MICROBIAL IDENTIFICATION CARD

No........ /........

> Sampling date: ........ /........ /........

> Sampled matrix: □ Active air □ Passive air □ Surface
□ Water □ Raw material/pharmaceutical product
> Growth media: ......................
> After incubation at: ............... °C ; for: ............... hours/days
> Description of sampling point or product:
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□ MACROSCOPIC MORPHOLOGICAL DESCRIPTION

ASPECT □matt □ glossy □ translucent

SURFACE □smooth □ wrinkled □ filamentous

COLOR ......................................... □ light □ medium □ dark

DIMENSION □ 1-2 mm □ 2-5 mm □ 5-10 mm □ >10 mm

SHAPE
□Point □Circular □Filamentous □Irregular □Rhizoid □Fusiform

THICKNESS
□Flat □Raised □Convex □Dome □Umbonate □Crateriform

MARGIN
□Regular □Corrugated □Lobed □Eroded □Filamentous □Rippled

CONSISTENCY □ dry □ creamy □ mucous □ crumbly □ membranous

 □ COLORIMETRIC AND MICROSCOPICAL DESCRIPTION
□ Gram staining result: □ Gram + □ Gram -

□ Appearance: □ cocci □ diplococci □ streptococci □staphylococci

□ bacilli

□ fusiform

□ filaments

□ spirilla

□ mold

□ BIOCHEMICAL CHARACTERIZATION

□ Oxidase: □positive □negative

□ Catalase: □positive □negative

□ Coagulase: □positive □negative

□ Test with API gallery – outcome: ......................

□ Other tests (please specify): .....................

□ BACTERIAL IDENTIFICATION CONCLUSION: ..................

□ MICROORGANISM EVALUATION (habitat, pathogenicity, ability to produce toxins, other

observations, etc. )

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Analyst:

Data: