Enterobacteriaceae Identification Quiz

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Questions and Answers

Match the following bacteria with their fermentation type:

Escherichia = Lactose Fermenter Shigella = Non-Lactose Fermenter Klebsiella = Lactose Fermenter Salmonella = Non-Lactose Fermenter

Match the following agar types with their characteristics:

EMB Agar = Selective and differential XLD Agar = Detects hydrogen sulfide (H2S) Hektoen Enteric Agar = Targets Salmonella/Shigella SS Agar = Inhibits gram-positive organisms

Match the following non-lactose fermenters with their characteristics:

Salmonella = Produces H2S and black center Shigella = Does not produce H2S Proteus = Non-Lactose Fermenter Yersinia = Non-Lactose Fermenter

Match the following lactose fermenters with their appearance on XLD agar:

<p>Escherichia coli = Yellow colonies Citrobacter = Yellow colonies Serratia = Red colonies with black centers Klebsiella = Yellow colonies</p> Signup and view all the answers

Match the following fermentation results with the media type:

<p>Orange color = Indicates lactose fermentation (HE agar) Blue green color = Indicates Shigella (HE agar) Yellow colonies = Indicates nonpathogens (XLD agar) Colorless colonies = Indicates Shigella (XLD agar)</p> Signup and view all the answers

Match the following carbohydrates found in XLD agar:

<p>Sucrose = In excess to detect fermentation Lactose = In excess to detect fermentation Xylose = Present to detect hydrogen sulfide production Lysine = Used for decarboxylation detection</p> Signup and view all the answers

Match the following colors with their meaning in Hektoen Enteric Agar:

<p>Orange = Low pH from lactose fermentation Blue green = Indicates target pathogen (Shigella) Black center = Indicates H2S production (Salmonella) Yellow = Indicates lactose fermentation</p> Signup and view all the answers

Match the following Enterobacteriaceae species with their classification:

<p>Escherichia coli = Opportunistic pathogen Salmonella spp. = Primary pathogen Klebsiella pneumonia = Opportunistic pathogen Shigella spp. = Primary pathogen</p> Signup and view all the answers

Match the following late lactose fermenters with their initial characteristics:

<p>Serratia = Initially Non-Lactose Fermenter Enterobacter = Initially Non-Lactose Fermenter Citrobacter = Initially Non-Lactose Fermenter (LLF) Proteus = Non-Lactose Fermenter</p> Signup and view all the answers

Match the following characteristics with the correct type of bacteria:

<p>All ferment glucose = Enterobacteriaceae Oxidase negative = Enterobacteriaceae Not very useful in identification = Cellular morphology Facultatively anaerobic = Enterobacteriaceae</p> Signup and view all the answers

Match the following infections with the corresponding Enterobacteriaceae species:

<p>Septicemia = Escherichia coli Urinary tract infections = Klebsiella pneumonia Meningitis = Escherichia coli Gastroenteritis = Salmonella spp.</p> Signup and view all the answers

Match the following media with their use in Enterobacteriaceae identification:

<p>MacConkey Agar = Selective and differential BAP = Macroscopic morphology Crystal violet = Inhibits gram-positive growth Bile salts = Inhibits gram-positive growth</p> Signup and view all the answers

Match the following tests with their characteristics in Enterobacteriaceae:

<p>Nitrate reduction = All reduce nitrate to nitrites Motility test = All motile at body temperature except... Glucose fermentation = All ferment glucose Oxidase test = All are oxidase negative</p> Signup and view all the answers

Match the following terms with their descriptions:

<p>Opportunistic pathogens = Normal flora causing infections in non-normal sites Primary pathogens = Always pathogens Normal flora = Part of the gut microbiome Infections = Result from pathogenic species</p> Signup and view all the answers

Match the following features with the Enterobacteriaceae species:

<p>Mucoid colonies = Klebsiella pneumonia Large gray colonies = Enterobacteriaceae on BAP Pathogenic E. coli = Shigella spp. Non-motility = Klebsiella</p> Signup and view all the answers

Match the following terms with their key characteristics:

<p>Facultatively anaerobic = Can grow with or without oxygen Gram-negative = Identified via Gram staining Coccobacilli = Cellular morphology type Selective plates = Used for pathogenic species identification</p> Signup and view all the answers

Match the following bacterial tests with their primary purpose:

