Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Applied Veterinary Bacteriology and Mycology: Bacteriological techniques Chapter 5: Identification systems used in diagnostic bacteriology Author: Dr. J.A. Picard Licensed under a Creative Commons Attribution license. TABLE OF CONTENTS BACTERIOLOGICAL IDENTIFICATION FOR THE CLINICAL LABORATORY ........................................ 2 INTERPRETATION OF GROWTH/COLONY MORPHOLOGY ................................................................... 2 SECONDARY CULTURES........................................................................................................................... 4 IDENTIFICATION OF BACTERIA ................................................................................................................ 4 TYPES OF IDENTIFICATION SYSTEMS .................................................................................................. 17 Biochemical profiles ............................................................................................................................... 17 Gas-liquid chromatography .................................................................................................................... 18 THE NORMAL FLORA ............................................................................................................................... 21 Mouth, nasopharynx .............................................................................................................................. 21 OCCURRENCE OF PATHOGENS IN ANIMAL SPECIES ........................................................................ 22 Laboratory animal infections .................................................................................................................. 22 Rats and Mice ........................................................................................................................................ 22 Guinea Pigs ............................................................................................................................................ 22 Rabbits ................................................................................................................................................... 23 1|Page Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology BACTERIOLOGICAL IDENTIFICATION FOR THE CLINICAL LABORATORY Although new technologies such as the polymerase chain reaction (PCR), DNA hybridization and the ELISA test are available for the identification of various bacteria, they are often too expensive for routine laboratory use. Thus clinical microbiologists continue to depend on morphological and biochemical criteria e.g. substrate utilization systems for the identification of micro-organisms isolated from clinical specimens. Identification of bacteria follows primary isolation and colony purification. This is normally based on the following tests: Colony morphology Gram’s stain (in some cases specialized stains e.g. for mycobacteria). Catalase reaction Oxidase reaction Growth on MacConkey agar Oxidation-fermentation test Motility test Secondary identification tests INTERPRETATION OF GROWTH/COLONY MORPHOLOGY Interpretation of bacterial growth requires considerable experience. In short, it hinges on the ability of the microbiologist to distinguish between what is significant (abnormal) and what is to be expected from normal tissue. The clinical history, necropsy findings and smear examination must be borne in mind when evaluating the growth. Examine all the cultures of each specific case. The stereo-microscope can be invaluable at this stage. If a stereo-microscope is not available, a hand lens can be used. This helps to distinguish between different bacterial colonies. A good light source is required to examine the cultures. Circle suspect colonies on the under-surface of the plate. Colonies should be fully described according to shape, size, colony elevation, opacity, the presence of pigments, consistency and odour. Each circled colony should then be subcultured to obtain a pure culture for identification. Below are a few tips: 1. Examples of micro-organisms exhibiting distinctive odours include: Pseudomonas aeruginosa: grape juice odour Proteus spp.: burnt chocolate Pasteurella spp.: mouse urine 2|Page Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Nocardia & Streptomyces spp: musty basement Clostridium spp.: faecal, putrid Prevotella melaninogenica: acrid 2. It is often preferable to re-incubate very small colonies so as to be able to assess purity. 3. Although growth rate is not an indication of pathogenicity, slow growing bacteria are often more pathogenic than those which grow fast on culture. 