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CULTURE MEDIA Selective media 

- contains ingredients that promote or


Liquid Media
inhibit the growth of particular types
- Commonly called broth in the of microorganisms. Growth inhibiting
microbiology laboratory agents can include items such as dyes,
- Media does not contain agar, but acids, alcohols, and/or antibiotics.
nutrients in the liquid  
- The enrichment properties of the media Differential media 
enable microorganisms to be recovered in - Differentiates microorganisms based
higher numbers on major metabolic or biochemical
- Is used for detecting the presence of a reactions such as the production of
low number of microorganisms that may acid from certain carbohydrate
be missed if plated on solid agar only fermentation.
- Has specialized formulas that may be
used for biochemical testing and other Culture media is useful to isolate and identify
microorganisms from various sites in the
uses
human body.
 
Solid Media
(Culture Media TABLE)
• A solidifying agent, such as agar, is added in
the preparation of solid culture media (Specimen TYPE)
• Does not inhibit bacteria or liquefy at room
temperature Some microorganisms grow best in the
• Is used for developing surface colony growth presence of oxygen and are called AEROBES.
of microorganisms
• Is critical for obtaining isolated colonies ANAEROBES, on the other hand, cannot grow
in the presence of oxygen.
Semi-Solid Media There are specialized media to grow
anaerobes. Also, additional conditions must
• Has the consistency between a liquid and a
be established in the laboratory, such as
solid
• Is often equated to jelly consistency anaerobic chambers or jars, to grow these
• Has a lower concentration of agar than solid microorganisms.
media For a sputum specimen, the media of choice
• Is commonly used in determining organism
is: Blood Agar Plate (BAP) or Sheep Blood
motility
Agar (SBA), Chocolate Agar (CHOC), and
MacConkey Agar (MAC).
CULTURE MEDIA TYPE
There are three main types of culture media:
enrichment, selective, and differential. BAP/SBA
Enrichment media 
• a base media
- has specific nutrients added to the
basic culture media to encourage the
• an enriched and differential media
growth of specific types of
microorganisms. • Commonly used for culturing many bacterial
species including Gram negative (such as
Escherichia coli) and Gram positive species
(such as Streptococci).
Interpreting SBA/BAP
When reading or interpreting a specimen that
has been inoculated to SBA/BAP and • lactose and neutral phenol red (pH
incubated for 18-24 hours, you may see a indicator) allow the “differentiation” of Gram
clearing around some of the isolated colonies. negative rods based on their ability to
This is ß (Beta) hemolysis. ferment lactose and the resulting color
appearance of the colonies.
This is a result of hemolysins that the
microorganisms possess that causes the • as a differential media, MAC differentiates
complete or partial lysis of blood cells between Gram negative microorganisms that
(hemolysis). are able to ferment lactose (lactose
fermenters) and those that cannot (non-
There are two other types of hemolysis that lactose fermenters)
can be exhibited around colonies: 
• lactose fermenters will appear as pink
α (Alpha) hemolysis results in a greening colonies on the media while non-lactose
around a colony and γ (Gamma) hemolysis in fermenters will appear as clear or colorless
which you will not see hemolysis at all. colonies

For a tissue specimen, you would inoculate


Chocolate Agar (CHOC)
the following culture media:
Characteristics •Anaerobic blood agar (AnaBAP)

• an enriched media •Blood agar (BAP)

•Prepared by heating whole blood to 80-90 ºC •Chocolate agar (CHOC)

• when heated, the media turns a chocolate •Columbia Colistin-Nalidixic Acid agar (C-CNA)
brown color
•MacConkey agar (MAC)
•when heating of the blood occurs, the X and
•Phenylethyl alcohol agar (PEA)
V factors are released from red blood cells,
which is needed by some microorganisms for •Thioglycollate broth (THIO)
growth

•supports the growth of fastidious Anaerobe Blood Agar (AnaBAP)


microorganisms, such as Haemophilus spp.
•is a non-selective media

MacConkey Agar (MAC) • allows the growth of the facultative and


obligate anaerobic microorganisms when
Characteristics incubated anaerobically. Anaerobic
microorganisms will die in the presence of
• a common selective and differential media oxygen over a short amount of time.

• used for processing various specimen types


where Gram negative rods are a suspected
potential pathogen.

