NEW!Expanded molecular content enhances each specific organism area.
NEW!Revised life cycle illustrations clarify and reinforce important components.
More than 800 high-quality, full-color illustrations help you visualize key concepts.
Expanded sections on parasitology, mycology, and virology allow you to use just one book, eliminating the need to purchase other microbiology textbooks for these topics.
Case studies and step-by-step procedures in the ebook version (sold separately) and on the Evolve companion website allow you to see what takes place in the lab and to apply your knowledge to diagnostic scenarios.
Learning objectives at the beginning of each chapter provide measurable outcomes to achieve by completing the chapter material.
Review questions at the end of each chapter in the ebook version (sold separately) and on the Evolve companion website help you apply and assess the knowledge you’ve learned.
Genera and Species boxes provide handy, at-a-glance summaries at the beginning of each organism chapter.
A glossary defines terms at the back of the book.
Title of Book
Cover image
Title page
Table of Contents
Copyright
Dedication
Reviewers
Contributors
Preface
Acknowledgments
Part I. Basic Medical Microbiology
1. Microbial Taxonomy
Classification
Family
Genus
Species
Nomenclature
Identification
Identification Methods
2. Bacterial Genetics, Metabolism, and Structure
Bacterial Genetics
Nucleic Acid Structure and Organization
Nucleotide Structure and Sequence
Deoxyribonucleic Acid Molecular Structure
Genes and the Genetic Code
Chromosomes
Nonchromosomal Mobile Genetic Elements
DNA Replication
Replication
Expression of Genetic Information
Regulation and Control of Gene Expression
Genetic Exchange and Diversity
Mutation
Genetic Recombination
Genetic Exchange
Bacterial Metabolism
Fueling
Acquisition of Nutrients
Production of Precursor Metabolites
Energy Production
Biosynthesis
Polymerization and Assembly
Structure and Function of the Bacterial Cell
Eukaryotic and Prokaryotic Cells
Bacterial Morphology
Bacterial Cell Components
Cell Envelope
Cell Interior
3. Host-Microorganism Interactions
The Encounter Between Host and Microorganism
The Human Host’s Perspective
Microbial Reservoirs and Transmission
Human and Microbe Interactions
Animals as Microbial Reservoirs
Insects as Vectors
The Environment as a Microbial Reservoir
The Microorganism’s Perspective
Microorganism Colonization of Host Surfaces
The Host’s Perspective
Skin and Skin Structures
Mucous Membranes
The Microorganism’s Perspective
Microbial Colonization
Survival Against Environmental Conditions
Achieving Attachment and Adherence to Host Cell Surfaces
Other Factors
Microorganism Entry, Invasion, and Dissemination
The Host’s Perspective
Disruption of Surface Barriers
Responses to Microbial Invasion of Deeper Tissue
Trauma
Inhalation
Implantation of Medical Devices
Other Diseases
Specific Responses—The Immune System
B Lymphocytes (B Cells)
T Lymphocytes (T Cells)
Natural Killer T Cells (NKT Cells)
The Microorganism’s Perspective
Colonization and Infection
Pathogens and Virulence
Microbial Virulence Factors
Genetics of Virulence: Pathogenicity Islands
Avoid Killing by Phagocytes (Polymorphonuclear Leukocytes)
Avoid Phagocyte-Mediated Killing
Avoid Effects of the Complement System
Endotoxins
Exotoxins
Outcome and Prevention of Infectious Diseases
Outcome of Infectious Diseases
Prevention of Infectious Diseases
Immunization
Epidemiology
Preventing Transmission
Controlling Microbial Reservoirs
Minimizing Risk Before or Shortly After Exposure
Questions
Matching
General Principles in Clinical Microbiology
Section 1. Safety and Specimen Management
4. Laboratory Safety
Sterilization, Disinfection, and Decontamination
Methods of Sterilization
Methods of Disinfection
Physical Methods of Disinfection
Chemical Methods of Disinfection
Antiseptics
Antimicrobial Material Fabrication
Chemical Safety
Fire Safety
Electrical Safety
Handling of Compressed Gases
Biosafety
Exposure Control Plan
Employee Education and Orientation
Disposal of Hazardous Waste
Standard Precautions
Laboratory Design and Engineering Controls
Laboratory Environment
Biologic Safety Levels
Biologic Safety Cabinets
Personal Protective Equipment
Postexposure Control
