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Monday, 11 March 2024

Types of Microorganisms

Types of Microorganisms:

☆ bacteria, viruses, fungi, protozoa, and parasites are capable of causing disease in the human body. These disease-causing organisms are known as pathogens. An
infection is the invasion of the body by pathogens that then cause disease symptoms .



1) Bacteria:  Bacteria are single-celled organisms that have a cell wall in addition to the cell membrane that our human cells possess. (This is an important property
when identifying different types of bacteria with special stains ). Of all the bacteria
known to exist, approximately 4% are known to cause disease in humans.
• An initial step of the identification process is to examine a sample under the microscope so that the bacteria can be classified according to one of three basic shapes,
i) Cocci are three type---> a) staphylococci b) Streptococci c) Diplococci .
Eg: Diseases caused by cocci include streptococcal sore throat, pneumonia, abscesses, food poisoning, gon-
orrhea, and meningitis.

ii) bacilli : Bacilli cause diseases such as botulism, tetanus, diphtheria,  tuberculosis, and salmonella food poisoning. E. coli is a
normal bacilli that is present on our skin and in our intestines, but if we come in contact with a specific strain, E. coli O157:H7, it may lead to serious food poisoning, and may even be fatal.

iii) Spirilla:  but the infections may be quite serious when they occur. Treponema pallidum is a spirillum that causes syphilis, and cholera is caused by another type of spirillum. 


2) Viruses: Viruses are another common type of patho-genic microorganism. They are the smallest infectious agent, and are not really cells. Viruses are either made  up of RNA or DNA surrounded by a protein capsule,
and require a host cell to survive and replicate. Viruses cannot be observed using a simple microscope such as is found in most laboratories; they require use of an
electron microscope for visualization. They invade the cells of our body, and use our own structures to make more virus particles. Viruses cause many of the diseases
for which we are vaccinated, including measles, mumps, and chickenpox. 
Antiviral medications are available for some viral infections, but because of the way virus particles use human cells, the treatment may
be quite damaging to the host as well as to the virus.  Antibiotics are not effective against viruses.



3) Fungi: Fungi are plant-like organisms that flourish in an environment that is dark and damp. Yeast is a type of fungus, and fungal infections on the body are called  mycotic infections. Athlete’s foot and ringworm are 
examples of fungal infections.


 
4) Parasites:  Parasites are similar to viruses because they require a living host to survive. A genus of bacteria known as Rickettsia is parasitic. Parasites take their nourishment
from the host and require their host cells to reproduce, but they do not utilize the human cell in the same way that a virus does. Malaria is an example of a parasitic disease; the
malaria parasite actually works into the red blood cells of the host and causes the patient to become ill. The word parasite may also be used to refer to larger, multicellular organisms such as tapeworms, which live inside the 
human host and use the body to survive.



5) Protozoa: Protozoa are complex single-cell microorganisms, most of which are nonpathogenic. However, there are a few species that can cause very serious infec-
tions in humans. Protozoa live in the soil and water.






THREE PHASES OF LABORATORY TESTING

THREE PHASES OF LABORATORY TESTING;-

1) Preanalytical :- 
All procedures/processes that occur before the specimen is actually tested. Includes patient preparation,accurate paperwork and data entry, appropriate specimen collection, processing, storage and transportation.


2) Analytical :- 
All procedures/processes involved in the testing of the specimen. This includes the way the testing instrument was prepared and maintained, how the testing supplies were stored, appropriate training of the personnel performing the test, and quality control to ensure that the testing methods are working properly.


 
3) Postanalytical :- 
All procedures/processes that affect how the test results are handled when the analysis has been completed. These may include review and analysis of the results by the person performing the test, appropriate follow-through on extremely high or low results, how the results are recorded (in a computer or on paper, etc.) phone calls, report printing, report sorting, appropriate fax procedures, charting procedures within an
office, physician review procedures, contact with patient if necessary for follow-up.




● quality control (QC):-  
measures, which are in place to validate the test reagents/kits, the testing process, and
training of the laboratory personnel performing the test.


