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Clinical Bacteriology
Laboratory Exam Finals
Enterobacteriaceae Identification
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Cards (10)
GRAM STAIN
Enterobacteriaceae are gram
negative
(
pink
or red)
MEDIA PREPARATION
MacConkey
Agar
Eosin Methylene Blue
Use
Quadrant Streak Method
B
Incubate
@35-37°C for
18-24
hours
BIOCHEMICAL TESTING
CARBOHYDRATE
UTILIZATION ON TSI
METHYL
RED/
VOGES-PROSKAUER
TEST
SULFIDE
INDOLE MOTILITY (SIM)
LYSINE
IRON AGAR [LIA] –
GLUCOSE
DETECTION
UREASE
TEST
CARBOHYDRATE UTILIZATION ON TRIPLE SUGAR IRON AGAR [TSI]
Inoculate colonies
Stab
then
streak
Incubate @ 35 - 37 C for 18-24 hours
Results: color change
A/A =
Yellow
/Yellow =
Acid
/Acid
K/A =
Red
/
Yellow
= Alkaline/Acid
K/K =
Red
/
Red
= Alkaline/Alkaline
Gas Formation =
bubbles
Ferric Sulfide Production =
Black
color
METHYL RED/VOGES-PROSKAUER TEST
[DO NOT EMULSIFY]
Add
1
drop of
bacterial
suspension
Incubate @35-37°C for
48
hours
Observe for results
Results:
Methyl Red
– add
MR
reagent [3-5 drops] [after 48 hours]
Voges-Proskauer
– add
-naphthol
after 48 hours [3-5 drops]
(+) –
red
color
CITRATE UTILIZATION ON SIMMONS CITRATE AGAR
Inoculate colonies
Streak
Incubate @
35-37°C
for up to
7
days
Results:
(+)
Growth
on
media
with or without color change
(-)
No growth
SULFIDE INDOLE MOTILITY (SIM) [SEMI-SOLID AGAR]
Inoculate colonies
Stab
halfway
Incubate @
35-37°C
for 18-24 hours
Results:
Sulfide
– check for
black
color
Indole
– Add
Erlich’s
reagent (
5
drops)
(+)
Pink
to
red
color
Motility
–
Turbidity
[growth will be form from the center]
LYSINE IRON AGAR [LIA] –
GLUCOSE
DETECTION
Inoculate colonies
Stab
then
Streak
Incubate @
35-37°C
for
18-24
hours
Results: color change
K/A –
Purple
/
Yellow
– Alkaline/Acid
K/K –
Purple
/
Purple
– Alkaline/Alkaline
R/A – Red/Yellow –
Lysine Deamination
UREASE
TEST
Can be from a broth [used in the laboratory] or slant agar [
Christensen’s
Urea Agar]
Inoculate colonies (emulsify)
Incubate @35-37°C for
24
hours
Observe for
growth
Results:
(+) Color change – Light
pink
to
orange
ANTIBIOTIC SUSCEPTIBILITY TESTING
Make a
bacterial
suspension (emulsify colonies) in sterile
NSS
(
1mL)
Standardize
turbidity.
Compare with the
McFarland
Standard
Swab in
Mueller Hinton Agar
Place
Antibiotics
Results:
(+) –
Sensitive
; Zone of inhibition
(-) –
Resistant
; No Zone of inhibition