Transport of Biohazardous Materials
5. Specimen Management
General Concepts for Specimen Collection and Handling
Appropriate Collection Techniques
Specimen Transport
Specimen Preservation
Specimen Storage
Specimen Labeling
Specimen Requisition
Rejection of Unacceptable Specimens
Specimen Processing
Gross Examination of Specimen
Direct Microscopic Examination
Selection of Culture Media
Specimen Preparation
Inoculation on Solid Media
Incubation Conditions
Specimen Diagnostic Procedures
Extent of Identification Required
Communication of Laboratory Findings
Critical (Panic) Values
Expediting Results Reporting: Computerization
Section 2. Approaches to Diagnosis of Infectious Diseases
6. Role of Microscopy
Bright-Field (Light) Microscopy
Principles of Light Microscopy
Magnification
Resolution
Contrast
Purpose
Principle
Method
Direct and Indirect Smears
Staining Techniques
Gram Stain
Purpose
Principle
Method
Expected Results
Reporting Results
Direct Smear
Indirect Smear
Acid-Fast Stains
Limitations
Safety Considerations
Quality Control
Purpose
Principle
Method
Expected Results
Reporting Results
Limitations
Quality Control
Safety Considerations
Purpose
Principle
Method
Expected Results
Quality Control
Limitations
Safety Considerations
Fluorescence Microscopy
Principle of Fluorescence Microscopy
Staining Techniques for Fluorescence Microscopy
Fluorochroming
Immunofluorescence
Purpose
Principle
Method
Expected Results
Reporting Results
Limitations
Dark-Field Microscopy
Digital Automated Photomicroscopy
Digital Holographic Microscopy
7. Overview of Cultivation and Systems for Identification
Organism Identification
Principles of Bacterial Cultivation
Nutritional Requirements
General Concepts of Culture Media
Formulation of Bacterial Growth Media
Media Classifications and Functions
Quality Control of Media
Summary of Artificial Media for Routine Bacteriology
Preparation of Artificial Media
Environmental Requirements
Oxygen and Carbon Dioxide Concentration
Temperature
pH
Moisture
Methods for Providing Optimal Incubation Conditions
Bacterial Cultivation
Isolation of Bacteria From Specimens
Evaluation of Colony Morphologies
Type of Media Supporting Bacterial Growth
Relative Quantities of Each Colony Type
Colony Characteristics
Indirect Gram Stain and Subcultures
Principles of Identification
Organism Identification Using Genotypic Criteria
Organism Identification Using Phenotypic Criteria
Microscopic Morphology and Staining Characteristics
Macroscopic (Colony) Morphology
Environmental Requirements for Growth
Resistance or Susceptibility to Antimicrobial Agents
Nutritional Requirements and Metabolic Capabilities
Principles of Phenotypic Identification Schemes
Selection and Inoculation of Identification Biochemical Test Battery
Type of Bacteria to Be Identified
Clinical Significance of the Bacterial Isolate
Availability of Reliable Testing Methods
Incubation for Substrate Use
Conventional Identification
Rapid Identification
Matrix-Assisted Laser Desorption Ionization Time-of-Flight Mass Spectrometry
Purpose
Principle
Method
Direct Transfer Method
Extended Direct Transfer Method
Tube Extraction Method
Spectrum Acquisition
Expected Results
Limitations
Quality Control
Bacterial Test Standard (BTS)
Blank
Quality Control Organisms
Reagents (Preparation of reagents will vary by manufacturer)
Formic Acid
Detection of Metabolic Activity
Colorimetry
Fluorescence
Turbidity
Analysis of Metabolic Profiles
Identification Databases
Commercial Identification Systems and Automation
Advantages and Examples of Commercial System Designs
8. Nucleic Acid–Based Analytic Methods for Microbial Identification and Characterization
Overview of Nucleic Acid–Based Methods
Specimen Collection and Transport
Nucleic Acid Hybridization Methods
Hybridization Steps and Components
Hybridization Formats
Overview of Polymerase Chain Reaction and Derivations
Trichosporon spp., Cutaneotrichosporon spp., and Apiotrichum sp.
Pseudozyma spp.
Laboratory Diagnosis
Specimen Collection, Transport, and Processing
Stains
Antigen Detection
Nucleic Acid Detection
Cultivation
Approach to Identification
Candida spp.
Germ Tube Test
Cryptococcus neoformans
Rapid Urease Test
Trichosporon spp., Cutaneotrichosporon spp., and Apiotrichum sp.
Malassezia spp.