4. The growth of the suspected pathogen on the various media must be closely compared before a 5. decision is made as to which colonies should be isolated. Some bacterial species, such as some streptococci, clostridia and Bacillus, do not retain their Gram- 6. positive properties very well and consequently often stain Gram-negative. Clostridium perfringens seldom forms spores on artificial media. Figure 1: Terms used to describe gross colony morphology 3|Page Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology SECONDARY CULTURES After 24 hours incubation (or as long as it requires to distinguish the individual colonies clearly), make a subculture from a single colony of the suspect pathogen by touching the colony with a sterile (flamed and cooled) inoculation needle and then inoculating it onto a non-selective agar medium. When the bacterial growth is very heavy and the colonies too close together to distinguish from each other, a stereo-microscope may be used to advantage. A straight sharp needle may facilitate the isolation of a particular colony. Only select colonies from selective media, should there be no alternative i.e. the colony is not represented on non-selective media. Inoculate a non-selective agar medium. Isolations from selective solid media into nutritious fluid media should not be attempted, even if the culture appears “pure”. Selective media often inhibits, but may not kill, bacteria. Make a smear of the colony and stain it using Gram’s method, and any other stains that may be deemed necessary, from the remainder of the same colony. Incubate agar for at least 18 hours before carrying out the appropriate identification tests. Should there be enough isolated colonies on the initial non-selective agar medium, identification and an antimicrobial sensitivity test can be done from the primary plates. Please note that all tests should be done using a pure culture as using mixed cultures can lead to spurious results. IDENTIFICATION OF BACTERIA Primary identification of the majority of bacteria is based on the Gram’s stain. Bacteria are divided into Gram-positive and Gram-negative bacteria. Thereafter they are divided according to colony and microscopic morphology as well as catalase, oxidase and oxidation-fermentation tests. Based upon these results secondary identification tests are done. 4|Page Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Figure 2: General procedures for the isolation of bacteria and fungi from clinical specimens 5|Page Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Figure 3: Primary identification of some Gram-positive bacteria of veterinary importance 6|Page Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Figure 4: Primary identification of some Gram-negative bacteria of veterinary importance 7|Page Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Table 1: Selection of commercial biochemical tests for the Gram-negative bacteria, according to microscopic morphology, colony appearance, catalase and oxidase tests Shape Short & long rods Colony Colonies Morphology Large on BTA Cat. + Oxi. - Biochemical tests Enterobacteriaceae, API 20E API 10S Enterobacteriaceae Short & long rods Yellow on MacConkey + - API 20E API 10S Enterobacteriaceae Short & long rods Black on XLD + - Salmonella API 20E API 10S Pseudomonas Short & long rods (beaded) Large or fine, MacConkey positive. + Diplococci Large or fine + D API 20NE Microbact 12A & 12B Pseudomonas D API 20NE Microbact 12A & 12B Pseudomonas Diplococcobacilli Large or fine + D API 20NE Microbact 12A & 12B Pleomorphic Fine D D Haemophilus, Pasteurella, Actinobacillus API 20NE Microbact 12A & 12B Fowl Pasteurella Pleomorphic from chickens or ostriches D D Pleomorphic Large and sometimes beta-haemolytic D + Fish bacteria (with salt broth) Pleomorphic Large or fine, growth at 25°C. Found in fish, tortoises & snakes. D D Fish bacteria (with salt broth) Rods Flat & spreading at 25°C. Found in fish D D Myxobacteria Pleomorphic, bent or spiral-shaped Fine. Growth better with added CO2 D D Campylobacter 8|Page API20NE (identification is not listed, you must use own tables). Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Table 2: Selection of biochemical tests for the Gram-positive bacteria, according to microscopic morphology, colony appearance, catalase and oxidase tests Shape Colony Colonies Morphology Cat. Oxi. Biochemical tests Short & long rods, sometimes with spores Usually large + D Short & long rods Fine D D Short & long rods, sometimes with spores AnO2, - D Fine rods Fine alpha-haemolytic and from ostrich stomach. - D Pleomorphic Large or fine + D Pleomorphic and sometimes branched Fine white betahaemolytic - D CAMP test Cocci or tetrads Large, usually white, sometimes yellow and beta-haemolytic. + D Staphylococcus, Micrococcus Cocci or coccobacilli in broth can occur as chains) Fine alpha- or beta-, or gamma-haemolytic - - Streptococcus Large oval to round cells with budding. Large dull, sticky colonies. Rarely slimy + D Yeasts Branched large hyphae, sometimes with fruiting bodies Large, chalky, fluffy or leathery. D D Fungus Branched filamentous bacteria, sometimes breaks up into cocci. Usually grows into the agar. + D Nocardia, Streptomyces, Actinomyces 9|Page Beta-haemolytic Bacillus Gram-positive CoryneAPI Clostridium API32A Ostrich bacillus Gram-positive CoryneAPI Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Table 3: Recognition of the different bacterial genera by their Gram’s stain and colony morphology Blood agar Bacterium Colony Salmonella spp. Greyish,round and shiny Gram’s stain MacConkey agar Haem olysis - Growth + LF/NLF NLF Reactio n - General comment Shape R Pale colonies on MAC agar. No smell (unlike most other members of the Enterobacteriaceae Non-haemolytic but otherwise similar to the haemolytic strains. Characteristic “coliform” smell. 2-3 mm Non haemolytic E. coli Yersinia spp. Greyish, round and shiny - + LF - R - + NLF - R 2-3 mm Greyish, round and shiny 2-3 mm Serratia marcenscens and S. rubidea Klebsiella spp. Red/orange convex, round and shiny. - + NLF - R Produces red pigment (prodigosin). Some strains are white at 37°C (no pigment) - + LF - R Colonies tend to be large, mucoid and light pink on MAC agar. Non-motile. - + LF - R Very similar to colonies of Klebsiella spp. Motile. 