第一篇微生物学(wēishēnwùxué)ɡ基础第第88章章微生物感染微生物感染(gǎnrǎn)(gǎnrǎn)的病原学检查法的病原学检查法LaboratoryDiagnosisLaboratoryDiagnosis第一页,共六十二页。(jiàoxuédàɡānɡ)掌握内容(nèiróng)细菌•细菌感染的微生物学检查程序•直接涂片镜检、分离培养和鉴定、生化试验、血清学试验及动物实验•病原菌抗原成分、核酸及其他成分的检测方法•血清学诊断原则及常用的方法病毒•病毒分离鉴定方法及病毒在培养细胞中的增殖的指标•病毒数量与感染性的测定(TCID50、PFU的原理、应用)•病毒成份的检测(抗原、核酸检测)•病毒抗体检测常用方法的原理及应用、双份血清诊断意义熟悉内容标本的采集与送检原则革兰染色和抗酸染色的原理细菌药敏试验真菌感染的微生物学检查法了解内容组织培养;聚合酶链反应、蛋白印迹技术的原理和应用第二页,共六十二页。LaboratorydiagnosisforbacterialinfectionsMorphological--microscopicMolecularSerologicalLaboratorydiagnosisforviralinfectionsMorphological--electronmicroscopicIsolationMolecular:nucleicacidsandproteinsSerologicalLaboratorydiagnosisforfungalinfectionsMorphological--microscopicIsolation第三页,共六十二页。第四页,共六十二页。MorphologicalassaysLightorelectronmicroscopiesIsolationanddifferentiationSerologicalassaysAntigen-antibodyassaysMolecularassaysMicroorganism’sgene(DNA&RNA)第五页,共六十二页。PrinciplesforSpecimenCollectionSterilemanipulation,avoidcontaminationObtainaspecimenfromtheinfectedsiteaccordingtothediseasephasebeforeadministratingantibioticsDoubleseraforantibodydetections,acuteandrecoveryphaseeachPositiveifthetiterofthelaterspecimenisabove4XtothefirstspecimenTransport,andstorecorrectlyassoonaspossibleStoreat-4oCformostbacterialspecimens,butkeepwarmforNeisseriameningitidisandNeisseriagonorrhoeaeStoreat-4oC~-70oCforviralspecimens第六页,共六十二页。LaboratoryDiagnosisforBacterialInfectionsMorphologicalMorphologicalProteinandNucleicacidsProteinandNucleicacidsAntibodyAntibody第七页,共六十二页。IdentifyingtheIdentifyingtheorganismorganismMorphologicalMo...