An introduction to the Fundamentals of Biomedical Science series |
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ix | |
Contributors |
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xiii | |
Abbreviations |
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xv | |
1 Introduction to microbiology |
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1 | (11) |
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2 | (1) |
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2 | (2) |
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4 | (2) |
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1.4 Sterilization and disinfection |
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6 | (2) |
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1.5 Bacterial colony recognition |
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8 | (2) |
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10 | (1) |
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10 | (1) |
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11 | (1) |
2 Identification tests |
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12 | (21) |
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13 | (8) |
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2.2 Miscellaneous biochemical tests |
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21 | (3) |
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2.3 Carbon source utilization tests |
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24 | (1) |
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2.4 Susceptibility to antibiotics and chemical inhibitors |
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24 | (1) |
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2.5 Tolerance to environmental conditions |
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25 | (1) |
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2.6 Requirement for growth factors |
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25 | (1) |
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2.7 Identification schemes |
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26 | (1) |
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27 | (1) |
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28 | (2) |
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30 | (1) |
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2.11 Pitfalls and quality issues with biochemical identification tests |
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31 | (1) |
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31 | (1) |
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32 | (1) |
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32 | (1) |
3 Culture media |
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33 | (19) |
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3.1 Microbial requirements for growth |
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33 | (1) |
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3.2 Ingredients of culture media |
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34 | (3) |
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37 | (1) |
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38 | (2) |
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40 | (1) |
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41 | (4) |
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3.7 Media for antimicrobial susceptibility testing |
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45 | (1) |
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3.8 Preparation and sterilization of culture media |
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46 | (2) |
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48 | (2) |
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50 | (1) |
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50 | (1) |
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51 | (1) |
4 Susceptibility testing and antibiotic assay |
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52 | (26) |
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4.1 Rationale for antimicrobial susceptibility testing |
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53 | (1) |
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4.2 Commonly used antibiotics |
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53 | (1) |
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4.3 Antimicrobial susceptibility testing |
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54 | (6) |
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60 | (1) |
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4.5 Automated susceptibility testing |
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61 | (2) |
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4.6 Enzymatic methods of resistance (β-lactamases) |
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63 | (2) |
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4.7 Detection of mechanisms of resistance and the application of expert rules |
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65 | (2) |
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67 | (1) |
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4.9 Control of antimicrobial susceptibility testing |
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68 | (3) |
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71 | (5) |
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76 | (1) |
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77 | (1) |
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77 | (1) |
5 Blood cultures |
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78 | (27) |
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5.1 Laboratory investigation of blood culture samples |
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78 | (6) |
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5.2 Procedure for dealing with negative bottles |
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84 | (1) |
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5.3 Procedure for dealing with positive bottles |
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84 | (7) |
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91 | (4) |
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5.5 False-positive results |
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95 | (3) |
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98 | (5) |
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103 | (1) |
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103 | (1) |
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104 | (1) |
6 Investigation of urine samples |
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105 | (25) |
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6.1 Overview of the urinary tract |
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106 | (2) |
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6.2 Urinary tract pathogens |
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108 | (5) |
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113 | (1) |
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6.4 Transport of specimens to the laboratory |
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114 | (1) |
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6.5 Initial processing of samples |
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115 | (5) |
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120 | (6) |
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126 | (2) |
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128 | (1) |
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128 | (1) |
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129 | (1) |
7 Investigation of wound, tissue, and genital samples |
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130 | (28) |
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131 | (1) |
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7.2 Skin infections and their causes |
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132 | (4) |
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136 | (3) |
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7.4 Organisms, virulence factors, and toxin production |
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139 | (4) |
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143 | (2) |
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145 | (1) |
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7.7 Genital tract and associated specimens |
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146 | (7) |
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7.8 Neisseria gonorrhoeae: virulence factors |
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153 | (1) |
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154 | (1) |
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155 | (1) |
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156 | (1) |
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157 | (1) |
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157 | (1) |
8 Examination of cerebrospinal fluid and fluids from sterile sites |
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158 | (25) |
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8.1 Investigation of cerebrospinal fluids |
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159 | (16) |
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8.2 Other sterile body fluids |
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175 | (6) |
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181 | (1) |
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182 | (1) |
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182 | (1) |
9 Investigation of respiratory samples |
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183 | (33) |
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9.1 The respiratory tract |
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183 | (6) |
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9.2 Processing of lower respiratory samples |
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189 | (10) |
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199 | (3) |
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202 | (8) |
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210 | (4) |
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214 | (1) |
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215 | (1) |
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215 | (1) |
10 Investigation of gastrointestinal specimens |
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216 | (28) |
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10.1 The general principles of the investigation of gastrointestinal disease |
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217 | (3) |
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10.2 Bacterial pathogens associated with gastrointestinal disease |
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220 | (5) |
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10.3 Mechanisms involved in the production of disease by bacterial causes of intestinal infection |
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225 | (1) |
