1Agar with whole blood
5-10% sheep or horse; no human blood; shows hemolysis; BA + CNA
2Agar with lysed blood
RBC broken by heating 85 C; nutrients available; fastidious bacteria; CHOC + NYC
3pH indicator dyes
show acid or alkaline by colour; neutral red + phenol red + bromthymol blue
4Redox (Eh) indicator
detects O2; thioglycollate broth; resazurin pink in O2
5Selective agents
inhibit some organisms; heat stable; added before autoclave; bile salts + desoxycholate + crystal violet + brilliant green + 6-7.5% salt
6Antibiotics as selective agents
heat sensitive; added AFTER autoclave + cooling; aseptic; CNA + NYC
7Buffers in media
control pH; peptones + phosphates
8Charcoal and starch in media
absorb toxins; may inhibit fastidious; transport media + BCYE
9Basic media
water + agar + simple protein; not enriched; no selective or differential; TSA + nutrient + BHI + Columbia + Mueller Hinton
10Enriched media
basic + extra nutrients (blood + vitamins); fastidious organisms; extra delicacies
11Selective media
inhibitors (antibiotics + dyes); some grow; others blocked
12Differential media
tell organisms apart; visible biochemical difference
13Enrichment media
liquid broth; suppresses normal flora briefly; target pathogen grows; subculture within 12-18 h
14Mueller Hinton agar
basic; susceptibility testing; non-fastidious; starch absorbs toxins; loose agar for diffusion; low thymidine + thymine; add 5% blood for fastidious
15Blood agar (BA)
enriched + differential; 5-10% sheep blood; hemolysin makes clear zone
16Chocolate agar (CHOC)
enriched; NOT differential; heat-lysed blood; brown; 2% hemoglobin; fastidious Haemophilus
17Thioglycollate broth
enriched + differential broth; grows all O2 types; hemin + vitamin K; O2 gradient; 0.075% agar; resazurin pink in O2
18Is thio an enrichment medium?
NO; general-purpose enriched + differential; does not suppress normal flora
19CNA agar
enriched + selective + differential; colistin + nalidixic acid; Gram + and yeast grow; hemolysis
20MacConkey agar (MAC)
selective + differential; bile salts + crystal violet; lactose + neutral red; LF pink; NLF colourless
21MAC caution
LF can revert pink to colourless when lactose used up; check 4th quadrant; mucoid colonies look NLF but are LF
22Mannitol salt agar (MSA)
selective + differential; 7.5% salt; mannitol + phenol red; S. aureus yellow; other Staph pink
23Phenol red
yellow = acid; pinked = alkaline
24Sorbitol MacConkey (SMAC)
selective + differential; sorbitol instead of lactose; EHEC = colourless; other E. coli = pink
25Salmonella/Shigella agar (SS)
selective + differential; enteric pathogens; bile salts + citrate + brilliant green; lactose + neutral red; thiosulfate + ferric ammonium citrate for H2S
26H2S detection in media
thiosulfate gives sulfide; reacts with ferric ions; black precipitate; black colony centre
27SS colonies
pink = LF; clear = NLF; black centre = H2S
28Hektoen agar (HEK)
selective + differential; enteric pathogens; bile salts; lactose + sucrose + salicin; bromthymol blue + acid fuchsin; H2S black
29HEK colonies
fermenters = salmon/orange/yellow; non-fermenters = greenlue-green; black centre = H2S
30CIN agar
selective + differential; Yersinia enterocolitica; cefsulodin + irgasan + novobiocin; mannitol + neutral red; bulls-eye colony
31Campy agar
selective + enriched; Campylobacter; 10% blood; vancomycin + amphotericin B + polymyxin B + trimethoprim + cefoperazone; sodium bisulfite lowers O2
32New York City agar (NYC)
selective + enriched; Neisseria gonorrhoeae + meningitidis; lysed horse blood; vancomycin + colistin + amphotericin B + trimethoprim
33Enrichment broth examples