• selectively inhibits the growth of Gram


positive microorganisms resulting in the
“selection” of Gram negative microorganisms
for growth
Thioglycollate Broth (THIO) The microorganism that causes strep throat,
Streptococcus pyogenes, will grow on BLOOD
Characteristics AGAR. Blood agar meets its growth
•is a broth media requirements and allows you to see a type of
hemolysis typical of this bacterium.
•allows the growth of anaerobes and aerobes
“If the culture grew Streptococcus
•growth patterns within the broth tube may pyogenes after overnight incubation, would
be useful in helping with microorganism you expect to see hemolysis?”
classification of anaerobic or aerobic
- YES, If the microorganism is S.
Note:  If there is growth in this media after pyogenes you will expect to see Beta
incubation, subculturing to appropriate hemolysis.
culture media as indicated by Gram stain will
be necessary.
The culture media used to isolate
microorganisms from stool specimens can be
Columbia Colistin Nalidixic Agar (C-CNA) both selective and differential. Stools are
routinely inoculated onto BAP and the
• enriched and selective media that contains following media:
two antibiotics, colistin and nalidixic acid,
used to encourage the growth of Gram •MAC
will grow bottom of
Anaerobic
tube •SMAC
will grow throughout
Facultative •CAMPY
tube
Aerobe will grow top of tube
•GN Broth/SF Broth
positive microorganisms while inhibiting the
growth of Gram negative microorganisms. •HE/XLD

Note: Some laboratories will use either C-CNA •SS


or PEA in their laboratory set-ups for wound •CHROMagar for Enteroccoccus or
or tissue specimens. CHROMagar for E. coli O157

Note:  TCBS may be used for testing


gastrointestinal specimens, however, it was
Phenylethyl Alcohol Agar (PEA)
not an option in this case scenario
• a selective culture media as Vibrio spp. was not suspected.

MacConkey Agar (MAC)


• inhibits the growth of facultative or
anaerobic Gram negative microorganisms
• a common selective and differential media
• specifically formulated to allow the growth
•used for processing various specimen types
of Gram positive microorganisms and some
where Gram negative rods are a suspected
anaerobic Gram negative microorganisms
potential pathogen.
Strep throat is an infection caused by the
In a stool culture, there will be normal flora
microorganism Streptococcus pyogenes. There present, but potential pathogens as well. You
will be a clearing around colonies grown on will need to rule out normal flora from
BAP due to the hemolysis of red blood cells (ß pathogens.
hemolysis) in the media.
Mac-Sorbitol for O157 (SMAC)
Xylose Lysine Deoxycholate Agar (XLD)
• a selective and differential media
•is a selective and differential media
• a modification of MacConkey agar where
the carbohydrate lactose is replaced by •is used for the isolation of Salmonella and
sorbitol Shigella species from clinical and food
samples
• one of several media commonly used to
•Gram positive microorganisms are inhibited
isolate E.coli O157 from stool
by the sodium deoxycholate in the media

•allows colonies of lactose fermenters such as


Campylobacter Agar (CAMPY) E.coli to be yellow

•one of several culture media used to isolate •non-lactose fermenters such as, Salmonella
Campylobacter spp. from stool specimens and Shigella, will be clear

•Campylobacter spp. are microaerophilic •those species of Salmonella that produce


H2S, the colony will be black
•Campylobacter spp. colonies will appear as
gray, glistening colonies
Salmonella-Shigella Agar (SS)

Hektoen Enteric Agar (HE) • is a selective media for Salmonella and


Shigella
• is a selective and differential culture media
• other microorganisms are inhibited by
• uses bile salts and dyes (e.g. bromthymol brilliant green and bile salts
blue or acid fuschin) to allow Gram negative
• lactose fermenting microorganisms will have
enteric microorganisms to grow
pink or red colonies
•is used to isolate Salmonella and Shigella • non-lactose fermenting microorganisms
•allows lactose fermenting enteric
such as Salmonella or Shigella will be colorless
microorganisms to grow and produce
salmon to yellow-orange colored colonies •some species of Salmonella produce H 2S and
will turn the colony black in the center
• Salmonella and Shigella are non-lactose
fermenters and the colonies can appear
colorless or green from retaining the color of CHROMagar
the culture media or dye
• Differential and selective media agar
• if the Salmonella sp. is a hydrogen sulfide
(H2S) producer, the colonies will appear clear • designed to identify certain/specific
or green with black centers. pathogens easier and faster when culturing
specimens.
Note: some laboratories will use either HE or
•Composition/ingredients of the media are
XLD in their laboratory set-ups for stool
relevant to the suspected microorganism
specimens.
being isolated.

•Some microorganisms will produce a


characteristic color on CHROMagar with
different colors being positive dependent on
the media company used.
The media to isolate MRSA is CHROMagar
Gram Negative (GN) Broth for MRSA

•is a selective liquid media used for the Some microorganisms will produce a
isolation of Gram negative enteric characteristic color (mauve, pink, blue) on
microorganisms CHROMagar with different colors being
positive dependent on the media company
•contains sodium citrate as an inhibitory
used.
agent for other microorganisms
Examples:

Selenite F Broth CHROMagar for yeast (Candida)

CHROMagar for STEC


- Selenite F broth is another broth, similiar
to GN broth, that can be used to isolate CHROMagar for KPC
suspicious pathogens from a stool
sample.
“You receive a C-CNA agar plate containing an
Thiosulfate Citrate Bile Salts Sucrose isolate with a positive Gram stain result for
(TCBS) Gram positive microorganisms.  No other
information is given.  What  culture media
TCBS may be used as a selective media to should you use?”
isolate the stool pathogen, Vibrio spp. when
- Blood agar (BAP) is an enrichment and
requested.
differential agar and will tell you if the
microorganism produces any hemolysis.
•Vibrio requires high salt content for growth.

