Bacteroides spp Flashcards
Bacteroides culture conditions
Anaerobic 37C blood agar
Anaerobic bacteria
Clostridioides
Bacteroides
Anaerobic Gram negative bacillus
Bacteroides
Bacteroides colonial morphology
1-3mm, round, shiny grey, no haemolysis
Gram stain
Gram negative bacilli
Small slender rods
clusters
sometimes coccobacilli
Biochemical tests
KOH positive
Catalase positive
Oxidase Negative
Presumptive Bacteroides spp tests
- Anaerobic growth
- Metronidazole susceptibility test
- Anaerobic identification discs - MID8
Anaerobic growth + metronidazole susceptibility test procedure
- Lawn inoculate blood agar purity plate with test organism + PC ( P. aeruginosa) + NC (B. fragilis) and incubate AEROBICALLY overnight at 37C
- Lawn inoculate blood agar purity plate with test + controls (PC = B. fragilis, NC = P. aeruginosa).
- Place metronidazole disc on secondary inoculum of test organism.
- Incubate ANAEROBICALLY for 48hrs using anaerobic jar and AnaeroGen sachet.
Anaerobic growth + metronidazole susceptibility test results
Anaerobic organisms only grow anaerobically (no O2) AND anaerobic organisms are SUSCEPTIBLE to metronidazole = produce zone on inhibition of growth around disk.
Anaerobic identification discs - MID8 test procedure
- Suspend test organism in 5ml water = dense suspension
- Lawn suspension on BA plate
- Using forceps place MID9 mastring on surface of BA plate.
- Incubate anaerobically 37C for 48hrs.
- Measure inhibition zones using digitial calipers.
B fragilis MID8 sensitivity results
E + RP sensitive
Resistant to the other 4 (CO, PG, K, VA)
MID8 code and corresponding drug
E
RP
CO
PG
K
VA
E = erythromycin
RP = rifampcin
CO = colistin sulphate
PG = penicillin G
K = kanamycin
VA = vancomycin
Additional confirmatory tests
Vitek, MALDI-TOF
Bacteroides infections
Normal commensal of human colon so it is an endogenous infection which occurs when they gain access to tissue/blood following bowel perforation - surgery/trauma.
Causes ABSCESSES - abdominal or peritoneal
Bacteroides treatment
- AST - AMR is common
- Metronidazole.