INOCULATION OF CULTURE IN VARIOUS MICOBIOLOGICAL SPECIMENS WHAT IS INOCULATION AND WHY IS IT REQUIRED Inoculation is the means of growing & isolating bacteria on artificial medium.
HOW TO MAKE WIRE LOOPS Nichrome wire for making wire loop. Length of wire loop should be 6cm. Diameter should be 2mm. Disposable wire loops may also be used, but they are expensive.
WIRE LOOPS REQUIREMENTS FOR INOCULATION Disposable gloves. Flame sterilizer. Wire loops. Racks for holding specimens. Pipettes or disposable syringes. Waste container with hypochlorite. Media. Centrifuge. STERILIZATION OF WIRE LOOPS INOCULATION IN PETRI DISHES Also called as plating out, or looping out. There can be: 1. Full plate inoculation . 2. Half plate inoculation. 3. One third plate inoculation. BEFORE INOCULATION Bring the petri dishes at room temperature by putting in incubator. Lid aside in incubator.
INOCULATION Technique used must provide : single colonies for identification. must show if culture is pure or mixed.
METHOD HOW TO INOCULATE FULL PLATE INOCULATION HALF PLATE INOCULATION ONE THIRD PLATE INOCULATION
INOCULATION OF SLOPES METHOD: To innoculate slopes e.g. loffler serum, use a sterile straight wire to streak the innoculum down the centre of slope and then spread the innoculum in zig zag pattern. To innoculate slope and butt e.g. KIA, use a sterile straight wire to stab in to butt first and then use the same wire to streak the slope in zig zag pattern. INOCULATION OF STAB MEDIA METHOD: Use a sterile straight wire loop, and stab the centre of medium, and then withdraw the wire loop along the line of innoculum. INOCULATION OF FLUID MEDIA INOCULATION OF TIPS METHOD First put the tip in normal saline. Inoculate on blood and macconkey agar. Blood agar Macconkey agar INCUBATE INOCULATION OF VARIOUS SPECIMENS
1.BLOOD/BONE MARROW Brain heart infusion broth or commercial media- bactec INCUBATE and EXAMINE after 24, 48 ,72h--7 days, For turbidity/ Subculture on
BLOOD AGAR MACCONKEY AGAR INCUBATE 2.SPUTUM Immediate processing Gram stain : <10 polys:1 sq epith cells saliva not fit for culture Culture on
BLOOD CHOCOLATE MACCONKEY INCUBATE IN CARBON DIOXIDE JAR Note;If request for M.tuberculosis comes, Z-N staining LJ medium for inoculation
3.THROAT AND MOUTH SPECIMENS
Culture on
BLOOD AGAR INCUBATE Gram stain If request for diphtheria comes do ALBERT STAINING Culture on TELLURITE BLOOD AGAR
Culture on
Incubate chocolate agar in candle jar BLOOD CHOCOLATE Gram stain 4. NASAL / NASOPHARYNGEAL SWABS BRONCHIO ALVEOLAR LAVAGE (BAL) Collection Bronchoscopy Quantitative culture 0.01 ml on Blood MacConkey Chocolate Cut off > 10 5 Cfu /ml
Gram stain : 1 organism / oil field
Culture on
BLOOD MACCONKEY CHOCOLATE INCUBATE Chocolate agar in candle jar 5. EAR DISCHARGES In case of chronic ear discharge put in ANAEROBIC JAR
In case of fungal infection, culture on sabourad media. Gram smear
6.EYE SPECIMEN Geimsa smear for chlamydia trachomatis Culture on
THYER MARTIN Medium for culture if Neisseria gonorrhea is suspected in a newborn, infant. Incubate BLOOD CHOCOLATE 7. SKIN SPCIMENS
KOH preparation if fungus is suspected. Culture on
SABOURAD For fungal culture
TELLURITE If diphtheria suspected BLOOD MACCONKEY INCUBATE Gram stain 8. PUS SPECIMENS Culture on
Blood + neomycin
PUT IN ANAEROBIC JAR IF ANAEROBES ARE SUSPECTED. BLOOD MACCONKEY ROBERTSON COOKED MEAT MEDIA Sub Culture on Gram smear 9.UROGENITAL SPECIMENS INCLUDE urethral specimens. Vaginal specimens. Cervical specimens. Genital specimens. Gram smear -pus cells/ bacteria. intracellular diplococci (gonorrhea) yeast cells (vaginitis) Godenella(gram neg cocco bacilli) Haemophilus duccri (gram neg bacilli) BIPOLAR STAINING
CULTURE on Anaerobic blood Thayer martin media Blood agar Macconkey agar agar For neisseria gonorrhea INCUBATE 10. FAECAL SPECIMEN Put the specimen in selenite F broth for 6 hours & Sub culture on
Macconkey agar XLD/DCA INCUBATE IF CHOLERA is suspected culture on TCBS AGAR
DIRECT MICROSCOPY- For VIbrio cholera motility and Amoeba with ingested RBcs in dysentery
INCUBATE 11. URINE Deal immediately /if delay refrigerate the sample.
PHYSICAL EXAMINATION CULTURE on IF CALIBRATED LOOP IS USED IF STRIP IS USED INCUBATE BLOOD MACCONKEY CLED For carriers of S.Typhi INCUBATE the sample for 6 hours in SELENITE F BROTH
SUB CULTURE on
MACCONKEY AGAR BLOOD AGAR INCUBATE 12.FLUID / EFFUSIONS Physical Examination Centrifuge 10 ml sediment for culture Gram and Z-N
OR 5-10 ml
CULTURE on Blood Macconkey Chocolate 5-10%CO2 INCUBATE IN CANDLE JAR Gram stain Zn stain Microscopy -- look for uric acid crystals if joint fluid comes.
In case request for T.B comes, process for tuberculosis. 13. SEMEN
Physical Examination
CULTURE on
Blood Macconkey Chocolate
INCUBATE in
CANDLE JAR for chocolate agar
Physical Appearance
CENTRIFUGE the sample, separate The SEDIMENT for processing
14. CSF Deal immediately/ If delay incubate at 35 c
SEDIMENT USED FOR CULTURE on BLOOD MACCONKEY CHOCOLATE
Incubate chocolate agar in candle jar Gram stain/Zn stain if request for chronic meningitis comes. (Immediate reporting on telephone) Indian ink preparation for Cryptococcus neoformans.
Wet preparation _ for Amoebae. HANDLING ANAEROBES Appropriate specimen pus in syringe without aircolumn or In Robertsons cooked meat medium Note swabs are unfit
INCUBATE in anaerobic jar
ANAEROBIC CULTURE Culture all specimen of the day in one batch to consume only one anaerobic kit. Culture direct pus or sub culture from RCM on blood agar or Neomycin blood agar. Immediately put in anaerobic jar and culture on one plate pseudomonas as anaerobic control and insert the anaerobic sachet after putting 10ml tap water and close the lid tightly. Catalyst under the lid should be heated red hot each time before use. CONCLUSION AS YOU SOW, SO SHALL YOU REAP