Classification and Indentification of Bacteria

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    CLASSIFICATION AND

    IDENTIFICATION OF

    BACTERIA

    School of Environmental Studies

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    Isolation (culture)Agar plate

    plate/colonies

    Liquid media

    Identification & taxonomy

    Family

    GenusSpecies

    Type

    Strain

    After cultureBiochemical (physiological) tests

    Genetic tests

    Sequencing,

    Polymerase chain reaction (PCR)

    DNA-DNA homology

    Chemical (e.g. fatty acid profiling)

    Immunological

    Direct detection (i.e. without

    culture)

    PCR

    Antigen detection

    Staining (e.g. Gram stain)

    Serology (antibody detection)

    Key Terms

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    Classification

    Strain: one single isolate or line

    Type: sub-set of species

    Species: related strains

    Genus: related species

    Family: related genera

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    Laboratory procedures employed in the

    identification of bacteria

    1.Isolation of organism in pure culture2.Bacterial colony morphology

    3.Microscopic morphology and Staining reaction4.Biochemical test5.Serological procedure6.Antibiotic sensitivity

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    Isolation of organism in Pure Culture

    Pure culture (axenic culture) Population of cells arising from a single cell

    - the approach used for the isolation of organism dependsupon the source of clinical specimen

    Blood, spinal fluid and closed abscesses may yield almostpure bacterial culture

    specimen of sputum, stool, materials from the skin and body

    orifices, waste water etc., usually contains mixture of organism

    - Spread plate, streak plate, and pour plate are

    techniques used to isolate pure culture

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    Laboratory Cultivation

    Cultivation is the process of growing microorganisms bytaking bacteria from the infection site by some means ofspecimen collection and growing them in the artificial

    environment of the laboratory For the in vitro environment of the bacteria, required

    nutrients are supplied in a culture medium

    culture- organisms that grow and multiply in or on a

    culture media

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    Culture Medium- A liquid or gel designed to support the growth of microorganisms- 2 major types of growth media:

    - those used for cell culture, which use specific cell types derivedfrom plants or animals

    - microbiological culture, which are used for growingmicroorganisms such as bacteria or yeast

    -The most common growth media for microorganisms are

    nutrient broths and agar plates-specialized media are sometimes required for microorganism and

    cell culture growth

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    Based on Chemical Composition

    Complex Media- Contain some ingredients of unknown composition and/or conc.- is a medium that contains:

    carbon source such as glucose for bacterial growth water

    various salts needed for bacterial growth a source of amino acids and nitrogen (e.g., beef, yeast extract)

    - Nutrient mediacontain all the elements that most bacteria needfor growth and are non-selective, so they are used for thegeneral cultivation and maintenance of bacteria kept in

    laboratory culture collections

    Defined or Synthetic Media-All components and their concentrations are known

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    Functional Types of MediaSupportive or general purpose media- Support the growth of many microorganisms- E.g., Tryptic soy agar

    Enriched media- General purpose media supplemented by blood or other special nutrients Blood agar is an enriched medium in which nutritionally rich whole blood

    supplements the basic nutrients Chocolate agaris enriched with heat-treated blood (40-45C), which turns brown

    and gives the medium the color for which it is named

    Selective media- Favor the growth of only selected microorganisms and inhibit growth of others eosin-methylene blue agar (EMB) that contains methylene blue

    toxic to Gram (+) bacteria, allowing only the growth of Gram (-) bacteria blood agar (used in strep tests), which contains beef heart blood that becomes

    transparent in the presence of hemolytic Streptococcus MacConkey agar for Gram-negative bacteria Mannitol Salt Agar (MSA) which is selective for Gram (+) bacteria and differential for

    mannitol

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    Differential media

    Distinguish between different groups of microorganisms basedon their biochemical characteristics growing in the presenceof specific nutrients or indicators (such as neutral red, phenolred, eosin y, or methylene blue) added to the medium tovisibly indicate the defining characteristics of a microorganism

