General Bacteriology 1 and 2. List of samples and the microbes linked to the corresponding photo replies since

Transcription

1 External Quality Assessment Scheme General Bacteriology 1 and 2. List of samples and the microbes linked to the corresponding photo replies since Microbe Survey/ Sample Specimen type. Patient data Photo number Aerobic Gram-Positive Cocci Staphylococci, Micrococci and related bacteria Staphylococcus aureus /2 Skin smear. Eczema. DM. 5 Staphylococcus aureus /9 Pus. Impetigo. 3 and 4 Staphylococcus aureus /16 BAL sample. Neutropenic patient 17,19,20 and 21 Staphylococcus aureus /9 Pus from skin pustule / Pemphi- 2,3 and 4 gus neonatorum Staphylococcus aureus /10 Middle ear effusion 5,6,7 and 9 Staphylococcus aureus /1 Pus from infected surginal wound 1,2,3 Staphylococcus aureus /5 Pus. Skin eczema 6-9,12 Staphylococcus aureus /42 Pus. Conjuctivitis in a child. 7-9 Staphylococcus epidermidis /3 Tissue sample. TEP 9 Staphylococcus epidermidis /8 Pus. Open leg fracture. 12 Staphylococcus epidermidis /3 Tissue sample. Corneal ulcer 10 and 11 Staphylococcus epidermidis /14 Conjuntival sample 6 and 7 Staphylococcus haemolyticum /6 Smear sample behind earflap 6,7,8,9,10 Staphylococcus hominis /14 Pus. Leg ulcer. 6,7 and 9 Staphylococcus hominis /10 Pus- Leg ulcer 6-11,17 Staphylococcus hominis /23 Pus from mandibular fistula 25 Staphylococcus intermedius /31 Dog bite 3-8 Staphylococcus lugdunensis /3 Cardiac pacemaker electrode 16,17,18,19 and 20 Staphylococcus lugdunensis /12 Middle ear effusion Staphylococcus lugdunensis /31 Abscess on a toe 1-7 Staphylococcus warneri /14 Middle ear effusion 5,6,7,12,13 Staphylococcus warneri /16 Venous catheter Staphylococcus warneri /22 Contact lens infection Staphylococcus xylosus /16 Venous catheter 30-32, Coagulase negative staphylococcus /14 Pus. Impetigo. 7,8 and 9 Micrococcus sp /6 Middle ear effusion. 5 and 6 Micrococcus sp /6 Smear sample behind earflap 6,7,8,9,11 Micrococcus sp /12 Middle ear effusion 15 Streptococci, Enterococci and related bacteria /14 Pus. Impetigo. 7,8 and /5 Middle ear effusion. 3,4and /2 Pus Axillary eczema 8,9,10,11 and /1 Pus. Pharyngeal abscess 2,3,4, /12 Pus. Smear sample from skin. 10,11,12,13,14 and 17

