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Learning Objectives:
❑ State the specific diagnostic purpose for each test methodology.
❑ Briefly describe the test principle associated with each test methodology.
❑ Outline the limitations, and provide an explanation to troubleshoot or report the results in
the event that a test indicates a false-positive, false-negative, or equivocal result.
❑ State the appropriate quality control organisms and results used with each testing -
procedure.
Principle
◦ Tryptophanase will hydrolyze tryptophan to pyruvate, ammonia, and indole.
◦ Kovac’s reagent will react with indole and produce a red color.
Quality control
◦ Using Kovac’s method:
◦ Positive—Escherichia coli
◦ Negative—Klebsiella pneumoniae
Principle
◦ Methyl red (MR) test detects mixed acid fermentation (turns red).
◦ Voges-Proskauer (VP) test detects the ability of the organism to convert the acid products to acetoin
and 2,3-butanediol (turns red).
◦ An organism can be positive for one but for not both of the tests.
Limitation
◦ MR test should not be read before 48 hours.
Quality control
◦ MR positive and VP negative—Escherichia coli
◦ MR negative and VP positive—Enterobacter aerogenes
Principle
◦ Bacteria capable of growing on this medium will use citrate and convert ammonium phosphate into
ammonia and ammonium hydroxide (alkaline—turns blue).
Limitation
◦ Some organisms will not produce a color change but will grow.
Quality control
◦ Positive—Enterobacter aerogenes (ATCC 13048)
◦ Negative—Escherichia coli (ATCC 25922)