2-3mm Grey, mucoid colonies that coalesce. 2-4mm Enterobacter spp. Grey, mucoid colonies that coalesce. 2-4mm Proteus spp. Grey, swarming growth over the agar. Pseudomonas spp. other than Grey or yellowish-green, flat and spreading. P. aeruginosa - + NLF - R Characteristic swarming on non-selective agar which can be in waves. Turns BTA brown. Very foul smell. Colonies pale and discreet on MAC, but edges may be irregular. - + NLF - R Some may produce the yellowish-green pigment, pyoverdin. - - + R 2.5-4mm Corynebacterium renale Brucella spp. Grey-white, round and moist 0.5-1 mm Urease positive Translucent, convex and round - - - R(C) Some brucellae require 10% CO2 for growth. Colonies not visible until 23 days after incubation. MZN positive. - - - R Requires 2-3 days for growth under reduced 0.5 mm Campylobacter 10 | P a g e Colonies older than 48 hours become drier. Small, “dewdrop”, round and Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology fetus opaque curved oxygen tension. Curved rods, if in pairs they have a "seagull" appearance - R Usually urease positive - R Colonies appear pinkish on BTA. Characteristic sweetish smell. Indole positive. - R Colonies very small at 24 hours but become much larger later. Unreactive bacterium. + R(C) The colour becomes more definite with time. Mucoid colonies tend to merge. + C Colonies are similar to coagulase + staphylococci, but always white and non-haemolytic. + C Colonies are usually pigmented. C Human and bovine strains are bright yellow. Hold plate to bright light to see characteristic double haemolysis. Are catalase positive. + R Aerobic with double or target haemolysis. Colonies tend to have irregular edges. 0.5 mm Actinobacillus spp. Grey to translucent, round and shiny - V - - V 0.5-1mm Pasteurella multocida Translucent, smooth, round and shiny 1-2 mm Bordetella bronchiseptica Rhodococcus equi Staphylococcus epidermidis (coagulase negative) Micrococcus spp. Small geyishwhite and round - + - - NLF 0.5-2 mm Salmon pink and mucoid. Colonies coalesce White, shiny, round and convex - + - - LF Most 2-3 mm White, yellow, tan or pink. Round, convex and shiny. 2-3 mm S. aureus or S. pseudintermedius Clostridium perfringens White or yellow, smooth rounsd and shiny + target + LF + 2-3 mm Grey, flat and often irregular edge + target - 2-3 mm Grey, smooth and round + + LF - R Characteristic “coliform” smell. + + v - R 2-3 mm Foul smell, different to that of E. coli. Good growth on MAC. Oxidase positive. P. aeruginosa Blue-green, flat, round. Some have a metallic sheen. 2.5-4 mm + + NLF - R Amount of pyocyanin (blue-green pigment) varies between strains. Characteristic fruity-musty smell. Bacillus spp. Grey, dry, granular with irregular edges ± v v + Haemolytic E. coli 2-3 mm Aeromonas hydrophila 11 | P a g e Grey, flat, round and shiny R spores Usually large, dry rhizoid colonies. Motile except for B. anthracis. B. anthracis Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology 3-5 mm C. pseudotuberculosi s Trueperella pyogenes Beta-haemolytic streptococci Opaque, dry, crumbling non-haemolytic. V R The cells tend to be less pleomorphic than A. pyogenes. R(C) Hazy haemolysis along streak lines, even before colonies are seen. Very pleomorphic in the Gram stained smear. Catalase negative. C The size of the clear zone of beta-haemolysis varies with species. Catalase negative. R(C) Colonies resemble that of beta-haemolytic streptococci. Young colonies may yield coccoid cells. Catalase positive. - R(C) Colonies very similar to the above two bacteria. Gram-negative and cells in pairs as rods or fat cocci. LF - R Some strains are haemolytic only under the colonies. LF + C Red pin-point colonies on MAC. + C - + 0.5-1 mm Translucent, pinpoint 0.5 mm Translucent, glistening and round + hazy + - + - + 0.5-1 mm Listeria monocytogenes Moraxella bovis White, smooth and round White, smooth and round 0.5-1 mm Pasteurella haemolytica + - + 0.5-1 mm White/grey, smooth and round + (-) + - + pin-point 0.5-1.5 mm Enterococcus faecalis Alpha-haemolytic streptococci Erysipelothrix rhusiopathiae White, smooth and round 0.5-1 mm White, smooth and round 0.5-1 mm White, smooth and round. Some strains rough 0.5-1.5 mm + + alpha pin-point + alpha - + alpha 48 hours - + R Alpha-haemolysis under the colonies only at 48 hours. Rough, dry colonies especially from chronic forms of the disease. Catalase negative. + = positive; - = negative; v= variable reaction; LF = lactose fermenter; NLF = non-lactose fermenter; MAC = MacConkey agar; BTA = blood agar; MZN = modified Ziel-Neelsen; C = cocci, R = rods Size of colonies can be variable. Size is given and described after 48 hours of incubation, as even with fast-growing bacteria the colonies are more characteristic at this stage. 