<p>Lactose Utilization Test = Differentiate lactose fermenting from non-lactose fermenting species ONPG Test = Determine if a dLF is a true NLF Glucose Fermentation Test = Test for acid production from glucose O/F Test = Assess aerobic vs anaerobic carbohydrate utilization</p> Signup and view all the answers

Match the bacterial enzymes with their functions:

<p>β-galactoside permease = Transports lactose into the cell β-galactosidase = Breaks down lactose into glucose and galactose Acid production = Indicates glucose fermentation pH indicators = Detects acid presence in media</p> Signup and view all the answers

Match the terms with their definitions:

<p>Lactose = Disaccharide made of glucose and galactose dLF = Bacteria that lack β-galactoside permease NLF = Non-lactose fermenting bacteria Yellow color in ONPG test = Indicates positive result for β-galactosidase activity</p> Signup and view all the answers

Match the test conditions with their results:

<p>Positive ONPG result = Yellow color Negative ONPG result = Clear Lactose Utilization Positive = Lactose fermentation observed Glucose Fermentation = Acids detected by pH indicators</p> Signup and view all the answers

Match the media usage with their testing purpose:

<p>Sterile saline = First step in performing ONPG test Bacterial suspension = Required for ONPG testing High sugar content in OF test = To observe oxidation ability pH indicator media = Used to detect acid from fermentation</p> Signup and view all the answers

Match the products of glucose metabolism pathways:

<p>Glycolysis = Produces pyruvate from glucose Fermentation = Yields strong acids Oxidation = Produces weak acids Anaerobic pathways = Do not require oxygen</p> Signup and view all the answers

Match the characteristics with their respective metabolic pathways:

<p>Oxidation = Aerobic carbohydrate utilization Fermentation = Anaerobic carbohydrate utilization Lactose fermentation = Metabolizes lactose into acids Glucose utilization = Can lead to acid and gas production</p> Signup and view all the answers

Match the enzyme-related features with their corresponding information:

<p>β-galactoside permease = Allows entry of lactose into bacterial cells β-galactosidase = Species that ferment lactose can produce ONPG = Substrate to test for β-galactosidase False-positive potential = Yellow pigment producing bacteria in ONPG test</p> Signup and view all the answers

Match the following compounds with their associated reactions or results:

<p>Butylene glycol = Produces diacetyl Diacetyl + KOH = Red complex formation Citrulline = Converted to putrescine Cadaverine = Product of lysine decarboxylation</p> Signup and view all the answers

Match the following amino acids with their corresponding decarboxylase enzymes:

<p>Lysine = Lysine decarboxylase Ornithine = Ornithine decarboxylase Arginine = Arginine dihydrolase Citrulline = Not applicable in the test</p> Signup and view all the answers

Match the following tests with their specific purposes:

<p>Decarboxylase test = Differentiate Enterobacterales Dihydrolase test = Identify arginine conversion Phenylalanine deaminase test = Oxidatively deaminate phenylalanine Moeller’s broth medium = Detect decarboxylation</p> Signup and view all the answers

Match the following results with their corresponding color changes:

<p>Positive decarboxylation = Purple color Negative decarboxylation = Yellow color Phenylpyruvic acid reaction = Green complex with ferric chloride Un-inoculated media = Yellow color at pH 6.0</p> Signup and view all the answers

Match the following bacteria genera with their ability to produce specific enzymes:

<p>Morganella = Positive for phenylalanine deaminase Proteus = Positive for phenylalanine deaminase Providencia = Positive for phenylalanine deaminase E. coli = Negative for phenylalanine deaminase</p> Signup and view all the answers

Match the following components of Moeller’s broth with their functions:

<p>Glucose = Provides fermentable sugar Peptones = Nutrient source Bromocresol purple = pH indicator Oil overlay = Creates anaerobic environment</p> Signup and view all the answers

Match the following conditions necessary for decarboxylation with their descriptions:

<p>Acid pH = Initial condition for decarboxylation Anaerobic environment = Created by oil overlay Control tube = Used for comparison Alkaline pH shift = Indicates positive result</p> Signup and view all the answers

Match the following products with their respective sources in the deamination test:

<p>Phenylpyruvic acid = From phenylalanine deamination Ammonia = Byproduct of deaminating phenylalanine Putrescine = From ornithine conversion Citrulline = Intermediate in arginine metabolism</p> Signup and view all the answers

