Medically Important Aerobic Actinomycetes (Online CE Course)

(based on 248 customer ratings)

Author: Julie Ann West, PhD (CPH [NEPHE]), MLS(ASCP)CMSMCM
Reviewers: Laurie Bjerklie, MA, MLS(ASCP)CM and Nicole Darius, MLS(ASCP)CM

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This course describes the significance of medically important aerobic actinomycetes. Microscopy, morphology, and identification methods are discussed. Susceptibility testing and treatment of infections are also included in this module. This module is intended for medical microbiologists having basic bacteriology experience.

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Objectives

  • Describe the significance of medically important actinomycetes, including reservoir, pathogenesis, and epidemiology, as well as proper safety protocol.
  • Explain the preparation of specimens and staining techniques with expected reactions for aerobic actinomycetes.
  • Describe media, basic tests for phenotypic characterization, and several genotypic identification methods used to isolate and identify aerobic actinomycetes.
  • State the status of serological assays and MALDI-TOF.
  • Summarize several genera and species of medically important aerobic actinomycetes and recognize specific identifying characteristics of notable aerobic actinomycetes.
  • Demonstrate an understanding of susceptibility testing and the treatment of human aerobic actinomycetes infections.

Customer Ratings

(based on 248 customer ratings)

Course Outline

Click on the links below to preview selected pages from this course.
  • Significance: Reservoir, Pathogenesis, and Epidemiology
      • Introduction: Background, Classification, and Safety
      • Reservoir
      • Pathogenesis
      • Cutaneous and Subcutaneous Forms
      • Pulmonary Forms
      • Disseminated Forms
      • Epidemiology
      • The reservoir of actinomycetes is:
      • Which aerobic actinomycetes are most commonly encountered among medical cases in the United States?
      • Laboratories should use which biosafety level when processing aerobic actinomycetes?
  • Laboratory Preparation of Specimens
      • General Characteristics and Specimen Preparation
      • All of the following are true of specimen preparation for isolation of the aerobic actinomycetes, except:
  • Laboratory Identification: Microscopy
      • Microscopy: Staining Techniques
      • Microscopy: Staining Reactions
      • Microscopy: Sulfur Granules
      • A modified Kinyoun acid-fast staining technique uses:
      • When viewing a direct Gram stain of suspected aerobic actinomycetes, all of the following may be seen, except:
  • Laboratory Identification: Morphology and Testing
    • Media for Propagating Aerobic Actinomycetes
      • Primary Media
      • Selective Media
      • Primary isolation medium for sterile body site specimens include:
      • After initial growth is achieved, subcultures of suspected aerobic actinomycetes should include which different incubation temperatures to determine t...
    • Traditional Methods of Phenotypic Characterization
    • Genotypic Identification Methods
      • Chromatography
      • Molecular Methods
      • Polymerase Chain Reaction
      • Other Molecular Tests
      • In the identification of aerobic actinomycetes, HPLC methods are:
      • Which of the following is a true statement?
  • Serological Assays and MALDI-TOF
      • Serological Assays
      • MALDI-TOF
      • Regarding the identification of aerobic actinomycetes, select the accurate statement:
      • Regarding MALDI-TOF, select the incorrect statement:
  • Description of Medically Important Aerobic Actinomycetes Genera and Species
  • Susceptibility Testing and Treatment of Aerobic Actinomycetes Infections
      • Susceptibility Testing: Methods and Limitations
      • Susceptibility Testing: Typical Profiles
      • Treatment
      • Prevention
      • Regarding susceptibility testing methods of the aerobic actinomycetes, which statement is false?
      • For Nocardia, Streptomyces, and Actinomadura infections, the usual drug of choice is:
  • References

Additional Information

Level of Instruction: Intermediate to advanced
Intended Audience: Medical laboratory scientists, medical laboratory technicians, microbiologists, infection control members, and pathologists. This course is also appropriate for MLS and MLT students and pathology residents.
Author Information: Dr. Julie Ann West is certified by the American Society for Clinical Pathology (ASCP) as a Medical Laboratory Scientist (MLS) and as a Specialist in Microbiology (SM). In addition, Dr. West has earned a PhD in Public Health - Infectious Disease Epidemiology - and is Certified in Public Health (CPH) by the National Board of Public Health Examiners. Dr. West is experienced as a Technical Specialist, Safety Officer, Educator, and Lead in the Veterans Administration.
The author has no conflict of interest to disclose.
Reviewer Information:
Laurie Bjerklie, MA, MLS(ASCP)CM, is a Lead Education Developer. She earned a B.S. in Medical Laboratory Science from the University of North Dakota and an M.A. in Curriculum and Instruction from Saint Xavier University. She has over 15 years of experience in higher education and has held program director and faculty positions in both MLT and MLS programs.
Nicole Darius, MLS(ASCP)CM, is experienced as a Microbiology Supervisor, Safety and Biosafety Officer, Antimicrobial Stewardship and Infection Control member, Lean certified, and Quality Assurance specialist in the Veterans Administration Healthcare System. She also has previous experience as a generalist medical laboratory scientist in chemistry, hematology, urinalysis, and blood bank.
Course Description: This course describes the significance of medically important aerobic actinomycetes. Microscopy, morphology, and identification methods are discussed. Susceptibility testing and treatment of infections are also included in this module. This module is intended for medical microbiologists with basic bacteriology experience. 

How to Subscribe
MLS & MLT Comprehensive CE Package
Includes 186 CE courses, most popular
$109Add to cart
Pick Your Courses
Up to 8 CE hours
$55Add to cart
Individual course$25Add to cart
Figure 3. Mycetoma of the arm caused by Nocardia brasiliensis


14816 mycetoma of foot - Streptomyces infection


Figure 14. QUAD plate containing xanthine media; a halo appearance (hydrolysis of the media) is a positive result, while an absence of a halo is a negative result.


Figure 18. Streptomyces bacteria prep from a slide culture demonstrating long chains of small spores


Figure 20. Gram stain of Rhodococcus


Figure 23. Actinomadura pelletieri colony


Figure 4. Cellulitic inflammation of the foot becoming an actinomycotic mycetoma due to Nocardia


Figure 17. Nocardia brasiliensis on agar