12 | P a g e Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Table 4: Biochemical tests recommended for the identification of Gram-negative bacteria Standard tests Fowl Pasteurellas Haemophylis, Pasteurella, Actinobacillus Pseudomonas Lactose 3 ml MRP broth 3 ml MRP broth 42°C BTA Dulcitol Urea Urea Nitrate Sucrose Glucose Glucose Urea Maltose Mannose Mannose O/F without oil Inositol Trehalose Sucrose Glucose Phenylalanine Mannitol Lactose Citrate Urea Inositol Maltose Aesculin Malonate Aesculin Trehalose Gershman’s Mannitol 3 ml MRP broth Inositol Brucella glucose with H2S Sorbitol Horse serum Citrate TSI 3 ml MRP broth BTA with staph streak (CAMP test) Gershman’s If Salmonella suspected add: Salicin If it cannot be identified with these tests add: Aesculin BTA for ONPG & Porphyrin Ornithine Salicin Arabinose Sorbitol Xylose Lysine & control Rhamnose Galactose Sucrose Lactose Maltose Adonitol Dulcitol Sorbitol Salicin Table 5: Identification of some Gram-negative bacteria Campylobacter Fish bacteria Myxobacteria AnO2 BTA Gershman’s Maltose BTA in Campylobacter gas 0% Sout broth Sucrose At 25°C: 0% Salt broth BTA in candlejar @ 42°C 5% Salt broth Mannitol 2% Salt broth BTA in candle jar at 25°C. 7% Salt broth Trehalose Gelatin TSI 3 ml MRP broth Glycerol Aesculin Sodium hippurate Methylred Sorbitol Glucose Nitrate Citrate Salicin O & F without oil Bruc. glucose & H2S Arginine 5% BTA Casein agar Selenite Lysine 37°C BTA-ONPG DNAse agar Nutrient broth Ornithine 0129 BTA disc Nitrate 25°C for motility Urea Starch Bruc. gluc. & H2S Citrate 13 | P a g e Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Gelatine Vibrio agar Gershman’s Glucose Starch Arabinose AnO2 @ 25°C AnO2 Cytophaga agar Eggyolk Phosphatase agar Table 6: Biochemical tests recommended for the isolation of Gram-positive bacteria Gram-positive Staphylococcus Streptococcus Bacillus Actinomyces/ Corynebacterium O & F (x2) Nitrate Lactose Egg yolk Xylose Nitrate Glucose Mannitol Anaerobic BTA Galactose Glucose Maltose Raffinose Citrate Mannose Urea O&F Salicin 3ml MRP broth Lactose Aesculin DNAse Sorbitol Nitrate Sucrose Trehalose Glucose Trehalose Inulin Horse serum Raffinose Horse serum Brucella glucose & H2S Sodium Hippurate For identification of coagulase negative staphs: Anaerobic BTA Thioglycollate Starch Methylred DNAse Xylose Casein Arabinose If identification not possible with these tests, then add: Raffinose Ornithine Maltose If identification not possible with these tests, then add: Lysine Mannitol Arabinose Arginine Mannose Fructose Mannitol Trehalose Galactose Salicin lactose Xylose Adonitol Galactose Arginine Arabinose Nitrate Glycerol Raffinose Arginine Dolcitol Rhamnose Urea Lactose milk Xylose 45°C BTA Bruc. glucose & H2S Trehalose Phosphatase agar Adonitol Aesculin DNAse agar Starch agar Sorbitol BTA & nalidixic acid disk Phosphatase agar Salicin Sucrose anaerobic BTA 14 | P a g e Aesculin Salicin Methylene blue Phosphatase agar Sodium hippurate Inositol 45°C BTA CAMP test Streptex Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Table 7: Identification of some Gram-positive bacteria Micrococcus Listeria Anthrax Nocardia Megabacteria Anaerobic BTA Galactose Salicin 45°C BTA Glucose Lactose Methylin blue milk Casein agar Glycerol Mannitol Gelatin Galactose Aesculin Rhamnose Lactose milk Rhamnose Nitrate Sucrose Penicillin disk Lactose Urea Xylose 3 ml MRP broth Sucrose Phosphatase agar Gershman’s Raffinose CAMP test with Rhodococcus equi & S. aureus. Gamma-phage Salicin Brucella glucose slant & H2S Mannitol Aesculin Anaerobic BTA MAC Table 8: Summary of selected, commonly used biochemical tests for the identification of bacteria Test Citrate utilization Decarboxyla se (lysine and ornithine) and dehydrolase (arginine tests) Gelatin liquefaction Hippurate 15 | P a g e Medium Simmons citrate. Inoculate solid agar slant. Incubation Product tested for and reagent used Up to 7 days at 37°C Ability to use citrate as the sole carbon source Up to 4 days at 37°C Arginine and ornithine to putrescine. Lysine to cadaverine. Products are alkaline. Bromocresol purple used as the indicator. Result Negative Positive Green pH 6.9 Blue (E. coli) (Salmonella) Yellow (acid), glucose only attacked. Purple (alkaline) Broth base & 0,1% glucose with: 0.5% L-arginine or 0.5% L-lysine or 0.5% L-ornithine OR Lysine iron agar (Salmonella) (Proteus) MIO medium (ornithine) Stab inoculation of nutrient gelatin. 22°C for 30 days or 37°C for 14 days Proteolytic activity (gelatinases) and gelatin liquefied. No liquefaction Liquefaction (not solid at 4°C) Charcoal gelatin discs, placed in a broth 37°C for 14 days As above. Charcoal particles are released when the gelatin is liquefied No change Free charcoal particles. X-ray film method. Small strip in heavy inoculum of bacteria in trypticase soy broth 37°C for 48 hours Sodium hippurate 24 hours at As above. Gelatin layer on X-ray film strip Centrifuge test. Add 0.2ml No change (Enterobacter spp.) No precipitate Removal of gelatin layer leaving blue plastic film. (Serratia marcescens) Permanent Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology hydrolysis 37°C with an uninoculated control ferric chloride reagent to 0.8ml of the supernatant Iron salts in media e.g. TSI and SIM (least sensitive method) 16 hours at 37°C Hydrogen sulphide gas production Lead acetate paper strip (most sensitive method). Strip suspended over trypticase soy broth or serum glucose agar slants (Brucella) 35°C for up to 7 days. Change lead acetate strip daily. Hydrogen sulphide gas production Tryptone water 1-2 days at 30°C Trytophan splits to Indole. Add 0,5ml Kovac’s reagent to medium and shake. Read in 1 minute. Reagent layer: yellow Reagent layer: deep red (Salmonella) (E. coli) Kovac’s reagent (0,2ml) to tube. Stand for 10 minutes No change in reagent colour Oxalic acid test paper suspended over medium No change in test strip Spot test for indole Use bacterial colonies on either blood or nutrient agar incubated 24-48 hours