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Main constituent of bacteria- water (80% of total weight). Rest of them are made of
proteins, lipids, polysaccharides, nucleic acids, mucopeptides etc.
1. Phototrophs
Derive energy from sunlight.
2. Chemotrophs
Obtain energy from chemical reactions.
3. Autotrophs
Able to synthesis all their organic compounds.
Able to utilise atmospheric carbon dioxide and nitrogen.
They are capable of independent existence in water and soil.
4. Heterotrophs
Unable to synthesis all their own metabolites and depend on pre
formed organic compounds.
Some organisms may require only a single organic substance like
glucose, while others may need a large amount of different
compounds like amino acids, nucleotides, lipids, carbohydrates and
coenzymes.
Bacteria require a supply of inorganic salts like sodium, potassium, magnesium etc.
which are normally present in the environment. Some bacteria require certain organic
compounds in minimum quantities. Growth does not occur in their absence, for some
bacteria these are accessory which enhance growth without being absolutely necessary
for them.
FACTORS AFFECTING GROWTH OF MICROBES
1. Temperature requirements.
Most bacteria grow best at moderate temperatures. These are called
mesophilic
Cold loving bacteria thrive in temperature between 0° to 30°C. These
are called psychotrophs.
Those that thrive in high temperatures between 40° C and 70° C are
called thermophilic.
Optimum temperature for most saprophytes is around 25°C and for most pathogen is
37° C.
SPECIMEN
EQUIPMENT
1 Soap and water
2 Cleaning swab
3 Sterile specimen container (wide mouth bottle)
4 Label
5 Clean gloves.
PROCEDURE
1 Gather equipment
2 Wash the hands
3 Identify the client.
4 Explain the procedure.
5 Provide perineal care as needed.
For male:
1. Cleanse the end of the penis with soap and water.
2. Collect mid stream urine after passing several amount of ml.
For female:
1. Clean the area around the urethral opening with water.
2. Hold labia apart and collect mid stream urine after passing several amounts of
ml.
EQUIPMENTS;
20 ml syringe
21 G -22 G needle
Tube clamp.
Sterile specimen bottle.
Gloves.
Alcoholic sponge
Label.
Lab form.
STEPS OF PROCEDURE
1. About 30 min before collecting the specimen, clamp the drainage tube to
allow urine to accumulate.
2. Wash hand and put gloves.
3. If the drainage tube has a sampling port, aspirate the specimen into syringe.
4. If drainage tube does not have sampling port obtain specimen from catheter.
5. Transfer the specimen to a sterile container label it and send it into lab.
6. If the catheter is not made of rubber or has no sampling port, wipe the area
where the catheter joints with a drainage tube with alcoholic sponge.
7. Disconnect the catheter and allow urine to drain into the sterile specimen
container.
8. Avoid catheter touching inside the sterile container.
9. Wipe the container and cap it.
SPUTUM COLLECTION
INDICATION:
METHOD OF COLLECTION:
STOOL SPECIMEN
INDICATION
1 Determine the presence of blood, parasites, bile, pathogen or substance as
ingested drugs.
2 Gross examination of stool to determine the characteristics such as colour,
consistency and odour.
PROCEDURE:
1 Explain the procedure to client.
2 Before collecting the specimen, ask to the client to void and not to void on
specimen container.
3 Wear gloves.
4 Clean out all urine from bed pan.
5 Raise the head of the bed, so that the client assumes the squatting position on
bed pan.
6 Provide privacy while passing stool.
7 Remove the bed pan.
8 Use tongue blade to obtain small portion of stool in a plastic container.
9 Discard remaining stool and clean the bed pan.
10 Remove the gloves and wash hands.
11 Label it and send to lab immediately.
12 Maximum storage time prior to processing is 72 hours at 2-8º C.
COLLECTION OF VOMITUS:
VOMITUS:
It is the material, which is excreted through the forcible ejection of the contents of
the stomach.
COLLECTION OF SPECIMEN:
CSF
Collect CSF in a sterile dry container.
Disinfect skin before aspirating CSF.
Send immediately to lab after labeling.
Storage prior to processing should be 6 hours at 37°C
BODY FLUIDS
Include Amniotic, abdominal, synovial, bile, pericardial, pleural fluids.
Disinfect skin before aspirating.
Take specimen in a sterile container.
Transport immediately to lab after labeling.
SKIN SCRAPINGS
Take the specimen in a sterile container.
Do not allow specimen to dry out, if necessary moisten with sterile distilled
water.
Transport to lab within 24 hours at room temperature.
IMMUNITY
Term
Resistance exhibited by the host towards injury caused by microorganisms.
TYPES OF IMMNUNITY
1. INNATE IMMUNITY
2. ACQUIRED IMMUNITY
Natural
a) Active
Artificial
Natural
b) Passive
Artificial
Species immunity
Refers to the total or relative refractoriness to a pathogen, shown by all members of a
species.
Eg. All human beings are totally unsusceptible to plant pathogens and to many animal
pathogens.
Racial immunity
Within a species different races may show differences in susceptibility to infections.
Eg. High resistance of Algerian sheep to anthrax.
People of Negroid origin are more susceptible than Caucasians to TB.
Individual immunity
Differences in innate immunity exhibited by different individuals in a race is known
as Individual immunity.
It is mainly due to genetic basis.
Eg. Homozygous twins exhibit similar degrees of resistance or susceptibility to
lepromatous leprosy and TB.