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Lab Identification of Enterobacteriacae 
 General properties 
 Gram negative rod 
 Some are major components of intestinal NF 
 Widely distributed 
 Oxidase negative and Catalase positive 
 Ferment glucose rather than oxidized 
 Some are motile 
 Don't form spore 
 Grow well on MacConkey agar 
 Reduce nitrate to nitrite 
11/07/14 Ellabib MS
Human diseases 
 Urinary and gastrointestinal infection 
 Pneumonia and meningitis 
 Abscesses and wound infection 
 Septicemia 
 Important species and diseases 
 E. coli 
A. UTI 
B. Diarrhoea 
1. Enteropathogenic E. coli (EPEC) cause infantile enteritis 
2. Enterotoxigenic (ETEC) cause travellers diarrhoea 
3. Enteroinvasive (EIEC) resemble shigelloses 
4. Verocytotoxigenic (VITE) 
 cause haemorrhagic colitis (bloody diarrhoea) 
 Haemolytic uraemia syndrome 
C. Sepsis 
D. Meningitis in infants (K1 antigen capsule type) 
11/07/14 Ellabib MS
Important species and diseases 
 Shigellae 
 Bloody and pus diarrhoea 
 Shigellae dysenteriae and S. sonnei, S. flexneri 
 Salmonella spp 
 Salmonella thyphi (typhoid fever) 
 Bacteremia and enterocolitis 
 Klebsiella spp 
 K. pneumoniae 
 K. oxytaca 
 Pneumoniae, UTI and bacteremia 
 Hospital acquired infections 
11/07/14 Ellabib MS
Important species and diseases 
 Proteus spp 
 UTI, bacteremia 
 Kidney stone 
 P. mirabilis and P. vulgaris 
 Enterobacter spp 
 UTI, nosocomial pathogen 
 E. aerogenes (capsulated) 
 E. cloacae and E. agglomerans 
11/07/14 Ellabib MS
Important species and diseases 
 Serratia spp 
 Opportunistic hospital pathogen 
 Neonatal bacteremia and pneumonia 
 S. marcescens and S. liquifaciens 
 Citrobacter spp 
 UTI 
 C. freundii 
 Yersinia spp 
 Y. pestis (plague) 
 Y. enterolitica 
11/07/14 Ellabib MS
Important species and diseases 
 Other less encountered spp 
 Providencia, Hafnis and Erwinia 
11/07/14 Ellabib MS
Laboratory diagnosis 
 Presumptive identification 
1. Gram stained preparation (-v rod or cocco 
bacilli) 
2. Colony morphology on blood agar 
 Large Gray, dry, Mucoid or swarming 
3. Red colonies on MacConkey agar 
 Indicate organism can form acid 
4. Biochemical tests for species identification 
11/07/14 Ellabib MS
(-v rod) MacConkey agar 
11/07/14 Ellabib MS
Group members differentiation 
1. Glucose fermentation positive 
2. Cytochrome oxidase test is negative 
3. Nitrate is reduced to nitrite 
 Carbohydrate utilization 
 Not all carbohydrates are sugar 
 Fermentation term is also misused 
 Fermentation is an oxidation-reduction 
 Take place in an anaerobic environment 
 Substrate serve as final (H) acceptor 
 Process detected by PH indicators 
 Acidification may result from other pathway 
 All bacteria metabolize carbohydrates are facultative anaerobic 
 Utilization may not be under strictly anaerobic conditions 
11/07/14 Ellabib MS
Basic principle of fermentation 
Glucose Formic acid 
Pyruvic acid 
Acetyl COA 
Acetic acid Butyric acid +Alcohol 
Acetaldehyde Succinic acid Butanediol 
Ethyl alcohol Propionic acid 
11/07/14 Ellabib MS 
H2+CO2 
Acetoin
B- Galactosidase and PNPG test 
 To detect galactosidase enzyme 
 Useful for lactose fermenters such as 
 Some E. coli strain from Shigella sonnei 
 Some strains of Citrobacter and S. arizonae 
(ONPG +V) from Salmonella spp (ONPG –v) 
 The test measure enzyme only 
11/07/14 Ellabib MS
Process of lactose in Enterobacteriacae 
lactos 
e 
glucose 
galactose 
β - galactoside bond 
β – galactoside permease 
glucose B-galactosidase 
galactose 
Glucose + galactose 
11/07/14 Ellabib MS 
Mixed acids 
glucose Pyruvic 
acid
OPNG 
O- Nitrophenol -B-galactosidase (colourless) 
Enzyme ( B- galactosidase) 
O – Nitrophenol 
(yellow) 
11/07/14 Ellabib MS
Cytochrome Oxidase test 
 Do not use steel or nichrome wire loop 
 Tetramethyl - p-phenylenediamine 
 when it takes the electron from the last 
element (cytochrome oxidase) in the 
electron transport chain. 
