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The organism ferments sugar and produces acid and, in certain groups, gas. Acid production is indicated by a color change of the medium, due to inclusion of a pH indicator. Gas production is shown by placing a small Durham’s tube upside down in the medium during its production. Before

 


Negative Staining

Negative Staining is a technique by which organisms

remain unstained against a dark background.

India Ink Method

A small quantity of India ink 10% nigrosin is mixed with

the material on a slide. A smear is made by means of

another slide and the preparation is allowed to dry. The

smear is examined and the spirochetes are seen as clear

transparent objects against a dark brown background.

Capsules may also be demonstrated by this method.

Motility of Bacteria

Hanging Drop Method

This method is used to observe the morphology but also

demonstrates the motility of organisms. A special slide

with a concave center is used or else a ring of plasticine

can be placed on the slide. A drop of the culture of

bacterial suspension is placed on a coverslip. Vaseline is

placed near the concave area of the slide approximately

the corners of the coverslip. The slide is placed over the

coverslip so that the drop of culture is directly under the

concave area and the Vaseline adheres to the coverslip.

The slide is then quickly inverted and placed under

the microscope. Motile organisms will be seen darting

through the medium in which they are suspended. Motility

should be differentiated from Brownian movement which

is caused by bombardment of the molecules of the fluid.

In motility, the organisms move in a definite direction,

whereas in Brownian movement they show no direction.

CULTURE

Four factors are to be taken into account

1. Media providing optimum growth

2. Temperature

3. Atmosphere

4. Cultural characteristics, e.g. size, shape and pigmentation of colonies.

Media

Media can be (a) basic (b) enrichment (c) selective, and

(d) indicator media.

1. Basic Media

These contain the necessary constituents for growth—

meat extract, peptone and salt, and these are nutrient

broth (liquid) or nutrient agar (solid). Many organisms

would grow on these types of media and need no other

factors.

2. Enrichment Media

These are used for organisms, which need an additional

source of nutrition. This can be done by adding blood

or serum to the nutrient agar or broth. An enrichment

medium used for growth of the Mycobacterium tuberculosis

contains eggs.

3. Differential and Selective Media

These media by virtue of their chemical composition

inhibit the growth of some organisms while at the same

time support the growth of others. Examples: eosin methylene blue agar and MacConkey agar contain lactose and

dye or an indicator in the decolorized state. Bacteria,

which ferment lactose with the production of acid will

produce red color or colonies with metallic sheen differentiates the lactose fermenting coliform bacilli from colonies

of lactose non-fermenting organisms. Some media, which

are used are also highly selective in their action on other

organisms. Such media as SS agar, deoxycholate citrate

agar and bismuth sulfite agar will inhibit the growth of

the majority of coliform bacilli along with many strains of

proteus and will permit the successful isolation of enteric

pathogens. Tellurite glycerin agar and mannitol salt agar

are selective media for the isolation of coagulase positive

Staphylococcus from material containing other organisms.

Phenyl-ethyl-alcohol agar is a selective medium for the

isolation of gram-positive cocci in specimens or cultures

contaminated with gram-negative organisms particularly

proteus. Infusion agar containing potassium tellurite

and blood/serum inhibits the growth of normal throat

commensals and encourages the growth of C. diphtheriae.

Some medias make use of the selective antimicrobial

activity of some antibiotics and are useful for isolating

certain pathogenic organisms from material containing mixed flora. Sabouraud dextrose agar containing

cycloheximide and chloramphenicol will support the

growth of dermatophytes and most fungi, while markedly

inhibiting the growth of many saprophytic fungi and

bacteria.

4. Indicator Media

These are largely used for biochemical reactions. The

most common example is sugar media containing various

carbohydrates such as glucose, lactose, maltose, etc.

Christensen’s urea medium is used mainly in the iden-

826 Concise Book of Medical Laboratory Technology: Methods and Interpretations

tification of Proteus, which has the ability to hydrolyze

the urea, and consequently because of the presence of

phenolphthalein in the medium, a change of color is

produced.

Temperature

Most bacteria, pathogenic in humans, give optimum

growth when incubated at body temperature, i.e.

37°C. Some saprophytes, however, grow best at lower

temperatures, even as low as 4oC (cryophilic) and others at

high temperatures. The latter are known as thermophilic

bacteria and are used in testing effectiveness of sterilization

techniques.

Atmosphere

Most organisms need oxygen for growth and are incubated

in normal atmospheric conditions. Some pathogens, e.g.

tetanus bacilli, will grow only in the absence of oxygen. This

is achieved by using McIntosh and Fildes’ jar, a thick metal or

glass jar with a metal lid which can be clamped down tightly

by bolts. On this lid are 2 holes-one an air inlet and the other

an outlet. There are also 2 electric terminals. On the underside

of the lid is a piece of asbestos saturated with palladium and

covered by wire gauze. This is connected to the terminals,

and acts as a catalyst in combining any oxygen still present

after evacuation of the jar with the hydrogen, which is passed

into the jar.

