﻿WEBVTT

00:00:08.141 --> 00:00:10.343
In traditional microbiology,

00:00:10.343 --> 00:00:14.114
streaking is a technique
used to isolate microorganisms.

00:00:14.948 --> 00:00:18.251
The process is done
manually using a sterile tool,

00:00:18.451 --> 00:00:21.488
such as a metal or plastic inoculation
loop.

00:00:22.322 --> 00:00:27.060
Aseptic techniques are used to maintain
microbiological cultures

00:00:27.260 --> 00:00:30.263
and to prevent contamination
of the growth medium.

00:00:31.631 --> 00:00:34.334
Let's plate a urine culture manually

00:00:34.334 --> 00:00:37.170
using the sheep blood agar plate.

00:00:37.170 --> 00:00:39.506
First, hold a plastic one

00:00:39.506 --> 00:00:42.509
microliter calibrated loop vertically

00:00:42.542 --> 00:00:45.512
and immerse
it just below the surface of the urine.

00:00:46.112 --> 00:00:49.115
Ensure
that the urine completely fills the loop.

00:00:49.649 --> 00:00:53.053
Second, streak it
vertically down the center of the plate.

00:00:53.653 --> 00:00:58.291
Third, take the loop again on its edge
and make a zigzag motion

00:00:58.291 --> 00:01:01.795
roughly ten times across the streak
of urine along the plate.

00:01:02.962 --> 00:01:07.467
Manual plating can be very labor intensive
with instrumentation.

00:01:07.700 --> 00:01:10.703
Plating can be done
using the automated processor.

00:01:11.371 --> 00:01:13.540
The instrument can process positive blood

00:01:13.540 --> 00:01:16.543
cultures, tissues, wound aspirates,

00:01:17.043 --> 00:01:21.014
body fluids,
and traditional swab and swab samples.

00:01:21.981 --> 00:01:22.949
Each swab

00:01:22.949 --> 00:01:26.553
allows the entire sample
to be transferred into a liquid medium,

00:01:26.886 --> 00:01:28.321
providing eloquence

00:01:28.321 --> 00:01:32.192
of a liquid sample suspension,
which can be used for multiple tests.

00:01:33.126 --> 00:01:37.497
The automated specimen processor
has the ability to fully automate

00:01:37.497 --> 00:01:42.735
all aspects of microbiology processing,
including plating, streaking,

00:01:43.103 --> 00:01:47.841
gram stain, slide preparation
and enrichment, broth inoculation.

00:01:48.842 --> 00:01:53.279
The user can customize the streaking
patterns to ensure optimal isolation.

00:01:53.580 --> 00:01:56.916
Reusable loops
help keep the operational cost low

00:01:57.283 --> 00:02:00.453
and include one Microliter,
ten Microliter,

00:02:00.720 --> 00:02:03.523
and 30 Microliter volumes, which provide

00:02:03.523 --> 00:02:06.526
precise volumes for quantitative analysis.

00:02:06.759 --> 00:02:10.396
Gram stain slides are also prepared
and labeled automatically

00:02:10.730 --> 00:02:13.733
with increased workloads
and labor shortages.

00:02:13.900 --> 00:02:18.037
An automated microbiology
processor is a clever innovation

00:02:18.037 --> 00:02:22.041
that can be a cost effective process
to address an influx of samples.

00:02:22.909 --> 00:02:26.946
The classic way of reading cultures
is based on certain time frames.

00:02:27.313 --> 00:02:31.918
For example, standard reading times
for optimal growth of urine specimens

00:02:32.152 --> 00:02:36.823
are at 18 to 24 and 48 hours
from the setup time.

00:02:37.423 --> 00:02:40.293
Laboratory professionals
performed all the reading,

00:02:40.293 --> 00:02:43.296
workup and entering of the results.

00:02:43.396 --> 00:02:48.468
This traditional method of testing allows
labs to make accurate workup decisions.

00:02:49.202 --> 00:02:53.506
However, it takes time to sort
the negative from the positive plates.

00:02:54.107 --> 00:02:57.610
The manual process may delay
the patient results as plates

00:02:57.610 --> 00:03:00.013
are only read
periodically throughout the day.

00:03:01.014 --> 00:03:01.648
Automated

00:03:01.648 --> 00:03:07.287
microbiology technology allows laboratory
professionals to read the cultures

00:03:07.554 --> 00:03:11.925
by using a camera system
to capture images at defined intervals.

00:03:12.659 --> 00:03:14.994
Upon entering the incubator,

00:03:14.994 --> 00:03:17.997
the camera takes
an initial photo of the plate.

00:03:18.665 --> 00:03:21.668
Then, based on user defined software,

00:03:21.768 --> 00:03:25.705
it will continue to take pictures
of the plates at the programed times.

00:03:26.906 --> 00:03:28.808
Images are stored and used

00:03:28.808 --> 00:03:31.811
for quality assurance purposes.

00:03:31.878 --> 00:03:34.647
Let's look at the urine samples.

00:03:34.647 --> 00:03:39.819
Urine cultures are categorized based on
colony counts with growth no growth.

00:03:39.819 --> 00:03:41.788
Discrimination.

00:03:41.788 --> 00:03:45.325
The software will automatically sort out
no growth cultures

00:03:45.658 --> 00:03:48.761
and can result up to 30 negative samples
at once.

00:03:50.296 --> 00:03:53.299
Technologists never touch a negative plate

00:03:53.766 --> 00:03:55.969
with a click of a send button.

00:03:55.969 --> 00:03:58.738
The instrument will show final no growth

00:03:58.738 --> 00:04:01.441
and discards the negatives quickly.

00:04:01.441 --> 00:04:04.844
The software integrates
with the labs to provide quick,

00:04:04.844 --> 00:04:08.948
accurate results reported to clinicians
for timely patient care.

00:04:09.983 --> 00:04:11.117
Plates that are ready to

00:04:11.117 --> 00:04:14.120
read are displayed on the dashboard.

00:04:14.954 --> 00:04:17.390
Plates that require further investigation

00:04:17.390 --> 00:04:20.593
are displayed in the screening area
on the computer monitor.

00:04:21.227 --> 00:04:25.398
Users can zoom in on the plate images
for a better view of colonies.

00:04:26.199 --> 00:04:28.735
Users hit the investigation button

00:04:28.735 --> 00:04:32.005
to request presumptive positive plates
from the canisters,

00:04:32.438 --> 00:04:35.141
and bring them to the bench
for further testing.

00:04:35.141 --> 00:04:38.144
Technologists
manually read plates when they are ready,

00:04:38.211 --> 00:04:40.680
which improves the turnaround time.

00:04:40.680 --> 00:04:45.151
There may be some challenges with
digital microbiology when problems arise.

00:04:45.752 --> 00:04:49.689
Errors in the system can negatively impact
the positive strides

00:04:49.689 --> 00:04:52.692
the technology makes when it works
the way it should.

00:04:53.393 --> 00:04:57.130
The instrument may shut down
due to errors, or on occasion,

00:04:57.563 --> 00:05:01.467
it may crush the plates,
or the barcode station may have a problem

00:05:01.467 --> 00:05:02.869
scanning the plates. Labels.

00:05:03.903 --> 00:05:06.739
However, when it is functioning properly,

00:05:06.739 --> 00:05:10.443
the software automatically recognizes
the presence of organisms,

00:05:10.443 --> 00:05:14.681
allowing microbiology labs
to quickly read, interpret,

00:05:15.014 --> 00:05:18.351
and segregate bacterial cultures
with the click of a button.
