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Lysine mineral oil amount
10 drops added after inoculation to keep oxygen out
Lysine yellow meaning
Glucose fermented but NO decarboxylation (negative)
Lysine intermediate/brownish color
No fermentation and no decarboxylation (negative)
PDA reagent amount
4–5 drops of 10% ferric chloride
MR reagent
3 drops of methyl red; results are immediate
MR positive meaning
Red = mixed acids produced
VP reagents
15 drops VP-A, then 5 drops VP-B; tap to mix
VP wait time
5–10 minutes; check for up to 1 hour
VP positive
Red ring = acetoin (2,3-butanediol) produced
Bile esculin purpose
Tests ability to hydrolyze esculin in the presence of bile
Bile esculin reaction
Esculetin reacts with ferric ions to form a dark brown/black precipitate
Bile esculin positive
More than half of the medium is blackened
Bile esculin positive also means
The organism can grow in the presence of bile salts
Bile esculin inoculation
Streak like any slant
Bile esculin organisms
S. epidermidis, E. faecalis
Optochin zone
Sensitive = 14 mm or greater
Gram + flowchart step 1
Catalase: (+) = Staphylococcus; (−) = Streptococcus and Enterococcus
Gram + flowchart: catalase (+) next test
MSA: mannitol (+) = S. aureus or S. saprophyticus; mannitol (−) = S. epidermidis
Gram + flowchart: separate S. aureus from S. saprophyticus
DNase: (+) = S. aureus; (−) = S. saprophyticus
Gram + flowchart: catalase (−) next test
CNA hemolysis: gamma = E. faecalis; alpha = S. sanguinis or S. pneumoniae; beta = S. pyogenes
Gram + flowchart: alpha group next test
Bile esculin: (+) = E. faecalis; (−) = S. sanguinis or S. pneumoniae
Gram + flowchart: separate S. sanguinis from S. pneumoniae
Optochin: resistant = S. sanguinis; sensitive = S. pneumoniae
Catalase-positive gram + organisms
S. aureus, S. saprophyticus, S. epidermidis
Catalase-negative gram + organisms
E. faecalis, S. sanguinis, S. pneumoniae, S. pyogenes
Oxidase result for all gram + organisms
Negative
MAC and EMB result for all gram + organisms
No growth
E. faecalis key results
Catalase (−), CNA gamma (sometimes slightly alpha), bile esculin (+), DNase (−), novobiocin sensitive, optochin resistant
S. aureus key results
Catalase (+), CNA beta, MSA growth + mannitol (+), DNase (+), bile esculin slight (+), novobiocin sensitive
S. saprophyticus key results
Catalase (+), CNA gamma, MSA mannitol (+), DNase (−), urease (+), novobiocin RESISTANT
S. epidermidis key results
Catalase (+), CNA gamma, MSA growth but mannitol (−), DNase (−), bile esculin (−), novobiocin sensitive
S. sanguinis key results
Catalase (−), CNA alpha, no growth on MSA, bile esculin (−), optochin RESISTANT
S. pneumoniae key results
Catalase (−), CNA alpha, bile esculin (−), optochin SENSITIVE (~22 mm)
S. pyogenes key results
Catalase (−), CNA beta, DNase (+), bacitracin SENSITIVE
Bacitracin result for staph and E. faecalis
Resistant
Only novobiocin-resistant staph
S. saprophyticus
Gram + sugar fermentation note
Strep species give inconsistent Durham tube results, so don't use those tests for them