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PPT_B.Voc. MLT_Sem 3_MLT 7_Ch 16_v 1.3_Shweta.pptx

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PPT_B.Voc. MLT_Sem 3_MLT 7_Ch 16_v 1.3_Shweta.pptx

  1. 1. Identification of Bacteria B. Voc. in Medical Laboratory Technology Semester – 3 MLT 7 – Bacteriology and Clinical Biochemistry - 2 Chapter – 16
  2. 2. Objectives By the end of this chapter, you will be able to: List the different methods of identifying bacteria. Perform the following biochemical tests: ◦ Bile solubility test ◦ Catalase test ◦ Citrate utilization test ◦ Coagulate test ◦ Hydrogen sulphide production ◦ Indole test ◦ Nitrate reduction
  3. 3. Objectives (Contd.) ◦ Acetamide reaction Test ◦ Bacitracin Test ◦ Cetrimide Test ◦ Esculin hydrolysis Test ◦ Hippurate test ◦ Optocin test ◦ ONPG test ◦ Decarboxylase test
  4. 4. Objectives (Contd.) ◦ Oxidase test ◦ Oxidation Fermentation Test ◦ Urease Test ◦ Voges Proskauer (VP) Test ◦ Methyl Red Test ◦ Gelatin Liquefaction Test ◦ Biochemical Reactions on Triple Sugar Iron (TSI) Agar Slant ◦ Phenylalanine Deamination Test
  5. 5. Introduction Definite characterisation and identification of the suspected organism is done by studying the bacterial growth. Cultivation: Process of growing micro organism in a culture by using specific media. Identification methods Staining reactions Cultural characteristics Resistance Metabolism Biochemical properties
  6. 6. The commonly used staining methods are:  Gram Staining: Gram +ve and Gram – ve  Ziehl – Neilsen stain: Acid fast and non acid fast type  Fluorescent dyes: Brings out special characters  Fluorescent antibody technique: Identify those characteristics Staining Methods
  7. 7. Cultural characteristics Solid Medium Streaked Medium Liquid Medium • Size • Shape • Surface • Elevation • Margins • Edge • Colour • Consistency • Structure • Degree of growth: scanty, moderate or profuse • Nature of colony: discreet, confluent or merging, spreading, filliform or rhizoidal • Other characteristics: surface, edge, colour, odour consistency etc. • Degree of growth: absent, scanty, moderate or abundant. • Presence and nature of turbidity • Presence and nature of deposit • Nature of growth on the surface of the media. • Ease of disintegrated and odour
  8. 8.  Size : in mm  Shape : circular, irregular, radiate/ filamentous or rhizoid  Surface : smooth, wavy, rough, granular, papillate, glistening i.e. shining etc.  Elevation : elevated, effuse, low convex, concave, umbonate or umbllicate  Margins : bevelled or otherwise  Edge : entire, undulate or wavy, crenated, fimbriate or curled Cultural characteristics : Solid media Colony Shape Colony Edge Colony Elevation (American society of microbiology,2013)
  9. 9.  Colour: colourless, pink, black red etc.  Consistency or texture: friable, vicid, butryous or membranous.  Structure or opacity: transparent, translucent or opaque Cultural characteristics : Solid media (Contd.)
  10. 10.  https://www.youtube.com/watch?v=SrfgQTzPU4w Colony morphology video
  11. 11. Resistance and Metabolism RESISTANCE  The resistance of the organism is tested for: o Heat o Low concentration of disinfectant o Antibiotics o Chemotherapeutic agents o Bacteriocins METABOLISM  Observing metabolic characteristics like : o Need of oxygen or carbon dioxide o Capacity to form pigments o Haemolysis
  12. 12. Quiz 1 : Identify cultural characteristics 1 2
  13. 13. Quiz 1 : Identify cultural characteristics 3 4
  14. 14. Biochemical tests (23)  Single enzyme test o Catalase test o Coagulation test o Indole test o Nitrate test o Oxidase test o Urease test o Hippurate test o ONPG test  Carbohydrate Oxidation & Fermentation o Hydrogen sulphide production o Oxidation fermentation reaction o VP test o Methyl red o TSI agar  Inhibitor tests o Bacitracin o Cetrimide o Optocin  Amino acid degradation o Phenylalanine Deamination o Decarboxylase test  Single substrate tests o Citrate utilization test o Acetamide reaction Test  Other specific tests o Bile solubility test o Gel liquidation Test o Esculin hydrolysis
  15. 15. Use: Differentiation between catalase producing Staphylococci and non-catalase producing Streptococci. Principle: H2 O2 H2 O + O2 (bubbles) Procedure: Immerse colonies into test tube containing 2 - 3ml of H2 O2 with a sterile stick and observe for immediate bubbling. Catalase test Catalase
  16. 16.  Observation : o Appearance of bubbles: Catalase producing organism o No bubbles: Non-catalase producing organism  Precautions : o Culture < 24 hours o Use of blood free culture medium Catalase test (Contd.)
