Meningococ Si Gonococ Lp UTM

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    Genul Neisseria

    Diagnosticul de laborator in infectii produse deNeisseria gonorrhoeae

    Diagnosticul de laborator in infectii produse deNeisseria meningitidis

    1)Neisseria gonorrhoeae

    Produs patologic:

    secreie uretral, secreie glande Bartholini, secreie vaginal, secreie prostatic

    la femei se recolteaz n timpul sau la sfrsitul ciclului menstrual

    secreie faringian

    urin

    secreie conjunctival

    2)Neisseria meningitidis

    Produs patologic:

    LCR

    secreie faringian

    snge

    Rezistena: foarte sensibili la temperatura camerei, la uscciune ,recoltarea se face la

    patul bolnavului

    1. Examenul microscopic, frotiu din produsul patologic

    N. gonorrhoeae

    o coci !ram"#$ sub form de boab de cafea dispusi diplo

    o n infecii acute se gsesc intracelular

    o n infecii cronice se gsesc intra si e%tracelular&

    '

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    Slide 1

    Neisseria gonorrhoeae

    (Enlarged view)

    Slide 2

    Nongonoccal urethritis

    (Enlarged view)

    Slide 3

    Chlamydia trachomatis

    (Enlarged view)

    These images are from the original published atlas: Tenover, F. C., and J. V. Hirschmann. !!".

    #nterpretation of $ram stains and other common microbiologic slide preparations. The %pJohn Company,

    &alama'oo, (ich. )ermission granted to the *+( (icrobeibrary by )fi'er #nc.

    Neisseria Gonorrhoeae

    (

    http://lib.jiangnan.edu.cn/ASM/029-1.jpghttp://lib.jiangnan.edu.cn/ASM/029-1.jpghttp://lib.jiangnan.edu.cn/ASM/029-2.jpghttp://lib.jiangnan.edu.cn/ASM/029-2.jpghttp://lib.jiangnan.edu.cn/ASM/029-3.jpghttp://lib.jiangnan.edu.cn/ASM/029-3.jpghttp://lib.jiangnan.edu.cn/ASM/029-1.jpghttp://lib.jiangnan.edu.cn/ASM/029-1.jpghttp://lib.jiangnan.edu.cn/ASM/029-2.jpghttp://lib.jiangnan.edu.cn/ASM/029-2.jpghttp://lib.jiangnan.edu.cn/ASM/029-3.jpghttp://lib.jiangnan.edu.cn/ASM/029-3.jpg
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    N. meningitidis

    o coci !ram"#$ sub form de boab de cafea dispusi diplo

    o ncapsulai

    Neisseria meningitidis Gramstain of a pure culture. Note t!e c!aracteristic "diplococcal"

    arrangement of cells.

    textbookofbacteriology.net/.../meningitis.html

    meningococ

    )

    http://textbookofbacteriology.net/themicrobialworld/meningitis.htmlhttp://www.dstl.gov.uk/science_spot/acolyte.phphttp://textbookofbacteriology.net/themicrobialworld/meningitis.html
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    #. $zolarea "sunt germeni foarte preteniosi$

    se nsmneaz imediat dup recoltare

    se nclzeste mediul la )*+C mediile de cultur utilizate !eloz#chocolat, -haier#.artin

    Neisseria gonorrhoeae (ATCC43069) colonies growing on Thayer Martin Modi!ied

    Agar (Cat. no. "30). #nc$%ated in C&'!or 4 ho$rs at 3 deg. C.

    $ncubarea se face cu % obligatoriu 1'( #))* ore la +'%.

    /

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    +. $dentificarea

    %aractere de cultur-

    col 012 friabile, asemntoare perlelor&

    ncadrarea /n genul Neisseria:

    -estul o%idazei este pozitiv 3 4eisseria

    5

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    Reactia catalazei este pozitiva

    Colonia testa pe o lama cu o picatura de )6 apa o%igenata

    Reactie pozitiva 3 apar bule

    7

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    8ermentarea zaharurilor

    Gonococ

    !L9C:;< =

    .>L-:;<

    0eningococ

    !L9C:;< =

    .>L-:;< =

    ncadrarea /n specie:

    -estul de umflare a capsulei

    4 meningitidis pt stabilirea erogrupului

    *

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    ). ntibiograma se face pe medii speciale, conform CL1?&

    2. Diagnostic rapid

    bazat pe reacii >g#>c se pun n eviden antigenele meningococice direct din LCR

    o Reacii de precipitare inelar

    o Reacii de aglutinare&

    Modul de desfasurare a lucrarii practice

    studentii primesc manuscrisul cu Diagnosticul de laborator in infectii produse de