at 37°C Filter paper saturated with Kovac’s reagent. Rub colony over filter paper with a glass rod. No reaction (P. haemolytica) Malonate utilization Malonate broth (0,3% sodium malonate) 24 hours at 37°C Utilization of malonate as a sole carbon source. Bromothymol blue indicator. No change (most Salmonella spp.) Growth and a deep blue colour Methyl red (MR) test Glucose phosphate peptone water (5 ml) MR-VP broth 2 days at 37°C or 3-5 days at 30°C Yellowish (E. cloacae) Red (acid) Colourless. Add a pinch of zinc dust. Red (NO3 to NO2) Hydrogen sulphide Indole test 10g in 1 litre of brain heart infusion broth. SIM medium in tubes Nitrate broth (0,1% KNO3: 5ml) 16 | P a g e (A. ligniersii, No change (E. coli) No change to lead acetate strip Blackening of medium (Salmonella) Blackening of the lead acetate strip. (Brucella spp.) Reagent dark red As above Small molecular weight acids such as formic and acetic. Add 5 drops of MR reagent to medium 24 hours at 37°C (rarely up to 5 days) Nitrite (NO2) 37°C and examine at 4 Pink colour at lower end of paper Blue colour on streak within 30 seconds (P. multocida) (S. arizonae) (E. coli) Nitrogen gas (N2) Add 5 drops of reagents A* and B#. Shake and wait 12 minutes. KNO3 (40%) on filter paper. Place on blood agar and stab precipitate S. agalactiae) Nitrate (NO3) Nitrate reduction (A. equuli, S. pyogenes) Nitrate reduction NO3 converted to NO2 (negative: red) Colourless (positive) No reaction or very narrow zone of Wide zone of browning of medium Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology inoculate test bacterium 20mm from paper strip. Use a heavy inoculum and E. coli as a positive control and 24 hours ONPG test Peptone water & 0,15% onitrophenoly-beta-Dgalactopyranoside 24 hours at 37°C Phenylalanin e deaminase test Phenylalanine medium (BBL) 0,2% DL-phenylalanine slant agar) Inoculate heavily. 35°C for 4 or 18-24 hours Phosphatas e test Nutrient agar & 0,01% phenolpthalein diphosphate 18-24 hours at 37°C Urease tests Christensen media: either an agar slant or broth base containing 2% urea Up to 24 hours at 37°C 5ml glucose phosphate peptone water. (MR-VP broth) between colony and strip (E. coli) Colourless (Salmonella spp.) Yellow Add 4-5 drops of aqueous ferric chloride. Rotate and read in 1-5 minutes. Sufficient phosphatase to split to phenol-phtalehin diphosphate. Hold colonies on the agar over an open bottle of ammonia Urease: splits urea with formation of ammonia (alkaline). As above Yellowish Unchanged colonies (coagulase negative staphylococci) Colonies bright pink (coagulase positive staphylococci) Yellow (Salmonella spp.) No change Acetoin derived from glucose. 3-5 days at 30°C 3ml of 5 & alphanaphthol in absolute ethyl alcohol and then 1ml of 40% KOH. Shake and leave for 5 minutes. (S. arizonae) Green reaction in slant. (Proteus, Morganella and Providencia spp.) Phenyl-pyruvic acid formed. Phenol red indicator Spot test. Moisten filter paper with a few drops of 10% urea agar base concentrate and rub some culture onto the filter paper with a glass rod. Voges Proskauer (VP) test The enzyme betagalactosidase. Identifies potential lactose fermenters browning around medium Red (Proteus spp.) Pink or red streak within 2 minutes Red Colourless (E. coli) (most Enterobacter spp.) TYPES OF IDENTIFICATION SYSTEMS Biochemical profiles In the diagnostic laboratory, biochemical profiles are most commonly used to identify a micro-organism, either by using a manual or automated system. Biochemical profiles are determined by the reactions of individual organisms with each of the substrates in the system. Most bacteria can be identified to species 17 | P a g e Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology level by these tests, allowing a small laboratory to identify a wide range of bacteria. Systems used rely on the following indicators: pH-based reactions (many 15- to 24-hour identification systems). As a general rule, carbohydrate utilization by micro-organisms results in acid production, while protein utilization or the release of nitrogen-containing products results in an alkaline pH. Enzyme profiles (many 4-hour systems). Enzyme profile tests are usually based on pre-formed enzymes and require minimal microbial growth. When a colourless chromogen (colour) or fluorogen (fluoresces in U-V light) is hydrolyzed by an appropriate enzyme, the chromogen or fluorogen is released resulting in a visible reaction. Carbon-source utilization. This method measures metabolic activity. Tetrazolium-labelled carbon sources are colourless until electrons activated by metabolic activity are transferred to the dye, creating a purple colour. Visual detection of growth (yeast identification systems). Assimilation assays depend on the ability of micro-organisms to grow in the presence of a substrate. Visual detection of growth is a positive result. Gas-liquid chromatography Chromatography has been used to separate various bacterial components such as cellular fatty acids, in order to isolate, characterize and identify bacteria. As this is a technically difficult technique, requiring specialized instrumentation, and limited to the identification of a small group of bacteria, it has only been used in reference laboratories and for research purposes. This technique has been most commonly used to identify obligate anaerobes, by identifying short chain fatty acids that are produced by glucose fermentation. The mycolic acids