  17. 17. Use: Differentiation of Staphylococcus aeureus from S. Epidermidis and S. Saprophyticus. Principle: Plasma (soluble fibrinogen) Insoluble fibrinogen (coagulate) Procedure: Two drops of saline at each end of slide. Add organisms to make thick suspension. Add drop of plasma to one suspension and mix gently. Observe for coagulation in 10 seconds. Coagulase positive sample will have clumping of organisms. Coagulate test Coagulase
  18. 18.  Observation : Coagulation (A)(10 sec): Staphylococcus aeureus No coagulation (B) (10 sec): No coagulase Coagulate test (Contd.) (Dr Nabil,2014)
  19. 19. Use: Identification of species of Enterobacteria like E.coli, P. Vulgaris, P. Rettgeri etc. which have the ability to produce indole. Principle: Tryptophan Other products + Indole Indole Red coloured compound Procedure: Inoculate MUI media with test organisms and add 0.5 ml Kovac’s media or Kovac’s strip at the neck and incubate at 37°C. Observe for red test strip or red reaction mixture. Indole test breakdown Kovac’s /Ehlrich reagent
  20. 20.  Observation : Indole test (Contd.) L: Negative R: Positive
  21. 21. Use: Differentiate bacteria which produce enzyme nitrate reductase and differentiating mycobacterium species. Principle: NO3 - NO2 - NO2 - Pink red coloured compound Procedure: Incubate sterile nitrate broth at 37°C for 4 hours. Add one drop of sulfanilic acid and α – naphthylamine reagent. Mix well and observe for red colour. Nitrate reduction nitrate reductase Sulfanilic acid α – napthylamine reagent
  22. 22.  Observation : Red colour (B) : Positive No red colour (A) : Negative (no nitrate reduction) After addition of Zinc: Red colour (D) : Negative No red colour (C) : Positive (nitrate reduced to ammonia or nitrogen gas) Nitrate reduction (Contd.) A B C D Dr. T V Rao, 2010
  23. 23. Use: Identify organism which produce enzyme oxidase. E.g. Pseudomonas, Neisseria, Vibrio, Pasteurella Principle: Phenylenediamine (oxidase) reagent Deep purple colour Procedure: Place filter paper in petri dish and add 2 to 3 drops of fresh oxidase reagent. Colony is smeared on the filter paper and reaction is observed. Oxidase test Oxidase
  24. 24.  Observation : Blue purple (R) : Positive No blue purple (L) : Negative Oxidase test (Contd.) L: Negative R: Positive Dr. T V Rao, 2010
  25. 25. Use: To identify Proteus strain in Enterobacteria, which are strong urease producers. Principle: MUI (Urea ) Ammonium carbonate + NH 4 Ammonia being alkaline changes the colour of media to red pink Procedure: Inoculate MIU media and incubated at 35°C overnight. Observe for red pink colour. Urease Test Urease
  26. 26.  Observation : Urease Test (Contd.) Red Pink Medium: Positive No Red Pink Medium: Negative Dr. T V Rao, 2010
  27. 27. Use: To identify organism producing enzyme hippuricase. Principle: Organisms like Streptococcus agalactiae which acts on hippuric acid in the disk to produce glycine and benzoic acid. Ninhydrin when added deaminates glycine and itself undergoes oxidation which results in formation of blue colour. Procedure: Make heavy suspension of the organism in a test tube with 0.1 ml sterile water. Place hippurate disk in it aseptically with forceps. Incubate at 35°C for 2 hours. Add 0.2 ml of ninhydrin and re incubate at 35°C for 30 minutes. Observe for change of suspension colour to blue. Hippurate Test
  28. 28.  Observation : Formation of blue colour: Organism like Streptococcus agalactiae No blackening of slant: Negative test Hippurate Test (Contd.)