The method is given below.

1. Keep the plates upside down in the jar.

2. Place in the jar an indicator—equal parts of 10% NaOH,

6% glucose and 0.5% methylene blue, boiled until the

solution becomes colorless. It should remain colorless

throughout incubation. If it turns to its original blue

color during incubation, complete anaerobiosis

(oxygenless state) has not been achieved.

3. Tightly clamp down the lid.

4. Open the air outlet valve and close the air inlet valve.

5. Attach the apparatus to an exhaust pump, and slowly

evacuate the jar (If a glass jar is used, it should be

evacuated while enclosed in a padded box to avoid

danger of explosion).

6. Allow hydrogen obtained from hydrogen cylinders or

Kipp’s apparatus in through the inlet valve after closing

the outlet valve.

7. Attach the terminals to the main current and leave for

20 minutes. This heats the palladiumized asbestos to

assist the combination of hydrogen with any remaining

oxygen.

8. Allow a little more hydrogen in via the inlet valve.

9. Put the jar in the incubator overnight. The present day

McIntosh-Filde’s jars have room temperature catalysts

and need no electrical charge. They are left at room

temperature for 15–30 minutes before allowing more

hydrogen into the jar. There are other, less complicated

methods of achieving anaerobiosis (i.e. an oxygenless

state), e.g.

a. Boil a tube of nutrient broth and layer over it

sterile Vaseline. The boiling removes the oxygen

and the Vaseline prevents more entering as the

broth cools. The tube is inoculated using a sterile

Pasteur pipette.

b. A sterile iron nail placed in glucose broth which

has been treated as in method (1), will maintain

anaerobic conditions for some time.

c. Robertson’s cooked meat medium and Brewer’s

thioglycollate broth are frequently used in the

culture of anaerobic organisms.

Some organisms are not anaerobic, but do grow better

when the amount of oxygen has been reduced. One simple

technique is to place the plates in a tin or wide mouthed

bottle with a tight fitting lid. A candle is lit inside the

container and the lid replaced firmly. The candle flame

will use off the oxygen and give an atmosphere of 5–10%

CO2. The container is placed in the incubator.

Cultural Characteristics

Bacteria grown artificially (in vitro) on agar plates are

described as colonies. These colonies vary in size, shape,

pigment production, and hemolysis on blood agar

depending on the type of media.

Colonies are described as:

1. Shape

Circular, regular, radiating or rhizard.

2. Surface

Smooth, rough, fine, granular shiny, dull, etc.

3. Size

Usually colonies are 2–3 mm in diameter, smaller ones

may be less than 1 mm.

4. Contiguity

Colonies may be discrete or swarming.

5. Consistency

May be mucoid, tenacious dry or adherent to the medium.

6. Pigmentation

Some organisms produce pigmented colonies (Staphylococci, Pseudomonas).

Microbiology and Bacteriology 827

7. Opacity

On nutrient agar they may be transparent, translucent or

opaque.

8. Elevation

Colonies may be raised, low convex, umbilicated or dome

shaped.

9. Media Changes

Colonial growth may bring about color changes in the

media themselves, e.g. hemolysis on blood agar by

hemolytic streptococci. With Pseudomonas, the green

pigment produced may diffuse into the medium.

Biochemical Reactions

Organisms that are alike in microscopic and cultural

characteristic are often differentiated by their reactions in

various biochemical tests.

1. Sugar Fermentation

Specific carbohydrate fermentation is a property of some

organisms when grown in sugar media. Sugars most

frequently employed are glucose, sucrose, lactose, mannite,

maltose and dulcite. Usually, these are incorporated into

peptone water, but for the more delicate organisms, Hiss’s

serum water must be used. Meningococci and gonococci

will only react in solid serum-sugar media. Each sugar

medium has a colored stopper and a set ‘color scheme’

may be established for the following sugars.

Glucose (green), Lactose (red), Sucrose (blue), Mannite

(mauve), Maltose (blue and white), Dulcite (pink).

The organism ferments sugar and produces acid and, in

certain groups, gas. Acid production is indicated by a color

change of the medium, due to inclusion of a pH indicator.

Gas production is shown by placing a small Durham’s tube

upside down in the medium during its production. Before

inoculating the medium the tube should be completely

filled with the medium. If gas is produced, small bubbles

of gas will be seen in the inverted tube.

2. Other Biochemical Tests

Organisms may further be identified biochemically by

their production of indole, change in pH (as shown by

the methyl red test), by their utilization of citrate and

by another test called the Voges-Proskauer reaction.

These 4 tests are especially useful in the differentiation of

intestinal pathogens.

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