Anaerobes Flashcards
Bacteroides fragilis
Non-pigmented colonies on the LKV plate
Prevotella
No black pigmentation on BBE, Pigmented or nonpigmented colonies on LKV agar
Porphyromonas
No growth on BBE, Resistant to kanamycin and colistin and sensitive to vancomycin and no growth on LKV agar
Bacteriodes urealyticus
No growth on BBE, Susceptible to kanamycin and colistin and resistant to vancomycin and growth on LKV agar, Indole negative and nitrite (+)
Fusobacterium nucleatum
NO growth on BBE, Indole positive and nitrite negative
SPS disk
Sensitive: Peptostreptococcus anaerobius
Resistant: Peptostreptococcus asaccharolyticus (Indole (+)) or Peptostreptococcus. sp. (Indole (-))
Appropriate Anaerobic Specimens
- Abscess needle aspirates: highly recommended
- Tissue and biopsy material
- Swabs: least preferred
- Protected brush bronchoscopy specimens
- Suprapubic urine sample
- Blood and normally sterile body fluids
Anaerobic Specimen Transport
- Specimens promptly transported to lab avoiding exposure to oxygen and drying out of sample.
- Transport within 2-3 hrs of collection.
- Special transport system known as prereduced, anaerobically sterilized (PRAS) medium:
- Agar medium (e.g., modified Cary-Blair or Amies medium)
- Resazurin (an oxygen tension indicator, colorless under anaerobic conditions and pink in presence of oxygen)
- Reducing substances (e.g., thioglycolate, cystine)
Anaerobic Specimen Processing
- Processed in anaerobic chamber (or should be handled quickly if exposed to room air)
- Look for blood, gas, pus, granules and foul odor
- Gram-stain using basic fuchsin or carbolfuchsin instead of safranin
- Specimens submitted should also be cultured aerobically on BAP, CHOC and MAC
C. perfringens
- Found in human GIT as well as soil and water
- Gram-positive boxcar-shaped cells
- Double zone of Β hemolysis
- Causes bacteremia, cellulitis, abdominal and genital tract abscess, myonecrosis (gas gangrene), food poisoning by enterotoxin
C. difficile
- yellow ground-glass colonies on CCFA, fluoresce yellow-green under UV light
- Diarrhea and pseudomembranous colitis from toxigenic strains producing both Toxin A (enterotoxin) and Toxin B (cytotoxin)
- Cytotoxicity test: toxin B in stool filterate detected by CPE on cultured human fibroblast cells, normal cells are fusiform whereas toxin B makes them round and appear refractile
C. botulinum
Botulism from several neurotoxins
Reference labs detect organism or its toxin in food, stool, serum or wound material
C. tetani
- ‘Drumstick’ or ‘tennis racket’ appearance of bacilli with round terminal spores
- Spores in soil contaminate wounds and skin punctures
- Disease caused by neurotoxin (tetanospasmin)
A. israelii
- Incubated anaerobically for 7-9 days show spiderlike or woolly (younger) and molar-tooth or raspberry appearance (older) colonies
- Sulfur granules which are clumps of organisms are observed in pus
Bifidobacterium
- Pleomorphic with coccoid, elongated, branched or bifurcated
- Normal GIT and oral flora, rarely cause disease