Purpose
Principle
Method
Quality Control
Expected Results
Limitations
Purpose
Principle
Method
Expected Results
Report
Limitations
Purpose
Principle
Method
Quality Control
Expected Results
Commercial Yeast Identification Systems
Multiple Species Identification Systems
API-20C AUX
MicroScan Rapid Yeast Identification Panel
Vitek Biochemical Cards
Chromogenic Agars
Matrix-Assisted Laser Desorption Ionization Time-of-Flight Mass Spectrometry
Cornmeal Agar Morphology
Purpose
Principle
Method
Quality Control
Expected Results
Carbohydrate Utilization
Purpose
Principle
Method
Quality Control
Phenoloxidase Detection Using Niger Seed Agar
Purpose
Principle
Method
Quality Control
Expected Results
Nucleic Acid Sequencing Methods
Questions
63. Antifungal Susceptibility Testing, Therapy, and Prevention
Antifungal Susceptibility Testing
Broth Dilution Antifungal Susceptibility Testing for Yeast
Broth Dilution Antifungal Susceptibility Testing for Molds
Antifungal Therapy and Prevention
Azole Antifungal Drugs
Fluconazole
Itraconazole
Ketoconazole
Voriconazole
Posaconazole
Isavuconazole
Echinocandins
Polyene Macrolide Antifungals
Amphotericin B
Nystatin
Griseofulvin
5-Fluorocytosine (Flucytosine)
Allylamines
Terbinafine and Naftifine
Selenium Sulfide
Part VI. Virology
64. Overview of the Methods and Strategies in Virology
General Characteristics
Viral Structure
Virus Taxonomy
Viral Replication
Epidemiology
Pathogenesis and Spectrum of Disease
Prevention and Therapy
Antiviral Agents
Viruses That Cause Human Diseases
Laboratory Diagnosis
Designing a Clinical Virology Laboratory
Specimen Selection and Collection
General Principles
Throat, Nasopharyngeal Swab, or Aspirate (Respiratory)
Bronchial and Bronchoalveolar Washes (Lower Respiratory)
Rectal Swabs and Stool Specimens
Urine
Skin and Mucous Membrane Lesions
Sterile Body Fluids Other Than Blood
Dried Blood Spots
Bone Marrow
Tissue
Genital Specimens
Oral
Eye
Serum for Antibody Testing
Specimen Transport and Storage
Specimen Processing
General Principles
Processing Based on Requests for Specific Viruses
Purpose
Specimen
Materials
Method
Troubleshooting
Purpose
Specimen
Materials
Method
Quality Control
Purpose
Principle
Specimen
Materials
Method
Interpretation
Procedure Notes
Virus Detection Methods
Cytology and Histology
Immunodiagnostics (Antigen Detection)
Enzyme-Linked Virus-Inducible System
Nucleic Acid–Based Methods
Cell Culture
Matrix-Assisted Laser Desorption Ionization Time-of-Flight Mass Spectrometry
Purpose
Specimen
Materials
Method
Quality Control
Purpose
Materials
Specimen
Method
Interpretation of Results
Quality Control
Purpose
Specimen
Materials
Method
Interpretation
Quality Control
Serologic Testing
General Principles
Immune Status Testing
Serology Panels
Preservation and Storage of Viruses
Purpose
Materials
Method
Questions
65. Viruses and Prions in Human Disease
Deoxyribonucleic Acid Viruses
Family
Ribonucleic Acid Viruses
Family
Prions
Viruses in Human Disease
Adenoviridae
Arenaviridae
Astroviridae
Caliciviridae
Coronaviridae
Filoviridae
Flaviviridae
Yellow Fever Virus
Dengue Virus
West Nile Virus
Zika Virus
Hepatitis C Virus
Hantaviridae
Hepadnaviridae
Hepeviridae
Herpesviridae
Herpesviruses
Varicella-Zoster Virus
Epstein-Barr Virus
Cytomegalovirus
Orthomyxoviridae
Papillomaviridae
Paramyxoviridae
Measles Virus
Parvoviridae
Picornaviridae
Enteroviruses, Parechoviruses, and Polioviruses
Rhinovirus
Hepatitis A Virus
Pneumoviridae
Polyomaviridae
Poxviridae
Reoviridae
Retroviridae
Rhabdoviridae
Togaviridae
Prions in Human Disease
Questions
