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What is a culture?
Multiplying microbial organisms by letting them reproduce in a predetermined culture media under controlled laboratory conditions.
What is a pure culture?
Single type of organism
What distinguishes agar from broth?
Agar is solid while broth is liquid
Selective media
Promote growth of some bacteria and/or limits growth of other bacteria.
Differential media
Distinguish between different bacteria based on changes in colonies or changes in media.
All-purpose/Supportive media
Contains nutrients that will support the growth of a large variety microorganism.
Enrichment media
Designed to promote the growth of a specific microbe present in low amounts within a mixed culture
What type of agar is TSA?
All-purpose/Supportive
What types of agar is EMB?
Selective and Differential
What is EMB selective for?
Gram - organisms
How does EMB differentiate between microorganisms?
Amount of lactose fermentation
What color is Escherichia coli on an EMB plate?
Metallic green
3 ways to obtain a pure culture
Spread plate, Pour plate, and Streak plate
Spread plate
Original culture is serially diluted then the final dilution is spread on the surface of a plate with a spreading rod. Surface colonies grow.
Pour plate
Original culture is serially diluted then the final dilution is added to molten agar. The molten agar/dilution is poured into a empty petri plate. Surface and subsurface colonies grow.
Streak plate
Original culture is directly diluted across an agar surface using an inoculating loop.
What are the differences between the pour plate method and the spread
plate method?
Pour plate is added to molten agar.
Where do the colonies grow in the pour plate versus spread plate method?
Surface and subsurface for pour. Only surface for spread.
What is a serial dilution?
Thin out a heavy population of bacteria across an agar surface.
What is the definition of a colony?
Group of bacteria, fungi, and other microorganisms grown on a solid agar medium.
How to label an agar plate?
Top edge of plate
What is the purpose of a streak plate?
To dilute or thin out the original sample until the organism of interest is isolated and pure.
Tryptic Soy Agar (TSA) Media
Contains nutrients that will support the growth of a large variety microorganism.
Mannitol Salt Agar (MSA) Media
Selective for halophiles/halotolerant and Differential to sugar mannitol
Eosin Methylene Blue Agar (EMB) Media
Selective for Gram negative organisms and Differential to lactose fermentation
What components in MSA make it both a selective and differential medium?
Mannitol and Salt
What is the pH indicator in MSA?
Phenol red
What components in EMB make it both a selective and differential medium?
Eosin Y and Methylene Blue
What does pink coloration on MSA plates indicate?
pH greater than 8.4
What does red coloration on MSA plates indicate?
pH between 6.9 to 8.4
What does yellow coloration on MSA plates indicate?
pH lower than 6.9
What does metallic green coloration on EMB plates indicate?
Large amount of lactose fermentation
What does dark blue or purple coloration on EMB plates indicate?
Small amount of lactose fermentation
Why is it important to do biochemical testing?
It can reveal information necessary to help identify bacteria within a sample
What is the carbon source in Simmons Citrate agar?
Citrate
What is the pH indicator in Simmons Citrate agar?
Bromothymol Blue
How does the pH indicator in Simmons Citrate agar work?
When the environment becomes more alkaline, the medium will change from a green to blue color.
Uninoculated Simmons Citrate slant
pH between 6.9 to 7.6, green agar slant, negative reaction
Inoculated Simmons Citrate slant
pH greater than 7.6, blue agar slant, positive reaction
What organism yield a positive reaction Simmons Citrate?
Enterobacter aerogenes
What organism yield a negative reaction Simmons Citrate?
E.coli
What type of medium is Urea and Simmons Citrate agar?
Diferential
Why is Urea a significant biochemical test?
The presence of the enzyme urease is a useful diagnostic test for identifying bacteria.
What is the pH indicator in Urea Agar?
Phenol red
How does the pH indicator work in Urea Agar?
When the environment becomes more alkaline the medium will change from a yellow color to fuchsia or hot pink.
Uninoculated Urea agar slant
pH 6.8 to 8.0, yellow agar slant, negative reaction
Inoculated Urea agar slant
pH greater than 8.0, fuchsia agar slant, positive reaction
What organism yield a positive reaction Urea agar?
Proteus vulagris
What organism yield a negative reaction Urea agar?
E.Coli
What is the chemical reaction for the decomposition of hydrogen peroxide?
2H2O2⇌2H2O + O2
What indicates a positive catalase result?
Rapid formation of bubbles
Between Staphylococcus and Streptococcus, which genus is positive for catalase activity?
Staphylococcus
Staphylococcus aureus Coagulase test result
Positive
Staphylococcus epidermidis Coagulase test result
Negative
Staphylococcus aureus Staphyloside test result
Positive
Staphylococcus epidermidis Staphyloside test result
Negative
Method used in lab to distinguish between S. aureus and S.epidermidis?