of Nocardia spp., Rhodococcus spp., Corynebacterium spp. and mycobacteria can be analysed in this fashion. Recently, these methods have been standardized and automated (Microbial identification systems, Newark, Del.), making them more easily available. They allow objective analysis, less labour input and relatively low cost per sample. They are also able to identify both asaccharolytic organisms and those with enzymic profiles that are not distinctive. Disadvantages are the large capital expense required for initial equipment purchase, non-acceptance of alternative identification strategies, and the size of the library of known organisms that is required. As these tests are developed further, they may in the future become more accessible to diagnostic laboratories. Immunoassays Immunoassays are commonly used in diagnostic laboratories to both identify the micro-organism and to detect antibodies. Tests that are most commonly used to identify micro-organisms include agglutination tests e.g. Streptex, serotyping of E. coli and Salmonella sp., fluorescent antibody tests i.e. for identification of histiotoxic clostridia and precipitation tests e.g. identification of galactan produced by Mycoplasma mycoides subsp. mycoides. 18 | P a g e Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Molecular methods At present, DNA probes and nucleic acid amplification techniques are most useful for the characterisation of micro-organisms for which culture and serologic methods are difficult, expensive or unavailable. Amplified and non-amplified DNA probes are used for the identification of microorganisms in samples (in situ hybridization); for culture confirmation of slow-growing bacteria such as the mycobacteria and pathogenic dimorphic fungi; and the identification of enterotoxin producing E. coli. Amplification of microbial DNA is the most sensitive technique, making it suitable for the identification of micro-organisms in samples. As these techniques are expensive, detect both viable and non-viable micro-organisms and are not available for all micro-organisms, they should only replace conventional techniques where they would lead to a quicker patient isolation, a better choice of patient therapy, and a decrease in time when the patient is infectious. Rapid manual and automated methods Commercial systems both automated and in kit form, are available for the identification of commonly isolated species. These tests have enabled laboratories to more rapidly report results which are often more accurate. They also are less labour-intensive as no complex media preparation is required. These kits/systems, however, do not replace a good microbiologist, who is able to determine the possibility of a false result e.g. Bacillus species often resembles Gram-negative bacteria and may be misidentified by an automated system as members of the family Enterobacteriacae. Errors in commercial systems include: Human error: wrong isolate, misidentified module. System inadequacies: insufficient data in database, inability to interpret atypical reactions. Incorrect identifications. Results for a given test may not be equally valid among all identification systems e.g. Christensen’s urea agar is more sensitive in the detection of urease than that of the API-system. Batch variation. Laboratory practice variation. Table 9: Summary of selected identification systems System Manufacturer Organisms identified Storage temp. (°) No. of tests Incubation Automa ted ANI BioMérieux Vitek Anaerobes 2-8 28 4 h: aerobic Yes API 20A BioMérieux Vitek Anaerobes 2-8 21 24 h: anaerobic No API 20C BioMérieux Vitek Yeasts 2-8 20 24 – 48h No 19 | P a g e Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology API 20E BioMérieux Vitek Enterobacterieae & nonfermenting Gramnegative bacteria 2-8 21 4 – 24h No API 20 Strep BioMérieux Vitek Streptococci & enterococci 2-8 20 4h: aerobic No API An-IDENT BioMérieux Vitek Anaerobes 2-8 21 24 h No API Corne BioMérieux Vitek Corynebacteria 2-8 20 24 – 48h No API NFT (Rapid NFT) BioMérieux Vitek Gram-negative nonEnterobacterieae 2-8 20 2–4h No API Rapid 20E BioMérieux Vitek Enterobacterieae 2-8 21 4h No API StaphIDENT BioMérieux Vitek Staphylococci & micrococci 2-8 10 API Staph (STAPH-Trac) BioMérieux Vitek Staphylococci & micrococci 2-8 20 24 h No Bacterial Identification Panel Alamar Enterobacterieae & nonfermenting Gramnegative bacteria RT 26 18 – 20h Reader only Crystal E/NF BDMS Enterobacterieae & nonfermenting Gramnegative bacteria 2-8 30 18 – 20 h No Crystal Rapid Stool/Enteric BDMS Gram-negative stool pathogens 2-8 30 18 – 20 h No Enterotube II BDMS Enterobacteriea 2-8 15 18 – 24 h No EPS (Enteric Pathogen Screen) BioMérieux Vitek Edwardsiella, Salmonella, Shigella & Yersinia 2-8 10 4 – 8h No ES MicroPlate Biolog Aerobic gram-negative bacteria 2-8 95 4 – 24 h No Fox Dual GNI Micro-Media Systems Enterobacterieae & nonfermenting Gramnegative bacteria -20 - 40 33 4 – 24 h Yes GM Microplate Biolog Aerobic Gram-negative bacteria 2-8 95 4 – 13 h Reader only GNI BioMérieux Vitek Enterobacterieae & nonfermenting Gramnegative bacteria 2-8 29 4 – 24 h Yes GP Microplate Biolog Most Gram-positive cocci & bacilli 2-8 95 4 – 15 h Reader only GPI BioMérieux Vitek Gram-positive cocci & bacilli 2 – 8 - 20 29 16 – 20 h Yes ID Tri-Panel Difco/Pasco Gram-negative & Grampositive bacteria MicroID Organon Teknika Enterobacteriea Minitek BDMS Anaerobes, Enterobacterieae, Gram- 20 | P a g e No 