kirby b.method

Upload: abdallah-essam-al-zireeni

Post on 05-Apr-2018

243 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/31/2019 KIRBY B.method

    1/19

    Basic Microbiology Laboratory

    for Dental Students M-265

    By LecturerYasemin Al-Shboul

    Spring 2011-2012

  • 7/31/2019 KIRBY B.method

    2/19

    Physical and Chemical Agents That

    Affect Microbial Growth

    Antimicrobial Agent: Chemical substance used in treatment of infectious diseases.

    Antimicrobial Agents (According to activity) are eitherBateriostatic (Inhibits bacterial growth) or

    Bacteriocidal (Kills bacteria).

    Types of Antimicrobial Agents:

    1- Antiseptics: Bactericidal agents, can be used on skin and mucus membranes. Not for internal

    use. E.g. Alcohol, Iodine solution, Detergents, Mercurials, Silver nitrate.

    2-Disinfectants: Bactericidal agents, only used for inanimate objects. E.g. Chlorine, Hypochlorites,Chlorine compounds, Copper sulfate, Quaternary ammonium compounds.

    - Sterilization kills all forms of life (including spores), but Antiseptics and Disinfectants my not

    necessarily kill spores.

    -Safety of a compound depends on concentration.

    3- Chemotherapeutic Agents (Synthetic Drugs):Antimicrobial agents of synthetic origin useful in

    the treatment of microbial or viral diseases. E.g. Sulfonamides, Isonazide, Ethambutol, AZT,

    Chloramphenicol. Note: Agents used for treatment of diseases of non-microbial origin are not considered as

    chemotherapeutic agents.

    4- Antibiotics: Antimicrobial agents produced by microorganisms that kill or inhibit the growth of

    other microorganisms. E.g. Penicillin.

  • 7/31/2019 KIRBY B.method

    3/19

    Kirby Bauer Method

    1- Disk Diffusion Method

    Also Known as the Standard Disk Susceptibility Test.Procedure: Inoculate Agar plate with a standard inoculum, place Disks, Incubate,

    measure diameter of Inhibition zone (if any), compare with standard tables.

    Zone of Inhibition Depends on:

    a. Amount of antimicrobial agent.

    b.Solubility of the agent.c. The Diffusion coefficient.

    d.The overall effectiveness of the agent.

    e.Type of microorganisms.

    f. Type of Media: Muller Hinton media must be used.

    g. Agar Depth: Must be 4mm.

    h.Type and Concentration of the Antibiotic Used.I. Number of Bacteria: Must be 1-1.5 * 108 cells/ml.

    J. pH of Media.

  • 7/31/2019 KIRBY B.method

    4/19

    Dilution Methods: Used to determine the MIC and MBC of the Antimicrobial Agent.

    MIC (Minimum Inhibitory concentration): Lowest concentration of

    the antimicrobial agent required to inhibit the growth of a bacterialisolate.

    MBC (Minimum Bactericidal Concentration): Lowest Concentrationof the antimicrobial agent required to kill the bacterial isolate.

    A) Tube Method: Serial dilution of the antibiotic in Broth: 0.1 to 128mg/ml

    Measures the MIC and the MBC of the antibiotic.

    Procedure.

  • 7/31/2019 KIRBY B.method

    5/19

    - Standard Inoculum = 1.5 * 108 cells/ml, similar in turbidity to a 0.5 McFarland standard .McFarland standards are used as a reference to adjust the turbidity of bacterial suspensions

    so that the number of bacteria will be within a given range .

  • 7/31/2019 KIRBY B.method

    6/19

    Kirby bauer test:To observe the efficacy of various antibiotic agents

    against a range of gram positive and gram negative Moneran strains

    through measurement of zones of inhibition

  • 7/31/2019 KIRBY B.method

    7/19

    Biochemical Activities

    of Microorganisms

    Medical Microbiology Processing: Collection (Transport Media): Urine, blood, stool, vaginal

    swab, skin, throat, and sputum.

    Isolation (Selective Media): Streak plate, pour plate, and

    spread plate.

    Purification: Subculture for isolation of a pure colony

  • 7/31/2019 KIRBY B.method

    8/19

    Phenotyping:

    Microscopic Morphology.

    Cultural characteristics. Biotyping.

    Stereotyping (Ag-Ab reactions): O-Ag, H-Ag

    Antibiotyping.

    Genotyping:

    DNA probes, PCR.

  • 7/31/2019 KIRBY B.method

    9/19

    Biotyping

    - Everything that a living organism does is the result of the activity of an enzyme. - The sum of the activities of all an organisms enzymes equals its Biochemical Fingerprint.

    - An organism is the totality of its enzymes and their products, so by determining which enzymes

    are present, one can describe and identify that organism.: Test of enzymatic activity.

    Types of Enzymes:

    Extracellular enzymes: Amylase: Starch hydrolysis.