    Ex.Blood agar differentiates hemolytic versus non-hemolytic bacteria MacConkey agar - lactose fermenters versus non-fermenters Eosin methylene blue (EMB), which is differential for lactose and sucrose

    fermentation

    Mannitol Salt Agar (MSA), which is differential for mannitol fermentation

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    EMB Plate

    E. coli is seen on the left and E. aerogenes on the right

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    Bacterial colony morphology

    Bacteria grow on solid media as colonies colony is defined as a visible mass of microorganisms all

    originating from a single mother cell, when inoculated intoappropriate medium containing 2% agar and incubated18-24 hours in a favorable atmosphere

    therefore a colony constitutes a clone of bacteria all genetically alike Ideally, the colony is the progeny of one, or at most, a few bacteria A colony will usually contain millions of bacterial cells

    Colony morphology can sometimes be useful in bacterial identification Colonies are described as to such properties as size, shape, texture,elevation, pigmentation, effect on growth medium

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    To identify the following colonial characteristics/culture characteristics:

    WHOLE SHAPE OF COLONY EDGE/MARGIN OF COLONY

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    ELEVATION OF COLONY(turn the place on end to determine height)

    CHROMOGENESIS (pigmentation)- Some bacterial species form an array of pigments: white, red, purple, etc.

    Some pigments are contained within the cell (i.e., probably not water soluble) Some pigments readily diffuse throughout the medium (i.e, water soluble)

    Some pigments fluoresce in UV light

    OPACITY OF COLONY:transparent (clear), opaque,translucent (almost clear, but distorted visionlike looking through frosted glass

    iridescent (changing colors in reflected light)CONSISTENCY:

    butyrous (buttery), viscid (sticks to loop, hard to get off)brittle/friable (dry, breaks apart)

    EMULSIFIABILITY OF COLONY:

    Is it easy or difficult to emulsify? Does it form a uniform suspension, a granularsuspension, or does not emulsify at all?

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    Microscopic morphology

    Provide presumptive identification of an organism

    Bacterial Morphology Bacterial cell is a fundamental unit of any living organism All its functions are genetically controlled and performed by that

    particular cell structure whether it be physiologic orbiochemical

    Bacteria and other microorganism are usually transparent, whichmakes the study of the morphologic detail difficult when they

    are examined in the natural state

    Routinely used to determine: shapearrangementstaining reaction

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    I. Bacterial Shape and Arrangement Bacterial Shape

    determined by the configuration of the cell wall

    detected by brightfield microscopy of stained smear

    Bacterial Arrangement

    is the result of the number of plane division the organism mayundergo and how the cell remain attached afterwards

    divides only across their short axis

    3 conventional forms :

    Spherical (cocci) Rod (bacilli) Spirals

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    Spherical (Cocci) Shape:

    round like a ball, perfect sphere or globe

    Variations :

    1. Ovoid shape - both sides rounded ends arepointed Ex. Streptococcus

    2. Lancet-shape - one end is pointed, other end isflat Ex. Pneumococcus

    3. Coffee-bean shape - flat on one side, oppositeside convex or appear as letter D form

    Ex. Neisseria

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    Arrangements:

    1. Singly occurs as a single spherical cell

    2. Chain streptococci- common among ovoid-form resulting from oneplane division with daughter cells remained attached

    to one another to form a chainEx. Streptococcus pyogenes

    3. Pairsdiplococci- common with lancet-shaped and coffee-bean

    shaped spherical resulting from one plane divisionwith daughter cell separating

    Ex. Streptococcus pneumoniae

    Neisseria gonorrheae

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    4. Clustersstaphylococci- common with spherical resulting from many plane

    division with daughter cell in grape-like agglomerationEx. Staphylococcus aureus

    5. Tetrads (Packets of 4)- result from 2 plane division with daughter cell

    separating from one another to form group of 4 cellsEx. Micrococcus tetragenous

    6. Sarcinae (Packets of 8)- results from many plane division producing cubicalpackets of 8 cellsEx. Sarcina lutea

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    Rods (Bacilli) Shape

    cell appears longer than wide or cylindrical form

    both sides parallel and ends are convex

    varies in actual form depending on the species

    divides only across their short axis

    Variations :

