Discussion two different cases

Discussion two different cases Order Description   to different cases each of the maximum 500 for discussion part   CASE DETAILS: (2.5 marks) Microbiologist-in-charge: your name (provide partner’s name also) Patient Name: the patient’s name Type of specimen: e.g. Urine Microscopy: This is of original specimen; please copy as written in manual, don’t include the key. Write “N/A” if none performed/supplied. LAB RESULTS: (10 marks) (i) Here, list the organism/s isolated and how much of each organism was grown: (e.g. Heavy growth of E. coli). ? EXCEPT FOR URINE, where you have to say the number per ml (e.g. 7.2 X 104 E. coli/ml but if more than 105, then e.g. >105 E. coli/ml). (ii) If antimicrobial susceptibilities performed they are reported here, in a table format. These allow the doctor to decide on the appropriate treatment. (iii) Place all your results here: in a table format, set out in sequence as they were done. ? colony morphology ? growth conditions ? quantity/counts ? calculations ? Gram stain ? all ID tests (list controls used) ? include zone diameters for antimicrobial susceptibility tests for isolates and controls used etc. DISCUSSION/REPORT: (No more than 500 words) (i) Discuss your results and include the following in your discussion: (25 marks) ? How did you arrive at your identification? ? Importance of pure cultures, any problems you experienced. ? Suggestions for improving the procedure you used. ? Suggestions for any other media that could be used or tests that could be done. ? Were any problems experienced with susceptibility tests? ? Did looking at one week old, refrigerated, cultures affect the results? ? Any other thoughts? ? Does the culture result correlate with the specimen’s original microscopy? ? Is/are the isolated organism/s significant? i.e. suggestive of infection or is it normal flora, skin contaminant, environmental contaminant, etc., give a concise reason. ? Is/are the organism/s normally a pathogen, an opportunistic pathogen, part of the normal flora? ? What infections/diseases can it cause? List only a couple. ? If it was to be to be treated, list one antimicrobial that could be used. (ii) Compare your report with the corresponding real-world report provided and: (10marks) ? identify at least two differences (in tests/techniques used; results obtained); ? discuss the differences, explaining possible reasons for them. REFERENCES: (2.5 marks) At least five references in addition to the lab manual (authorship and publication details on the inside cover).  

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