2. Introduction
• What is an anaerobe?
• Reason for intolerance?
• Mostly endogenous with
few exceptions
• Examples of some
anaerobes
– Clinical picture diagnostic
– Clinical picture non –
diagnostic
3. Clues
• Infection adjacent to a mucosal surface
• Foul-smelling lesion or discharge
• Free gas in tissue or discharges
• Typical morphology for anaerobes on Gram stain
• No growth or routine bacterial culture (“sterile-pus”)
• Growth in anaerobic zone of fluid media
• Gas, foul-smelling odor in specimen or bacterial
culture
4. Scope
1. What samples you could culture for
anaerobes? What you can not?
2. What media are used?
3. What are the incubation requirements? And
how are they accomplished?
5. What samples you could culture for
anaerobes?
Specimen collection = critical step
6. Specimen collection
Basic rule to avoid normal flora
• Samples accepted
– Aspirated by needle and
syringe closed abscess
sealed with cubber cork
..air tight
– Blood
– CNS abscess/csf/tissue
– Culdocentesis – PID
– Thoracocentesis – Empyema
– Syringe aspiration – Sinusitis
– Aseptic deep excisional biopsy - Tissue
– Suprapubic percutaneous needle
aspiration of Bladder –Urinary tract
8. Media for Anaerobic culture - solid
• Non -selective
• Sheep Blood agar with or without growth
factors
• Selective agars for organisms
• Laked Blood Agar containing Kanamycin and
Vancomycin
• Phenylethyl alcohol agar
• CCFA
9. Media for Anaerobic culture - liquid
• Thioglycollate broth • Robertson’ s cooked
meat broth
10. Principle of Methods
• Producing vacuum
• Displacing oxygen with other gases
• Absorption of oxygen by
– chemical or
• Alkaline pyrogallol
• Chromium & sulphuric acid
– biological methods
• Using reducing agents
11. Methods - Anaerobiosis
• McIntosh Field’s jar
• Air pumped out
• Hydrogen gas pumped in
• Catalyst – Hydrogen +
Oxygen
• Reduced methylene blue
remains colorless /
Pseudomonas aeruginosa
14. Summary
• Sample collection and transport is the most
critical phase in isolating anaerobes
• Anaerobic jar with gaspak is the routine
method
• Novel methods of diagnosing anaerobes such
as GLC, molecular or immunologic methods
are not popular
• Hence, these methods are all the more
relevant to be understood.
Editor's Notes
McIntosh Fildes Jar
It is one of the physical methods to produce anaerobiasis. It is used to produce anaerobic environment during the
incubation of anaerobic cultures in the laboratory. It works on the principle of evacuation and replacement, where
the air inside the chamber is evacuated and replaced with hydrogen or a mixture of gases.
McIntosh and Fildes jar consists of a stout glass or metal (8x5”) jar with a lid that can be tightly clamped with a
screw to make it airtight. The lid has two taps, one acts as outlet that is connected to a vacuum pump and the other
as inlet through which hydrogen gas is supplied. The lid also consists of two electrical terminals, which is connected
on the underside to a small porcelain spool wrapped by a layer of palladinised asbestos. Subsequent models did
not have electrical terminals as cold catalyst was being used.
The presence of air is deleterious for many
anaerobic bacteria and must be incubated in
its absence. The inoculated culture plates are
placed inside a metal jar and the lid clamped
tight. The air inside is removed using a
vacuum pump. The pressure inside the
chamber is reduced to 100 mm below
mercury.
It is not practically possible to evacuate all
the air since it will cause boiling in the liquid
or detachment of the medium. Despite
evacuation of air, some amount of oxygen
will still be left behind. Hence the air is
replaced with hydrogen gas from a cylinder.
For convenience sake, a football bladder
filled with hydrogen was used earlier. The
pressure inside the chamber is brought back
to atmospheric pressure (760mm Hg). Using
a palladium catalyst residual oxygen can be
made to react with hydrogen to form water,
but this reaction is not spontaneous. This
reaction is catalysed by palladium catalyst
that is heated using electricity. As the reaction continues more hydrogen is used up. This process is allowed to
continue for 20 minutes. Use of hydrogen gas and use of electricity can lead to explosions. Hence hydrogen gas
has been substituted by a mixture of gases (consisting of 5%CO2, 10%H2 and 85%N2) and a cold catalyst
consisting of an alumina tablet coated with palladium. The jar is then placed inside an incubator at 37o
C for 48
hours.
Efficiency indicator: Efficacy of anaerobiasis produced and maintained inside the jar can be checked using a
methylene blue indicator. This indicator is made up of three stock solutions: 6% glucose in distilled water, 6%
solution of N/10 NaOH and 3 ml of 0.5% aqueous methylene blue diluted to 100 ml with distilled water. Equal
volumes of these three reagents are mixed in a test-tube and boiled. Boiling reduces methylene blue, turning it
colorless. Methylene blue is colorless in reduced conditions and turns blue when oxidized. This tube had to kept
inside the jar along with the culture plates. Subsequent models had a side arm to which a tube filled with Luca’s
semisolid indicator was attached.
Disadvantages: Palladium catalyst is inactivated by excess moisture and has to be rejuvenated by heating them at
160o
C for two hours. Subsequently, introduction of silica gel absorbent solved this problem. This system is excellent
but requires skill to operate and special apparatus that are costly. Requirements of vacuum pump and supply of gas
is a major drawback of this system and hence it is being replaced by more convenient GasPak system.
The jar, about 20″×12.5″ is made up of a metal. Its parts are as follows:
The body made up of metal (airtight)
The lid, also metal can be placed in an airtight fashion
A screw going through a curved metal strip to secure and hold the lid in place
A thermometer to measuring the internal temperature
A pressure gauge to measuring the internal pressure (or a side tube is attached to a manometer)
Another side tube for evacuation and introduction of gases (to a gas cylinder or a vacuum pump) Method of use[edit]
First:
The culture: The culture media are placed inside the jar, stacked up one on the other, and
Indicator system: Pseudomonas aeruginosa, inoculated on to a nutrient agar plate is kept inside the jar along with the other plates. This bacteria need oxygen to grow (aerobic). A growth free culture plate at the end of the process indicates a successful anaerobiosis. However, P. aeruginosa possesses a denitrification pathway. If nitrate is present in the media, P. aeruginosa may still grow under anaerobic conditions.
Second:
6/7ths of the air inside is pumped out and replaced with either unmixed Hydrogen or as a 10%CO2+90%H2 mixture. The catalyst (Palladium) acts and the oxygen is used up in forming water with the hydrogen. The manometer registers this as a fall in the internal pressure of the jar.
Third:
Hydrogen is pumped in to fill up the jar so that the pressure inside equals atmospheric pressure. The jar is now incubated at desired temperature settings.
A wire cage hanging from the lid to hold a catalyst that makes hydrogen react to oxygen without the need of any ignition source
The GasPak Anaerobic System is used to create an oxygen-free environment for the growth of anaerobic microorganisms. Inoculated plates or tubes are placed inside the chamber, and anaerobic conditions are created by adding water to a gas generator envelope that is placed in the jar just before sealing. The envelope contains two chemical tablets, sodium borohydride and sodium bicarbonate. Water reacts with these chemicals, producing hydrogen gas and carbon dioxide. The hydrogen gas combines with free oxygen in the chamber to produce water, removing all free oxygen from the chamber. This reaction is catalyzed by the element palladium, which is attached to the underside of the lid of the jar. The carbon dioxide replaces the removed oxygen, creating a completely anaerobic environment.