    1. Clubbed/drumstick shaped swollen on oneend

    Ex. Clostridium diphtheriae/C. tetani

    2. Corset-shape both sides swollen, ends flat orconcave Ex. Bacillus anthracis

    3. Fusiform both sides parallel, ends pointed

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    Arrangements:1. Singlyoccurs as a single rod2. Chain result from one plane division with daughter

    cell remain attached to one anotherEx. Bacillus anthracis

    3. Palisade arrangement like fence due to slippingmovement of daughter cells (side-by-side)

    Common among clubbed shaped rodsEx. Mycobacterium tuberculosis

    4. Chinese-letter common with clubbed-shaped rodsresulting from a snapping post divisionmovement of the daughter cells (V shape)

    Ex. Corynebacterium diptheriae5. Packets of cigarettearrangement like bundles

    Ex. Mycobacterium leprae

    6. Serpentinecommonly seen with virulent strainof Mycobacterium tuberculosis

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    Intermediate forms

    Coccobacilli- when a rod is short & wide/plump- these form is intermediate between a spherical

    and rodEx. Haemophilus, Brucella

    Vibrio- a gently curve bacteria (comma-shaped)

    - it is an intermediate between a rod and a spiralEx. Vibrio cholerae

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    Spirals

    bacteria with more than one somatic curve may be regarded as bacillary forms trusted in the form of a helix

    no characteristic cell arrangement

    most occurs singly

    different specie vary in size, length, rigidity and amplitude of theircoils

    2 types :

    1. Flexible spirals that can contract and relax & move by creepingmovement

    Ex. Spirochetes

    2. Rigid spirals that cannot contract and relax & move byrotation or corkscrew-like motion

    Ex. Spirillum

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    SPIRILLUM- whose long axis remains rigid when in

    motion

    Ex. Campylobacter jejuni

    SPIROCHETE whose long axis bends when in motion

    Genus Treponema char. tightly coil w/ cork screw appearanceEx. Trepanema pallidum

    Genus Leptospira less tightly coiled w/ sharp hook-like bends

    Ex. Leptospira interrogansGenus Borrelia

    much less tightly coiled w/c has theappearance of extremely long undulatingbacillary poresEx. Borrelia recurrentis

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    II. Bacterial size

    all linear measurements in microbiology are expressed in

    metric units

    the basic unit of the metric system is the meter m

    centimeter cm (1/100th of a m)

    - the largest unit of length used for measuring microorganism

    micrometer m

    - visible only with high powered microscope

    - unit of measurement most frequently used in microbiology

    1m = 1/1000 of a mm

    Cocci = 0.4-2m

    Bacilli = 0.2-4m in width by o.5-20m in length

    Spirals = 1-4m in length

    nanometer nm - commonly used to measure virus

    Angstrom smallest unit of measurement

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    III. Bacterial Staining Reaction

    Staining procedure that applies colored chemicals called dyes tospecimen in order to facilitate identification

    Stains - salts composed of a positive and negative ion, one of whichis colored (chromophore color bearing ion), which imparts

    a color to cell or cell parts by becoming affixed to themthrough a chemical reaction

    Basic (cationic) Dyes - chromophore is the positive ion dyeAcid (anionic) Dyes - chromophore is the negative ion dye

    Bacteria are slightly negative, so are attracted to the positive chromophoreof the BASIC DYE

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    Preparing smears for staining

    1. Smear preparation- depends on the physical state; if in liquid state spread the

    smear out- Bacteria on slide

    2. Air Dry

    - preserve the morphology of the bacteria

    - allow the smear to adhere to the slide3. Bacteria are HEAT FIXED to the slide

    Heat Fixation

    - simultaneously kills the specimen and secures it to the slide

    - preserve various cellular component in a natural state withminimal distortion

    4. Stain is applied

    Staining coloring the microorganisms with a dye

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    Positive Staining Negative staining

