Streptococcus species Flashcards
Prepared media
- Blood agar plate (sheep BAM)
- sodium hippurate broth
- Todd-Hewitt broth (or trypticase soy broth)
- bile-esculin agar
- 6.5% NaCl broth
Reagents
- 3% hydrogen peroxide
- ferric chloride reagent
- ninhydrin reagent
- 2% sodium desoxycholate
- 10% sodium desoxycholate
- phenol red indicator
- 0.10N NaOH
- β-hemolysin-producing S. aureus
Antimicrobial discs
- bacitracin
- 0.04 U (Taxo “A”)
- SXT (trimethoprim,-sulfamethoxazole, 1.25 µg/23.75 µg)
- Optochin
- 5 µg (Taxo “P”)
Streptococcus and streptococcal-like bacterial groups
gram-positive cocci and catalase-negative
The idenCficaCon tests to be performed are determined by the type of
hemolysis on BAM
Beta-type inoculations
a. Bacitracin and SXT (Trimethoprim-Sulfamethoxazole) susceptibility tests
b. CAMP test
c. Sodium hippurate hydrolysis test
Alpha-type inoculations
a. Optochin susceptibility test
b. Bile solubility test
c. Bile-esculin hydrolysis test
d. Salt tolerance test
a. Bacitracin and SXT (Trimethoprim-Sulfamethoxazole) susceptibility tests
Positive result [susceptible (S)]
Any zone of inhibition around the disc
a. Bacitracin and SXT (Trimethoprim-Sulfamethoxazole) susceptibility tests
Negative result [resistant (R)]
No zone of inhibition
Bacitracin (S), SXT (R)
Group A streptococcus
Bacitracin (R), SXT (R)
Group B streptococcus
Bacitracin (S or R), SXT (S)
β-hemolytic streptococcus, Groups C, F, or G
b. CAMP test: Positive result
Arrowhead-shaped zone of β-hemolysis at the juncture of the two organisms
b. CAMP test: Negative result
No arrowhead-shaped zone of β-hemolysis
b. CAMP test: Positive control
Group B streptococcus
b. CAMP test: Negative control
Group A streptococcus
c. Sodium hippurate hydrolysis test:
Benzoate test:
0.2 ml of ferric chloride reagent
c. Sodium hippurate hydrolysis test:
Glycine test:
0.2 ml ninhydrin reagent