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10.4 Isolation media and how they work |
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226 | (3) |
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10.5 Identification of bacterial pathogens isolated from faeces samples |
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229 | (6) |
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10.6 Patient management and control of infection |
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235 | (1) |
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236 | (1) |
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10.8 Non-bacterial causes of gastrointestinal disease |
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236 | (4) |
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10.9 The role of the reference laboratory |
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240 | (2) |
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242 | (1) |
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242 | (1) |
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243 | (1) |
11 Clinical parasitology |
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244 | (27) |
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245 | (1) |
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11.2 Clinical parasitology in the twenty-first century |
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245 | (2) |
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247 | (6) |
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253 | (5) |
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11.5 Cestodes (tapeworms) |
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258 | (4) |
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11.6 Diagnosis of gastrointestinal parasitic infections acquired through the gastrointestinal tract |
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262 | (1) |
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11.7 Examination of faeces for ova, cysts, and parasites (O,C,P) |
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263 | (4) |
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11.8 Immunological techniques |
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267 | (1) |
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11.9 Molecular techniques |
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267 | (1) |
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11.10 Treatment of parasitic infections acquired through the gastrointestinal tract |
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268 | (1) |
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269 | (1) |
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269 | (1) |
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270 | (1) |
12 Infection prevention and control |
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271 | (24) |
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12.1 What is infection prevention and control? |
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272 | (1) |
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272 | (6) |
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12.3 Vancomycin-resistant enterococci (VRE) |
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278 | (2) |
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12.4 Detection of pathogens that require initiation of a screening programme |
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280 | (1) |
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12.5 Importance of Clostridium difficile (C. difficile) in hospital environments |
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281 | (3) |
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12.6 Gram-negative outbreaks |
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284 | (1) |
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12.7 Other resistance screening and media |
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285 | (1) |
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12.8 Infection prevention and control |
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286 | (7) |
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293 | (1) |
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293 | (1) |
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294 | (1) |
13 Laboratory investigations of viral infections |
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295 | (27) |
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13.1 General properties and structure of viruses |
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296 | (2) |
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298 | (1) |
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13.3 Samples required for the diagnosis of viral infection |
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299 | (2) |
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13.4 Diagnostic methods in virology |
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301 | (5) |
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306 | (7) |
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13.6 Antiviral chemotherapy |
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313 | (1) |
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13.7 Common viral infections |
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314 | (6) |
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320 | (1) |
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321 | (1) |
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321 | (1) |
14 Clinical mycology |
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322 | (32) |
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322 | (2) |
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14.2 Clinical mycology in the twenty-first century |
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324 | (2) |
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14.3 Common fungal infections of man |
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326 | (1) |
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14.4 Infections of the skin, nails, and hair |
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327 | (9) |
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14.5 Candida infections of the mucosa |
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336 | (4) |
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14.6 Invasive fungal infections |
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340 | (9) |
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14.7 Antifungal susceptibility testing |
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349 | (2) |
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14.8 The role of the reference laboratory |
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351 | (1) |
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352 | (1) |
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352 | (1) |
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353 | (1) |
15 Bacterial pathogenesis |
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354 | (39) |
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354 | (2) |
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356 | (1) |
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15.3 Gaining a foothold - early events in infection |
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357 | (6) |
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15.4 Invasion by bacteria |
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363 | (7) |
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15.5 Avoiding the immune response |
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370 | (12) |
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382 | (6) |
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15.7 Pan-genomes, mobile genetic elements, and the acquisition virulence factors |
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388 | (2) |
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390 | (1) |
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391 | (1) |
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392 | (1) |
16 Molecular diagnostics |
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393 | (26) |
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16.1 Polymerase chain reaction (PCR) |
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394 | (4) |
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398 | (4) |
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16.3 Advantages and disadvantages of PCR |
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402 | (1) |
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403 | (1) |
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404 | (3) |
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407 | (2) |
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409 | (3) |
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16.8 Nucleic acid hybridization |
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412 | (5) |
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417 | (1) |
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418 | (1) |
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418 | (1) |
17 Procedures for sample collection, transport, and processing |
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419 | (28) |
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17.1 The importance of sample collection |
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420 | (2) |
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17.2 Overview of different sample types and specimen containers |
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422 | (2) |
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17.3 Methods of sample collection |
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424 | (9) |
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17.4 Methods of sample transport |
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433 | (1) |
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17.5 Transport regulations |
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434 | (3) |
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17.6 Basic sample processing |
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437 | (1) |
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17.7 Inoculation of culture media |
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438 | (6) |
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17.8 Safety considerations |
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444 | (1) |
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445 | (1) |
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446 | (1) |
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446 | (1) |
Hints and tips for discussion questions |
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447 | (4) |
Self-check answers |
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451 | (9) |
Glossary |
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460 | (11) |
References |
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471 | (5) |
Index |
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476 | |