66. Antiviral Therapy, Susceptibility Testing, and Prevention
Antiviral Therapy
Antiviral Resistance
Methods of Antiviral Susceptibility Testing
Phenotypic Assays
Plaque Reduction Assay
Enzyme Immunoassay
Recombinant Virus Assays
Genotypic Susceptibility Assays
Pyrosequencing
Next-Generation Sequencing
Human Immunodeficiency Virus
Influenza
SARS-CoV-2
Prevention of Other Viral Infections
Vaccination
Immune Prophylaxis and Therapy
Eradication
Questions
Part VII. Diagnosis by Organ System
67. Bloodstream Infections
General Considerations
Etiology
Bacteria
Fungi
Parasites
Viruses
Types of Bacteremia
Types of Bloodstream Infections
Intravascular Infections
Extravascular Infections
Clinical Manifestations
Immunocompromised Patients
Detection of Bacteremia
Others May Include:
Specimen Collection
Preparation of the Site
Specimen Volume
Number of Blood Cultures
Timing of Collection
Miscellaneous Matters
Purpose
Principle
Method
Pediatric Weight-Based Blood Volumes
Pediatric Age-Based Blood Volumes
Types of Blood Culture Bottles
Culture Techniques
Conventional Blood Cultures
Self-Contained Manual Culture Systems
Lysis Centrifugation
Instrument-Based Systems
Non–culture-Based Methods for Identification of Bacteremia or Sepsis
Matrix-Assisted Laser Desorption Ionization Time-of-Flight Mass Spectrometry
Intravenous Catheter–Associated Infections
Handling Positive Indirect Detection From Culture
Rapid Tests From Positive Blood Culture Bottles
Interpretation of Blood Culture Results
Special Considerations for Other Relevant Organisms Isolated From Blood
HACEK Bacteria
Campylobacter and Helicobacter spp.
Fungi
Mycobacterium spp.
Brucella spp.
Spirochetes
Borrelia spp.
Leptospira spp.
Granulicatella and Abiotrophia spp.
Mycoplasma spp.
Bartonella spp.
Questions
68. Infections of the Lower Respiratory Tract
General Considerations
Anatomy
Pathogenesis of the Respiratory Tract: Basic Concepts
Host Factors
Microorganism Virulence Factors
Adherence
Toxins
Microorganism Growth
Avoiding the Host Response
Possible Pathogens
Acute Diseases of the Lower Respiratory Tract
Bronchitis
Bronchiolitis
Pneumonia
Pathogenesis
Clinical Manifestations
Epidemiology and Etiologic Agents
Pneumonia in Children
Pneumonia in Young Adults
Pneumonia in Adults
Chronic Diseases of the Lower Respiratory Tract
Bronchitis
Pneumonia
Cystic Fibrosis
Bacterial Lung Abscess
Immunocompromised Patients
Patients With Neoplasms
Transplant Recipients
Patients With Human Immunodeficiency Virus
Pleural Infections
Laboratory Diagnosis of Lower Respiratory Tract Infections
Specimen Collection and Transport
Sputum
Endotracheal or Tracheostomy Suction Specimens
Bronchoscopy
Transtracheal Aspirates
Other Invasive Procedures
Specimen Processing
Rejection Criteria for Respiratory Samples
Direct Visual Examination
Routine Culture
Questions
69. Upper Respiratory Tract Infections and Other Infections of the Oral Cavity and Neck
General Considerations
Anatomy
Pathogenesis
Diseases of the Upper Respiratory Tract, Oral Cavity, and Neck
Upper Respiratory Tract
Common Cold
Laryngitis
Laryngotracheobronchitis
Epiglottitis
Pharyngitis, Tonsillitis, and Peritonsillar Abscesses
Rhinitis
Miscellaneous Infections Caused by Other Agents
Oral Cavity
Stomatitis
Thrush
Periodontal Infections
Salivary Gland Infections
Neck
Diagnosis of Upper Respiratory Tract Infections
Collection and Transport of Specimens
Direct Visual Examination or Detection
Culture
Streptococcus pyogenes (Beta-Hemolytic Group A Streptococci)
Corynebacterium diphtheriae
Bordetella pertussis
Neisseria spp.