  29. 29. Use: To detect organism which hydrolyses ONPG. Principle: ONPG Orthonitrophenol (yellow) Procedure: Make a suspension of loop, full of organism in a normal saline. Place ONPG disk in the tube and incubate it at 37°C for 4 hours. Observe the tube for colour change. O – Nitrophenyl –β –D – Galactopyranoside (ONPG) Test Β –galactosidase enzyme Hydrolyses
  30. 30.  Result : Yellow coloured disk: Organism like E. coli No yellow coloured disk: Negative test ONPG Test (Contd.)
  31. 31. Use : Assist in identification of Enterobacteria. Principle : Enterobacteria + Amino acid (-SH) H2 S H2 S + (TSI) Fe + Fe S (black colour) Procedure : Stab the butt and streak the TSI slant. Incubate at 37°C and observe daily for 7 days for blackening. Hydrogen Sulphide Production decomposed
  32. 32.  Observation : Blackening : Positive No blackening: Negative (no H2 S produced) Hydrogen Sulphide Production (Contd.) L: Negative R: Positive
  33. 33. Use : Differentiate organism which oxidise carbohydrate (aerobic) and which ferments carbohydrate (anaerobic) Principle : Oxidative organisms : Carbohydrate Acid (yellow) Fermentative organisms: Carbohydrate Acid (yellow) Procedure : Inoculate of media with heavy inoculation at the bottom of the tubes. Cover one tube with 1cm layer of paraffin oil. Incubate at 35°C for 14 days. Observe them daily. Oxidation Fermentation Test O2 Bromothymol blue indicator Bromothymol blue indicator Absence of O2
  34. 34.  Result : Oxidation Fermentation Test (Contd.) Open tube Paraffin tube Interpretation Yellow Green Oxidative organisms Yellow Yellow Fermentative organism Green or blue Green No carbohydrate utilization
  35. 35. Use : To identify Enterobacteria strain which can ferment sugar with the formation of acetoin. E.g. Vibrio cholerea, K. pneumonia Principle : Glucose phosphate peptone water Acetoin Diacetyl + Creatine Powder Pink compound Procedure : Inoculate 2 ml of Glucose phosphate peptone water and incubate at 35°C for 48 hours. Add small amount of creatine powder and 3 ml of sodium hydroxide reagent an mix. Keep at 25°C to ± 5° C for one hour. Observe colour. Voges Proskauer (VP) Test 48 hours 35° C NaOH
  36. 36.  Observation : Voges Proskauer (VP) Test (Contd.)
  37. 37. Use : To identify Enterobacteria strain which can ferment sugar with the formation of acid. Principle : Glucose phosphate acetone water Acid + Methyl red (indicator) Red colour Procedure : Inoculate 2ml of Glucose phosphate acetone water and incubate at 35° to 37°C overnight . Add methyl red indicator. Observe colour. Methyl Red Test overnight 35° to 37°C
  38. 38.  Observation : Methyl Red Test (Contd.) L: Positive R: Negative Dr. T V Rao, 2010
  39. 39. Use: To identify enteric bacteria including Shigella and Salmonella Principle: TSI Agar (Phenol red+lactose+sucrose+glucose+sodium thiosulphate+ferrous sulphate) ------- Fermentation by inoculated bacteria---acids (by product)---- change of colour from red to yellow Procedure: After streaking the TSI agar with loop, pierce it with needle. Then incubate it for 18-24 hours at 37 degree Celsius. Then observe the reactions produced with change of colour. Triple Sugar Iron (TSI) Agar Slant
  40. 40. Triple Sugar Iron (TSI) Agar Slant (Contd.) Tube A – Acid slant , acid butt and gas production. Tube B – Alkaline slant and alkaline butt Tube C – Alkaline slant and acid butt Observation :
  41. 41. a) The test is used to differentiate between Stephyloccoci’s and Streptococci’ s. The positive reaction to the test is production of oxygen bubbles. b) It is used to identify certain species of Enterobacteria. In this tryptophan in the medium is broken down to give an end product which is indicated by the formation of a red coloured complex. c) Q. 2 : Identify the test Dr. T V Rao, 2010
