
a. ELISA
b. Complement fixation test.
c. Immunofluorescence.
d. All of the above.
e. None of the above.
Mark Supervisor
31
Section no: .. Tutor.
Date: ..
Student activities:
Assessment questions
1. Value of KOH (10-30 %) in direct examination of fungi sample
a. Inhibit saprophytic fungi
b. Inhibit bacteria flora
c. Keratolytic
d. All of above
e. Non of above
Mark Supervisor
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Section no: .. Tutor.
Date: ..
Student activities
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Practice:
True False
Mark Supervisor
35
Skill lab
Introduction:
Objectives:
Structure:
The practical course would be conducted during the academic year for
the third year students once/ week for 25 student/session. Course
contents are delivered in 3 hours/class.
SKILLS ALLOCATED:
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