Epiglottitis
Diagnosis of Infections in the Oral Cavity and Neck
Collection and Transport
Direct Visual Examination
Culture
Questions
70. Meningitis and Other Infections of the Central Nervous System
General Considerations
Anatomy
Coverings and Spaces of the Central Nervous System
Cerebrospinal Fluid
Routes of Infection
Diseases of the Central Nervous System
Meningitis
Encephalitis/Meningoencephalitis
Viral Encephalitis
Mycobacterial Infections
Fungal Infections
Parasitic Infections
Brain Abscess
Shunt Infections
Laboratory Diagnosis of Central Nervous System Infections
Meningitis
Specimen Collection and Transport
Initial Processing
Cerebrospinal Fluid Laboratory Results
Visual Detection of Etiologic Agents
Direct Detection of Etiologic Agents
Matrix-Assisted Laser Desorption Ionization Time-of-Flight Mass Spectrometry
Culture
Purpose
Principle
Method
Expected Results
Questions
71. Infections of the Eyes, Ears, and Sinuses
Eyes
Anatomy
Resident Microbiota
Diseases
Pathogenesis
Epidemiology and Etiology of Disease
Periocular Infections
Microbial Conjunctivitis
Microbial Keratitis
Endophthalmitis
Uveitis
Laboratory Diagnosis
Specimen Collection and Transport
Direct Visual Examination
Nucleic Acid–Based Methods
Other Nonculture Methods
Culture
Ears
Anatomy
Resident Microbiota
Diseases, Epidemiology, and Etiology of Disease
Otitis Externa (External Ear Infection)
Otitis Media (Middle Ear Infections)
Mastoiditis
Pathogenesis
Laboratory Diagnosis
Specimen Collection and Transport
Direct Visual Examination
Culture and Nonculture Methods
Sinuses
Anatomy
Diseases
Pathogenesis
Epidemiology and Etiology of Disease
Laboratory Diagnosis
Matrix-Assisted Laser Desorption Ionization Time-of-Flight Mass Spectrometry
Questions
72. Infections of the Urinary Tract
General Considerations
Anatomy
Resident Microbiota of the Urinary Tract
Infections of the Urinary Tract
Epidemiology
Etiologic Agents
Community-Acquired
Hospital- and Health Care–Associated
Miscellaneous
Pathogenesis
Routes of Infection
The Host-Pathogen Relationship
Types of Infection and Their Clinical Manifestations
Urethritis
Ureteritis
Asymptomatic Bacteriuria
Cystitis
Acute Urethral Syndrome
Pyelonephritis
Laboratory Diagnosis of Urinary Tract Infections
Specimen Collection
Clean-Catch or Clean-Voided Midstream Urine
Straight Catheterized Urine
Suprapubic Bladder Aspiration
Indwelling Catheter
Timing of Specimen Collection
Specimen Transport
Screening Procedures
Gram or Methylene Blue Stain
Pyuria
Indirect Indices
Automated and Semiautomated Systems
General Comments Regarding Screening Procedures
Urine Culture
Inoculation and Incubation of Urine Cultures
Interpretation of Urine Cultures
Purpose
Principle
Method
Interpretation and Results
Questions
73. Genital Tract Infections
General Considerations
Anatomy
Resident Microbiota
Sexually Transmitted Diseases and Other Genital Tract Infections
Genital Tract Infections
Sexually Transmitted Diseases and Other Lower Genital Tract Infections
Epidemiology and Etiologic Agents
Routes of Transmission
Clinical Manifestations
Infections of the Reproductive Organs and Other Upper Genital Tract Infections
Female Patients
Male patients
Laboratory Diagnosis of Genital Tract Infections
Lower Genital Tract Infections
Urethritis, Cervicitis, and Vaginitis
Genital Skin and Mucous Membrane Lesions
Buboes
Smear Preparation
Principle
Method
Infections of the Reproductive Organs
Pelvic Inflammatory Disease
Miscellaneous Infections
Infections of Neonates and Human Products of Conception
Questions
74. Gastrointestinal Tract Infections
Anatomy
Resident Gastrointestinal Microbiome
Gastroenteritis
Pathogenesis
Host Factors
Microbial Factors
Clinical Manifestations
Epidemiology
Institutional Settings
Traveler’s Diarrhea
Foodborne and Waterborne Outbreaks
Immunocompromised Hosts
Etiologic Agents
Other Infections of the Gastrointestinal Tract
Esophagitis
Gastritis
Proctitis
Miscellaneous
Laboratory Diagnosis of Gastrointestinal Tract Infections
Specimen Collection and Transport
General Comments
Stool Specimens for Bacterial Culture
Stool Specimens for Ova and Parasites
Stool Specimens for Viruses
Miscellaneous Specimen Types
