This document discusses the analysis of water and milk. It outlines the ideal characteristics of safe drinking water and describes common waterborne diseases caused by viruses, bacteria, and protozoa. Methods for water testing include the presumptive coliform test, McCrady's probability table, and membrane filter method. Milk analysis examines the typical microflora present, diseases that can be transmitted through milk, pasteurization methods, and biological standards. Sampling techniques and chemical/microbiological tests for both water and milk are also outlined.
Most probable number or multiple tube fermentation techniqueSamsuDeen12
multiple tube fermentation or most probable number is a microbiological technique used to check the portability of water. microbial analysis of water is determined, and distinguished between faecal and non faecal contaminated water.
Most probable number or multiple tube fermentation techniqueSamsuDeen12
multiple tube fermentation or most probable number is a microbiological technique used to check the portability of water. microbial analysis of water is determined, and distinguished between faecal and non faecal contaminated water.
The lecture is a simple one describing the various methods that could be applied in small microbiology laboratories where the automated systems are lacking.
The lecture is a simple one describing the various methods that could be applied in small microbiology laboratories where the automated systems are lacking.
A simple lecture for the description of the various culture media used for isolation of different bacteria in a pure form for further identification procedures.
Food processing, composition of milk, microorganism present, Different type of adulteration test (sugar, starch, Salt, urea), biochemical test (organoleptic, clot on boiling, alcohol, lactometer, fat determination, protein determination), different type of pasteurization, processing, spray drying, Standards of PFA, FSSAI, BIS (profile and regulations) & non food application of milk.
Bacterial Culture Media
Culture medium is an environment which supplies the necessary nutrition for the growth of an
organism. Culture media contains nutrients and physical growth parameters necessary for
microbial growth. Organisms that cannot grow in artificial culture medium are known as obligate
parasites. Mycobacterium leprae, rickettsias, Chlamydias, and Treponema pallidum are obligate
parasites. Culture media generally provide sources of carbon, energy and nitrogen in the form of
available carbohydrates and amino acids.
Special media provide specific requirements as inorganic salts or particular growth factors.
Types of Culture Media
⎯ Basic media
⎯ Enriched media
⎯ Selective media
⎯ Enrichment media
⎯ Indicator (Differential) media
⎯ Transport media
1. Basic Media
These are simple media used to support the growth of microorganisms that do not have
special nutritional requirements. They include nutrient broth, peptone water, and nutrient
agar.
i. Nutrient Broth- 1
Filtrate of cooked fresh minced meat + 1% - peptone + 0.5% NaCl. Clear yellowish fluid
medium Sterilized in autoclave at- 121°C for 30 min. Base for most culture media.
ii. Peptone Water
Peptone + 0.5% NaCl dissolved in 1%- water Clear colorless fluid medium. Sterilized in
autoclave at 121°C- for 30 min. Base for sugar media Indole production test.
Specimens for bacteriology investigation should be forwarded as soon as possible to the laboratory in leak-proof, sterile containers.
Neutral glycerol saline should be added to stool sample if there is any delay before laboratory examination.
Complete early morning urine specimen (250 ml), for diagnosis of renal tuberculosis.
Plain tube (blood) for serology.
Blood clot may be cultured by adding a selective culture medium, e.g., for enteric organisms.
Blood for blood culture (blood culture bottle, liquid, 5 to 19ml, 50 ml). The blood is injected by insertion of syringe needle through a hole in the cap and through the central rubber or plastic liner. Don’t remove the cap. Blood culture at RT, not more than 12 hrs.
For serous fluids collection (pleural fluid), universal container is used.
Sputum collected in wide-mouthed disposable container.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
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This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
India Diagnostic Labs Market: Dynamics, Key Players, and Industry Projections...Kumar Satyam
According to the TechSci Research report titled “India Diagnostic Labs Market Industry Size, Share, Trends, Competition, Opportunity, and Forecast, 2019-2029,” the India Diagnostic Labs Market was valued at USD 16,471.21 million in 2023 and is projected to grow at an impressive compound annual growth rate (CAGR) of 11.55% through 2029. This significant growth can be attributed to various factors, including collaborations and partnerships among leading companies, the expansion of diagnostic chains, and increasing accessibility to diagnostic services across the country. This comprehensive report delves into the market dynamics, recent trends, drivers, competitive landscape, and benefits of the research report, providing a detailed analysis of the India Diagnostic Labs Market.
Collaborations and Partnerships
Collaborations and partnerships among leading companies play a pivotal role in driving the growth of the India Diagnostic Labs Market. These strategic alliances allow companies to merge their expertise, strengthen their market positions, and offer innovative solutions. By combining resources, companies can enhance their research and development capabilities, expand their product portfolios, and improve their distribution networks. These collaborations also facilitate the sharing of technological advancements and best practices, contributing to the overall growth of the market.
