Laboratory Diagnosis of Enterobacteriaceae Flashcards
Yersinia spp. bipolar appearance, closed safety pin appearance.
Wayson stain or Methylene Blue stain
Blue rod with prominent polar granules, giving rise to the safety-pin appearance,surrounded by a large, pink capsule.
[microscopic examination]
Donovan Body
Used as enrichment for the isolation of Shigella and other Enterobacteriaceae.
[culture media]
Gram-negative broth (GN) or Selenite broth (SEL)
Medium specifically used for the isolation of Y. enterocolitica from gastrointestinal specimens.
[culture media]
Cefsulodin-irgasan-novobiocin (CIN) agar
It is used to differentiate sorbitolnegative E. coli O157:H7 from other strains of E. coli that are capable of fermenting this sugar alcohol.
[culture media]
MacConkeysorbitol agar (MAC-SOR)
Broth cultures of Y. pestis exhibit a characteristic ____ in which clumps of cells adhere to one side of the tube.
Stalactite pattern
Colonies of Y. pestis on 5% sheep blood agar are ____ at 24 hours but exhibit a ___, ____ appearance at 48 hours.
pinpoint, rough, cauliflower
Production of hydrogen sulfide (H2S); ferrous sulfate. Salmonella spp. Positive reactions appear as brown to black precipitate.
[isolation of salmonella spp. and shigella spp.]
Bismuth sulfite agar
Positive reactions of Bimuth Sulfite Agar.
[color]
brown to black
Salmonella spp. appear as white to pink or red colonies surrounded by a bright halo.
[isolation of salmonella spp. and shigella spp.]
Brilliant green agar
Appear colorless.
[shigella, salmonella]
Shigella spp.
Colorless with a black center.
[shigella, salmonella]
Salmonella spp.
Selective enrichment for the growth of Salmonella spp.
Selenite broth
Colorless to red with black center. (Xylose-lysinedeoxychocolate agar)
[shigella, salmonella]
Salmonella spp.
Colorless to red. (Xylose-lysinedeoxychocolate agar)
[shigella, salmonella]
Shigella spp.
Lactose fermenter, forms blueblack with a metallic green sheen.
[Eosin/Methylene blue agar (EMB]
Escherichia coli
form pink colonies.
[Eosin/Methylene blue agar (EMB]
Other coliform fermenters
Translucent, either amber or colorless.
[Eosin/Methylene blue agar (EMB]
Nonfermenters
TSI means
Triple Sugar Iron agar
[3] Sugar in TSI agar
Glucose
Lactose
Sucrose
acidic (yellow) resulting from the fermentation of glucose under anaerobic conditions.
[TSI]
Butt
lactose and/or sucrose are fermented:
[TSI]
Siant
[3] Quality Control
- A/A
- K/A H2S+
- K/NC
A/A
[quality control]
Escherichia coli
K/A H2S+
[quality control]
Salmonella typhi
K/NC:
[quality control]
Pseudomonas aeruginosa
Drawing a circle around the A for the acid butt, that is, A/A , usually indicates production of ____?
Gas
Indicate the production of CO2 and H2 in the tube.
Bubbles or cracks
Contains lysine, peptones, a small amount of glucose, ferric ammonium citrate, and sodium thiosulfate.
Lysin Iron Agar
When glucose is fermented, the butt of the medium becomes ___?
Acidic (yellow)
What forms if the organism produces lysine decarboxylase?
Cadaverine
It neutralizes the organic acids formed by glucose fermentation, and the butt of the medium reverts to the alkaline state (purple)
Cadaverine
Organism decarboxylates but cannot deaminate, ferments glucose, first butt is yellow then turns back to purple.
[LIA]
K/K
Organism fermented glucose but was unable to deaminate or decarboxylate lysine.
[LIA]
K/A
Organism deaminated lysine but could not decarboxylate it.
[LIA]
R/A
Lysine decarboxylation and no fermentation of glucose.
[LIA result]
Alkaline slant/ Alkaline butt (K/K)
Glucose fermentation
[LIA result]
Alkaline slant/acid butt (K/A)
Lysine deamination and glucose fermentation.
[LIA result]
Red slant/acid butt (R/A)
Alkaline slant and butt, H2S positive:
[LIA, quality control]
Salmonella typhimurium
Alkaline slant, acid butt:
[LIA, quality control]
Shigella flexneri
Red slant, acid butt:
[LIA, quality control]
Proteus vulgaris
Determines whether an organism possesses the enzyme that deaminates phenylalanine to phenylpyruvic acid.
[test]
Phenylalanine Deaminase (PAD)
This test is helpful in initial differentiation of Proteus, Morganella, and Providencia organisms, which are positive, from the rest of the Enterobacteriaceae.
Phenylalanine Deaminase (PAD)
A semisolid agar.
Sulfide indole motility
Color that indicates the production of H2S.
[SIM agar]
Black precipitate
Color that indicated the addition of Kovac’s reagent is positive for indole.
[SIM agar]
pink to red
It is one of the degradation products of the amino acid tryptophan
[SIM agar]
Indole
What color that indicates that indole is present.
[SIM agar]
Red
In SIM agar medium, it can be utilized by bacteria, with the production of hydrogen sulfide.
Sodium thiosulfate
What color is H2S in SIM agar.
Colorless
It is more sensitive than Kovac’s reagent and is preferred with nonfermentative bacteria.
[method]
Ehrlich method
Color that indicate that indole is present after the addition of PDAB.
Red color
This test is used to determine the ability of an organism to utilize sodium citrate as its only carbon source and inorganic ammonium salts as its only nitrogen source.
[test]
Citrate utilization
Color of bacteria that can grown on citrate utilization.
Bromothymol blue
Bromothymol Blue is GREEN.
[pH]
pH <7.0
Bromothymol BLUE
[pH]
pH > 7.6
Quality control: Positive
[Citrate utilization]
Klebsiella pneumoniae
Quality control: Negative
[Citrate utilization]
Escherichia coli
Alternative medium of Citrate Utilization.
Christensen’s citrate
This medium incorporates phenol red (as the pH indicator) and organic nitrogen.
Christensen’s citrate medium
This test is used to determine the ability of an organism to produce the enzyme urease, which hydrolyzes urea.
Urea hydrolysis (Christensen’s method)
[2] Hydrolysis of urea produces.
[A,C]
Ammonia and CO2
Expected results of Urea Hydrolysis if NEGATIVE.
No color change
Expected results of Urea Hydrolysis if POSITIVE.
Light orange to magenta
Quality control of Urea Hydrolysis: POSITIVE
Proteus vulgaris
Quality control of Urea Hydrolysis: NEGATIVE
Escherichia coli
Quality control of Methyl Red: POSITIVE
Escherichia coli
Quality control of Methyl Red: NEGATIVE
Enterobacter cloacae
Quality control of B. VP (Barritt’s method): POSITIVE
Enterobacter cloacae
Quality control of B. VP (Barritt’s method): NEGATIVE
Escherichia coli
This test determines whether an organism has the ability to reduce nitrate to nitrite and reduce nitrite further to nitrogen gas (N2).
Nitrate Reduction Test
Color that indicates of presence of nitrite.
Red