Direct Detection of Agents of Gastroenteritis in Feces
Wet Mounts
Stains
Antigen Detection
Nucleic Acid Testing
Culture of Fecal Material for Isolation of Etiologic Agents
Bacteria
Laboratory Diagnosis of Clostridioides difficile–Associated Diarrhea
Questions
Questions
75. Skin, Soft Tissue, and Wound Infections
General Considerations
Anatomy of the Skin
Function of the Skin
Prevalence, Etiology, and Pathogenesis
Skin and Soft Tissue Infections
Infections of the Epidermis and Dermis
Infections in or Around Hair Follicles
Infections in the Keratinized Layer of the Epidermis
Infections in the Deeper Layers of the Epidermis and Dermis
Infections of the Subcutaneous Tissues
Infections of the Muscle Fascia and Muscles
Necrotizing Fasciitis
Progressive Bacterial Synergistic Gangrene
Myositis
Wound Infections
Postoperative Infections
Bites
Burns
Special Circumstances Regarding Skin and Soft Tissue Infections
Infections Related to Vascular and Neurologic Problems
Sinus Tracts and Fistulas
Systemic Infections and Skin Manifestations
Laboratory Diagnostic Procedures
Specimen Collection
Infections of the Epidermis and Dermis
Erysipeloid
Superficial Mycoses and Erythrasma
Erysipelas and Cellulitis
Vesicles and Bullae
Infections of the Subcutaneous Tissue
Infections of the Muscle Fascia and Muscles
Wound Infections
Postoperative
Bites
Burns
Purpose
Principle
Method
Questions
Questions
Questions
76. Normally Sterile Body Fluids, Bone and Bone Marrow, and Solid Tissues
Specimens From Sterile Body Sites
Fluids
Pleural Fluid
Peritoneal Fluid
Peritoneal Dialysis Fluid
Pericardial Fluid
Joint Fluid
Viruses
Bacteria (Relatively Uncommon)
Fungi (Relatively Uncommon)
Parasites (Relatively Uncommon)
Bacterial
Fungal
Viral
Bone
Bone Marrow Aspiration or Biopsy
Bone Biopsy
Solid Tissues
Laboratory Diagnostic Procedures
Specimen Collection and Transport
Fluids and Aspirates
Bone
Tissue
Specimen Processing, Direct Examination, and Culture
Fluids and Aspirates
Bone
Solid Tissue
Questions
Part VIII. Clinical Laboratory Management
77. Quality in the Clinical Microbiology Laboratory
Quality Program
Specimen Collection and Transport
Standard Operating Procedure Manual
Personnel
Reference Laboratories
Patient Reports
Proficiency Testing
Performance Checks
Instruments
Commercially Prepared Media Exempt From Quality Control
User-Prepared and Nonexempt, Commercially Prepared Media
Antimicrobial Susceptibility Tests
Stains and Reagents
Kits
Maintenance of Quality Control Records
Maintenance of Reference Quality Control Stocks
Bacteriology
Mycology
Mycobacteriology
Virology
Parasitology
Quality Assurance Program
Types of Quality Assurance Audits
Conducting a Quality Assurance Audit
Continuous Daily Monitoring
Background
Study Design
Results
Analysis
Conclusions
Recommendations
78. Infection Prevention and Control
Incidence of Health Care–Associated Infections
Types of Health Care–Associated Infections
Catheter-Associated Urinary Tract Infections
Ventilator-Associated Pneumonia
Surgical Site Infections
Central Line–Associated Bloodstream Infections
Emergence of Antibiotic-Resistant Microorganisms
Hospital Infection Prevention Programs
Role of the Microbiology Laboratory
Characterizing Strains Involved in an Outbreak
Preventing Health Care–Associated Infections
Surveillance Methods
79. Sentinel Laboratory Response to Bioterrorism
General Considerations
Bio Crime
Government Laws and Regulations
Biosecurity
Viruses
Bacteria
Toxins
Laboratory Response Network
Role of the Sentinel Laboratory
Questions
Glossary
Index
Language: English
Edition: 16
Published: November 6, 2024
Imprint: Elsevier
Hardback ISBN: 9780443118913
eBook ISBN: 9780443118920
PT
Patricia M. Tille
Affiliations and expertise
Dept. Vice Chair, Clinical and Health Information Sciences, Graduate Program Director/Professor, Medical Laboratory Science, University of Cincinnati, Cincinnati, Ohio; Chair, Microbiology Advisory Committee, International Federation of Biomedical Laboratory Science; Editor in Chief, International Journal of Biomedical Laboratory Science, International Federation of Biomedical Laboratory Science; President, American Society of Clinical Laboratory Science