2 Beta-hem.streptococcus group B /14 Pus.Leg ulcer. 6,7 and 8 (Streptococcus agalactiae) Beta-hem.streptococcus group B /8 Amnionic fluid 29-32,39-40 (Streptococcus agalactiae) Beta-hem.streptococcus group C (Streptococcus dysgalactiae ssp /11 Pus. Abscess. 16,17,18,19,20 21,22 equisimilis) Beta-hem.streptococcus group F (Streptococcus anginosus) /16 Pus. Pulmonal empyema 21,22,23,24,25 26 Beta-hem.streptococcus group G / 1 Pus. Peritonsillary abscess 3 Beta-hem.streptococcus group G /6 Pus. Groin abscess. 6,7,8 and 9 Beta-hem.streptococcus group G /10 Pus. Leg ulcer 5-13 Enterococcus faecalis Bile specimen 19-20, Enterococcus faecium /4 Pus. Groin abscess. 14,15,16 and 17 Enterococcus faecium /33 Pus from pelvic abscess 29-31,35-36 Enterococcus casseliflavus /7 Tip of venous catether 13,14,15,16,17 Leuconostoc sp /32 Leg ulcer 10-14, /5 Cerebrospinal fluid /1 Pus. Maxillay sinusitis /13 Cerebrospinal fluid. Meningitis 3 and /14 Middle ear effusion 6,7,8,9,10, /9 Middle ear effusion 2,3, /12 Middle ear effusion /41 Middle ear effusion 2-5 Streptococcus viridans /7 Pus Abscess 14 and 15 Streptococcus viridans /14 Conjuctival sample 6 and 7 Streptococcus viridans /15 Pus. Frontal sinusitis. 10 and 28 Streptococcus viridans /14 Middle ear effusion 6,7,8,9,11 Streptococcus viridans /32 Maxillary sinus excretion 8-12,16 Streptococcus viridans /34 Pleural empyema 28-31,33-41 Streptococcus anginosus /15 Aortic valve. Endocarditis Streptococcus anginosus /16 Pus. Pulmonal empyema 21,22,23,24,25 26 Streptococcus parasanguis /11 Cardiac valve. Endocarditis 15,16 and 17 Aerobic Gram-Positive Bacilli Actinomadura madurae /3 Tissue specimen. Leg ulcer Arcanobacterium haemolyticum /2 Purulent maxillary sinus excretion 5,6,7,8,9,10,11 Arcanobacterium haemolyticum /32 Maxillary sinus excretion 8-15 Bacillus cereus /3 Tissue sample. Corneal ulcer 10,11 and 12 Bacillus cereus /6 Smear sample behind earflap 6,7,8,9,12 Bacillus megaterium /12 Pus, Smear sample from skin 10-16,21 Corynebacterium sp.(diphtheroid) /2 Skin smear. Eczema. DM. 5 and 7 Corynebacterium sp.(diphtheroid) /6 Middle ear effusion 5 and 6 Corynebacterium jeikeum /10 Pus. Leg burn 7,8,9,10,14,15 Corynebacterium jeikeum /13 Tissue specimen Corynebacterium ulcerans /11 Troat specimens Corynebacterium urealyticum /7 Pus. Obstructed urether 12,13,14,15 and 16 Dermabacter hominis /24 Smear sample from nipple spearcing Listeria monocytogenes /16 Amnionic fluid 30,31,32,33,34 35

3 Listeria monocytogenes /11 Smear sample from placenta 3,4,5,6,7,8 Rhodococcus equi /12 Sputum sample/ An immunocompromized patient 25,26,27,28 and 29 Aerobic Gram-Negativive Cocci Moraxella catarrhalis /6 Middle ear effusion 5 and 6 Moraxella catarrhalis /9 Middle ear effusion 3 and 4 Moraxella catarrhalis /10 Middle ear effusion 5,6,7 and 9 Moraxella catarrhalis /14 Middle ear effusion 6-12 Neisseria gonorrhoeae /13 Synovial fluid 3,4 and 5 Neisseria gonorrhoeae /8 Pus from infected big toe 18,19,20,21,22 Neisseria gonorrhoeae /1 Pus from uterine cavity 3,4,5,6 Neisseria menigitidis /2 Pus. Maxillary sinusitis 6-8,12-13 Neiseria mucosa /2 Purulent maxillary sinus excretion 5,6,7,14,15 Neisseria sicca /32 Maxillary sinus excretion 8-12,17-18 Aerobic Gram-Negative Bacilli Fermentative rods Acinetobacter baumannii /16 Cerebrospinal fluid. 14,15,16 and 17 Acinetobacter baumannii /14 Conjunctival sample. 6,7,8,9 and 10 Aeromonas hydrophila /8 Pus. Open leg fractura. 12 Citrobactrer koseri (C diversus) /12 Ascites fluid Citrobacter werkmanii /44 Pus from gall bladder 29-32,33-34,37 Cronobacter sakazakii See Enterobacter sakazakii Enterobacter aerogenes /3 Bile specimen Enterobacter cloacae /16 Cerebrospinal fluid. 14,15,16 and 17 Enterobacter cloacae /16 Bal sample. Neutropenic patient 17,22 and 23 Enterobacter cloacae /14 Tissue. Leg ulcer Enterobacter (Cronobacter) sakazaii /3 Ascites fluid. Traffic accident. 16,17,18,19,20 21,27,28,31,37 Escherichia coli /12 Ascites fluid 14 Escherichia coli /8 Ascites fluid 20 and 21 Escherichia coli /3 Ascites fluid. Traffic accident. 16,17,18,19,20 21,24,25,26,31 Escherichia coli /6 Pus. Skin eczema 6-9,13-15 Escherichia coli, CPE /11 Wound 3-5 Hafnia alvei /14 Tissue. Leg ulcer ,43-45 Klebsiella oxytoca /15 Pus from snake bite Klebsiella pneumoniae /1 Pus. Leg fractura. 3,4,5 and 6 Klebsiella pneumoniae /11 Pus. Ovarial abscess 11,12,13,14,15 16,18 and 19 Klebsiella pneumoniae /5 Pus from pancreatic drainage 2,3,4,5 Klebsiella pneumoniae ssp rhinoscleromtis /2 Maxillary sinus excretion 7-13 Ochrobactrum anthropi /11 Pus. Abscess. 16,17,18,19,20 24,25,26,27 Morganella morgnii /33 Pus frompelvic abscess Proteus mirabilis /2 External ear canal effusion 5,6 and 7 Proteus vulgaris /8 Pus. Cholecystitis. 18,19,20,22,23 and 26 Proteus vulgaris /15 Pus from snake bite 13-17, Rahnella aquatilis /43 Pus. Wound. Fish farming 13-19, Salmonella sp /3 Ascites fluid. Traffic accident ,24,29-31 Salmonella sp. (S Enteritidis) /44 Pus from gall bladder 29-32, Serratia fonticola /12 Ascites fluid 14 Serratia fonticola /32 Leg ulcer Serratia rubidaea /8 Pus. Cholecystitis. 18,19,20,24,25 and 25