Match the following tests with what they detect or indicate:

<p>Methyl red test = Mixed acids from glucose metabolism Voges-Proskauer test = Acetoin production Citrate test = Citrate utilization Indole test = Indole production from tryptophan</p> Signup and view all the answers

Match the carbohydrate fermentation results with their corresponding descriptions:

<p>Glucose only = Acid slant and acid butt on TSI agar Glucose and lactose or sucrose = Ferments multiple carbohydrates Lactose only = Does not ferment glucose Lactose and sucrose = Does not ferment glucose</p> Signup and view all the answers

Match the metabolic products with the tests where they are detected:

<p>Mixed acids = Detected by Methyl red test H2S = Detected in sulfide production test Phenylpyruvate = Found in phenylalanine deaminase test Indole = Produced from tryptophan in Kovac’s reagent</p> Signup and view all the answers

Match the characteristics of indole-positive bacteria:

<p>Produce tryptophanase = Indicates indole production capability Deaminate lysine = Not associated with indole production Decarboxylate tryptophan = Not related to indole Decarboxylate ornithine = Not related to indole</p> Signup and view all the answers

Match the colony colors on various agar media with the organisms they indicate:

<p>Black colonies on XLD = Salmonella Orange colonies on HEK = Shigella Pink colonies on SS agar = E.coli Non-pathogenic Enterobacteriaceae = Indicated by specific agar colors</p> Signup and view all the answers

Match the following tests with their results:

<p>Tryptophan Deaminase Test = Reddish brown positive Citrate Utilization Test = Blue positive Indole Test (Kovac's reagent) = Red positive MIO Agar (Positive Motility) = Clouding of medium</p> Signup and view all the answers

Match the following tests with their purposes:

<p>Tryptophan Deaminase Test = Determine ability to oxidatively deaminate tryptophan Citrate Utilization Test = Determine use of sodium citrate as a carbon source Indole Test = Identify organisms producing tryptophanase MIO Agar = Detect motility and decarboxylase production</p> Signup and view all the answers

Match the following positive results with their corresponding tests:

<p>Citrate Utilization = Blue Indole with Ehrlich's reagent = Red Tryptophan Deaminase Test = Reddish brown MIO Agar Ornithine Decarboxylation = Purple throughout medium</p> Signup and view all the answers

Match the following negative results with their respective tests:

<p>Citrate Utilization = Green Indole Test = Light brown Tryptophan Deaminase Test = Colorless MIO Agar Motility = No clouding of medium</p> Signup and view all the answers

Match the following tests with the correct reagents used:

<p>Indole Test (Spot Method) = DMACA reagent Indole Test (Kovac's reagent) = Kovac's reagent Indole Test (Ehrlich's reagent) = Ehrlich’s reagent MIO Agar = Kovac’s reagent for indole detection</p> Signup and view all the answers

Match the following microorganisms with their positive tests:

<p>E. coli = Tryptophan Deaminase Test positive P. vulgaris = Tryptophan Deaminase Test positive Klebsiella spp. = MIO Agar with positive motility Enterobacter = Differentiated by MIO Agar</p> Signup and view all the answers

Match the following limitations with their respective tests:

<p>Citrate Utilization Test = Some organisms grow without color change Tryptophan Deaminase Test = Light brown can be confusing Indole Test = Result varies with reagent used MIO Agar = Semi-solid medium may complicate reading</p> Signup and view all the answers

Match the following outcomes with their definitions:

<p>Positive result = Indicates the specific enzyme is present Negative result = Indicates the specific enzyme is absent Color change = Reveals chemical activity of organisms No growth = Organisms unable to utilize the substrate</p> Signup and view all the answers

Flashcards

Enterobacteriaceae Family

A family of gram-negative bacteria found in many environments including the human gut; many members are opportunistic pathogens.

Opportunistic Pathogens

Bacteria that become pathogenic in situations where the host's immune system is weakened or the bacteria are in unusual locations.

Escherichia coli

A common opportunistic pathogen; often found in the gut and can cause UTIs, septicemia and other infections.

Klebsiella pneumoniae

A significant opportunistic pathogen commonly associated with infections, particularly in compromised patients.

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Proteus mirabilis

Opportunistic pathogen often linked to urinary tract infections and wound infections.