Coagulase test
What type of test is staphyloside test?
Latex
What antigen is in staphyloside test?
Protein A
Which panel shows agglutination in staphyloside test?
One with clumps or specks
What type of test is coagulase test?
Biochemical
What is coagulase and what does it do?
An exoenzyme that causes the fibrin of blood plasma to clot.
Where do Streptococcus species normally live on/in the body?
In oral cavity or urogenital cavity
Which Streptococcus species are of greatest medical importance?
Streptococcus pyogenes, Streptococcus pneumonia, and Streptococcus agalactiae
What disease does Streptococcus pyogenes cause?
Strep throat
What disease does Streptococcus pneumonia cause?
Pneumonia
Why is Streptococcus agalactiae an issue for pregnant women?
Causes neonatal meningitis and septicemia
What is Lancefield classification?
Separates streptococcus species based on unique proteins on the cell surface.
Group A Streptococcus
Beta hemolytic/complete clearing; Streptococcus pyogenes
Group B Streptococcus
Beta hemolytic/complete clearing; Streptococcus agalactiae
Group D Streptococcus
May be alpha, beta, or gamma hemolytic; Enterococci faecalis
Beta hemolysis
Complete hemolysis/destruction of red blood cells. Results in a clear area around the bacterial colony. Ex Streptococcus pyogenes
Alpha hemolysis
Partial hemolysis/destruction of red blood cells. Results in a greenish/brownish zone around the bacterial colony. Ex Streptococcus pneumoniae
Gamma hemolysis
Absence hemolysis/destruction of red blood cells. No reaction around the bacterial colony. Ex Enterococcus faecalis
What type of medium is Blood Agar?
Enrichment and Differential
Staphylococcus gram stain reaction
Posive
Staphylococcus shape/morphology
Cocci cluster
Streptococcus gram stain reaction
Positive
Streptococcus shape/morphology
Cocci chains
What rapid test can be used to differentiate between Staphylococci and Streptococcus?
Catalase test
What does the term “superbug” mean?
Bacteria resistant to most drugs
How does antibiotic resistance happen?
Bacteria evolve to resist antibiotics
What is MRSA?
Staphylococcus Aureus that is resistant to Methicillin and related beta-lactam antibiotics.
What is VRE?
Enterococci resistant to the antibiotic vancomycin and causes serious infections
What is ESBL?
Enterobacteriaceae that is resistant to Beta-Lactamase
What is DRSP?
Streptococcus Pneumoniae that is resistant to many drugs and causes bacterial pneumonia and meningitis
What is CRE?
Enterobacteriaceae that is resistant to Carbapenem
Which antibiotic resistant bacterium that is more severe than the rest?
MRSA
Epidemiology
Study of the spread of disease
Epidemiologist
Someone who studies the spread of disease
Index case
Patient 0, the initial patient to be infected in an epidemic
Who are the two main “think tanks” of epidemiology?
Center for Disease Control (CDC) and World Health Organization (WHO)
Air-borne transmission
By breathing in
Contact transmission
By touch or direct contact
Bloodborne transmission
By blood
Droplet transmission
Bu respiratory droplets such as saliva and mucus
Which transmission mode is more responsible for spreading disease?
Contact
T-Streak Procedure
Light your Bunsen burner and sterilize your inoculating loop.
Remove the cap and flame the opening of the test tube.
Dip the inoculating loop into the bacterial culture.
Flame the opening of the test tube and put the cap back on.
Hold the lid of the plate, pull your loop gently across the first section, back and forth along the top of the T
Put the lid back on the plate and sterilize the loop.
Rotate your plate 90º
Streak once through the first section you streaked and pull into the second section. Continue to streak the rest of the second section.
Put the lid back on the plate and sterilize the loop.
Rotate your plate 90º
Streak once through the second section and pull into the third section. Continue to streak the rest of the third section.
Put the lid back on the plate and sterilize the loop.
Isolating Bacteria Procedure
Divide one TSA, EMB, and MSA plate into 4 quadrants
Streak the quadrant in an “S” motion.
On the other TSA, EMB, and MSA plate, take the unknown mixed culture and perform a T-streak.
Tape their plates together and invert agar plates for incubation.
Incubate plates at 37°C for 24 hours.
Simmon’s Citrate and Urea Slants Procedure
Inoculate the slant tubes in an “S” like motion from the bottom of the slant to the top with an inoculating loop. The loop should be parallel with the slant.
Inoculate one slant with Escherichia coli and the other slant with Enterobacter aerogenes.
Tighten the screw cap on test tube, then loosen it by a quarter turn to allow oxygen to enter the test tube.
Incubate at 37˚C for 24 hours.