  42. 42. a) Coagulate test b) Methyl Red c) Oxidation fermentation reaction Q. 3: Give the principle for
  43. 43. Use : To identify Proteus species which carry out deamination of phenylalanine. Principle : Phenylalanine Phenyl pyruvic acid + Ferric chloride ions Green colour on top of culture Procedure : Inoculate slope of phenylalanine agar and incubate at 35° to 37°C overnight. Add 3 – 4 drops of ferric chloride reagent . Observe colour. Phenylalanine Deamination Test Deamination
  44. 44.  Observation : Phenylalanine Deamination Test (Contd.) Green colour: Positive test No green colour: Negative test L: Negative R: Positive
  45. 45. Use : To detect an organism’s enzymatic ability to decarboxylase/ hydrolase an amino acid to amine. Principle : The organisms which can produce decarboxylase or hydrolase enzymes an amino acid to amine. This results in an alkaline pH which changes the solution to purple colour. Requirement : Glucose fermenting & glucose non fermenting organism, decarboxylase broth containing lysine, arginine or ornithine, sterile mineral oil, suspensions of suspected organism grown on 5% sheep blood agar for 18 to 24 hours in brain heart infusion broth. Decarboxylase Test (Moeller’s Reagent)
  46. 46.  Procedure: Glucose non fermenting organism: Inoculate each of the decarboxylase broth and one control broth (without amino acid). Add 4 ml of mineral oil and incubate at 37°C up to 7 days. Observe colour changes. Glucose fermenting organism: Inoculate each of the decarboxylase broth with one drop of the broth. Add 4 ml of mineral oil and incubate at 37°C up to 7 days. Observe colour changes. Decarboxylase Test (Contd.)
  47. 47.  Observation : On comparison with control tube: Positive: Purple colour Lysine: Klebsiella pneumonia Arginine: Enterobacter cloacae Ornithine: Enterobacter cloacae Negative: No colour change or yellow colour due to fermentation of glucose in BHIB. Decarboxylase Test (Contd.) Bianca Isaguirre (2013)
  48. 48. Decarboxylase Test (Contd.) Bianca Isaguirre (2013)
  49. 49. Use : Differentiate between Streptococcus pyogenes and other β - hemolytic organisms. Principle : Growth of Streptococcus pyogenes is inhibited by small amount of Bacitracin. Procedure : Streak 2 to 3 of the suspected colonies on to a blood agar plate. Bacitracin disks are placed in the first quadrant of the plate and incubate it at 35°C for 18 to 24 hours. Observe for clearing around the bacitracin disk. Bacitracin Test
  50. 50.  Result: Zone of inhibition Group A : Streptococcus pyogenes No zone of inhibition Group C: Negative test Bacitra cin Test (Contd.)
  51. 51. Use : To confirm the presence of organism which grow in the presence of the toxic substance, Cetrimide . Principle: Organisms like Pseudomonas aeruginosa grow in the presence of toxic substance Cetrimide which inhibits the growth of many bacteria. Procedure: Inoculate in Cetrimide agar slate a drop of 18 to 24 hour culture in brain heart infusion broth. Incubate the slant at 35°C for 7 days. Observe for growth. Cetrimide Test
  52. 52.  Observation: Growth: Pseudomonas aeruginosa No growth: Negative test Cetrimide Test (Contd.)
  53. 53. Use: To identify pneumococci. Principle: Optocin lyses pneumococci while α streptococci are resistant to optocin. Procedure: Streak 2 to 3 of the suspected colonies of a pure culture on to half of 5% sheep blood agar. 6mm optocin disks are placed aseptically on the upper third of the streaked area. Incubate the plate for 18 to 24 hours. Observe and measure the zone of inhibition and the diameter of the disk. . Optocin Test
  54. 54.  Result: Positive (image): Zone of inhibition > 14 mm for 6mm disk No zone of inhibition: Negative test Equivocal : Zone of inhibition < 14 mm Optocin Test (Contd.)