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MacConkey Agar (MAC)

Selective and differential media used to identify Enterobacteriaceae based on lactose fermentation.

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Glucose Fermentation

All Enterobacteriaceae species ferment glucose, meaning they use sugar to produce energy/products.

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Nitrate Reduction

All Enterobacteriaceae species reduce nitrate to nitrites.

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Oxidase Negative

Enterobacteriaceae do not produce an oxidase enzyme

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Motility (Enterobacteriaceae)

Most Enterobacteriaceae are motile; exceptions include Klebsiella, Shigella, and Yersinia.

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Lactose Utilization

A crucial bacterial characteristic determined by if the bacterium can ferment lactose, a sugar. Used to distinguish between lactose fermenting and non-fermenting bacteria.

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Lactose

A sugar made up of glucose and galactose, connected by a galactoside bond. Degraded by an enzyme to produce glucose usable for metabolism.

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β-galactoside permease

An enzyme that transports lactose across a bacterial cell wall.

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β-galactosidase

An enzyme that breaks down lactose into its glucose and galactose subunits

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ONPG

Ortho-Nitrophenyl-β-D-Galactopyranoside, a lactose-like molecule used to test for the presence of β-galactosidase.

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ONPG Test

Test used to determine if an organism is truly a non-lactose fermenting (NLF) species by testing its presence of β-galactosidase.

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Glucose Metabolism Pathways

Two ways bacteria can metabolize glucose. One needs oxygen (oxidative), and the other doesn't, in which case it ferments.

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Oxidation-Fermentation (O/F) Test

Tests how bacteria utilize sugars; whether aerobically (oxidation) or anaerobically (fermentation).

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Lactose Fermenters

Bacteria that can break down lactose, a sugar, for energy. These colonies appear pink on certain media.

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Non-Lactose Fermenters

Bacteria that can't break down lactose for energy. These colonies appear yellow on certain media.

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Late Lactose Fermenters (LLF)

Bacteria that are initially non-lactose fermenters but convert to lactose fermenters after a certain period, often 48 hours.

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EMB Agar

Selective and differential agar (Eosin-methylene blue) used to distinguish between gram-positive and gram-negative isolates.

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Hektoen Enteric (HE) Agar

Selective and differential agar targeting Salmonella and Shigella, differentiating based on lactose fermentation and H2S production.

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Salmonella

A type of bacteria that can cause illness, often producing H2S that creates a black center on certain agars.

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Shigella

A type of bacteria that can cause illness and doesn't produce H2S, appearing blue-green on certain media.

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Xylose Lysine Deoxycholate (XLD) Agar

Selective and differential agar targeting Salmonella and Shigella based on fermentation, H2S, and lysine decarboxylation

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Lysine Decarboxylase

A bacterial metabolic process that creates alkaline pH, changing the colony color from yellow to red when identified on XLD agar.

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Salmonella colony on XLD

Initially yellow, then turns red with a black center on XLD, signifying H2S production

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Shigella colonies on XLD

Appear colorless or red on XLD agar, indicating absence of H2S fermentation.

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Salmonella/Shigella Agar (SS Agar)

Selective agar designed to isolate and differentiate Salmonella and Shigella.

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Decarboxylase Test

A test used to identify bacteria that produce enzymes (decarboxylases) that remove a carboxyl group (COOH) from specific amino acids, changing the pH.

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Decarboxylase Principle

The process of organisms removing the carboxyl group (COOH) from specific amino acids (e.g., lysine, ornithine) and releasing ammonia or amines.

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Dihydrolase Test

A test used to identify bacteria that break down arginine, turning it into citrulline, and then ornithine.

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Positive Decarboxylase Result

A deep purple color appears due to the alkaline rise in the broth solution caused by produced amines.

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Negative Decarboxylase Result

The solution stays yellow; indicating the absence of decarboxylation.

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Diacetyl Test

A test for the presence of diacetyl. A positive result produces a red complex with KOH and α-naphthol.

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Phenylalanine Deaminase Test

A test determines the ability to convert Phenylalanine into Phenylpyruvic acid. Positive detects when this conversion is produced.

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Moeller's Broth

A specialized broth used for decarboxylase testing. It contains specific amino acids, glucose, peptones, and pH indicators (e.g., bromocresol purple).

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Mixed acid fermentation

A metabolic pathway that produces various organic acids from glucose.

