Tests for Gram-Negative (Enterobact Flashcards
Principle of Gram Sure
L-alanine-7-amido-4-methylcoumarin + aminopeptidase (from Gram neg) → blue fluorescence
Indicator of Gram Sure
Longwave UV light
Incubation for Gram Sure
22-25°C for 5-10 minutes
Positive QC for Gram Sure
Blue fluorescence (E. coli)
Negative QC for Gram Sure
No fluorescence (S. aureus)
Differentiates Enterobacterales from other GN bacilli
Oxidase test (Kovac’s method)
Principle of Oxidase Test (Kovac’s Method)
Tetramethyl-p-phenylenediamine dihydrochloride + cytochrome oxidase → indophenol
Incubation for Oxidase Test (Kovac’s Method)
22-25°C, within 10 seconds
Positive QC for Oxidase Test
Dark purple/Deep blue (P. aeruginosa)
Negative QC for Oxidase Test
No color change (E. coli)
Aid in ID of Gram-negative along with Gram stain
Gram Sure
Differentiates Enterobacterales from other GN bacilli
Oxidase test (Kovac’s method)
Positive for all Enterobacteriales/Enterobacteriaceae
Nitrate Reduction
Principle of nitrate reduction
Nitrate + bacterial nitrate reductase → Nitrite
Medium for nitrate and nitrite reduction
Peptone broth
Indicator/Reagent for Solution A in nitrate/nitrite reduction
Sulfanilic acid
Indicator/Reagent for Solution B in nitrate/nitrite reduction
α-naphthylamine
Durham tube purpose in nitrate/nitrite
N2 gas (detection is positive)
Incubation of nitrate and nitrite reduction
35-37°C, 48 hours
Positive QC for nitrate reduction
RED after addition of indicator (E. coli)
Negative QC for nitrate reduction
Colorless or change of color after zinc dust (Acinetobacter baumanii)
Positive QC for nitrite reduction
Colorless, gas production (P. mirabilis)
Negative QC for nitrite reduction
Red, no gas (Acinetobacter baumanii)
Tests bacteria for oxidative or fermentative ability
Oxidation and Fermentation (CDC Method)
Principle for oxidation and fermentation (CDC Method)
6 Carbohydrates: Glucose, Xylose, Mannitol, Maltose, Lactose, Sucrose → Acids
Medium for oxidation and fermentation (CDC Method)
Agar deep + 1 carbohydrate, Anaerobic: Sterile melted petrolatum or paraffin oil
Indicator/Reagent for oxidation and fermentation (CDC Method)
Phenol red
Incubation of OF (CDC Method)
35-37°C, Up to 7 days
QC positive for OF method (CDC Method)
Yellow (acids); Oxidizer: P. aeruginosa; Fermenter: E. coli
For decarboxylase-producing Enterobacteria
Moeller’s decarboxylase test
Principle of Moeller’s test
Lysine → Cadaverine; Ornithine → Putrescine; Arginine → Citrulline
Medium for Moeller’s decarboxylase test
Moeller’s decarboxylase medium, add 4mm Mineral oil
Indicator of Moeller’s decarboxylase test
Bromocresol purple and Cresol red
Incubation period for Moeller’s decarboxylase test
35-37°C, Examine at 24, 48, 72, and 96 hours
Positive QC for Moeller’s Decarboxylase test Lysine (purple)
K. pneumoniae
Positive QC for Moeller’s Decarboxylase test Ornithine (purple)
K. aerogenes
Positive QC for Moeller’s Decarboxylase test Arginine (purple)
P. aeruginosa
Negative QC for Moeller’s Decarboxylase test Arginine
E. coli
Negative QC for Moeller’s Decarboxylase test Ornithine
P. vulgaris
Negative QC for Moeller’s Decarboxylase test Lysine
C. freundii
LIA is a test for
Enterobacterales/Enterobacteriaceae
Principle of LIA aerobic and anaerobic
Aerobic Slant: Lysine; Anaerobic Butt: Glucose
Purple slant LIA (K)
Lysine decarboxylase
Red slant (R) LIA
Lysine deamination
Glucose fermentation (A) color
Yellow butt (A)
Black precipitate in LIA indicates
H2S production
Lysine Iron Agar reactions: Positive Lysine decarboxylation (LDC+)
K/K (ALK/ALK)
Lysine Iron Agar reactions: Negative Lysine decarboxylation (LDC-)
K/A (ALK/ACD)
Lysine Iron Agar reactions: Positive Lysine deamination (LDA+)
R/A or R/Y
Indicator for LIA
Bromocresol Purple; Ferric ammonium citrate (H2S)
Incubation for LIA
35-37°C, 18-24 hours
Positive QC for LIA Lysine decarboxylation (K/K)
Klebsiella, E. coli, Edwardsiella, Salmonella, Serratia
Positive QC for LIA Lysine deamination and glucose fermentation (R/A or R/Y)
PMP group
Quality control K/A LIA
E. coli
Quality control R/A LIA
Proteus mirabilis
LIA negative for Lysine decarboxylation, positive for glucose fermentation only (K/A)
Citrobacter, Shigella
Triple Sugar Iron (TSI) test for Enterobacterales contents (LSG)
Aerobic Slant: Lactose (10%), Sucrose (10%); Anaerobic Butt: Glucose (1%)
Medium: TSI Agar reactions
K: Alkaline (Red); A: Acid (Yellow); H2S: Black ppt.; g: Small gas (Bubble); G: Large gas (Cracks)
Reaction interpretations for TSI Ⓐ
E. coli
Reaction interpretations for TSI K/A, g/G, H2S+
- Salmonella enterica subsp. enterica serovar Typhimurium
Reaction interpretations for TSI K/A, H2S+
P. mirabilis
Reaction interpretations for TSI K/A
Shigella flexneri
Reaction interpretations for TSI K/K
P. aeruginosa
Indicators for TSI
Phenol Red (acid production), Ferric ammonium citrate (H2S)