By Richard A. Harvey, Pamela C. Champe, Bruce D. Fisher

Now in complete colour, Lippincott's Illustrated experiences: Microbiology, moment variation permits speedy evaluation and assimilation of enormous quantities of advanced information regarding clinical microbiology. The e-book has the hallmark gains for which Lippincott's Illustrated experiences volumes are so well known: an summary layout, 450 full-color illustrations, end-of-chapter summaries, evaluation questions, plus a complete part of scientific case experiences with full-color illustrations. This edition's medical/clinical concentration has been sharpened to supply a high-yield assessment. 5 extra case experiences were incorporated, bringing the entire to nineteen. overview questions were reformatted to conform with USMLE Step 1 variety, with scientific vignettes.

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Qxd 9/28/11 2:18 PM Page 26 26 4. 10 Rapid manual biochemical system for bacterial identification. Different appearances of the upper and lower pairs of wells indicate the positive or negative ability of a bacterium to utilize each substrate. A Reagent wells Reagent wells 1 Test inoculum enters the port and is distributed into 30 wells, each containing a different biochemical test medium. strates. A widely used manual system for rapid identification of members of the family Enterobacteriaceae and other gram-negative bacteria makes use of twenty microtubes containing substrates for various biochemical pathways.

153), whereas obligate anaerobes grow only in the absence of oxygen and may, in fact, be killed by small amounts of oxygen. D. Media Two general strategies are used to isolate pathogenic bacteria, depending on the nature of the clinical sample. The first method uses enriched media to promote the nonselective growth of any bacteria that may be present. The second approach employs selective media that only allow growth of specific bacterial species from specimens that normally contain large numbers of bacteria (for example, stool, genital tract secretions, or sputum).

Gram-positive bacteria release exotoxins that can elicit a shock syndrome, but response is usually not as “As each disease is finally eradicated, redunsevere as that of gram-negative dant lymphocytes increasingly find themseptic shock. qxd 9/28/11 2:18 PM Page 19 4 Diagnostic Microbiology I. OVERVIEW Identification of the organism causing an infectious process is usually essential for effective antimicrobial and supportive therapy. Initial treatment may be empiric, based on the microbiologic epidemiology of the infection and the patient’s symptoms.

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