Bacitracin Susceptibility Flashcards
What is the Purpose of bacitracin susceptibility ?
This test used for identification and differentiation of beta -hemolytic group A streptococci from other beta-hemolytic streptococci. It also used to distinguish staphylococci species (resistant) from micrococci (susceptible).
Principle of bacitracin:
Principle The antibiotic bacitracin inhibits the synthesis of bacterial cell walls. A disk (TaxoA) impreg- nated with a small amount of bacitracin (0.04 units) is placed on an agar plate, allowing the antibiotic to diffuse into the medium and inhibit the growth of susceptible organisms. After incu- bation, the inoculated plates are examined for zones of inhibition surrounding the disks.
Method of bacitracin:
- Using an inoculating loop, streak two or three suspect colonies of a pure culture onto a blood agar plate.
- Using heated forceps, place a bacitracin disk in the first quadrant (area of heaviest growth). Gently tap the disk to ensure adequate contact with the agar surface.
- Incubate the plate for 18 to 24 hours at 35°-37°C in ambient air for staphylococci and in 5% to 10% carbon dioxide (CO2) for streptococci differentiation.
- Look for a zone of inhibition around the disk.
Expected results of bacitracin:
Positive: Any zone of inhibition greater than 10 mm; susceptible
Negative: No zone of inhibition: resistant
Limitation of bacitracin:
Performance depends on the integrity of the disk. Proper storage and expiration dates should be maintained.
Quality control of bacitracin:
Positive: Streptococcus pyogenes (ATCC19615)-susceptible
Micrococcus luteus (ATCC10240)-susceptible
Negative: Streptococcus agalactiae (ATCC27956)-resistant
Staphylococcus aureus (ATCC25923)-resistant