4 Nonfermentative rods Achromobacter denitrificans /6 Skin eruption. Groin. 6,7,9,10 11 and 12 Achromobacter xylosoxidans /22 Contact lens infection 8-14 Chryseomonas meningoseptica. Kts. Elizabethkingia meningoseptica Elizabethkingia meningoseptica /10 Pus. Maxillary sinusitis. 6,7,8,10,11,12 13 and 23 Pasteurella multocida /4 Tissue sample. Dog bite. 33,34,35,36 Pasteurella multocida /13 Tissue sample. Animal bite. 2,3,4,5 Pasteurella multocida /13 Pus from cheek abscess. Cat bite. 23,24,25,26 Pseudomonas aeruginosa /7 Ascites fluid. 8 Pseudomonas aeruginosa /13 Sputum. Cystic fibrosis 3 and 4 Pseudomonas aeruginosa /9 External ear canal exudate 2,3,4,5 and 6 Pseudomonas aeruginosa /10 Pus. Leg ulcer 6-11,13-16 Pseudomonas oryzihabitans /2 Pus, Maxillary sinus excretion. 8-10,14-16 Pseudomonas stutzeri /12 Pus. Smear sample from skin 10-16, Ralstonia pickettii /6 Aqua destillata 6,7,8,9 and 10 Sphingobacterium multiforum /12 Skin wound. 19,20,21,22 and 23 Stenotrophomonas maltophilia /8 Pus. Open leg fractura. 12 Stenotrophomonas maltophilia /10 Pus. Leg burn 7-13 Vibrio parahaemolyticus /43 Pus. Wound. Fish farming, Haemophilus strains Haemophilus influenzae /10 Pus. Maxillary sinusitis 9 Haemophilus influenzae /5 Pus. Maxillary sinusitis 3 and 4 Haemophilus influenzae /10 Middle ear effusion 5,6,7 and 8 Haemophilus influenzae /2 Pus. Maxillary sinusitis 6-11 Haemophilus influenzae /5 Pus. Maxillary sinusitis 2-5 Haemophilus influenzae /13 Middle ear effusion 2-5 Haemophilus influenzae /21 Pus. Maxillary sinusitis 3-6 Haemophilus parainfluenzae /2 Purulent maxillary sinus excretion 5,6,7,12,13 Haemophilus parainfluenzae /42 Pus. Conjunctivitis in a child 7-12 Other Gram-Negative Bacilli and Vibrios Actinobacillus actinomycetemcomitans kts. Aggregatibacter actinom. Aggregatibacter actinomycetemcomitans /7 Pus Abscess 14,15,16,17 and 18 Capnocytophaga canimorsus /4 Wound. Dog bite Cardiobacterium hominis /33 A piece of cardiac valve Eikenella corrodens /23 Pus from mandibular fistula Vibrio vulnificus /10 Skin wound. Sushi bar keeper. 6,7 and 8 Anaerobic Gram-Positive Cocci Finegoldia magna /16 Pus. Pulmonal empyema. 21,27,28,29,30 31,32,33,34,39 40,41,42 Finegoldia magna /4 Pus. Brain abscess 26,31-34,41-44 Peptostreptococcus anaerobius /4 Pus. Groin abscess. 17,18,19,22,23 and 24 Peptostreptococcus anaerobius /8 Amnionic fluid 29-30,31-37,41-44 Staphylococcus saccharolyticus /14 Tissue specimen lumbar vertebra Anaerobic Gram-Positive Bacilli Actinomyces israelii /11 Pus. Ovarial abscess 11-17, Actinomyces mayeri /34 Pleural empyema Actinomyces naeslundi /4 Pus. Brain abscess. 11,12 and 13 Actinomyces odontolyticus /4 Pus. Brain abscess 26,34,38-41 Clostridium innocuum /4 Pus. Liver abscess. 22,23,24,25,26 and 27

