Principles of Laboratory Tests Flashcards
What are the principles behind the DN’ase agar.
(4)
Some bacteria species produce DN’ase enzymes
DN’ase agar contains 0.2% DNA
After incubation and growth, the plate is flooded with 1M hydrochloric acid which precipitates DNA and turns the medium cloudy
DN’ase positive colonies will show a distinct clear zone around inoculum as they have broken down the DNA and is therefore no longer available for precipitation by HCL
What is the principle behind mannitol salt agar?
(3)
Selective and differential for Staphylococci
High salt concentration of salt (7.5%) selects for staphylococci
Mannitol and pH indicator phenol red is differential and will turn yellow if organism can ferment mannitol
What is the principle behind SAIDE (Chromid S. aureus Elite agar)?
(2)
AIDE agar is a chromogenic medium designed for the selective culture of S. aureus
Chromogenic substrates in the agar target specific enzymes in S. aureus to enable the differential growth of S. aureus colonies as pink colonies
What is the principle behind the Staphaurex Plus test?
(4)
Protein A is found on about 95% of Staph aureus strains
Protein A has the ability to bind to the Fc portions of IgG
Staphaurex Plus uses latex particles coated with porcine fibrinogen and rabbit IgG including specific polyclonal antibodies raised against capsular polysaccharides of S. aureus
When the reagent is mixed on a card with colonies of S, aureus, rapid agglutination occurs through the reaction between fibrinogen and clumping factor, Fc portion of IgG and Protein A, specific IgG and capsular polysaccharide
Why should Staphaurex Plus be used instead of a coagulase test?
(3)
Some strains of methicillin-resistant strains of S. aureus may express undetectable levels of clumping facto and protein A
These MRSA strains possess capsular polysaccharide
The capsule can mask both Protein A and the clumping factor thereby preventing agglutination
What is the principle behind novobiocin resistance for coag negative staph differentiation?
Saprophyticus is resistant to novobiocin while epidermidis is not
What is a positive novobiocin test
Resistance to novobiocin
What is a negative novobiocin test
Susceptibility to novobiocin
What species will give a positive novobiocin result
S. saprophyticus (resistant)
What species will give a negative novobiocin result
S. epidermidis (susceptible)
What is the principle of the tube coagulase test?
(5)
Designed to detect both free and bound coagulase
Done by emulsifying 1 colony of test organism in 1ml rabbit plasma and incubating at 37 degrees
Check for clot production at 4 hours and again after incubation
Positive = visible clot formation or lose web of fibrin
Negative = no clot formation, plasma flows freely
What is the principle behind the optochin susceptibility test
(2)
This test detects an organism’s susceptibility to the chemical optochin
Optochin tests the fragility of the bacterial cell membrane and causes S. pneumoniae to lyse due to changes in surface tension, as shown by a zone of inhibition around the optochin disc
What is the principle behind the lancefield grouping test
(4)
The majority of pathogenic strep possess specific carbohydrate antigens, which permit the classification of strep into groups
Strep group antigens can be extracted from bacterial cells and their presence demonstrated with latex particles previously coated with group-specific antibodies
These latex particles will agglutinate in the presence of homologous antigen, but will remain in smooth suspension if absent
The use of enzymatic extraction procedure considerably shortens the time required for antigen extraction and much improves the antigen yield
What is the principle behind Bacitracin susceptibility
(2)
Used to speciate group A, Beta haemolytic strep i.e. to confirm S. pyogenes
Group A strep are sensitive to bacitracin while other groups of strep are resistant
What is the principle behind MacConkey agar?
(5)
A selective and differential culture medium
Crystal violet and bile salts make it selective for Gram-negative and enteric (normally found in the intestinal tract) bacteria
Differential based on lactose fermentation.
Lactose fermenters turn red or pink on MacConkey agar, and nonfermenters do not change color.
The media detects lactose fermentation by enteric bacteria with the pH indicator neutral red.
What is the principle behind bile aesculin agar?
(4)
A selective and differential agar used to identify members of the Enterococcus genus
Bile salts are selective for Enterococcus
Aesculin is differential -> enterococcus hydrolyse aesculin to form aesculetin and dextrose
Aesculetin combines with ferric citrate in the medium to produce insoluble iron salts, resulting in the blackening of the medium which is a positive result
What is the principle behind the TAXO sugars test?
(3)
Used for identification of gram negative cocci
Different species utilise (ferment) different sugars
Discs containing different sugars, dextrose, maltose, sucrose and lactose are placed on the culture
If the organism results in a drop in pH, upon the addition of phenol red indicator there will be a resulting colour change
What is the principle behind the Catarrhalis disk test?
(2)
This is based on the ability of M. catarrhalis to hydrolyse tributyrin
The Remel Catarrhalis disk test is a reagent impregnated tributyrin hydrolysis disc test for the presumptive ID of catarrhalis
What is the principle behind PEMBA agar
(5)
B. cereus selective agar
Agar contains a peptone level of 0.1% and the addition of sodium pyruvate improves egg yolk precipitation and enhances sporulation
Bromothymol blue is added as a pH indicator to detect mannitol utilisation
The medium is made selective by addition of Polymyxin B
B. cereus = peacock blue colony with no clearance
What is the principle behind the motility test
(3)
Through a hanging drop preparation
Essential to distinguish between motility and Brownian motion
Bacteria move in a definite direction but Brownian = continuous purposeless undirected agitation
What is the principle behind the trehalose test
(5)
Peptone water ‘sugars’ comprise of a simple peptone medium plus 0.5% ‘sugar’ and Phenol Red indicator
Peptones yield alkaline products on breakdown, so a change in colour of the indicator only occurs when acid produced from fermentation of the ‘sugar’ exceeds alkali from the peptones
If gas is produced is collected in an inverted tube (Durham tube)
Peptone water sugars can be used to test for fermentation of a wide range of sugars including glucose, lactose, maltose, mannitol, sucrose, dulcitol and trehalose
Trehalose is pink, if fermented it turns yellow
What is the principle behind urease test?
(4)
Certain microbes e.g. Proteus mirabilis or Helicobacter pylori produce the hydrolytic enzyme urease
Urease decomposes urea to ammonia and carbon dioxide
Urea is a neutral substance and its decomposition is accompanied by the production of alkli
Phenol red indicator in the medium changes from a yellow-orange shade at pH 6.8 to pink at alkaline pH8.1
What is the principle behind the Tinsdale Medium
(5)
Tinsdale medium contains serum, tellurite, cystine and blood
Tinsdale differentiates C. diphtheriae and the diphtheroids found in the upper respiratory tract
This differentiation was based on the ability of C. diphtheriae to produce black colonies, surrounded by a brown/black halo
The dark halo is due to the production of H2S from cystine, interacting with the tellurite salt
Diphtheroids do not produce this halo
What is the principle behind using lactose gelatin medium
Some bacteria demonstrate proteolytic activity that results in the liquidification of gelatin
Lactose is added to the medium to investigate fermentation
Used to identify C. perfringens