    Appearance of

    organisms

    Colored by dye Clear and colorless

    Background Not stained Stained

    Types of Staining:

    1. Simple Staining- employs one dye

    - most common: methylene blue, crystal violet,carbol fuchsin,safranin

    - sufficient to determine size, shape & arrangement- most cells will stain the same color with the dye used

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    2. Differential Staining

    - employs the use of more than one dye added in several stepsand stained structures are differentiated by color as well asshape

    - it is based on the relative affinity of different bacterial cells forthe stains used

    - enables microbiologist to differentiate one group from anothera) Gram staining - differentiate gram (+) from gram (-) bacteriab) Acidfast staining - differentiate acidfast from non-acidfast

    bacteria

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    Gram-staining

    Hans Christian Gram (1884), a Danish doctor, accidentallystumbled on a method which still forms the basis for theidentification of bacteria; which divided almost allbacteria into two large groups

    The reagents needed:

    Crystal Violet (Primary Stain)

    Iodine Solution (Mordant)

    Mordant - intensifies the stain or coats a structure to make itthicker and easier to see after it is stained

    - Increase the affinity of a stain to the specimen

    Decolorizer (ethanol is a good choice, mixture of acetone &alcohol)

    Safranin (Counterstain)

    Counterstain gives contrasting color to the primary stain

    Gram Staining

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    STEP 2: Flood the entire slide with crystal violet (primary

    stain) for 1min. Then rinse with the water.

    STEP 3: flood the slide with the iodine solution (mordant)

    for 1min. Then rinse with water for 5 seconds. The bacteria

    become deeply stained and appear deep purple in color due

    to crystal violet-iodine-complex formation

    Step 4: addition of the decolorizer, 95% ethanol.

    Rinse with water.

    Gram (+) cells : purple dye is retained

    Gram (-): purple dye is readily removed and appears colorless

    STEP 5: Flood the slide with the counterstain, safranin

    Again, rinse with water.

    Gram (+) cells will incorporate little or no counterstain and will

    remain purple in appearance

    Gram (-) bacteria take on a pink/red color

    Gram Staining

    STEP 1: Make a smear. Mounted and heat fixed.

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    Divides bacteria into 2 groups

    Gram (+) : violet

    Gram (-) : red

    Dictome of Gram Staining All COCCI are Gram Positive except Neisseria group, Moraxella

    (Branhamella) catarrhalis and Veilonella

    All BACILLI are Gram Negative except the acid fast organisms(Mycobacterium, Nocardia) , Sporeformers (Bacillus,Clostridum) and Corynebacterium species

    Spirals are difficult to stain but when stained, they are Gram

    Negative

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    Gram nagative bacilli

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    Gram positive cocci

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    Acid Fast Staining Acid-fast stain is a useful differential staining procedure that

    specifically stains all members of the genera mycobacteria The walls of certain bacteria contain long chain fatty acids

    (mycolic acid) lending the property of resistance to decolorizationof basic dyes by acid alcohol; thus called acid fast

    The high lipid and wax content of the mycobacterial cell walls isthought to be the reason for such impermeability

    2 methods

    Ziehl-Neelsen method

    The procedure utilizes heat and phenol (carbolic acid) to help thepenetration of the dye, carbol fuchsin, to the inside ofmycobacterial cells, which are impermeable to basic dyes in routinestains like in Gram staining

    Cold Kinyoun technique

    Instead of heat, this technique uses increasing the concentration ofphenol or the inclusion of a detergent in the stain

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    Divides bacteria into 2 groups

    Acid - Fast organism: red

    Non Acid Fast organism: blue

    The reagents needed1. Primary stain: Carbol fuchsin

    2. Decolorizer: Acid Alcohol

    3. Counterstain: Methylene Blue

    Acid Fast Staining (Ziehl Neelsen method)

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    Acid - Fast Staining (Ziehl-Neelsen method)

    STEP 2: Flood the entire slide with Carbol Fuchsin.