    Lipase: Lipid hydrolysis.

    Protease: Casein hydrolysis. Gelatinase: Gelatin hydrolysis.

    Streptolysin: Blood hydrolysis.

    Intracellular enzymes: Catalase.

    Oxidase.

    IMViC.

    Nitrate Reduction enzymes. Urease

    Carbohydrate Fermentation enzymes

  • 7/31/2019 KIRBY B.method

    10/19

    Blood Agar: Enriched, differential medium, for the isolation of fastidious microorganisms

    e.g. streptococcus spp. Sheep, Human, or Rabbit Blood Agar. Blood Concentration 5-10%. Hemolysis pattern: Beta hemolysis (): Complete hemolysis of hemoglobin e.g. Streptococcus

    pyogenes. Alpha hemolysis (): Incomplete lysis of RBCs with reduction of hemoglobin

    to methemoglobin, resulting in a greenish color around the bacterial colonye.g. Streptococcus pneumoniae.

    Gamma hemolysis (): no lysis of RBCs & no change in the medium e.g.

    Stretococcus fecalis. Manitol Salt Agar (MSA) Selective, differential medium for the isolation of Staphylococcus spp. Components: 7.5% NaCl, Manitol, Phenol Red (pH indicator). MacConkey Agar: Selective, differential Medium

    Inhibitors (Bile salts & Crystal violet): Prevent growth of Gram positivebacteria.

    Lactose & Neutral Red (pH indicator): differentiates between Lactose(Pink)and non-Lactose (colorless) fermenters.

  • 7/31/2019 KIRBY B.method

    11/19

    Blood agar hemolytic reactions

  • 7/31/2019 KIRBY B.method

    12/19

    MacConkeys agar

  • 7/31/2019 KIRBY B.method

    13/19

    Mannitol Salt Agar

  • 7/31/2019 KIRBY B.method

    14/19

    Catalase Test:

    Most organisms that grow aerobically produce hydrogen peroxide (H2O2).

    H2O2 is toxic to cells and must be converted to non-toxic compounds in order for the cell to survive.

    H2O2 + Catalase H2O + O2 (Bubbles)

    E.g. Staph.: Catalase +ve, Strep.: Catalase ve

    Blood agar will give a False Positive result.

    The bubbles resulting from production of oxygen gas clearly indicate a catalase positive result. The sample on the

    right below is catalase positive. The Staphylococcus spp. and the Micrococcus spp. arecatalase positive . The

    Streptococcus and Enterococcus spp. are catalase negative.

  • 7/31/2019 KIRBY B.method

    15/19

    Coagulase Test

    Coagulase test is used to differentiate between Staphylococcus aureus and other coagulase negative species.

    This test is based on the coagulative properties ofS. aureus with plasma.

    S. aureus produces 2 forms of coagulase free and bound. Different types of tests are used to observe the

    coagulation reactions, depending on the form of coagulase targeted.

    Bound coagulase, also known as clumping factor, is detected using the slide test. This form of coagulase is

    bound to the bacterial cell wall, hence its name. It reacts with fibrinogen in plasma to form visible clumps.

    However this test is not performed in the lab anymore.

    The tube test is done on free coagulase. Free coagulase released by the bacterial cell is often found in

    culture filtrates. It exists as a free form, unlike the bound coagulase attached to the cell. The free coagulase acts

    on prothrombin, producing a complex with similar properties to thrombin - staphylothrombin. This substance

    then acts on fibrinogen to form a fibrin clot in plasma.

    2-5 staphylococcal colonies are suspended in 0.5ml of rabbit plasma w/EDTA.

    Incubate aerobically at 35oC for 4 hours,check every 30 min. Check for clot formation.

    If negative, continue incubation overnight (12 hours)and check again after the extended

    incubation.

  • 7/31/2019 KIRBY B.method

    16/19

    Goagulase test

  • 7/31/2019 KIRBY B.method

    17/19

    Oxidase Test

    Cytochrome Oxidase is an enzyme (which is a redoxindicator) found in some bacteria that transferselectrons from (reduced Cytochrome C) to Oxygen thefinal electron acceptor in some electron transportchains.

    In the test the Oxidase disk (N,N,N,N Tetraeythylparaphenylen diamino dihydrochloride) acts as anelectron donor to cytocrome oxidase.

    If the bacteria oxidizes the disk (removes electrons),then the disk or filter paper will turn purple, indicating

    a positive test. E.g. Pseudomonas Spp. And Neisseriaspp..

    No color change indicates a negative test e.g.Enterobacteriaceae.

    http://en.wikipedia.org/wiki/Redoxhttp://en.wikipedia.org/wiki/Redox
  • 7/31/2019 KIRBY B.method

    18/19

    All images are for oxidase test results

  • 7/31/2019 KIRBY B.method

    19/19

    GOOD LUCK FOR EACH OFYOU .