30 Reader only 2-8 15 No 2 - 25 4 – 21 (dependi Enterobacteriacc eae & Neisseria No Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology positive bacteria, Neisseria spp. nonfermenters & yeasts. ng on need) spp. For up to 72 h for yeasts THE NORMAL FLORA It is important that the veterinary microbiologist is familiar with the kinds of organisms encountered normally in and on animals. Such knowledge is necessary in the interpretation of the results of microbiological examinations. The so-called normal flora consists of the wide variety of bacteria and fungi that live in or on the normal animal without producing disease. Included in this flora are many potential pathogens and opportunistic organisms. The term normal flora is a convenient concept, but it should be kept in mind that the kinds and numbers of bacteria present vary greatly under different circumstances. The intestinal flora of the young animal differs markedly from that of the older animal. The flora is also influenced by geographic location, nutrition, and climate. The technical procedures are biased to recover pathogenic organisms and thus frequently give a distorted idea of the kinds of numbers of bacteria present. The normal flora of the domestic animals has not been studied in as detailed a fashion as that of human beings. What little information that is available, and firsthand experience in the diagnostic laboratory, indicate a considerable similarity between the normal flora of humans and that of domestic animals. Some of the bacteria that can be expected to occur normally in and on domestic animals are tabulated below. Mouth, nasopharynx Micrococci (aerobic and anaerobic, pigmented and nonpigmented); Staphylococcus spp.; haemolytic and non-haemolytic streptococci; Veillonella and other Gram-negative cocci; coliforms and Pasteurella spp.; diphtheroids; pneumococci; yeasts, including Candida albicans; Haemophilus spp. Jejunum, ileum Only a small number of bacteria are present in this portion of the intestinal tract of animals. Large intestine Enteroccus spp.; E. coli; Klebsiella; Enterobacter; Pseudomonas spp.; Proteus spp.; staphylococci; Cl. perfringens, Cl. septicum, and other clostridia; Gram-negative anaerobes; spirochetes; lactobacilli. Trachea, bronchi, lungs Few, if any, bacteria and fungi reside in these structures; possibly very low numbers of Pasteurella spp. may be present. 21 | P a g e Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Vulva, prepuce Vulva: diptheroids; micrococci; coliforms and Proteus spp.; enterococci; yeasts; Gram-negative anaerobes. Prepuce: the same kinds of organisms. A bull may be a carrier of C. foetus venerealis and a stallion of certain serovars of Klebsiella pneumoniae and Taylorella equigenitalium. Vagina The numbers and kinds of bacteria vary with the reproductive cycle and age. The cervix and anterior vagina of the healthy mare possesses few bacteria. Some of the organisms recovered from the vagina are coliforms and Proteus spp.; certain salmonellas and klebsiellas; diphtheroids and lactobacilli; mycoplasmas; yeasts and fungi. Skin Animals, by virtue of their habits and environment, frequently possess a large and varied bacterial and fungal flora on their hair and skin. Stapylococcus epidermidis and S. aureus occur commonly, as do other micrococci. Of the many other organisms isolated, it is not known which make up the resident flora and which are “transients”. Milk Micrococci, staphylococci, non-haemolytic streptococci, mycoplasmas and diphtheroids including Corynebacterium bovis are frequently shed from the apparently normal mammary gland. OCCURRENCE OF PATHOGENS IN ANIMAL SPECIES In Table 20, the organisms most frequently associated with infection in various organs and systems of the more important animal species are listed. Laboratory animal infections Rats and Mice Salmonella spp.; pyogenic streptococci; Bacillus piliformis; Pasteurella pneumotropica, P. multocida; Corynebacterium kutscheri; Bordetella bronchiseptica; Streptobacillus moniliformis; Streptococcus pneumoniae; mycoplasmas; Yersinia pseudotuberculosis. Guinea Pigs 22 | P a g e Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Salmonella spp.; Bordetella bronchiseptica; Streptococcus pneumoniae, pyogenic streptococci; Klebsiella pneumoniae; Yersinia pseudotuberculosis; Streptobacillus moniliformis. Rabbits Salmonella spp.; Pasteurella multocida; Bordetella bronchiseptica; Yersinia pseudotuberculosis, Y. enterocolitica; pyogenic streptococci; Haemophilus spp.; Clostridium piliforme, Fusobacterium necrophorum; Treponema cuniculi. Table 10: Potentially pathogenic bacteria of different organ systems in different animals Bovine P. multocida, The respiratory system Ovine Porcine M. haemolytica, P. multocida, P. trehalosi M. haemolytica; M. haemolytica; A. pyogenes; P. multocida; T (A). pyogenes; B. bronchiseptica; H. somni; Actino. actinoides (rare); mycoplasmas., including M. mycoides mycoides SC. C. pseudotuberculosis T (A). pyogenes; mycoplasmas; H. parasuis, A.suis, A. pleuropneumoniae M. hypneumonia chlamydia M. hyorhinis Streptococci; Mastitis S. aureus, S. epidermidis; Micrococcus spp.; Strep. qalactiae, Strep. dysqalactiae, Strep. uberis; C. bovis, A.pyogenes; E. coli; Ps.aeruginosa; M. haemolytica, P. multocida; Klebsiella spp.; other Gram-negative organisms; Mycoplasma bovis, yeasts S. aureus; M. haemolytica, P. multocida; S. agalactiae, S. dysgalactiae, Strep. uberis; A. pyogenes; S. aureus; C. pseudotuberculosis; Histophilus