Page 120 - LECTURE NOTES
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-  Gram-negative coccobacilli that could be Y. pestis.


                b. Examine the specimen using culture


               Blood agar and MacConkey agar cultures are used for isolation of bacteria, which cause

               common skin diseases.
                   -  Look for colonies like

                          o  Staphylococcus aureus

                          o  Streptococcus pyogenes
                          o  Pseudomonas aeruginosa

                          o  Enterococci

                          o  Proteus species
                          o  Escherichia coli

                   -  Modified Tinsdale medium culture could be used if cutaneous diphtheria is
                       suspected

                   -  Use room temperature for Blood agar and MacConkey agar if Yersina pestis is
                       suspected.



                   Culture the specimen


                   -  Flame and sterilize wire loops before & after use

                   -  Flame the necks of specimen bottles, culture bottles, & tubes after removing &
                       before replacing caps.

                   -  Inoculate the culture media
                   -  Make slide preparations from specimens after inoculating the culture media

                   -  The inoculated media should be incubated as soon as possible. Incubate the
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                       blood agar & MacConkey agar aerobically at 35  – 37 C.
                   -  After 2 days and onwards of incubation examine both cultures for the common

                       bacteria of skin infection.
                   -  Report the identified bacterial from the culture





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