selenite; tetrathionate; BHI broth; cooked meat
34Enrichment suppressors
brilliant green; selenium salts; tetrathionate
35Selenite broth
enrichment; feces; Salmonella
36Cooked meat broth
enrichment; anaerobes; overgrown by normal flora
37Media categories quick list
basic = TSA + MH; enriched = BA + CHOC; selective = CNA + MAC + MSA + SMAC + SS + HEK + CIN + Campy + NYC; differential = BA + CNA + MAC + MSA + SMAC + SS + HEK + CIN + thio; enrichment = selenite + tetrathionate
38Acid-fast organisms
mycolic acid; lipid + wax cell wall; resist acid alcohol; poor Gram stain; Mycobacterium + Nocardia + Cryptosporidium + Cyclospora
39Acid-fast in Gram stain
beaded; or unstained ghosts
40Fluorescent acid-fast stain
auramine O or auramine-rhodamine; binds mycolic acid; 0.5% acid-alcohol; permanganate quencher; yellow/orange glow on dark background
41Non-fluorochrome acid-fast stains
Kinyoun + Ziehl-Neelsen; carbolfuchsin; phenolic
42Kinyoun stain
cold method; more phenol; 3% acid alcohol
43Ziehl-Neelsen stain
uses heat/steam; carbolfuchsin; modification of Kinyoun
44Ziehl-Neelsen procedure
smear + heat fix; carbolfuchsin; filter paper; steam 10 min; cool; rinse; acid alcohol 15 sec; wash; methylene blue 2-3 min
45ZN result
acid-fast = red; others = blue
46Acridine orange
binds nucleic acid; orange; no cell wall organisms; Mycoplasma
47Calcofluor white
binds cellulose + chitin; fungal walls; screens respiratory specimens
48Carbohydrate utilization
fermentation = no O2 + lots of acid; oxidation = O2 + little acid; asaccharolytic = no acid
49Fermenter indicators
change below pH 6; methyl red
50Oxidizer indicators
weak acid indicators; bromthymol blue
51Glucose vs lactose use
glucose first; then lactose; needs lac operon enzymes
52O/F test purpose
oxidative or fermentative or neither; separates non-fermenting aerobic GNB
53O/F medium
1% glucose; peptone; bromthymol blue; semi-solid agar; green = no acid; yellow = acid
54O/F set-up
2 tubes; open = aerobic; closed = 1 cm mineral oil = anaerobic; 35 C 48 h
55O/F interpretation
fermenter = both yellow; oxidizer = open yellow only; non-fermenter = both green; peptone use = blue (alkaline)
56Lactose fermentation
lactose to glucose + galactose; needs permease + beta-galactosidase
57Late lactose fermenter (LLF)
beta-galactosidase but no permease; makes permease later after mutation
58NLF enzyme status
per slides = permease but no beta-galactosidase
59ONPG purpose
detects beta-galactosidase; separates LLF from NLF
60ONPG principle
looks like lactose; enters without permease; colourless to yellow o-nitrophenol; any yellow = positive
61TSI purpose
glucose + lactose + sucrose fermentation; gas; H2S; Gram-negative bacilli; enteric screening
62TSI ingredients
peptone; glucose 0.1%; lactose 1%; sucrose 1%; phenol red; ferrous ammonium sulfate or ferric ammonium citrate + thiosulfate
63TSI colours
uninoculated = orange; acid = yellow; alkaline = pink
64TSI glucose only
0.1% glucose used up; slant uses peptones + makes ammonia = pink; butt stays yellow; NA/A
65TSI lactose and/or sucrose
lots of acid; not used up in 18-24 h; no reversion; A/A
66TSI reading
slant first then butt; slant = aerobic; butt = anaerobic; record gas + H2S only if seen
67TSI gas
bubbles; cracks; lifting of agar; CO2 + H2
68TSI H2S
thiosulfate sulfur; ferrous sulfide; black; in butt; needs glucose fermentation
69TSI A/A
yellow/yellow; glucose + lactose and/or sucrose
70TSI NA/A
pink/yellow; glucose only
71TSI NA/NC
pink/orange; no sugar fermented; aerobe using peptones
72TSI reporting
slantutt then H2S then gas; A/A H2S gas = A/A gH2S
73MR-VP purpose
mixed acid pathway = MR; 2-3 butanediol pathway = VP
74MR principle
