LABORATORY #9 Packaged Microbial Identification Systems Laboratory #9 Packaged Microbial Identification Systems Skills= 10 points Objective: At the completion of this lab, the student should be able to: 1. Demonstrate the reaction of Escherichia coli or Klebsiella pneumoniae with the API-20E strip. 2. Summarize the principles of the tests of the API 20E test strip. Materials: TSA culture of Escherichia coli or Klebsiella pneumoniae 1-API-20E strip Clean test tube Sterile saline or deionized water Mineral oil Oxidase reagent 10% FeCl3 Kovac's reagent (Indole) 40% KOH 6% Alpha-naphthol NIT 1 (API reagent) NIT2 (API reagent) References: 1. API-20E Biochemical Identification System (bioMerieux Products, Inc.) package insert, API 20E Data Base CD, API website 2. http://www.jlindquist.net/generalmicro/102bactid2.html Overview: Rapid and multitest procedures represent ingenious, time and cost saving approaches to the identification and classification of microorganisms, especially bacteria. These procedures enable us to perform a larger number of biochemical tests on an organism than is feasible via conventional means. Because of this feature, they not only identify an organism to its genus and species, but also to its type. MLAB 2534 – Laboratory 9 – 1 LABORATORY #9 Packaged Microbial Identification Systems API-20E Principle: The API-20E kit includes a plastic strip with 20 miniaturized chambers containing dehydrated substrates and a plastic incubation chamber with a loose fitting lid. Each chamber is divided into two parts, the tube portion and the cupule (small cup) portion. Each chamber has a small hole at the top through which the bacterial suspension can be inoculated with a pipette. Once the bacterial suspension is added to the media, the media becomes reconstituted. During incubation, metabolism of the substrates produces color changes that are either spontaneous or revealed by the addition of reagents. The reactions are read according to the Reading Table and the identification is obtained by referring to the Analytical Profile Index or using the manufacturer’s identification software. Procedure: 1. Perform an oxidase test using bacteria from a BAP plate, then record the result on your result sheet to assist in determining the final bacterial identification. 2. Set up an incubation try and lid. Label the API strip with either the patient or organism name, on the elongated flap of tray. 3. The lid is removed from the tray and approximately 5 ml of tap water is added to provide a humid atmosphere during incubation. 4. An API-20E strip is removed from the sealed envelope and placed in the incubation tray. 5. A bacterial suspension of the test organism is made by suspending the cells from a well-isolated colony in 5 ml of deionized water. The colonies should come from an 18-24 hour old culture from the BAP plate. 6. Using a plastic pipette, fill the CIT, VP, and GEL CUPULE AND TUBE with the bacterial suspension. 7. Using the same pipette, fill ONLY THE TUBE of the remaining tests. 8. Create an anaerobic condition in the tests ADH, LDC, ODC, H2S, and URE by overlaying with mineral oil. MLAB 2534 – Laboratory 9 – 2 LABORATORY #9 Packaged Microbial Identification Systems 9. Place the lid on the incubation chamber and incubate at 35-37 oC for 18-24 hours. Reading the strip: 1. After the incubation period, read the strip by referring to the reading table below. Procedure notes: (1) A very pale yellow should also be considered positive. (2) An orange color after 36-48 hours incubation must be considered negative. (3) Reading made in the cupule (aerobic). (4) Fermentation begins in the lower portion of the tube; oxidation begins in the cupule. (5) A slightly pink color after 10 minutes should be considered positive. Tests ONPG ADH LDC ODC Reactions or Enzymes ß-galactosidase arginine dihydrolase lysine decarboxylase CIT ornithine decarboxylase citrate utilization H2S H2S production URE TDA urease tryptophan deaminase IND indole production VP acetoin production (Vogues Proskauer) GEL gelatinase GLU fermentation or oxidation (4) MAN fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation INO SOR RHA SAC MEL AMY ARA Results NEGATIVE colorless yellow yellow yellow POSITIVE yellow (1) red / orange (2) red / orange (2) red / orange (2) pale green / yellow blue-green / blue (3) colorless / greyish black deposit / thin line yellow red / orange (2) TDA / immediate yellow reddish brown KOVAC’S /immediate colorless pale green / yellow pink VP 1 + VP 2 / 10 min. colorless pink / red (5) no diffusion diffusion of black pigment blue / blue-green yellow / greyish yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow MLAB 2534 – Laboratory 9 – 3 LABORATORY #9 Packaged Microbial Identification Systems OX Tests ONPG ADH LDC ODC or oxidation (4) cytochrome oxidase Reactions or Enzymes ß-galactosidease arginine diydrolase lysine decarboxylase CIT ornithine decarboxylase citrate utilization H2S H2S production URE TDA urease tryptophane deaminase IND indole production VP acetoin production (Vogues Proskauer) GEL gelatinase GLU fermentation or oxidation (4) MAN fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) fermentation or oxidation (4) cytochrome oxidase INO SOR RHA SAC MEL AMY ARA OX oxidase test -- See test package insert Results NEGATIVE colorless yellow yellow yellow POSITIVE yellow (1) red / orange (2) red / orange (2) red / orange (2) pale green / yellow blue-green / blue (3) colorless / greyish black deposit / thin line yellow red / orange (2) TDA / immediate yellow reddish brown KOVAC’S /immediate colorless pale green / yellow pink VP 1 + VP 2 / 10 min. colorless pink / red (5) no diffusion diffusion of black pigment blue / blue-green yellow / greyish yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow blue / blue-green yellow oxidase test -- See test package insert 2. If three (3) or more tests are positive, record all the spontaneous reactions on the results sheet, this will determine whch tests require the addition of other reagents. 