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Voges-Proskauer test

A test that detects the production of acetoin by certain bacteria from glucose.

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Glucose & lactose fermentation

Bacteria that use both glucose and lactose as energy sources.

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Indole production

The breakdown of tryptophan to produce indole.

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Tryptophanase

The enzyme that breaks down tryptophan.

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API system

A system that uses enzyme characterization to identify bacteria.

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XLD agar black colonies

Indicates the presence of bacteria that produce hydrogen sulfide.

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HEK agar orange colonies

Indicates the presence of certain gram-negative bacteria.

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MAC agar lactose fermenters

Bacteria that produce acid from lactose during metabolism.

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SS agar pink colonies

Indicates lactose fermenting bacteria.

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Ferric Chloride Test Result (Positive)

A positive result in the ferric chloride test produces a green color.

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Ferric Chloride Test Result (Negative)

A negative result in the ferric chloride test appears colorless.

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Tryptophan Deaminase Test (Positive)

A positive result in the tryptophan deaminase test produces a reddish-brown color.

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Tryptophan Deaminase Test (Negative)

A negative result in the tryptophan deaminase test displays a light brown color.

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Citrate Utilization Test (Positive)

If an organism uses citrate, the media turns blue.

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Citrate Utilization Test (Negative)

A negative result in the citrate utilization test keeps the media green.

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Indole Test (Positive, Ehrlich's Reagent)

A positive indole test (using Ehrlich's reagent) results in a red color.

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Indole Test (Positive, Kovac's Reagent)

A positive indole test (using Kovac's reagent) produces a red color.

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Indole Test (Positive, Spot Test)

A positive spot indole test (using DMACA reagent) yields a blue color.

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Motility Test (Positive)

Positive motility shows a cloudy or spreading growth from the inoculation line in a semi-solid medium.

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Ornithine Decarboxylase (Positive)

A positive ornithine decarboxylase test shows a purple color throughout the medium in semi-solid media.

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Study Notes

Overview of Enterobacteriaceae Identification Methods

  • Lecture 9 covers identifying Enterobacteriaceae
  • Includes information from Bailey & Scott's (Chapter 12, 19) and Diagnostic Microbiology (Chapter 9, 19)
  • Lecture introduces Enterobacteriaceae, common identification methods, special media and test systems.

Enterobacteriaceae

  • A large family of bacteria, also known as enterics.
  • Common clinical isolates in acute care primarily include Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis.

Bacterial Species and Infections

  • Table 19.3 lists various bacterial species with the diseases they commonly cause.
  • Examples include Escherichia coli linked to bacteriuria, septicemia, and neonatal sepsis.
  • Some are opportunistic pathogens that cause infections in non-normal areas, such as the urinary tract or wounds.

Clinical Significance

  • Two main categories of clinical significance:
    • Opportunistic pathogens (covered in this lecture): These bacteria are part of normal flora but can cause infections in unusual sites.
    • Primary pathogens: These bacteria always cause disease. Examples include Salmonella, Shigella, and Yersinia.

General Characteristics of Enterobacteriaceae

  • All ferment glucose.
  • All reduce nitrates to nitrites.
  • All are oxidase-negative.
  • Most are motile at body temperature, except for Klebsiella, Shigella, and Yersinia.
  • Lack remarkable colony morphologies on typical lab media.

Enterobacteriaceae - Identification

  • Cellular morphology (gram-negative rods/coccobacilli) is not very helpful for identification except to rule out other organisms.
  • Growth conditions are facultatively anaerobic.
  • Molecular methods are modern methods for identification.
  • Macroscopic morphology on BAP is not very helpful for identification, except to rule out other organisms.
  • Larger, moist, gray colonies are sometimes mucoid; selective plates are used for identifying pathogenic species in stool samples.

MacConkey Agar

  • A selective and differential medium for Enterobacteriaceae.
  • Inhibits gram-positive bacteria; lactose fermentation is the key differentiator.
  • Colonies of lactose fermenters appear pink/red (LF); non-lactose fermenters are yellow (NLF). Some may exhibit delayed lactose fermentation (LLF), initially appearing yellow but turning pink/red after 48 hours.

EMB Agar

  • A selective and differential medium often used for Enterobacteriaceae identification.
  • Methylene blue inhibits gram-positive bacteria; lactose and sucrose fermentation differentiate.