    STEP 3: Using a Bunsen burner, heat the slides slowly until

    they are steaming. Acid fast organisms have a very

    hydrophobic surface which resist entry of dyes. Heat is used to

    enhance penetration and retention of dye

    Maintain steaming for 5 minutes by using low or intermittent

    heat (i.e. by occasionally passing the flame from the Bunsenburner over the slides) Then rinse the slide with water.

    STEP 4: Flood the slide with 3% acid-alcohol and allow to

    decolorize for 5 minutes. Throughout the 5 minutes, continue to

    flood the slides with 3% acid-alcohol until the slides are clear of

    stain visible to the naked eye. Rinse the slide thoroughly withwater and then drain any excess from the slides.

    STEP 5: Flood with the counterstain, Methylene Blue Keep

    the counterstain on the slides for 1 minute. Rinse with water.

    STEP 1: Make a smear. Mounted and heat fixed

    3 S i l St i i

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    Positive Staining Negative stainingCapsule

    Flagella

    Endospore

    3. Special Staining- used to color and isolate specific structure of a microorganism like

    capsule, flagella, inclusion granule, endospore and etc.

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    Biochemical Test

    various species of organism exhibits characteristic pattern ofsubstrate utilization, metabolic product formation and sugarfermentation

    Enzyme based test based on its reaction with a substrate

    Catalase, oxidase, indole, urease

    Reactions in glucose fermentation broth

    Reactions in lactose fermenation broth

    Starch hydrolysis of test strains

    Nitrate Broth reactions

    60% of common pathogens can be identified by metabolic test

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    Biochemical tests for identification of enteric

    organisms

    Basis: metabolic action of microorganisms

    on the culture media

    Used for the identification of enteric organisms/

    gram negative bacilli

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    One of the earliest sets of test used for the identificationof enteric bacilli

    includes such organisms as Klebsiella, Enterobacter,

    Citrobacter and Escherichia coli

    This acronym stands for

    I - Indole

    M- Methyl red

    V - Voges Proskauer

    ( i ) is inserted for euphony

    C - Citrate

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    Indole Test

    Indole, a benzyl pyrrole, is one of the metabolic degradationproduct of amino acid tryptophan

    Indole positive bacteria produce tryptophanase, an enzyme

    that is capable of hydrolyzing and diaminating tryptophan,

    thus producing: - indole- pyruvic acid

    - ammonia

    Materials:

    2% Peptone broth tubeTest organisms

    Ether

    indicator: Erlich/Kovac's reagent

    (para-dimethyl-aminobenzaldehyde)

    I d l M di

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    Indole Medium

    Tryptone broth, contains extra tryptophan

    Trp (tryptophan) can be utilized as a sole carbon andenergy source by some bacteria that produce an enzymetryptophanase

    Tryptophan is significant because can be directlyincorporated into proteins, or can be broken down by

    organisms with tryptophanase(tryptophanase)

    Tryptophan Indole + pyruvic acid + NH3

    (C-source) (N-source)

    The presence of bi-product Indole can be tested withKorvacs reagent

    Korvacs reagent reacts with Indole and turns solutionred

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    Procedure:

    Inoculate 1 loopful of the test organism into the tube of

    peptone broth.

    Incubate at 370C for 24-48 hours.

    add 1 ml. of ether.

    Shake well and allow to stand for a few minutes until the ether

    rises to the surface.

    Gently add about, 1cc. of Kovacs or Erlichs reagent down the

    side of the tube so that it forms a ring between the medium

    and the ether layer.

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    Positive result

    Bright red or purple ring

    If indole has been produced

    by the organism it will, beingsoluble in ether, it will be

    concentrated in the ether layer

    and upon the addition of Erlichs reagent, a positiveresult is the production of a purple ring at the

    junction of the medium and the ether layer

    Negative resultYellow color

    - no red or purple ring

    M th l d d V P k

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    Methyl red and Voges-Proskauer

    (MR/VP) Both tests are performed in the same medium (in same

    tube!!)