5 Clostridium innocuum /13 Tissue specimen Clostridium ramosum /44 Pus from gall bladder Clostridium septicum /15 Pus from snake bite Clostridium perfringens /33 Pus from pelvic abscess Clostridium sporogenes /8 Ascites fluid. 21,22,23,25,26 28 and 29 Clostridium sporogenes /12 Ascites fluid 28-29,44-46 Clostridium tertium /7 Myonecrosis. Tissue specimen Eggerthella lenta /8 Amnionic fluid 29-30,33-37,45-48 Propionibacter acnes /15 Skin smear sample around a cystofix catheter 12,13,14 and 15 Propionibacter acnes /8 Pus from infected big toe 18,23,24,25,26 Propionibacter acnes /24 Smear sample from nipple spearcing Anaerobic Gram-Negative Bacilli Bacteroides fragilis /7 Ascites fluid 9 Bacteroides fragilis /4 Pus. Groin abscess 17,18,19,20,21 23 and 24 Bacteroides fragilis /8 Pus. Cholecystitis. 21,27,28 and 29 Bacteroides fragilis /14 Tissue specimen. Leg ulcer Bacteroides ovatus /12 Ascites fluid 28-29,35-43 Bacteroides thetaiotamicron /12 Ascites fluid 15 and 16 Bacteroides vulgatus /11 Pus. Abscess. 16,28,29,30,31 32 Bacteroides vulgatus /3 Bile specimen 19-20, Fusobacterium necrophorum /15 Pus. Frontal sinusitis. 12,13,14,16 18,19,20,21,22 Fusobacterium nucleatum /16 Pus. Pulmonal empyema. 21,27,28,29,30 31,32,33,34 35,36,37,38 Fusobacterium nucleatum /34 Pus taken by bronchoscopy 44-48,53-55 Fusobacterium russii /13 Pus from cheek abscess. Cat bite Prevotella disiens /8 Ascites fluid 21,22,24,25,27 28 and 29 Prevotella melanogenica /4 Pus. Brain abscess. 11,12 and 13 Prevotella melanogenica /15 Pus. Frontal sinusitis. 12,13,14,15,23 24,25,26,27 Prevotella melanogenica /34 Pus taken by bronchoscopy Mycobacteria Mycobacterium abscessus /11 Tissue sample. Corneal ulcer. 10 and 11 Mycobacterium abscessus /15 Tissue sample. Arm ulcer. 13,14,15,16,17 18,19,20 Yeasts and Molds Candida albicans /2 Skin smear. Eczema. DM. 5,6,7 Candida albicans /7 Ascites fluid 10 Candida albicans /2 Pus Axillary eczema 8,9,10,13 and 14 Candida albicans /6 Pus. Skin eczema 6-10,16-17 Candida glabrata /16 Bal sample. Neutropenic patient 17,18,24 and 25 Candida glabrata /32 Leg ulcer 10-14,24-26 Aspergillus fumigatus /2 External ear canal effusion 5 and 8 Information Yvonne Björkman yvonne.bjorkman@labquality.fi

6 Labquality Ratamestarinkatu 11 FI Helsinki FINLAND Telephone Fax info@labquality.fi Labquality