MICROPARA

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    • Two major types of microscopes:
      • Light microscope
      • Electron microscope
    • Light microscope:
      • Visible light is passed through the specimen and then through a series of lenses that reflect the light, resulting in the magnification of the organism
      • Human cannot focus on objects nearer than about 25cm or 10 inches
      • Parfocal
      • Forms a dark image against a brighter background
      • Magnification:
      • Ocular lens – 10x
      • Objective lenses: scanner, HPO, LPO, OIO
      • Ocular lens/eyepiece re-magnifies the image formed by the objective lens
      • Body tube transmits the image from the objective lens to the ocular
      • Arm is used for holding the microscope
      • Nosepiece holds the objectives
      • Objective lenses are primary lenses that magnify the specimen
      • Mechanical stage holds the microscope slide in position
      • Condenser focuses light through the specimen
      • Diaphragm controls the amount of light entering the condenser
      • Coarse and fine adjustment knob can move either the stage or the nosepiece to focus the image
      • Illuminator is the light source
      • Base
    • Electron microscope:
      • Uses electrons instead of light to visualize small objects
      • Resolution is at 0.5 nm
      • Fixative: glutaraldehyde or osmium tetroxide
      • Dehydrating agents: alcohol or acetone
      • Stains: lead citrate and uranyl acetate
      • Objects smaller than 0.2 um can be visualized using this type of microscope with 100,000x magnification
    • Staining:
      • Staining is not part of phase contrast microscopy
      • Permits examination of internal structures in living organisms
      • Used to identify medically important fungi grown in culture
      • Uses fluorochromes to stain microorganisms
      • Involves excitation of fluorochromes by light
      • Stains: acridine orange, auramine and rhodamine, calcofluor white, fluorescein isothiocyanate (FITC)
    • Darkfield microscopy:
      • Uses darkfield condenser that blocks light that would enter
      • Directs the light to hit the specimen at an oblique angle
      • Used to detect spirochetes
      • Can also be used for unstained microorganisms
    • Key terms:
      1. Refractive index: measure of the relative velocity at which light passes through a material
      2. Resolution: ability of a lens to distinguish small objects that are adjacent or close together
      3. Resolving power: ability of the lenses to separate closely distant objects
      4. Contrast: to make objects stand out from the background
    • Microscope slide preparations:
      • Wet mount preparation
      • Hanging drop preparation
      • Staining
    • Basic dyes are cationic and bind to negatively charged molecules like nucleic acids and proteins
    • Examples of basic dyes include: Methylene blue, basic fuchsin, crystal violet, safranin red, and malachite green
    • Acid dyes are anionic and bind to positively charged cell structures
    • Examples of acid dyes include: Eosin, rose bengal, and acid fuchsin
    • Simple staining involves using a single stain and is important for morphological structure
    • Examples of simple staining dyes are: Malachite green, methylene blue, crystal violet, carbolfuchsin, safranin red
    • Differential staining divides bacteria into separate groups
    • Two important types of staining for differential staining are AFB staining and Gram staining
    • Differential staining involves the use of primary stain, mordant, decolorizing agent, and secondary stain/counterstain
    • Gram-positive bacteria have thick cell walls containing teichoic acid and retain the crystal violet-iodine complex after decolorization, appearing purple
    • Gram-negative bacteria have thin cell walls containing LPS and do not retain the dye complex, appearing pink
    • Negative staining demonstrates the presence of a diffuse capsule surrounding some bacteria
    • Examples of negative staining dyes include: India ink and Nigrosin dye
    • Diagnostic antibody or DNA probe-mediated staining is used for specific identification of selected pathogens
    • Examples of pathogens identified using this staining method are: Chlamydia trachomatis, Bordetella pertussis, Adenoviruses, and respiratory viruses
    • India Ink and Endospore Stain are used for microscopic visualization of bacterial morphology
    • Steps in Gram staining:
      • Primary stain: purple for both Gram-positive and Gram-negative
      • Mordant: purple for both
      • Decolorizer: purple for Gram-positive, colorless for Gram-negative
      • Counter Stain: Safranin red, turning Gram-positive bacteria pink to red
    • Intracellular organisms, organisms without cell walls, and organisms with insufficient dimension to be resolved by light microscopy are examples of organisms that may not follow typical staining patterns
    • All cocci are Gram-positive, except Neisseria, Veilonella, Moraxella
    • All bacilli are Gram-negative, except Mycobacteria, Corynebacteria, Clostridia, Nocardia, Actinomyces, Bacillus, Lactobacillus, Listeria, Erysipelothrix
    • Ziehl-Neelsen and Kinyoun's methods are used for acid-fast staining to identify bacteria with high lipid and wax content in their cell walls
    • To facilitate acid-fast staining reaction, techniques such as the steaming process, increasing dye and phenol concentration, prolonging contact with the primary stain, and adding Tergitol can be used
    • Examples of acid-fast staining methods include: Ziehl-Neelsen (Hot method), Kinyoun’s (Cold method), Pappenheim’s method, Baumgarten’s method
    • Primary Stain, Decolorizer, and Counter Stain are used in acid-fast staining methods like Ziehl-Neelsen
    • To temporarily remove mycolic acid for staining, a steaming process is used
    • Increasing the concentration of dye and phenol, and prolonging contact with the primary stain can enhance the acid-fast staining reaction
    • Specific dye concentrations for acid-fast staining methods include:
      • Ziehl-Neelsen: 3g carbolfuchsin + 5% phenol
      • Kinyoun’s: 4g carbolfuchsin + 9% phenol
    • Prolonged staining of safranin may lead to the leaching out of the CV-iodine complex from the Gram-positive organism
    • If the CV is rinsed too vigorously before iodine is applied, it may leave poor or no staining of the Gram-positive organism
    • If the decolorization is prolonged, the normally Gram-positive organism will not stain
    • If the decolorization is not enough, the organism may be stained falsely Gram-positive
    • Examples of bacteria that can be stained using acid-fast staining methods are Nocardia Spp. and Mycobacterium Spp.
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