  55. 55. Use : Identification of Enterobacteria. Principle : Organism uses citrate (C – source) and ammonium salt (N – source) in the Simmon’s citrate medium causing an alkaline reaction turning light green solution to blue. Procedure : Simmon’s citrate medium + test organism Blue turbid medium (light green) Citrate utilization test Incubate 35°C for 4 days Bromothymol indicator
  56. 56.  Observation : Blue colour and turbidity: Positive No growth (no turbidity and no change in colour): Negative Citrate utilization test (Contd.) L: Negative R: Positive
  57. 57. Use : To identify non fermentative Gram negative bacteria like pseudomonas aeruginosa, which utilize acetamide. Principle : Acetamide (green) NH 4 Royal blue coloured complex Procedure : Inoculate acetamide slant with a needle using growth of a 18 to 24 hour culture. Incubate at 35°C up to 7 days. Observe for blue colour of media Acetamide reaction Test Deamination indicator
  58. 58.  Observation : Colour of medium blue (A): Positive Colour of medium green (B): Negative Acetamide reaction Test (Contd.) Bianca Isaguirre, 2013
  59. 59. Use : Differentiation between S. Pneumoniae (bile soluble) and Viridans Streptococci (bile insoluble) Principle : S. Pneumoniae + Bile salts Clearance of turbidity Viridans Streptococci + Bile salts Persistence of turbidity Bile solubility test Soluble Insoluble
  60. 60. Bile solubility test (Contd.) 2 ml normal saline Several colonies Test Control 2 drops sodium deoxycholate 2 ml sterile distilled water Observation : Clearing of turbidity (B): Probably S. Pneumoniae No clearance of turbidity (A): Probably not S. Pneumoniae Procedure: Dr Nabil (2014)
  61. 61. Use: To identify organisms producing gelatinase enzyme which liquefy gelatin. E.g. Pseudomnos and Vibrio cholerea Principle: Gelatin Liquefied gelatin Procedure: Inoculate medium and incubate at 35° to 37°C for 72 hours. Chill tubes at 4° C for 30 minutes. Observe for positive gelatin liquefaction. Gelatin Liquefaction Test 4° C for 30 min Gelatinase
  62. 62.  Observation : Gelatin Liquefaction Test Liquid media: Positive test Solid media: Negative test
  63. 63. Use : To identify bacteria which can hydrolyze Esculin. Principle : Organisms like Klebsiella pneumonia can hydrolyze Esculin a glycoside. Procedure : Inoculate of Esculin slant with one drop of 24 hour broth culture. Incubate the slant at 37°C for 7 days. Examine the slant for blackening and confirmation with loss of fluorescence with Wood’s lamp. Esculin Hydrolysis Test
  64. 64.  Observation : Blackening of slant: Klebsiella pneumonia No blackening of slant: Negative test Esculin Hydrolysis Test (Contd.)
  65. 65. a) Citrate utilization test b) Bile solubility test c) Esculin hydrolysis test Q. 5: Give the principle for:
  66. 66. Q. 6: Explain this result for decarboxylase test:
  67. 67. Summary Now, you will be able to: List the different methods of identifying bacteria. Perform the following biochemical tests: ◦ Bile solubility test ◦ Catalase test ◦ Citrate utilization test ◦ Coagulate test ◦ Hydrogen sulphide production ◦ Indole test ◦ Nitrate reduction
  68. 68. Summary (Contd.) ◦ Oxidase test ◦ Oxidation Fermentation Test ◦ Urease Test ◦ Voges Proskauer (VP) Test ◦ Methyl Red Test ◦ Gelatin Liquefaction Test ◦ Biochemical Reactions on Triple Sugar Iron (TSI) Agar Slant ◦ Phenylalanine Deamination Test
  69. 69. Summary (Contd.) ◦ Acetamide reaction Test ◦ Bacitracin Test ◦ Cetrimide Test ◦ Esculin hydrolysis Test ◦ Hippurate test ◦ Optocin test ◦ ONPG test ◦ Decarboxylase test
  70. 70.  American society of microbiology (2013) Colony Morphology protocol [Online] Available at: http://www.microbelibrary.org/component/resource/laboratory-test/3136- colony-morphology-protocol [Accessed: 22nd September 2015]  Bianca Isaguirre (2013) Biochemical identification of bacteria [Online] Available at: http://www.slideshare.net/anwarsh148/slides-exam [Accessed: 22nd September 2015] References
  71. 71. References (Contd.) Dr T. V. Rao (2010) Biochemical reaction Bacteriology [Online] Available at: http://www.slideshare.net/doctorrao/cdocuments-and- settingsadministratordesktopbiochemical-reaction-in-bacteriology?related=3 [Accessed: 22nd September 2015]  Godkar P (2008) Textbook Of Medical Laboratory Technology , 2nd edition Bhalani Publishing House, Mumbai  Good source (2015) Biochemical reaction Bacteriology [Online] Available at: http://delrio.dcccd.edu/jreynolds/microbiology/2421/lab_manual/colony_m orph.pdf [Accessed: 22nd September 2015]

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