Bacteria Gram’s Stain Gram’s +ve Cocci Staphylococci Streptococci Micrococci Bacilli Corynbacterium Clostridum Bacillus Gram’s -ve Cocci Neisseria Bacilli Enterobacteriaceae Pseudomonas. Gram-negative, non-spore-forming bacilli. Their natural habitat is the intestinal tract of humans and animals. Characters of enterobacteriaceae: 1- Facultative anaerobes that grow on simple laboratory media. 2- Ferment glucose ± other carbohydrates. 3-Oxidase negative. 4- Reduce nitrates to nitrites. Classification of enterobacteriaceae This family is classified on the basis of biochemical reactions, especially fermentation of carbohydrates. It can be divided according to their effect on lactose into: Lactose Fermenters: (coliforms) e.g., E.coli, klebsiella. Lactose Nonfermenters: e.g., protus, salmonella and shigella. Natural Habitat Normal commensals in the colon of both man and animal e.g. Coliform group. Some are saprophytes in water, soil and plants e.g. Proteus species. Few are primarily intestinal pathogens e.g. Salmonella, Shigella and Yersinia. Medical importance of the family Indicator of fecal pollution of water. Responsible for 30% of cases of hospital acquired infections (nosocomial infection). Difficult to treat with antibiotics (resistant to many antibiotics). 1- Morphology: Gram’s –ve bacilli , having single arrangement. 2-cultural characteristic: Facultative anaerobes, grow on simple media Proteus showing a swarming growth. Growth on MacConkey’s agar: Principle: MacConkey’s agar is a selective and differential medium selective medium for gram –ve bacteria (bile salt inhibit the growth of other non intestinal bacteria). Test sugar: lactose. pH indicator: neutral red ( yellow in alkaline, pink in acidic pH). Principle: Lactose Lactose fermenter Neutral red acid Pink colonies Results: Pink colonies Lactose fermenter Pale colonies Lactose Non fermenter 1- Oxidase test. 2- Nitrate test. 3- O/F test. 1- Oxidase test: Principle: Tetramethyl p-phenylene diamine (oxidase reagent) colourless Cytochrome oxidase enzyme Indophenol (Purple colour) Results: +ve Test: Appearance of purple colour within 1-2 min. Purple colour No colour +ve test -ve test pseudomonas enterobacteriaceae 2- Nitrate test: Principle: All enterobacteriaceae reduce nitrates to nitrites Procedure: Nit.A test m.o Incubate at 35oC for 24 hrs Nitrate broth Nit. B Red colour 3- Oxidation Fermentation (O/F) Test: Principle: Using sensitive O/F medium ( Hugh and Leifson Medium) . All enterobacteriaceae are O+/F+ (Fermentative) 1- TSI test. 2- Growth on S-S agar. 3-Citrate utilization test. 4- Urease test. 5-Gelatin liquefaction test. 1-Triple Sugar Iron (TSI) agar: Results: 1. Dextrose Fermentation: a) Initial reaction: (after 10 – 12 hrs) Dextrose acid Butt: acidic (yellow) Slant: acidic (yellow) Dextrose Fermentation: b) Delayed reaction: (after 24 hrs) Small amount of acid Butt: acidic (yellow) Slant: alkaline (red) Proteus, Salmonella & Shigella Principle: This medium contains ferrous sulfate as an indicator for H2S production. H2S + FeSo4 FeS Black ppt. of ferrous sulfid Proteus & Salmonella Results: Butt: acidic (yellow) acidic (yellow) acidic (yellow) Slant: acidic (yellow) alkaline (red) alkaline (red) -ve +ve H2S Production: -ve E.Coli & Klebsiella Shigella Proteus & Salmonella Principle: It is selective and differential medium for enteric pathogens especially Salmonella. It contains the sugar lactose and neutral red as an indicator It also contains sodium thiosulfate and ferric citrate as an indicator for H2S→ colonies with black centers. Results: Salmonella & proteus Pale colonies with black centers Shigella Pale colonies 3-Citrate Utilization Test Principle: Citrate As a sole source of carbon Na2CO3 alkaline Bromothymol blue Blue colour indicator +ve Results:- Proteus & Salmonella +ve Shigella -ve 4- Urease Production Test: Principle: Urease enzyme Urea NH3 ( alkaline) Phenol red indicator Pink colour Results: +ve -ve Proteus Salmonella Definitive tests to differentiate between Proteus & Salmonella 5- Gelatin Liquefaction Test: Principle: Gelatin gel Gelatinase enzyme Peptides liquid Results: Positive test: Gelatin medium remain liquid even after refrigeration. Gelatinase +ve Proteus Gelatinase -ve Salmonella Disease caused by shigella: Bacillary Dysenteriae Disease caused by salmonella: Typhoid Fever Diseases caused by proteus: urinary tract infections ,bacteremia and pneumonia, Proteus species produce infections in humans only when the bacteria leave the intestinal tract. Oxidase Test -ve +ve Enterobacteriaceae Pseudomonas MacConkey’s agar & TSI O/F test: O+/F- Pink colonies on MacConkey Pale colonies on MacConkey & acidic butt and slant onTSI & acidic butt alkaline slant onTSI Growth on cetrimide agar: Lactose non-fermenter Pale colonies with green pigmentation Lactose fermenter IMViC test & EMB IMViC ++ - & black colonies with metalic shines on EMB E.coli Nitrate test: +ve further reduction to N2 No H2S production (no blacking in TSI) H2S production (blacking in TSI) Shigella Urease production & gelatin liquefaction IMViC - - ++ Klebsiella +ve Proteus -ve Salmonella Results Pseudomonas E.coli Gram’s Stain Oxidase test O/F test Nitrate test Klebsiella shigella Proteus Salmonella Gram’s –ve rods, single arrangement +ve O+/FNo red colour after addition of zinc dust +ve further reduction to N2 Cetrimid Pale colonies with green e agar pigmentation -ve -ve -ve -ve -ve O+/F+ O+/F+ O+/F+ O+/F+ O+/F+ +ve reduction from nitrate into nitrite - - - - - Results E.coli Klebsiella MacConkey’ Pink colonies Pink mucoid s agar colonies TSI agar Butt: Slant: H2S: IMViC test EMB agar shigella Pale colonies Proteus Salmonella Pale colonies Pale colonies Acidic (yellow)Acidic (yellow)Acidic (yellow) Acidic (yellow)Acidic (yellow) Acidic (yellow)Acidic (yellow)Alkaline (red) Alkaline (red) Alkaline (red) -ve -ve +ve +ve -ve IMViC ++ - - IMViC - - ++ Black colonies Pink colonies with metalic sheen IMViC -+-- IMViC ---+ Pale colonies Pale colonies IMViC -+-+ Pale colonies Results E.coli Urease production test Gelatin liquefaction test S – S agar -ve -ve Klebsiella +ve -ve shigella Proteus Salmonella -ve +ve (pink) -ve -ve +ve (liquid) -ve Pink colonies Pink colonies Pale colonies Pale colonies with black centers Pale colonies with black centers