•if a species of Vibrio is able to ferment


“Your GN broth is showing turbid growth and
sucrose, they will produce yellow colonies
you need to subculture it to see what is
•if a particular species does not ferment growing.  What culture media should you use
sucrose, the colonies will be green to isolate the microorganism(s)?”

- MacConkey, XLD, SS, and HE culture


To subculture an isolate from an STD clinic media’s should be used to isolate enteric
you would use Blood agar (BAP),in addition microorganisms
to Thayer Martin (TM) or Martin Lewis agar.

Characteristics

•are enriched and selective media

•are used to isolate Neisseria gonorrhoeae


from clinical specimens known to contain
normal flora

•contains bovine hemoglobin as a source of


X Factor. V Factor is added as a supplement
(e.g. IsoVitaleX)
•Minimize risk of creating aerosols.

Culture Media Quality Control (QC) •When opening specimens or cultures, keep
the sample away from your face.
To ensure proper performance, all culture
media must pass quality control (QC) •Wear gloves to minimize contamination.
measures prior to use. Inspect all media upon
receipt and before use for the following: Note: Proficiency in demonstration of your
laboratory’s specific practices should be a part
•Evidence of inappropriate storage of your laboratory’s guidelines or safety
conditions, such as freezing or desiccation manuals.

•Problems in transport such as cracks in the


media or plastic “In performing quality control on media, what
important information must be documented
•Evidence of poor quality, such as bubbles, for your records?”
uneven fill or contamination
- You should record the date the media
was prepared or received, the lot
numbers, and the expiration dates just in
If any issues are observed, report them
case you have problems later on.
immediately to the manufacturer and do not
use. Document date of receipt or preparation
“When applying aseptic technique when
(if made in-house), lot numbers, and
working with tube media, you should?”
expiration dates for your records. Refer to
appropriate Clinical Laboratory Improvement - Clean workspace with disinfectant before
Amendments (CLIA) regulations and Clinical and after work, a clean workspace and
and Laboratory Standards Institute (CLSI) the use of a BSL-3 safety cabinet will help
M22-A3 guidelines to determine if user QC is to prevent contamination.
required as well as any in-house laboratory
guidelines.
Inoculation of Media
Good Laboratory Practices
Inoculation of culture media is an important
When working in a microbiology laboratory, it basic laboratory skill to possess as a
is important to use good laboratory practices. microbiologist.

Good laboratory practices include: When you receive a specimen or isolate in


the laboratory, you choose the media on
•Clean your workspace with the appropriate which to plate the specimen or isolate. The
disinfectant before and after each laboratory next step is to inoculate the appropriate
session. culture media to isolate colonies.

•Use sterile or disposable loops, needles and Streaking for isolation is the ability to obtain
pipettes. individual colonies on a culture medium plate
after inoculating the medium with a
•Keep cultures closed when possible and specimen. This must be completed before
replace caps and lids on cultures as soon as you can perform the necessary tests to
possible. identify the infectious microorganisms.

•Do not lay caps or lids on the benchtop. Note: sometimes it may be necessary to
subculture growing broth media or isolated
colonies. This will be discussed further in this When inoculating an agar plate from a single
module. colony, the colonies that grow are clones
Pre-Inoculation Steps from that single cell.

Before you inoculate tube media or plate Quadrant Streaking


media, there are certain steps that must be
followed: There are several techniques available for
streaking a plate. The most commonly used
1. Organize and label the media with the method is quadrant streaking. Obtaining
appropriate identifiers such as culture isolated colonies can be achieved by
number, isolate number, and date. performing a four quadrant streak that
results in a dilution of the inoculum from one
2. Check to make sure the media is within quadrant to the next (with quadrant 1 being
the expiration date and does not appear to the heaviest inoculum and quadrant 4 being
be contaminated. the lightest).

Tube Media Inoculation Procedure Quadrant Streaking Procedure

To inoculate a specimen to a tube of liquid 1. Inoculate the plate by placing a specimen,


media (e.g.GN broth), you will find the steps on the first quadrant. If you have a swab
for inoculating tube media below: sample, touch the swab to the first quadrant.

1. Pre-loosen the cap(s). 2. Inoculate the first quadrant of the new


plate by making a one inch streak down the
2. Hold the specimen (e.g., swab, loop or first quadrant from the outside edge, then
pipette) in one hand. streak back and forth across this inoculum.

