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Mount Sinai Hospital is a University of Toronto patient care, teaching, and research centre.
Mount Sinai Hospital is a University of Toronto patient care, teaching, and research centre.

Department of MIcrobiology: Online Lab Manual

The following procedure and protocol manuals are provided for our microbiology laboratory and are available as an educational reference for other laboratories. All manuals are in PDF format, and will require installation of Adobe Acrobat Reader to view, if not already installed.

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Disclaimer: These documents have been developed specifically for our institutions and may not be appropriate for implementation in other settings. This information is made available for professional education purposes only and each piece of information should be carefully evaluated before being adapted to meet the needs of other facilities or settings.

» General Manuals

Manual
Summary
 
Details about all the available microbiology tests from our lab are contained in this searchable database. For more information regarding pricing and services, please visit the Toronto Medical Laboratories website.
The main objective of this training program is to produce a technologist who has the ability to apply theoretical knowledge to the practical aspects of the Microbiology laboratory, efficiently and with a caring attitude.
A collection of important process control documents that are frequently referred to by laboratory staff.
The Laboratory Safety manual is intended to address universal safety measures for achieving a safe and healthy working environment. It describes good laboratory practices that must be understood and observed by all individuals involved in the laboratory. It describes control measures essential for protecting all laboratory occupants from potential biological, chemical and physical hazards.
The purpose of the quality manual describes the laboratory's quality management system. Quality Management System encompasses all management activities and processes relating to:
organization, personnel, equipment, purchasing and inventory, process control, document and records, information management, occurrence management, process improvement, service and satisfaction and facilities and safety.

» Reference Manuals

Manual
Summary
Different organisms will require different methods of susceptibility testing. This manual outlines the methodologies and procedures of vitek, disk diffusion, beta-lactamase, oxacillin, and other methods.
Work-up for aerobic bacteria, anaeroblic bacteria, and yeast.
Numerous diagnostic tests and procedures used in the microbiology lab.

» Bench Manuals

Manual
Summary
The recent events in the USA have created a heightened awareness and concern regarding the potential of a bioterrorist attack. Because such an attack could be overt (announced/broadcast) or covert, the microbiology laboratory may play an important role in the initial identification and control of spread of potentially infectious agents.
Although this section is mainly directed towards the processing of blood cultures, occasionally other specimen types (eg. Sterile fluids, Bone marrow, abscess material) are received in blood culture bottles and thus their processing and work-up will be described. The current blood culture system used in the Microbiology Laboratory is the non-radiometric BacT/Alert System.
Procedures on reporting, specimen collection, specimen rejection, specimen transport, and reporting on faeces/rectal swaps, duodenal or small bowel aspirates/biopsies/swabs, and rectal/large bowel biopsies.
Methods used to isolate or detect organisms which are associated with infection or disease of the genital tract.
Procedures on for testing VRE, MRSA, EBSL's, and antibiotic resistant organisms.
Methods used to isolate, identify, and report mycology samples.
Quality Control methods including Vitek QC, Kirby Bauer QC, E-test QC, and Serology QC.
Procedures including bronchoscopy specimens, epiglottal swabs, lung biopsies, mouth swabs, nasal swabs, and throat swabs.
Serological testing procedures including Epstein-Barr, Hepatitis B, Cytomegalovirus, Herpes, and HIV.
Sterile fluid testing procedures including cerebrospinal , pleural, peritoneal, amniotic, and transfusion products.
Procedures used to check for sterility in samples, including those from the bone bank, environmental specimens, pharmacy, distilled water, and air.
Urine specimens for culture are collected when the following syndromes are suspected: cystitis, pyelonephritis, asymptomatic bacteriuria, and less commonly acute prostatitis, pyelonephric abscess, and urosepsis.
Diagnostic Virology is performed for a variety of reasons, ranging from the etiologic diagnosis of an acutely ill patients’ disease to retrospective serologic surveys for evidence of past infection.
Instructions on how to use the Vitek system.
Procedures and methods for skin, wound, tissue, ear, eye, and aspirate specimens.
This website has been made possible through an unrestricted educational grant from Pfizer Canada Inc.
© Copyright 1999-2007 Department of Microbiology, Mount Sinai Hospital, Toronto, Canada. All rights reserved.