CLINICAL MICROBIOLOGY- Types of culture media in a Medical Laboratory Microbiology Department

 


TYPES OF BACTERIOLOGICAL MEDIA USED TO CULTURE SAMPLES

  • ·        Cystine lactose electrolyte deficient (CLED) agar.
  • ·        Chocolate Agar
  • ·        Blood Agar
  • ·        MacConkey Agar
  • ·        Mueller – Hinton agar (MHA)
  • ·        Cary- Blair medium
  • ·        Gonococci agar

PREPARATION OF BACTERIAL AGAR PLATES

1                                                            1.  Blood agar

 

This is a general purpose medium capable of growing a range of microorganisms of clinical significance. The medium gives good colonial appearances, hemolysis patterns and pigment production.

 

 Procedure

 

a)      0.5g of blood agar base was suspended in 1 liter of distilled water.

b)     The mixture was boiled to dissolve completely.

c)      The solution was sterilized by autoclaving at 1210c for 15 minutes.

d)     The base was cooled to 500c and sterile human blood was added to make a concentration of 7%.

e)      The solution was mixed with gentle rotation and poured into the petri dishes.

f)      A flame was carried with the Bunsen burner over the surface of the agar to remove air bubbles as a final step.

 

 

Results and observation

 

Positive controls:

Expected results

Staphylococcus aureus

Good growth; grey white colored colonies

Streptococcus pyogenes

Good growth; pale colonies; beta hemolysis

Streptococcus pneumoniae

Good growth; green grey colored colonies; alpha

hemolysis

 

 

Negative control:

 

Uninoculated plate

No change




                                                Figure: Bacterial growth in Blood Agar plate


              2.      Chocolate Agar


This medium is suitable for the growth of fastidious organisms such as Haemophilus influenzae, Pneumococci and Neisseriae. During heating the red cells are ruptured and nutrients are liberated.

 

Procedure

 

a)      0.5g of blood agar base was suspended in 1 liter of distilled water.

b)     The mixture was boiled to dissolve completely.

c)      The solution was sterilized by autoclaving at 1210c for 15 minutes.

d)     The base was cooled to 500c and sterile human blood was added to make a concentration of 7%.

e)      The solution is then heated it in a water bath to 800C with frequent mixing until the medium has a chocolate color.

f)      The agar is then poured into petri dishes.

g)     A flame is run over the surface of the agar to remove air bubbles as a final step.

 

Results and observation

 

Positive control:

Expected results

Haemophilus influenzae

Good growth

Negative control:

 

Uninoculated plate

No change

 

   

                                                        


                                            Figure 1.3: Bacterial growth in Chocolate agar


3.      Cystine lactose electrolyte deficient (CLED) agar

CLED medium is a valuable non inhibitory diagnostic medium for urinary bacteria as it supports the growth of all urinary pathogens. It is recommended for diagnostic urinary bacteria. It gives good colonial differentiation and clear diagnostic characteristics. The absence of electrolytes inhibits the swarming of Proteus species. Cystine is added for growth of organisms that require it. Differentiation of lactose fermenters and non-lactose fermenters is achieved by using Bromothymol blue as a pH indicator.

Procedure

a)      10.8g of the medium is suspended in 1 liter of distilled water.

b)     The mix was boiled to dissolve completely.

c)      Sterilized by autoclaving at 1210C for 15 minutes.

d)     The solution was poured into petri dishes.

e)      A flame was moved over the surface of the agar to remove air bubbles.

 

 

Results and observation

 

Positive controls:

Expected results

Proteus mirabilis

Good growth; blue colonies; no swarming

Staphylococcus aureus

Good growth; yellow colonies

 

 

Negative control:

 

Uninoculated medium

No change

 


Figure: bacterial growth in CLED agar


4.      MacConkey Agar (M1)

This is a useful selective, differential primary plating medium for the cultivation of enterobacteria. It contains bile salt to inhibit non intestinal bacteria and lactose with neutral red to distinguish lactose fermenting from non-lactose fermenting organisms. The omission of NaCl from the medium prevents the spreading of Proteus species.

 

Procedure

 

a)      50g of the medium is suspended in 1 litre of distilled water.

b)     The solution is boiled to dissolve completely.

c)      Sterilized by autoclaving at 1210C for 15 minutes.

d)     Prepared agar is then poured into petri dishes.

e)      A flame is moved over the surface of the agar to remove air bubbles.

 

 

Results and observation

 

Positive controls:

Expected results

Enterococcus faecalis

Good growth; red colored colonies

Staphylococcus aureus

Good growth; pale pink colored colonies

 

 

Negative control:

 

Uninoculated medium

No change

 

Figure: Bacterial growth in MacConkey agar



5)     Mueller-Hinton agar (MHA)


 

Muller-Hinton agar is a transparent medium that is recommended for antimicrobial susceptibility testing. The composition of the medium may vary from batch to batch which could affect zones of inhibition

 

Procedure


a)      38g of the medium is suspended in 1 litre of distilled water.

b)     The mixture is boiled to dissolve completely.

c)      The solution is then sterilized by autoclaving at 1210C for 15 minutes.

d)     The agar is poured into petri dishes). The depth of the medium should be 4mm.

e)      A flame is moved over the surface of the agar to remove air bubbles.

 

Results and observation


Positive controls:

Expected results

Escherichia coli

Good growth; pale straw colored colonies

Pseudomonas aeruginosa

Good growth; straw colored colonies

Staphylococcus aureus

Good growth; cream colored colonies

 

 

Negative control:

 

Uninoculated medium

No change

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