3. Pick up the tube to inoculate with the 3. Turn the plate a quarter turn.
other hand.
4. Use a sterile loop to streak the second
4. Use your little finger of the hand holding quadrant by going through the edge of the
the inoculum/specimen to remove the cap of first quadrant approximately four times and
the tube. then continue streaking the second quadrant
without going back into the first quadrant
5. Place the inoculum/specimen into the again.
tube according to the protocol for that media
and replace the cap. 5. Turn the plate another quarter turn.

6. Incubate according to protocol. 6. Use a sterile loop and repeat the process
above but only go into the second quadrant
Streaking Culture Media two or three times and complete the third
quadrant streak.
The purpose of streaking a agar plate is to
obtain isolated colonies from a specimen. 7. Turn the plate another quarter turn.

Each isolated colony represents several 8. Use a sterile loop and streak the fourth
thousand microorganisms which were quadrant the same as the third but let the
derived from a single mother cell. streaks get smaller and trail off.

9. Replace the lid on the plate and incubate


the plates upside down (to decrease
condensation) according to your laboratory’s
testing protocol.

Subculturing from an Isolated Colony Problems Associated with Streaking


Plates
If you need to obtain more growth of a
particular colony type, you will need to There may be problems that occur with
subculture that colony. Subculturing is culture media and the testing procedure.  
performed in the same manner as quadrant
streaking, however, your specimen is an Let’s work through some potential common
isolated colony from the primary media problems or issues.
culture plate.
Troubleshooting Problem 1
Incubation of Culture Media Plates
You remove blood agar plates from the
After culture media plates have been streaked refrigerator and immediately inoculated
for isolation, the plates are incubated based them. After incubation, this photo shows what
on environmental conditions that you observed. What has happened?
microorganisms grow best in/on. Incubation
time for most organisms is 18 to 24 hours. Ans: Allow the plates to come to room
temperature before inoculation.
Incubation Notes:

•Special conditions must be established in Troubleshooting Problem 2


the laboratory, such as anaerobic chambers
or jars, to grow anaerobic microorganisms. You begin streaking a plate, but forget to
flame the metal loop beforehand
•There is a group of anaerobes that can grow
in the presence of oxygen, but grow best in Ans: If you have some of the specimen left,
anaerobic conditions. These microorganisms reinoculate using new plates.
are called facultative anaerobes.
Staphylococcus spp. are facultative If you do not have any specimen left, you will
anaerobes. have to request another specimen and report
that a laboratory error has occurred.
•Capnophiles are microorganisms that must
have 5-10% CO2 to survive, such as
Haemophilus influenzae. Troubleshooting Problem 3

•Campylobacter species are microaerophillic You flame the metal loop, but forgot to wait
bacteria that require a microaerobic to start streaking the plate. The colonies
environment for isolation from clinical burn.
specimens.
Ans: If you burned the colonies in one area of
the streak, find another area to streak from.
Do this only after you have flamed the loop
and allowed the loop to cool.

Note: not allowing the loop to cool


completely and touching the media is a
frequent cause of aerosol creation.
- Let them come to room temperature
before you use them

Troubleshooting Problem 4 “You streaked and incubated a blood agar


plate. When you remove the plate from the
Streaking half of a blood agar plate resulting incubator, you observe heavy carryover from
in less surface area for a four quadrant one quadrant to another.  Could this be due
streaking. to not replacing or flaming the loop between
Or
quadrants?”
First and second quadrants were not streaked
closely together so there is not enough space - Yes, not using a sterile loop for each
to allow for appropriate dilution. quadrant can result in heavy carryover
from one quadrant to the next.
Ans: Ensure appropriate amount of inoculum
is added to the plate and each quadrant is
used fully.
Summary
Troubleshooting Problem 5 Culture media comes in three forms: solid,
liquid, and semisolid. Media is also classified
Not using a sterile loop for each quadrant can into three main types: enrichment, selective,
result in heavy carryover from one quadrant and differential.
to the next.
The correct culture media to use for isolation
Ans: Ensure use of sterile loops for each is based on the specimen type and/or Gram
quadrant. Do not rush the streaking process. If stain results.
using a metal loop and incinerator, sterilize Streaking a culture media plate for isolation,
between quadrants or use a new sterile whether it is a primary culture or from a
disposable loop until you have mastered subculture, is a critical microbiology technique
streaking for isolation with one or two that should be mastered.
disposable loops.

Troubleshooting Problem 6

When streaking the fourth quadrant, one of


the streaks runs into the first quadrant which
brings microorganisms from quadrant one
into quadrant four.

Ans: Ensure accuracy by staying within the


boundaries of each quadrant.

“You have taken a bag of MacConkey plates


out of the refrigerator and after you open
them you notice moisture on the surface of
the plate.  What do you do?”

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