mixed acid; lactic + acetic acid; pH below 4.2; methyl red; RED = positive; yellow = negative
75VP principle
glucose to pyruvate to acetoin; alpha-naphthol FIRST + 40% KOH second; shake for oxygen; red = positive
76VP reagents
6 drops 5% alpha-naphthol; 2 drops 40% KOH
77Decarboxylation
remove carboxyl group from amino acid; makes amine + CO2
78Lysine decarboxylase
lysine to cadaverine
79Ornithine decarboxylase
ornithine to putrescine
80Decarboxylase test purpose
detect decarboxylase enzyme; Gram-negative bacilli
81Decarboxylase medium
glucose; amino acid (lysine or ornithine); bromocresol purple
82Decarboxylase principle
glucose fermented; acid yellow; acid needed to switch enzyme on; amine alkaline; yellow to purple
83Decarboxylase tubes
3 per organism; control + lysine + ornithine
84Decarboxylase control
glucose only; must be YELLOW; shows growth + fermentation; purple = invalid; repeat
85Decarboxylase positive
purple; any purple after 24 h; yellow control
86Decarboxylase negative
bright yellow
87Decarboxylase troubleshooting
control purple = invalid; test purple + clear = repeat; not inoculated or no amino acid
88Bromocresol purple
yellow = acid; purple = alkaline
89Deamination
remove amine group; deaminase; makes ammonia
90PPD purpose
phenylalanine deaminase; Gram-negative bacilli
91PPD medium
L-phenylalanine; NaCl; agar; no glucose
92PPD result
phenylpyruvic acid + 10% ferric chloride; GREEN = positive; yellow = negative
93Citrate (Simmon's) purpose
citrate as only carbon source; O2 needed; Gram-negative bacilli
94Simmon's citrate medium
sodium citrate; ammonium salts; bromthymol blue
95Simmon's citrate principle
uses citrate + ammonia; alkaline; blue
96Citrate results
growth + blue = positive; growth only = positive; no growth + green = negative
97Indole test
tryptophanase; peptone supplies tryptophan; tryptophan to indole + pyruvic acid + ammonia
98Indole reagent (tube)
Kovac's or Ehrlich's; p-dimethylaminobenzaldehyde; red ring = positive; colourless = negative
99Tube vs spot indole
tube = benzaldehyde + red; spot = cinnamaldehyde + green/turquoise; spot works in seconds to 3 min on colonies
100SIM purpose
H2S + indole + motility; Gram-negative bacilli
101SIM medium
tryptophan; ferrous ammonium sulfate; thiosulfate; 0.5% agar semi-solid
102SIM H2S
black precipitate; ferrous sulfide
103SIM motility
motile = growth away from stab or turbid throughout; non-motile = along stab only; read BEFORE Kovac's
104Nitrate test purpose
nitrate reductase; anaerobic ATP
105Nitrate medium
peptone; KNO3; Durham tube
106Nitrate principle
nitrate to nitrite; then maybe nitrogen gas; sulfanilic acid + dimethyl-alpha-naphthylamine; red = nitrite
107Nitrate interpretation
gas in Durham (non-fermenter) = N2 positive; red = nitrite positive; no colour = none or beyond nitrite; add zinc
108Zinc dust in nitrate test
red after zinc = nitrate left = NEGATIVE; no colour = reduced beyond nitrite = N2 POSITIVE; too much zinc = false positive
109Gram-positive cell wall
thick peptidoglycan; teichoic + lipoteichoic acids; no outer membrane
110Gram-negative cell wall
thin peptidoglycan; outer membrane; LPS (lipid A + core + O antigen); porins; periplasmic space
111Crystal violet
Gram primary stain; all cells purple
112Gram's iodine
mordant; fixes crystal violet complex
113Gram decolorizer
acetone/alcohol; strips outer membrane; Gram-negative loses colour
114Safranin
counterstain; Gram-negative pink
115Gram stain results
Gram positive = purple; Gram negative = pinked
116Rounded ends
Gram-negative bacilli
117Square ends
Gram-positive bacilli; Bacillus + Clostridium
118Kidney bean shaped
Neisseria; Gram-negative diplococci