Hektoen Enteric Agar (HE)

  • Selective and differential medium specific for Salmonella and Shigella.
  • Bile salts and other inhibitory agents reduce gram-positive growth; lactose and sucrose fermentation aid differentiation.
  • Orange colonies often indicate non-pathogenic organisms.
  • Black colonies with a central black discoloration indicate Salmonella.
  • Blue-green colonies indicate possible target pathogens, like Shigella.

Xylose Lysine Deoxycholate Agar (XLD)

  • Another medium targeted specifically at Salmonella and Shigella identification.
  • Selective for gram-negative bacteria; less than MacConkey or HE.
  • Lactose, sucrose, and xylose fermentation; lysine decarboxylation; and H2S production differentiate.
  • Yellow colonies (non-pathogens)
  • Red colonies with black centers (target pathogens).
  • Colorless/red colonies (Salmonella/Shigella)

Salmonella Shigella Agar (SS)

  • A medium for isolating and differentiating Salmonella and Shigella.
  • Selective for gram-negative bacteria; lactose and neutral red differential.
  • Lactose fermenters (pink); non-lactose fermenters (colorless)
  • This allows identification of non-pathogenic bacteria from possible pathogens.

CIN Media

  • A medium for isolates that have Yersinia spp. or non-fermenting organisms.
  • Inhibitory agents (cefsulodin, irgasan, novobiocin, bile salts, and crystal violet) reduce growth. Mannitol with phenol red are the differential differentiators.

O/F Basal Media

  • Useful for classifying bacteria as oxidizers or fermenters.
  • Two tubes are used:
    • Aerobic tube
    • Anaerobic tube (covered by mineral oil).

Triple Sugar Iron Agar (TSI)

  • Detects production of acid from fermentation of glucose, lactose, and sucrose, and also hydrogen sulfide.
  • The butt of the tube and the slant are both used for interpretation.
  • Gas may also be noted.
  • Examples of TSI reactions are noted.
  • Several organisms have their own specific reactions and are highlighted.

Glucose Metabolism

  • The Embden-Meyerhof pathway is the essential pathway.
  • Other pathways are mixed acid or butylene glycol pathways, which have their own specific tests.

Methyl Red(MR) test

  • This test determines if mixed acids are produced during glucose metabolism.
  • Positive results are indicated by a red color.

Voges-Proskauer (VP) test

  • Identifies organisms that utilize the butylene glycol pathway.
  • Positive is indicated by the formation of a red complex.

Decarboxylase and Dihydrolase Tests

  • Used to distinguish decarboxylase-producing Enterobacterales from other Gram-negative rods; specific for amino acids (e.g., lysine and ornithine).
  • Moeller's broth is an example of a medium used in these tests, using appropriate pH indicator.
  • A positive result is marked by a color change; a negative result does not change or is a slight change in color.

Phenylalanine Deaminase Test

  • Used to test if bacterial species can deaminate phenylalanine.
  • Positive is indicated by a green color change.

Tryptophan Deaminase Test

  • Identifies organisms that can deaminate tryptophan and produce indole
  • Positive is indicated by a reddish color.

Citrate Utilization Test

  • Tests if an organism can utilize sodium citrate as a carbon source.
  • Positive is indicated by a blue color change.

Indole test

  • A test to detect if indole production occurs from tryptophan.
  • Positive is indicated by a change from colorless to a reddish brown color.

Motility-Indole-Ornithine (MIO) Agar

  • A semi-solid medium useful for differentiating species of Klebsiella, Enterobacter, and Serratia. This is done by testing for motility, ornithine decarboxylase, and indole formation.

Nitrate and Nitrite Reduction

  • This reaction detects the ability of an organism to reduce nitrate.
  • A positive result is marked when a color is not seen or if gas is seen after adding zinc.
  • Negative result turns a reddish brown color.

Urease (Christensen's) Test

  • Determines if an organism can produce urease.
  • Positive result shows a bright pink color.

Multi-test systems

  • Provide comprehensive identification.
  • Can be pure culture or don't require one.
  • pH, enzymatic activity, carbon utilization, visual detection of characters, or molecular methods.
  • API 20E system is an example.

Rapid identification systems

  • Offer quicker results.
  • Several types of rapid methods exist, using different techniques, and include immunochemical methods, mass spectrometry, and molecular biological methods.

Knowledge Checks

  • Answers to relevant knowledge checks.

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