Api 20E principle • The API 20E System is a standardized, miniaturized microtube system consisting of 21 conventional “basic” and 6 supplementary biochemical tests used for the identification of Enterobacteriaceae and other non-fastidious Gram-negative bacteria. • The API 20E System consists of microtubes containing dehydrated substrates. The substrates are reconstituted by adding a bacterial suspension. • They are then incubated so the organisms react with the contents of the tubes. Finally, they are then read when the various indicator systems are affected by the metabolites or added reagents, generally after 18 to 24 hours incubation at 35 37°C. Refer to API 20E package insert for the principles involved in each of the reactions, reactive ingredients and quantity of ingredients in each tube. Cupule tube Biochemistry A)Basic tests 1. ONPG : ortho-nitrophenyl b-D-galactopyranoside. ONPG is a substrate that have B-galactosidic bond “like lactose” but didn’t need permease to enter bacterial cell. ONPG “colourless” B-galactosidase Lac operon Latose fermenter Delayed fermenter Non-fermenter galactose + ortho-nitrophenol “yellow/pale yellow” B-alactosidase + Permease + B-trans-acetylase ++ ++ ++ +/- - - + - Biochemistry 2. ADH : arginine Dihydrolase argenine ADH citrullin + NH3 citrullin + phosphate ion carbamoil phosphate Catabolic arginine carbomoly transferase Carbamoil kinase carbamoil phosphate + ornithine ATP + CO2 + NH3 • This microtube contains phenole red indicator • orange color consider +ve only in first 24h 6.8 8.4 + - Biochemistry 3. LDC : lysine decarboxylase. Lysine LDC Phenole red “as LIA” cadaverine (pH ) +CO2 + 4. ODC : ornithine decarboxylase. ornithine ODC - “as MIO” putriscine (pH ) +CO2 Phenole red + - Biochemistry 5. CIT : testing the ability of bacteria to utilize citrate as a carbon source sodium citrate Citrate layase acetic acid + oxaloacetic acid OAA decarboxylase Na +CO2+H2O ammonium salt Na2CO3 NH3+NH4OH CO2+pyruvate bromothymol blue : yellow (6) > green (6.9) > blue (7.6) + - Biochemistry 6. H2S : H2S production test. sodium thiosulfate H2S Ferrous sulfate Reduction “H+” H2S (g) ferrous sulfide “black ppt” + - + - 7. URE : urease utilization test. urea • urease Phenol red 2 CO2 + NH3 urease works at both aerobic and anaerobic conditions, but it prefers the second. Biochemistry 8. TDA : tryptophan deaminase. tryptophan TDA indole-pyruvic acid “form within 24 h” + NH3 indole-pyruvic acid +10%FeCl3 + HCl + hydrazine ferric hydrazon “” Reddish brown ppt ”” HCl added to TDA reagent to break dow the product of the reaction between FeCl3 and tryptophan to prevent false positive rasults. + - Biochemistry 9. IND : tryptophan utilization test. tryptophan indole tryptophanase Kovac’s reagent Isoamyl alcohol + HCl + para-nitrophenyl aminobenzaldehyde indole + pyruvic acid + NH3 pink or red “with or without ring” + - + - 10. VP : Voges Proskauer test. sodium pyruvate acetoin 2,3- Butanediol Barrit’s reagent + creatine VP “1” : 40% KOH VP ”2” : 5% alpha-naphthol red color “within 10 min” arrangement of reagents application is not necessary because of the absence of peptone Biochemistry 11. GEL : gelatin liquefaction test. gelatin + cool chart gelatinase black ppt + 12-20 : sugar fermentation/oxidation tests. sugar fermentation or oxidation acid product + Bromothymol blue +ve “yellow” 21. Oxidase test : performed on external fresh culture. - note Fermentation (Enterobacteriaceae, Aeromonas, Vibrio) 1. Fermentation of the carbohydrates begins in the most anaerobic portion (bottom) of the tube. Therefore, these reactions should be read from the bottom of the tube to the top. 2. A yellow colour at the bottom of the tube only indicates a weak or delayed positive reaction. Oxidation (Other Gram-negatives) 1. Oxidative utilization of the carbohydrates begins in the most aerobic portion (top) of the tube. Therefore, these reactions should be read from the top to the bottom of the tube. 2. A Yellow color in the upper portion and a blue color in the bottom portion of the tube indicate oxidative utilization of the sugar. This reaction should be considered positive only for non-Enterobacteriaceae Gram-negative rods. This is a negative reaction for fermentative organisms such as Enterobacteriaceae. Biochemistry B)Supplementary tests “needed only with multitaxon code” 1. Before addition of reagents (sulfanillic acid & αnaphthyl amine), observe GLU tube (positive or negative) for bubbles. Bubbles are indicative of reduction of nitrate to the nitrogenous (N2) state. 2. A positive reaction may take 2-3 minutes for the red color to appear. 3. Confirm a negative test by adding zinc dust. A pinkorange color after 10 minutes confirms a negative reaction. A yellow color indicates reduction of nitrates to the nitrogenous (N2) state. NO2 Reduction of nitrate to nitrite only N2 Gas Complete reduction of nitrate to N2 gas or amines MOB Observation of motility by semisolid agar McC Growth on MacConkey agar OF-O Oxidative utilization of glucose (OF-open) OF-F Fermentative utilization of glucose (OF-closed) oxidation test tube •1% glucose •Nutrient agar •Bromothymol blue fermentation test tube •1% glucose •Nutrient agar •Bromothymol blue •Sterile mineral oil Biochemistry B)Supplementary tests Note: if these tests used, you have to delay the reading of all result for 48h material • API 20 E Strips • Incubation boxes “ tray and lids” • Report sheets • Sterile syringe and needle • Disposable plastic inoculating loop • 5 ml sterile normal saline • Sterile Mineral Oil • MacConkey agar plate procedure procedure procedure procedure procedure procedure Interpretation • On the report sheet, the test are separated into groups of three and number 1 , 2 or 4 is allocated for each test. By adding the numbers corresponding to the positive reaction within each group, a7- digit profile number is obtained for 20 tests of the API 20E strip. • The 7- digit profile is then compared with the numerical profile in the API 20 E analytical profile index book to obtain the organism identification. Exercise: find the code Thank you