1. LABORATORY DIAGNOSIS OF Salmonella spp.
PRESENTED BY
Arun Kumar Thakur
Babita Gautam
Chetana Dahal
Purshotam Kr. Sah Kanu
Rohit Ghimire
Central Department Of Microbiology
Second Semester
2. Salmonella
• Salmonella named after an American bacteriologist,
D.E Salmon, who first isolated Salmonella
Choleraesuis from porcine intestine in 1884
• Salmonella spp gm (-ve), flagellated and facultative
anaerobic bacteria characterized by the presence of O,
H, and Vi antigen
• Salmonella ubiquitous human and animal pathogen
• Salmonella infection- one of three clinical syndrome
.i.e. gastroenteritis, enteric fever or focal disease
3. Human infections caused by some Salmonella spp
Salmonella Typhi-typhoid fever, bacterima
Salmonella Paratyphi A, B and C-paratyphoid
fever, bacterima
Salmonella Cholerasuis- bacterima
Salmonella Typhimurium- gastroenteritis
Salmonella Enterisitis, S. Hadar, S. Heidelberg,
S. Agona etc- gastroenteritis
4. Habitat
• Found in intestinal tract of human and animal including wild birds,
domestic pets and rodents.
• Under suitable environmental conditions, they may survive for
weeks in water and for years in soils.
• Majority are ubiquitous serotypes inhabiting a wide range of hosts.
• Members of subsps. enterica predominate among mammals and
others are found commonly in the intestinal tract of cold blooded
animals.
• Host adapted serotypes
• Some serotype are adopted to specific host eg.
Abortusouis- confirmed to sheep
Gallinarum- fowl
Typhi-human
Typhisuis -swine
5. Laboratory Diagnosis
Laboratory daignosis of Sallmonella spp is based on the following
methods:
1. Macroscopic examination of specimen along with microscopic
examination for morphological observation of bacteria
2. Isolation and identification of Sallmonella spp by culture and
biochemical test
3. Serodiagnosis by demonstration of Sallmonella spp antibodies and
antigens
4. Molecular diagnosis by DNA probes and PCR
Specimens
i. Blood, blood clot, bone marrow and stool commonly used for
typhoid bacilli
ii. CSF, peritoneal fluid, mesentric lymph nodes, resected intestine,
phyranx, tonslis, abscess, bone and urine other specimen of choice
6. Morphology on Gram staining
Member of family enterobactericeae.
• Gram negative bacteria measuring 2-4 X 0.6 um
• Non-acid fast, non-sporing
• Motile with peritrichous flagella except Gallinarum pullorum
• Non capsulated but when gown on media with osmolarity, most
strains produce extracellular slime which is colanic acid.
7. Cont…
• Slime production is the rule among S. Paratyphi negative to D-
tartarate and is favoured by continued incubation at low
temperature.
• Most strains (80%) form type I (mannose sensitive,
haemagglutination) fimbriae composed of fimbrilin subunits
with a high proportion of hydrophobic amino acids.
• Gallinarum pullorum and a few strains in other serotypes
either form type 2 (non-haemagglutinating) fimbriae or are
non fimbricated.
8. Cultural characteristics
• Aerobic and faculatively anaerobic .
• Grows on simple lab media in temperature range (7- 48°)C ,optimally at 37°C
• pH 4-8 and water activity above 0.93.
• Many strains are proto trophic; i.e capable of growing on glucose-ammonium
minimal medium.
• Some strains are auxotrophic and require enrichment of the minimal medium
with one or more amino acids or vitamins eg. cysteine or nicotinamide.
• Most Typhi strain require tryptophan.
9. On NA
Grey white, moist, circular, convex colonies with entire edge 2-3 mm in
diameter.
Many paratyphi strains form large mucoid colonies, due to slime formation
when plates are left at room temp. for few days incubation at 37°C for 24
hrs.
NA XLD
10. • On MA
NLF pale colored colonies.
• On DCA
Small colonies with black centre
• On XLD
Pink red colonies (H2S Producer)
3-5 mm dia., with black centre those not producing H2S (paratyphi
A)
Produce pink colonies without black centre
• On Peptone water and NB
Most strains give abundant growth with uniform turbidity and a
thin surface pellicle forms on prolonged incubation.
Rough variants which have a hydrophobic surface and tend to auto
aagglutinate produce agranular deposits and sometimes a thick
pellicle.
11. • Enrichment media
Tetrathionate broth –enriches salmonallae but also permits growth
of proteus spp
Kauffmann Muller Tetrathionate broth with a brilliant green,
inhibits proteus and so improves selectively.
Selenite F Broth-excellent for typhi and Dublin but some eg
paratyphi A and Cholareusis may fail to multiply .
Rappaport’s malachite green magnesium chloride broth –more
efficient for isolation of salmonellae from faeces water and
foodstuffs.
12. • Selective as well as Differential media
Bismuth Sulfite Agar : selective as it inhibts most gm (+ve) and gm
(-ve) bacteria; differential as production of H2S, ferrous sulphate,
positive reactions appear as brown to black precipitate
Brillant green agar: brillant green is inhibtory to most gm (+ve) and
gm (-ve) bacteria; differential lactose and sucrose fermentation
positive appears as yellow to green colonies with bright yellow to
green halos
Salmonella spp appear as white to pink or red colonies surrounded by a
bright halo
Salmonellae Shigella Agar: selective as bile salts, sodium citrate and
brillant green inhibts most gm (+ve) and gm (-ve) bacteria;
differential due to presence of lactose, neutral red sodium thiosulfate
Salmonella spp appears colourless with black center
13. Biochemical Characteristics
1. Salmonellae shows following reactions:
2. Ferments gulcose, mannitol and maltose with acid and gas
production (exception S. Typhi sugar non fermenter)
3. Lactose, sucrose or salicin non fermenter
4. Indole non producer
5. Except S. Paratyphi A, S. choleraseuis and sime other species
produce H2S
6. Urea non hydrolyzer
7. MR positive
8. VP negative
9. Citrate positive (S. Typhi and S. ParaTyphi)
10. Decarboxylation of lysine, ornithine and arginine but not gultamic
acid ( exception S. Typhi and S. ParaTyphi A don’t decarboxylate
ornithine and lysine respectively)
11. Catalase positive
12. Oxidase negative