Expansion of Diagnostic Chains
The expansion of diagnostic chains is a driving force behind the growing demand for diagnostic lab services. Diagnostic chains often establish multiple laboratories and diagnostic centers in various cities and regions, including urban and rural areas. This expanded network makes diagnostic services more accessible to a larger portion of the population, addressing healthcare disparities and reaching underserved populations. The presence of diagnostic chain facilities in multiple locations within a city or region provides convenience for patients, reducing travel time and effort. A broader network of labs often leads to reduced waiting times for appointments and sample collection, ensuring that patients receive timely and efficient diagnostic services.
Rising Prevalence of Chronic Diseases
The increasing prevalence of chronic diseases is a significant driver for the demand for diagnostic lab services. Chronic conditions such as diabetes, cardiovascular diseases, and cancer require regular monitoring and diagnostic testing for effective management. The rise in chronic diseases necessitates the use of advanced diagnostic tools and technologies, driving the growth of the diagnostic labs market. Additionally, early diagnosis and timely intervention are crucial for managing chronic diseases, further boosting the demand for diagnostic lab services.
2. Safe water
Free from micro organisms / chemical substances
Cool
Clear
Colourless
Devoid of disagreeable smell / taste
3. Drinking water is liable to contaminants….
Chemical / biological
Chemical :
– Industrial / agricultural waste
Biological:
– Faecal pollution of water
4. Water borne diseases
Viral : viral hepatitis A & E, poliomyelitis, rotavirus diarrhoea
Bacterial: cholera, typhoid, paratyphoid, dysentry,
diarrhoea due to E.coli, C.jejuni, Y.enterocolitica
Protozoal: Amoebiasis, Giardiasis, Balatidium coli diarrhoea
Helminthic: round worm, whip worm, thread worm
7. Sample collection and transport
Tap / pump outlet:
Sample from reservoir ( river, lake, streams)
Sample from dug well
Transported and examined within 1-3 hrs
Neutralisation of chlorine: sodium thiosulphate
9. Methods of analysis
Presumptive coliform and differential test
Detection of Enterococcus.fecalis / Cl.perfringens
Colony count
10. Presumptive coliform test
Multiple tube test:
– Most probable number of coliforms in 100ml water
– Double and single strength modified MacConkeys fluid medium+
durhams tube with bromocresol blue
Procedure: 50ml water + 50ml DSM
10ml water + 10ml DSM
1ml water + 5ml SSM each
0.1ml water+ 5ml SSM each
Incubated 37˚C for 48hrs. Then compared with McCrady probability
table
13. Eijkman test – confirmatory test
Positive presumptive culture tubes are subcultured to SSM.
Incubated at 44˚C for 24 hrs.
Production of gas and indole production is confirmatory
14. Other tests
• Membrane filter method
• Detection of
– fecal strep – glucose azide broth @ 45˚C
– Cl.welchii – litmus milk anaerobically - 5 days
• Colony count - 22˚C( organic matter) and 37˚C
• Biological examination for plankton –
objectionable water taste
15. Classification of drinking water
Presumptive
coliform
count/100ml
E.coli count
per 100ml
Class 1 Excellent 0 0
Class 2 Satisfactory 1 - 3 0
Class 3 Suspicious 4 - 10 0
Class 4 unsatisfactory > 10 0, 1 or more
16. Water needing analysis
Water used for dialysis: <200 cfu/ml of water
Water used in aerated soft drinks industries:
free from any microorganism
17. Milk analysis
Good culture media
Easily spreads diseases
Bacterial source
– Milk ducts of udder
– Milking equipment
– Milker – unclean hands / carrier
– Unclean udders & dust in milking shed
– Water – used for cleaning udders
– Diseased animals
21. Biological standards
Pasteurised milk – should not contain coliform in
0.1ml milk
– phosphatase test <10 μg of
p-nitrophenol / ml milk
Sterilised milk – satisfy turbidity test
Ultra heated milk - < 10 bacteria / 0.01ml milk
22. Sampling and viable counts
Retail bottle – unopened bottle
Large container – sterile dipper to 4oz sterile
screw capped bottle
Viable count – yeast extract milk agar
Coliform count – MacConkey fluid medium
23. Chemical tests
Methylene blue – viable bacteria reduce the dye in the milk kept
in a cool dark place decolourisation of milk
Resazurin test – series of colour changes
blue, lilac, mauve, pink, colourless on
complete reduction
Ten minute resazurin test done in creameries and compared with
Lovibond comparator
24. Phosphatase test – To test the presence phosphatase
inactivated by pasteurisation
substrate –disodium p-nitrophenyl phosphate
end product - p-nitrophenyl giving yellow colour to milk
Turbidity test- check for sterilisation
– Principle: milk boiled to sterilisation T˚ will have
precpitated all heat coagulable proteins. If
Ammonium sulphate is added to the milk,
filtered and boiled for 5 min no turbidity results
yellow
25. Detection of specific pathogens
Tubercle bacilli
– centrifuged milk – inoculated into guinea pigs
– Culture
Brucella
– Heavy inoculation on serum dextrose agar
– Centrifuged deposit into guinea pigs
– Serology – milk ring or whey agglutination tests