    This medium is used to detect both mixed acidfermentation and 2,3 butanediol fermenters

    Strains ofE. coliare mixed acid fermenters; theydegrade carbohydrates into acidic end products such as:lactic acid, acetic acid, succinic acid, and formic acid

    The Methyl-Red tests for acidic products resulting fromfermentation

    These acidic products will drop the pH of the medium topH 4.5 or below

    Methyl red pH indicator will turn red if mixed acidfermentation has occurred

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    MR/VP (continued)

    The Enterobacter-Klebsiella groups produceethanol and 2,3 butanediol The Voges-Proskauer test determines the presence

    of acetyl-methyl-carbinol (acetoin), which is a

    precursor to 2,3 butanediol The presence of 2,3 butanediol cannot directly be

    determined

    MRVP broth has several components:

    Peptone Glucose

    Buffer

    MR/VP i f t ti t t f

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    MR/VP is a fermentation test for

    glucose Usually, the results are opposite for MR and VP

    EX:Fermentation (acidic end products) MR+ (VP-)

    Glucose Fermentation (alcoholic end products) VP+ (MR-)

    No fermentation (no acid or alcohol products) (MR- & VP-)

    MR (+) bacteria can produce lactose, succinate, formate,and acetate

    VP (+) bacteria can produce acetoin, acetyl-methylcarbinol, ETOH

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    Methyle red test

    All enterics oxidize glucose for energy; however the end productsvary depending on bacterial enzymes

    Both the MR and VP tests are used to determine what endproducts result when the test organism degrades glucose

    MR test is a quantitative test for acid production, requiringpositive organism to produce strong acids (lactic, acetic, formic)from glucose via the mixed acid fermentation pathway

    End result is based on the final pH reached only those organism that can maintain low ph of about

    ph 4-4.5 can be called methyl red positive

    organisms that are MR (+) are always VP (-)

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    Materials:

    MR-VP broth medium (contains 10% glucose)

    Test organisms

    Methyl red ph indicator

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    Procedure:

    Inoculate 1 loopful of the test organisminto a tube MR-VP medium.

    Incubate for 24-48 hours at 370

    C.

    Next laboratory period, add 5 to 10 dropsof methyl red reagent.

    Mix thoroughly and observe the results.

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    Positive result cherry red/bright red color

    ph 4-4.5

    Ex. Salmonella, Escherichia,

    Citrobacter, Proteus, Morganellaand Providencia

    Negative result Yellow color

    At neutral pH the growth of the bacteria is not inhibited

    The bacteria thus begin to attack the peptone in the broth,causing the pH to rise above 4.5

    At this pH, methyl red indicator produce a yellow color

    Ex. Enterobacterand Klebsiella

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    Voges Proskauer test

    is a test for the detection of acetyl-methyl carbinol

    (acetoin) which is also a degradation product of glucose

    Materials:

    MR-VP medium (contains 10% glucose)

    Test organism

    Potassium Hydroxide

    Alpha-napthanol reagent

    When these reagents are added to a broth in whichacetyl methyl carbinol is present, they turn a burgundy

    color/crimson red color (a positive VP test)

    organisms that are VP (+) are always MR (-)

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    Procedure

    Inoculate MR-VP medium with 1 loopful of the test organism

    Incubate for 48 hours at 370C.

    Add 0.6 ml. 5% alpha-napthol reagent. Mix and shake themixture lightly.

    Add 0.2 ml (5drops). of 40% potassium hydroxide reagent(KOH).

    Mix and shake the mixture lightly.

    Shake the tube gently to expose the medium to atmosphericoxygen and allow the tube to remain undisturbed for 10 to

    15 minutes.

