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Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID Check for hemolysis Catalase test Coagulase test Direct stain colonies Observe Throat cultures Check for hemolysis Catalase test Gm stain “isolated colonies”

Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

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Page 1: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Things to Do Today• Observe Unknown gm (-) results• Start Urinalysis• Start gm (+) ID

– Check for hemolysis

– Catalase test

– Coagulase test

– Direct stain colonies

• Observe Throat cultures– Check for hemolysis

– Catalase test

– Gm stain “isolated colonies”

Page 2: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Oxidase Test

Negative Positive

Page 3: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Urease Test

Negative Positive

Page 4: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Methyl Red Test

Negative Positive

Page 5: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

KIA Slants

uninoculated

Page 6: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

KIA Slants

uninoculated

Page 7: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Citrate test

Negative positive

Page 8: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

The Enterotube Multitest System

Page 9: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

The API System: Various species of Enteobacteriaceae are shown here with differences in reactions that enable them to be identified

Page 10: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Things to Do Today• Observe Unknown gm (-) results

– Perform oxidase test with culture from KIA slant

– Observe Urease tubes– Perform MR test by adding 6-8 drops MR

reagent to the culture– Observe KIA slants for the various reactions

Page 11: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Three species of Candida can be differentiated in mixed culture when grown on CHROMagar Candida plates

Page 12: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Identification of urinary tract pathogens with

differential media (CHROMagar)

Page 13: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies
Page 14: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

EMB with E. coli

Used with permission

Page 15: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

EMB

Pseudomonas auginosa

Enterobacter aerogenes

Page 16: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Fig. 15-22

Relative Frequencies of Nosocomial Infections I

John Wiley

Page 17: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Fig. 15-19

Relative Frequencies of Nosocomial Infections II

John Wiley

Page 18: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Things to Do Today• Start Urinalysis

– Do a 4 quadrant streak with the urine sample using a metal loop onto the EMB plate

– Perform the “$” streak with the urine sample using the plastic loop onto the BAP plate

Page 19: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

A tale of two Staphs

Page 20: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

BAP Hemolytic Reactions

Used with permission

Page 21: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Throat Swab

Used with permission

Page 22: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Catalase test

Positive negative

Page 23: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Coagulase test• Place a drop of the red latix suspension on

the card.

• Mix a tiny portion of the colony into the mix.

Page 24: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Things to Do Today

• Start gm (+) ID1. Direct stain with Crystal Violet

2. Check for hemolysis

3. Catalase test

4. Coagulase test

• Observe Throat cultures (Do in this order)1. Check for hemolysis

2. Catalase test and find cat (-) colony

3. Gm stain “isolated colonies” on slide with throat swab

Page 25: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies
Page 26: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

BAP Hemolytic Reactions

Alpha hemolysis

Beta hemolysisgamma

Page 27: Things to Do Today Observe Unknown gm (-) results Start Urinalysis Start gm (+) ID –Check for hemolysis –Catalase test –Coagulase test –Direct stain colonies

Types of hemolysis:

A: Alpha or partial hemolysis of red blood cells results in a greenish zone

B: B-hemolysins, which produce complete breakdown of hemoglobin, causing clear zones to form around colonies on blood agar

A B