 Positive result give blue colour (10-20 
second) 
11/07/14 Ellabib MS
Detection of carbohydrates fermentation 
 Media ingredients 
 Trypticase, NaCl, 
phenol red, 
carbohydrate, distilled 
water and PH adjusted 
to 6.8 
 Fermentation indicated 
by yellow colour and 
gas formation by 
Durham tube 
11/07/14 Ellabib MS
Kliger Iron agar or Triple sugar iron 
agar 
 Media contain two or three 
sugar 
 Contain ferric 
 PH indicator (phenol red) 
 Nitrogen source 
 To differentiate lactose 
from non lactose 
Fermenter (KIA) 
 Fermentation of sucrose 
(TSIA) 
 Detection gas 
 Detection of hydrogen 
sulphide production 
11/07/14 Ellabib MS
Indol production 
 ability of the organism to split 
indole from the amino acid 
tryptophan 
 Tryptophanase enzyme 
 Kovac's reagent (isoamyl 
alcohol, p- 
Dimethylaminobenzaldehyde, 
concentrated hydrochloric acid) 
to the culture broth 
 Results: 
 Positive result red color 
(occurring within a few seconds) 
 Negative result yellow color 
11/07/14 Ellabib MS
Methyl Red Test 
 MR test is a quantitative test for 
acid production, requiring 
positive organism to produce 
strong acids (lactic, acetic, 
formic) from glucose via the 
mixed acid fermentation 
pathway 
 only those organism that can 
maintain low PH of about 
ph 4-4.5 can be called 
methyl red – positive 
 organisms that are MR (+) are 
always VP (-) 
Klebsiella 
11/07/14 Ellabib MS 
E. coli
Voges proskauer Test 
Acetoin Diacethyl KOH+Air +Naphthol+creatine 
Red complex 
11/07/14 Ellabib MS 
Klebsiella 
E. coli
Citrate Test 
 a test depends upon the ability of 
the organism, to utilize citrate as the 
sole source of carbon and energy 
growth 
 Simmon’s Citrate Agar 
 Kosher’s Media 
 bromthymol blue, a pH indicator 
with a range of 6.0 to 7.6 
 uninoculated Simmon's 
citrate agar has a pH of 6.9, 
so it is an intermediate green 
color (neutral pH) 
 Growth of bacteria in the 
media leads to development 
of a Prussian blue color at 
more alkaline pH's (around 
7.6) (positive citrate) 
Klebsiella, 
Salmonella, 
Citrobacter Escherichia 
11/07/14 Ellabib MS 
and 
Shigella

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Lab identification of enterobacteriacae

  • 1. Lab Identification of Enterobacteriacae  General properties  Gram negative rod  Some are major components of intestinal NF  Widely distributed  Oxidase negative and Catalase positive  Ferment glucose rather than oxidized  Some are motile  Don't form spore  Grow well on MacConkey agar  Reduce nitrate to nitrite 11/07/14 Ellabib MS
  • 2. Human diseases  Urinary and gastrointestinal infection  Pneumonia and meningitis  Abscesses and wound infection  Septicemia  Important species and diseases  E. coli A. UTI B. Diarrhoea 1. Enteropathogenic E. coli (EPEC) cause infantile enteritis 2. Enterotoxigenic (ETEC) cause travellers diarrhoea 3. Enteroinvasive (EIEC) resemble shigelloses 4. Verocytotoxigenic (VITE)  cause haemorrhagic colitis (bloody diarrhoea)  Haemolytic uraemia syndrome C. Sepsis D. Meningitis in infants (K1 antigen capsule type) 11/07/14 Ellabib MS
  • 3. Important species and diseases  Shigellae  Bloody and pus diarrhoea  Shigellae dysenteriae and S. sonnei, S. flexneri  Salmonella spp  Salmonella thyphi (typhoid fever)  Bacteremia and enterocolitis  Klebsiella spp  K. pneumoniae  K. oxytaca  Pneumoniae, UTI and bacteremia  Hospital acquired infections 11/07/14 Ellabib MS
  • 4. Important species and diseases  Proteus spp  UTI, bacteremia  Kidney stone  P. mirabilis and P. vulgaris  Enterobacter spp  UTI, nosocomial pathogen  E. aerogenes (capsulated)  E. cloacae and E. agglomerans 11/07/14 Ellabib MS
  • 5. Important species and diseases  Serratia spp  Opportunistic hospital pathogen  Neonatal bacteremia and pneumonia  S. marcescens and S. liquifaciens  Citrobacter spp  UTI  C. freundii  Yersinia spp  Y. pestis (plague)  Y. enterolitica 11/07/14 Ellabib MS
  • 6. Important species and diseases  Other less encountered spp  Providencia, Hafnis and Erwinia 11/07/14 Ellabib MS