• Postanalytical Phase: 
The postanalytical phase of laboratory testing includes the processes associated with the recording and reporting of laboratory results,
storage and/or disposal of specimens after testing, and provider and patient notification of test results. Even if the other two phases of testing occur without any exceptions, if this phase isn’t handled appropriately, then the overall experience will not be a positive one,
and may negatively affect patient treatment.

Sunday, 18 February 2024

LABORATORY DEPARTMENTS

Summary of Laboratory Departments, Common Tests Performed, and Specimen Types: 

Types of Laboratory Department: with definition 
Approx 9 type are present

1) Specimen Processing:   
● Incoming specimens sorted
● Specimens accessioned into computer system
● Specimens labeled and prepared for testing in separate department .

Specimen Types:- All.



2) Hematology : 
● Complete blood count
● Hemoglobin and hematocrit measurements
● Coagulation studies
● Erythrocyte sedimentation rate
● Differential white blood cell count
● Platelet counts

☆Specimen Types:- Whole blood .

3) Clinical Chemistry :  
● Electrolytes
● Glucose
● Blood urea nitrogen
● Creatinine
● Thyroid testing
● Cardiac enzyme testing
● Comprehensive metabolic panel
● Cholesterol/lipid testing
● Many automated chemistry tests and panels
☆ Specimen Types;- Serum, plasma,
urine, cerebrospinal fluid, amniotic fluid.


4) Serology and Immunohematology :   
¤ Various tests looking for antigens and/or antibodies such as:

● RPR
● Mononucleosis testing
● HIV tests
● Chlamydia testing
● Antistreptolysin O test
● Pregnancy testing
● C-reactive protein
● ABO/Rh blood typing
● Antibody screens and crossmatches for transfusions
● Newborn testing
● Prenatal testing

☆ Specimen Types :- Serum, plasma,
whole blood .


5) Urinalysis : 
● Physical appearance of urine
● Urine chemical analysis
● Microscopic urine analysis

☆Specimen Types :- urine.

6) Microbiology/Parasitology :
● Identification of pathogenic microorganisms
● Streptococcal screens
● Antibiotic sensitivity testing
☆ Specimen Types :- Blood, urine, wound
specimens, tissue,stool, cerebrospinal
fluid, sputum, urethral and vaginal
discharge, nails,skin scrapings.


7) Cytology : 
● Examination of various specimens for abnormal cells Chromosomal studies
Pap smears .

☆ Specimen Types :-  Urine, skin, tissue
specimens, sputum .



8) Coagulation : 
● Testing for presence or absence of adequate clotting factors

☆ Specimen Types:- Whole blood.


9) Histology/Pathology : 
● Examination for abnormal form and structure in tissues

☆ Specimen Types:Tissue/organs,
biopsy specimens from various parts
of the body, preserved and fresh
specimens examined .




1) • Specimen Processing: The area of the laboratory where all incoming specimens are sorted, accessioned into the computer system of the laboratory, and appropriately labeled for transport to their respective
departments for testing. The specimen processing department may also prepare specimens for transport to reference laboratories.




2) • Hematology: Whole blood testing, which focuses on the formed elements (the blood cells) in the blood.Coagulation testing is also performed in this department.



3) • Clinical Chemistry: Testing performed on plasma or serum (the liquid portion of the blood) and includes analysis of the substances dissolved in the bloodstream. Most testing is automated, and many of the tests are performed as panels or groups of tests.



4) • Serology/Immunohematology: Testing that focuses primarily on the presence of antigens or antibodies  on cells or in the liquid portion of the blood. Blood typing and antibody screens and crossmatches for transfusions may also be performed in this department.



5) • Urinalysis: The physical appearance of urine is assessed, and urine chemical and microscopic analysis is performed.


6) • Microbiology/Parasitology: Identification of pathogenic microorganisms and antibiotic sensitivity testing.



7) • Cytology: Examination of various specimens for abnormal cells, chromosomal studies, Pap smears.



8) • Coagulation: Specimens testing for the presence of various clotting factors.



9) • Histology/Pathology: Tissue samples examined for abnormal function and form.