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    Positive resultCrimson Red color

    Presence of Acety methyl carbinol

    Ex. Enterobacterand Klebsiella

    Negative resultRemains Yellow to Amber; no change in color

    Ex. E. coli

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    Citrate Test

    Simmons Citrate agar is used to determine anorganisms ability to use citrate as a sole carbonsource

    Simons citrate agar is a defined medium in

    which sodium citrate is the sole carbon source,and ammonium is the sole nitrogen source

    Bromothymol blue (BTB) is included as a pHindicator

    The medium is initially at pH 6.9, at which BTB isgreen; at a pH greater than 7.6 BTB turns adeep blue

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    Citrate Test (continued)

    The pH change is induced by CO2, which isgiven off as a by-product of citrate utilization.When it reacts with Na and H2O in the agar itraises the pH above 7.6

    The organism must contain the enzyme citraseto degrade citrate

    EX:

    (citrase)

    Citrate CO2 + Na HCO + H2O

    (blue color change)

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    Procedure:

    Inoculate the test organism on the medium by stab streaking.

    Incubate at 370C for 24 - 48 hours.

    Observe.

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    Positive result

    Deep blue/ Prussian blue color

    indicating that the test organism

    has been able to utilize citrate for energy source Ex. Enterobacter, Klebsiella, Salmonella, Citrobacter

    and Providencia

    Negative result

    Retains its original color (Green)

    Ex. Escherichia, Shigella and Morganella

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    Motility Test

    The two tubes onthe left contain anonmotile bacterialspecies. Noticethe clearly visible

    line of growth(streak line).The two tubes onthe right contain amotile bacterial

    species. Noticethe cloudy mediaand the lessdistinct line ofgrowth.

    Molecular differentiation

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    Molecular differentiation

    Genomics

    Gene characterizationSequencing

    PCR

    Hybridization

    % guanine + cytosine

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    Serological procedure Antigen and antibody determination

    Serological Tests

    Use group specific antiserum isolated from the plasma ofanimals that have been sensitized to the organism

    The antiserum contains antibody proteins that react with antigens

    on the unknown organism. Procedures: agglutination, precipitation test, hemagglutination

    inhibition, complement fixation, ELISA, Western blot assay

    Advantages:

    Highly specific Does not usually require the organism to be isolated into pure

    culture

    Can be used to identify organisms that cant be grown on medium

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    Antibiotic sensitivity antibiotic sensitivity is a term used to describe the susceptibility

    of bacteria to antibiotics

    Antibiotic susceptibility testing (AST) is usually carried out todetermine which antibiotic will be most successful in treating abacterial infection in vivo

    Methods of testing: Broth dilution

    The lower the dilution, the greater the antibiotic content

    Agar dilution

    Disk diffusion the Kirby-Bauer test for antibiotic susceptibility, called the disc

    diffusion test, is a standard that has been used for years

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    The bacterium is swabbed on the agarand the antibiotic discs are placed on top

    The antibiotic diffuses from the disc intothe agar in decreasing amounts the furtherit is away from the disc

    Bacteria are not able to grow around antibioticsto which they are sensitive

    If the organism is killed or inhibited by theconcentration of the antibiotic, there will be

    NO growth in the immediate area around the disc:called the zone of inhibition

    The zone sizes are looked up on a standardized chart togive a result of sensititive, resistant, or intermediate

    Many charts have a corresponding column that also gives the

    http://www.rlc.dcccd.edu/mathsci/reynolds/micro/lab_manual/glossary.htmlhttp://www.rlc.dcccd.edu/mathsci/reynolds/micro/lab_manual/glossary.htmlhttp://www.rlc.dcccd.edu/mathsci/reynolds/micro/lab_manual/glossary.html
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    Indicator organism

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    coliform

    Family Enterobacteriaceae.

    Lactose fermenting

    Intestinal tract of animals

    Free living in the environment

    Opportunistic pathogens

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    Methods

    Multiple-Tube Fermentation

    Membrane Filter Technique

    Chromogenic Substrate Test

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    Membrane Filter Technique

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    The plate in the upper left shows typical dark blue fecal coliform colonies

    on a membrane filter after incubation on M-FC agar. The plate in the lower

    center (purple) is M-FC agar before use, and the plate in the upper right

    (blue) is a control plate streaked with an E.c o li culture.

    Rapid, quantitative analyses of coliforms

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    and E.coli, based on COLILERT cultivation

    (IDEXX, U.S.A.)