    Neisseria gonorrhoeae.Diagnosticul de laborator in infectii produse deNeisseria

    meningitidis

    Lp se desfasoara interactiv- se discuta pe marginea manuscrisului primit

    anterior LP-ului

    '& Fiecare student prinde imaginea la microscop si examineaza frotiuri :coci

    Gram negativi reniformi in diplo

    Bibliografie

    Bacteriologie Medicala, Olga Dorobat, editura UTM, 2006

    Clinical Microbiology Procedures Handbook, Henry D. Isenberg, editata American Society for

    Microbiology, 2004

    Koneman's Color Atlas and Textbook of Diagnostic Microbiology,Washington C

    Winn, Stephen D. Allen, Gail L. Woods,William M. Janda, Paul C. Schreckenberger, editura Lippincott

    Williams & Wilkins, 2005

    Manual of Clinical Microbiology , Patrick R. Murray,

    Visit Amazon's Patrick R. Murray Page

    search results

    Learn about Author Central

    @

    http://shopping.yahoo.com/search;_ylt=AmwIkvVSDn3oMrp235b4BMACyNsA?p=Henry+D.+Isenberghttp://shopping.yahoo.com/search;_ylt=AkzkLWrc9z31QkUKO_a6ltICyNsA?p=American+Society+for+Microbiologyhttp://shopping.yahoo.com/search;_ylt=AkzkLWrc9z31QkUKO_a6ltICyNsA?p=American+Society+for+Microbiologyhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Washington+C+Winnhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Washington+C+Winnhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Washington+C+Winnhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Stephen+D.+Allenhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Gail+L.+Woodshttp://search.barnesandnoble.com/booksearch/results.asp?ATH=William+M.+Jandahttp://search.barnesandnoble.com/booksearch/results.asp?ATH=William+M.+Jandahttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Paul+C.+Schreckenbergerhttp://www.amazon.com/Patrick-R.-Murray/e/B001IGOFSS/ref=ntt_athr_dp_pel_1http://www.amazon.com/Patrick-R.-Murray/e/B001IGOFSS/ref=ntt_athr_dp_pel_pop_1http://www.amazon.com/s/ref=ntt_athr_dp_sr_pop_1?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Patrick%20R.%20Murrayhttp://authorcentral.amazon.com/gp/landing/ref=ntt_atc_dp_pel_1http://shopping.yahoo.com/search;_ylt=AmwIkvVSDn3oMrp235b4BMACyNsA?p=Henry+D.+Isenberghttp://shopping.yahoo.com/search;_ylt=AkzkLWrc9z31QkUKO_a6ltICyNsA?p=American+Society+for+Microbiologyhttp://shopping.yahoo.com/search;_ylt=AkzkLWrc9z31QkUKO_a6ltICyNsA?p=American+Society+for+Microbiologyhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Washington+C+Winnhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Washington+C+Winnhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Stephen+D.+Allenhttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Gail+L.+Woodshttp://search.barnesandnoble.com/booksearch/results.asp?ATH=William+M.+Jandahttp://search.barnesandnoble.com/booksearch/results.asp?ATH=Paul+C.+Schreckenbergerhttp://www.amazon.com/Patrick-R.-Murray/e/B001IGOFSS/ref=ntt_athr_dp_pel_1http://www.amazon.com/Patrick-R.-Murray/e/B001IGOFSS/ref=ntt_athr_dp_pel_pop_1http://www.amazon.com/s/ref=ntt_athr_dp_sr_pop_1?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Patrick%20R.%20Murrayhttp://authorcentral.amazon.com/gp/landing/ref=ntt_atc_dp_pel_1
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    Ellen Jo Baron,Michael A. Pfaller, Fred C. Tenover,Robert H. Yolken, editura ASM, 2007

    Performance Standards for Antimicrobial Susceptibility Testing.M 100, S19

    CLSI /2009

    A

    http://www.amazon.com/Ellen-Jo-Baron/e/B001HCVG58/ref=ntt_athr_dp_pel_2http://www.amazon.com/s/ref=ntt_athr_dp_sr_3?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Michael%20A.%20Pfallerhttp://www.amazon.com/s/ref=ntt_athr_dp_sr_3?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Michael%20A.%20Pfallerhttp://www.amazon.com/s/ref=ntt_athr_dp_sr_4?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Fred%20C.%20Tenoverhttp://www.amazon.com/s/ref=ntt_athr_dp_sr_5?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Robert%20H.%20Yolkenhttp://www.amazon.com/s/ref=ntt_athr_dp_sr_5?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Robert%20H.%20Yolkenhttp://www.amazon.com/Ellen-Jo-Baron/e/B001HCVG58/ref=ntt_athr_dp_pel_2http://www.amazon.com/s/ref=ntt_athr_dp_sr_3?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Michael%20A.%20Pfallerhttp://www.amazon.com/s/ref=ntt_athr_dp_sr_4?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Fred%20C.%20Tenoverhttp://www.amazon.com/s/ref=ntt_athr_dp_sr_5?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Robert%20H.%20Yolken