Bacteriology

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WEEK 3: BACTERIOLOGY SECTION LEC 2: BLOOD CULTURE SYSTEM

BACT/ALERT 3D PROCEDURE
INTENDED USE:
1. Remove the flip-off cap from the Bact/Alert vial
 BACT/ALERT 3D top and inspect the vials for cracks
o Blood contamination, excessive cloudiness and bulging
o Sterile body fluids or indented stoppers. (do not use if any defect is
noted.)
PRINCIPLE 2. Before inoculating, swab the septum with alcohol
(iodine is not recommended). Aseptically inject
 BACT/ALERT Microbial Detection System utilize or draw the required amount of blood directly.
a colorimetric sensor and reflected light to 3. Inoculated aerobic vials should be placed in the
monitor the presence and production of carbon Bact/Alert instrument as soon as possible for
dioxide (CO2) that is dissolved in the culture incubation and monitoring. If placement of
medium. If microorganisms are present in the theinoculated vial into the instrument has been
test sample, carbon dioxide is produced as the delayed and visible growth is apparent, it should
organisms metabolize the substrates in the not be tested in the Bact/Alet instrument. It
culture medium. When growth of the should be subcultured, gram stained and treated
microorganisms produces CO2, the color of the as presumptive positive.
gas-permeable sensor installed in the bottom of 4. Vial entered into the instrument will be
each culture bottle changes to yellow. automatically tested every 10 minutes for the
MATERIALS duration of testing. Positive vials will be
determined by the Bact/Alert instrument and
 BACT/ALERT CULTURE BOTTLES identified as such. The sensor inside the bottle
 BACT/ALERT 3D SYSTEM MACHINE will not appear visibly different in positive and
negative vials; The Bact/Alert however can
  determine differencein fluorescene.
5. If at the end of the testing period, a negative vial
 
appears visibly positive (i.e., chocolatized blood,
  bulging septum, lyzed and/or much darkened
  blood) it should be subcultured, gram stained
  and treated as presumptive positive.
  6. Positive vials should be subcultured on BAP,
  MacConkey, Mannitol salt and Chocolate agar.
  INTERPRETATION
 
 Positive or negative culture bottles are
determined by decision making software
contained in Bact/Alert microbial detection
system. No action is required until the Bact/Alert
instrument signals culture bottles positive or
negative.

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