MLAB 2434 – CLINICAL MICROBIOLOGY KERI BROPHY-MARTINEZ Chapter 8 – Use of Colony Morphology for Presumptive ID of Microorganism Importance of Colonial Morphology as a Diagnostic Tool Provide a presumptive diagnosis in times of critical need Best guess giving type of specimen and what is seen before confirmatory tests Help jump-start therapy Enhance quality of patient care through rapid results and cost effectiveness Prevents time-consuming testing that yields few results Play a significant role in quality control Helps maintain accuracy of commercial or automated systems Troubleshoot mixed cultures or errors in commercial systems Chapter – 8- Colony Morphology (cont’d) Initial Observation & Interpretation of Cultures “Read” routine cultures after 18 to 24 hours of incubation If cultures cannot be read after 24 hours, refrigerate to prevent overgrowth and drying Chapter – 8- Colony Morphology (cont’d) Compare growth on different media Examples: • If good growth on BAP but no growth on MAC, the bacteria is probably a gram positive organism • If MAC growth is pink, the organism is a lactose fermenter Fermenting vs. NonFermenting Chapter – 8- Colony Morphology (cont’d) Gross Colony Characteristics Hemolysis on BAP (Chocolate agar does not show true hemolysis) • α hemolysis • green discoloration on the media • Due to partial lysing of the RBC’s Chapter – 8- Colony Morphology (cont’d) β hemolysis – complete clearing of blood around colonies on BAP Chapter – 8- Colony Morphology (cont’d) Gamma hemolysis Absence of hemolysis, nonhemolytic Chapter – 8- Colony Morphology (cont’d) Size ( large, medium, small, pinpoint) Margin or edge (smooth, filamentous) Elevation ( raised, convex, flat) Density( transparent, translucent, opaque) Consistency (brittle, creamy, dry) Pigment (production of color) Odor (fruity, old sock) Chapter – 8- Colony Morphology (cont’d) Shape, edge and elevation of bacterial colonies Liquid Media Environment Growth of Organisms in Liquid Media Streamers or vines are associated with certain streps Puff balls associated with Staph Growth of Organisms in Liquid Media Turbidity Cloudiness of the medium Often see gas References Engelkirk, P., & Duben-Engelkirk, J. (2008). Laboratory Diagnosis of Infectious Diseases: Essentials of Diagnostic Microbiology . Baltimore, MD: Lippincott Williams and Wilkins. Mahon, C. R., Lehman, D. C., & Manuselis, G. (2011). Textbook of Diagnostic Microbiology (4th ed.). Maryland Heights, MO: Saunders.