ovis, mycobacteria; mycoplasmas. A. lignieressii; F. necrophorum; Actinomyces bovis; A. pyogenes, mycobacteria; coliforms. E. coli; Escherichia coli; Salmonellas; Cl. perfringens types B and C; The gastrointestinal tract M. paratuberculosis. E. coli; Cl. perfringens type A (red gut), type B (lamb dysentery), type C (struck) type D (pulpy kidney), type E; M. paratuberculosis; Salmonella Salmonella (especially S. choleraesuis); B. hyodysenteriae; B. pilisicoli Lawsonia intracellularis; Cl. perfringens type C. Genital infections. Streptococci, staphylococci, enteric bacteria and Pseudomonas aeruginosa are commonly associated with genital infection in all species 23 | P a g e Campylobacter fetus subspp. fetus and intestinalis; Brucella abortus; chlamydia; Brucella ovis, M. bovigenitalium; C. fetus subsp. intestinalis; L. monocytogenes; L. monocytogenes; Histophilus ovis (Haemophilus somnus), Pasteurella spp., A. seminis; T. pyogenes. B. melitensis; C. pseudotuberculosis; Chlamydophila. abortus Brucella suis; Escherichia coli, mycobacteria; Ps. aeruginosa; T. pyogenes, multocida; pyogenic streptococci Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology Abscesses, ulcers and infections of the skin Streptococci and staphylococci are the most common causes. A. pyogenes, A. bovis; D. congolensis; Actinobacillus lignieresii, E. rhusiopathiae; S. hyicus; C. pseudotubercolosis, Corynebacterium (?) sp. (Bolo disease); Pseudomonas spp. (fleece rot). Group E streptococci (jowl abscesses); S. porcinus; Sporothrix schenckii; D. congolensis. T. verrucosum T. pyogenes. M. avium E. coli; The central nervous system The eyes Joints E. coli; Listeria monocytogenes; Histophilus somni; streptococci; P. multocida, Pasteurella strains EF4 group; C. psittaci; Staphylococcus aureus. E. coli; pyogenic and fecal streptococci; E.rhusiopathiae; Haemophilus agni; chlamydia; Actinomyces pyogenes; Staphylococcus aureus; chlamydia; Strep. dysgalactiae Mycoplasma agalactiae; mycoplasmas; Haemophilus somnus. A. pyogenes;F. necrophorum; Histophilus ovis. Str. canis; Nocardia asteroides; mycoplasmas; Cryptococcus neoformans; Blastomyces dermatitidis; Actinomyces viscosus Staph. intermedius (puppies); Borrelia canis; Spirillum spp.; Campylobacter. P. multocida; Nocardia asteroides; Bord. bronchiseptica; chlamydophila; Cryptococcus neoformans. 24 | P a g e A. pyogenes; various pyogenic streptococci; mycoplasmas; Staph. aureus; Haemophilus parasuis; Brucella suis; E. coli; Actinobacillus suis. Str. zooepidemicus A. paragallinarum Strep. pneumoniae P. multocida, R. equi (foals); G. anatis, P. gallinarum; A. equuli (foals); P. multocida; Ps. mallei; Klebsiella; B. bronchiseptica; Mycoplasma felis C. neoformans; Asperqillus. Salmonella, Candida albicans (kittens). Brucella canis, other brucella species (rare); Klebsiella; Enterobacter; Proteus spp.; Candida albicans; S. intermedius; E. rhusiopathiae; Strep. equi, Str. equisimilis; Salmonella Clostridium perfringens Clostridium sordelli Salmonella; R. equi (foals); A. equuli (foals). The mare’s cervix S. aureus; various streptococci; Klebsiella; P. aeruginosa; various fungi; R. equi; Candida albicans; Enterobacter; E. coli; A. equuli; T. equigenitalis P. aeruginosa; mycoplasmas. The skin P. multocida; streptococci E. coli; pyogenic streptococci; Salmonella; Salmonella; possibly other enteric bacteria; Genital tract L. monocytogenes; P. haemolytica. Moraxella ovis; Moraxella spp.; mycoplasma; chlamydia. P. multocida; Klebsiella, GIT E. coli; Staph. aureus; Moraxella bovis; Branhamella ovis; chlamydia. Bordetella bronchiseptica; Respiratory system L. monocytogenes; Pasteurella Actinobacillus equuli; Klebsiella; O. rhinotracheale ; various mycoplasmas; A. fumigatus. Applied Veterinary Bacteriology and Mycology: Introduction Chapter 5: Identification systems used in diagnostic bacteriology pyogenic streptococci; Nocardia asteroides; Blastomyces dermatitidis; S. schenkii; Actinomyces viscosus; fungal dermatophytes. multocida, N. asteroides; fungal dermatophytes. Rhodococcus equi; Salmonella abortus-equi; Candida albicans; pyogenic streptococci; E. coli; P. aeruginosa P. aeruginosa; Candida albicans S. aureus; P. aeruginosa; various streptococci; Canine otitis externa C. albicans; Proteus spp. Malassezia pachydermatis; C. pseudotuberculosis (chest abscesses); Histoplasma farciminosum; Sporothrix schenckii; fungal dermatophytes C. perfringens. L. monocytogenes; Strep. equi; CNS C. neoformans Staph. aureus; Staph. epidermidis; The eyes P. aeruginosa; Cl. perfringens; Candida albicans; Cryptococcus neoformans, chlamydia; mycoplasmas; Moraxella spp., C. neoformans Staph. aureus; Staph. epidermidis; Pseudomonas aeruginosa; Clostridium perfringens; Candida albicans; chlamydia; mycoplasmas; Moraxella spp., and Neisseria flavus. Staph. aureus. Clostridium tetani Strep. equi; Strep. equisimilis; Staph. aureus. A. equuli; Staphylococcus aureus; Pseudomonas aeruginosa; various streptococci; Joints Staph. aureus; pyogenic and faecal streptococci; E. coli; Rhodococcus equi; Klebsiella; Salmonella Candida albicans; Malassezia pachydermatis; Proteus spp.; Clostridium perfringens. Proteus (usually mirabilis); Urinary infections 25 | P a g e P. aeruginosa; enterococci; E. coli; Enterobacter; S. aureus; pyogenic and fecal streptococci; Corynebacterium pilosum (rare), C. cystitidis. C. pilosum, E. coli C. cystitidis.