3. In the TDA well, add one drop of ferric chloride. A reddish brown color indicates a positive reaction to be recorded on the results sheet. 4. In the VP well, add 1 drop of 40% KOH followed by 1 drop of 6% alpha naphthol. MLAB 2534 – Laboratory 9 – 4 LABORATORY #9 Packaged Microbial Identification Systems Wait 10 minutes. A pink or red color indicates a positive reaction to be recorded on the result sheet. If a slightly pink reaction appears after 10 minutes, the reaction should be considered negative. 5. In the IND well, add 1 drop of Kovac’s reagent. A pink color developed in the entire cupule indicates a positive reaction to be recorded on the results sheet. Interpretation of the strip: 1. On the result sheet, the tests are separated into groups of 3 and the value 1,2,or 4 is indicated for each. By adding together the values corresponding to the positive reactions within each group, a 7-digit profile number is obtained for the 20 tests for the API 20 strip. The oxidase reaction constitutes the 21st test and has a value of 4 if it is positive. 2. Once the student has the 7-digit profile this can be converted to a bacterial identification by using a profile register, which is accessed via the API CD. The instructor will direct the student in the use of this reference. 3. If the code is not discriminatory enough, the following additional tests should be performed. 4. Add 1 drop of Nitrate 1 and nitrate 2 reagents to the GLU tube. Wait 2 to 5 minutes. A red color indicates a positive reaction. This indicates that nitrates were reduced to nitrites. A negative reaction (yellow) may be due to the reduction to nitrogen. Add 2-3 mg of Zinc reagent to the GLU tube. After 5 minutes, if the tube remains yellow this indicates a positive reaction which should be recorded on the results sheet. If the tube turns orange-red, this is a negative reaction. MLAB 2534 – Laboratory 9 – 5 LABORATORY #9 Packaged Microbial Identification Systems Summary of Principles for the API 20E Identification Tests: Tests ONPG ADH LDC ODC CIT H2S URE TDA IND VP GEL GLU MAN INO SOR RHA SAC MEL AMY ARA Reactions Hydrolysis of ONPG (colorless) by betagalactosidase releases orthonitrophenol (yellow). Arginine dihydrolase transforms arginine into ornithine, ammonium and CO2. This causes a pH rise in the acid-buffered medium and a change in the indicator from yellow to red. Lysine decarboxylase transforms lysine into a basic primary amine, cadaverine. This amine causes a pH rise in the acid-buffered medium and changes the indicator from yellow to red Ornithine decarboxylase transforms ornithine into a basic primary amine, putrescine. This amine causes a pH rise in the acid-buffered medium and changes the indicator from yellow to red. Sodium citrate is the sole carbon source. Citrate utilization results in a pH rise and changes the indicator from green to blue. Hydrogen sulfide is produced from sodium thiosulfate. The H2S reacts with iron salts to produce a black precipitate. Urease releases ammonia from urea. Ammonia causes the pH to rise and changes the indicator from yellow to red. Trytophan deaminase forms indolepyruvic acid from tryptophan. Indolepyruvic acid produces a brownish-red color in the presence of ferric chloride. Metabolism of tryptophan results in the formation of indole. Kovac’s reagent forms a colored complex (pink to red) with indole.. Acetoin, an intermediary glucose metabolite, is produced from sodium pyruvate and indicated by the formation of a colored complex. Creatine intensifies the color when tests are positive. Liquification of Kohn’s charcoal impregnated gelatin by gelatinase releases a black pigment which diffuses throughout the tube. Utilization (fermentation/oxidation) of the carbohydrate results in acid formation. Acid produces a drop in pH and changes the indicator from blue to yellow. Respective reactive ingredients; glucose, mannitol, inositol, sorbitol, rhamnose, sucrose, melibiose, amygdalin, and (L+) arabinose. Fermentation (Enterobacteriaceae) Read reaction from bottom of tube to the top. Yellow color at bottom of tube only is a weak or delayed positive reaction. Oxidation (not Enterobacteriaceae) Read reaction from top of tube to the bottom. Yellow color in upper portion of the tube and blue on the bottom. MLAB 2534 – Laboratory 9 – 6 LABORATORY #9 Packaged Microbial Identification Systems Name: _____________ Date:_____________________ Laboratory #9: Packaged Microbial Identification System Result Form Points = 10 Sample/patient name:_________________________________________________ I.D. Number (from worksheet below): Organism Identification: WORKSHEET MLAB 2534 – Laboratory 9 – 7