  • 7. Laboratory diagnosis  Presumptive identification 1. Gram stained preparation (-v rod or cocco bacilli) 2. Colony morphology on blood agar  Large Gray, dry, Mucoid or swarming 3. Red colonies on MacConkey agar  Indicate organism can form acid 4. Biochemical tests for species identification 11/07/14 Ellabib MS
  • 8. (-v rod) MacConkey agar 11/07/14 Ellabib MS
  • 9. Group members differentiation 1. Glucose fermentation positive 2. Cytochrome oxidase test is negative 3. Nitrate is reduced to nitrite  Carbohydrate utilization  Not all carbohydrates are sugar  Fermentation term is also misused  Fermentation is an oxidation-reduction  Take place in an anaerobic environment  Substrate serve as final (H) acceptor  Process detected by PH indicators  Acidification may result from other pathway  All bacteria metabolize carbohydrates are facultative anaerobic  Utilization may not be under strictly anaerobic conditions 11/07/14 Ellabib MS
  • 10. Basic principle of fermentation Glucose Formic acid Pyruvic acid Acetyl COA Acetic acid Butyric acid +Alcohol Acetaldehyde Succinic acid Butanediol Ethyl alcohol Propionic acid 11/07/14 Ellabib MS H2+CO2 Acetoin
  • 11. B- Galactosidase and PNPG test  To detect galactosidase enzyme  Useful for lactose fermenters such as  Some E. coli strain from Shigella sonnei  Some strains of Citrobacter and S. arizonae (ONPG +V) from Salmonella spp (ONPG –v)  The test measure enzyme only 11/07/14 Ellabib MS
  • 12. Process of lactose in Enterobacteriacae lactos e glucose galactose β - galactoside bond β – galactoside permease glucose B-galactosidase galactose Glucose + galactose 11/07/14 Ellabib MS Mixed acids glucose Pyruvic acid
  • 13. OPNG O- Nitrophenol -B-galactosidase (colourless) Enzyme ( B- galactosidase) O – Nitrophenol (yellow) 11/07/14 Ellabib MS
  • 14. Cytochrome Oxidase test  Do not use steel or nichrome wire loop  Tetramethyl - p-phenylenediamine  when it takes the electron from the last element (cytochrome oxidase) in the electron transport chain.  Positive result give blue colour (10-20 second) 11/07/14 Ellabib MS
  • 15. Detection of carbohydrates fermentation  Media ingredients  Trypticase, NaCl, phenol red, carbohydrate, distilled water and PH adjusted to 6.8  Fermentation indicated by yellow colour and gas formation by Durham tube 11/07/14 Ellabib MS
  • 16. Kliger Iron agar or Triple sugar iron agar  Media contain two or three sugar  Contain ferric  PH indicator (phenol red)  Nitrogen source  To differentiate lactose from non lactose Fermenter (KIA)  Fermentation of sucrose (TSIA)  Detection gas  Detection of hydrogen sulphide production 11/07/14 Ellabib MS
  • 17. Indol production  ability of the organism to split indole from the amino acid tryptophan  Tryptophanase enzyme  Kovac's reagent (isoamyl alcohol, p- Dimethylaminobenzaldehyde, concentrated hydrochloric acid) to the culture broth  Results:  Positive result red color (occurring within a few seconds)  Negative result yellow color 11/07/14 Ellabib MS
  • 18. Methyl Red Test  MR test is a quantitative test for acid production, requiring positive organism to produce strong acids (lactic, acetic, formic) from glucose via the mixed acid fermentation pathway  only those organism that can maintain low PH of about ph 4-4.5 can be called methyl red – positive  organisms that are MR (+) are always VP (-) Klebsiella 11/07/14 Ellabib MS E. coli
  • 19. Voges proskauer Test Acetoin Diacethyl KOH+Air +Naphthol+creatine Red complex 11/07/14 Ellabib MS Klebsiella E. coli
  • 20. Citrate Test  a test depends upon the ability of the organism, to utilize citrate as the sole source of carbon and energy growth  Simmon’s Citrate Agar  Kosher’s Media  bromthymol blue, a pH indicator with a range of 6.0 to 7.6  uninoculated Simmon's citrate agar has a pH of 6.9, so it is an intermediate green color (neutral pH)  Growth of bacteria in the media leads to development of a Prussian blue color at more alkaline pH's (around 7.6) (positive citrate) Klebsiella, Salmonella, Citrobacter Escherichia 11/07/14 Ellabib MS and Shigella