This document discusses biochemical tests used to identify members of the Enterobacteriaceae family, including lactose fermentation, IMViC (indole, methyl red, Voges-Proskauer, and citrate) tests, urease test, motility test, and hydrogen sulfide production test. It provides details on the principles, methods, expected results and significance of each test for differentiating bacterial species like E. coli, Klebsiella, Proteus, and Salmonella. The document is authored by Dr. Nabil El Aila and focuses on diagnostic microbiology of gram-negative bacteria.
The above power point presentation describes the bacteria Hemophilus influezae causing meningitis in children
It is described under Morphology , Cultural characteristics, Anitgenic structure , Diseases , Laboratory diagnosis.
A discussion on the media and biochemical tests as discussed by Ms. Caryl Villalon, RN, MT. Covers the descriptions of the media and biochemical tests. How to perform the tests, properties of the tests, media and reagents used, and the results of the test. Pictures of positive and negative results are also shown in the slide.
Methyl Red (MR) and Voges-Proskauer (VP) Test principle, Method, Interpretation & QC #MR & VP
Mallu Medicos Lounge
As the channel name suggests, our channel will be a perfect lounge for the malayali medicos..we wil be covering videos which will be like lecture classes related to the subjects biochemistry and microbiology in which we are specialised.. It will be a better learning experience for the students especially for those who are not able to understand and follow the normal classes in college..we assure the students that you will get a basic idea regarding the topic and extra reading can be done from the reference textbooks..
Our Partner Channel
Health & Voyage channel link - https://youtu.be/nzKqRVjlwc0
Qualification
Maneesha M Joseph
MSc MLT (Microbiology)
Assistant Professor
Baby memorial college of allied Health science
Kozhikode
#Methyl Red Test
#Voges-Proskauer Test
#MRVP Procedure
#MRVP Tests
#MR-VP Tests
#VP (Voges Proskaeur) Test
#MR/VP Test
#Methyl red (MR) and Voges-Proskauer (VP)
#Methyl red test in Microbiology
#Medical
#Microbiology
#MR/VP Test malayalam lecturer
#Mallu Medicos Lounge
#MalluMedicosLounge
#MLT
#Channel introduction
#HealthAndVoyage
The above power point presentation describes the bacteria Hemophilus influezae causing meningitis in children
It is described under Morphology , Cultural characteristics, Anitgenic structure , Diseases , Laboratory diagnosis.
A discussion on the media and biochemical tests as discussed by Ms. Caryl Villalon, RN, MT. Covers the descriptions of the media and biochemical tests. How to perform the tests, properties of the tests, media and reagents used, and the results of the test. Pictures of positive and negative results are also shown in the slide.
Methyl Red (MR) and Voges-Proskauer (VP) Test principle, Method, Interpretation & QC #MR & VP
Mallu Medicos Lounge
As the channel name suggests, our channel will be a perfect lounge for the malayali medicos..we wil be covering videos which will be like lecture classes related to the subjects biochemistry and microbiology in which we are specialised.. It will be a better learning experience for the students especially for those who are not able to understand and follow the normal classes in college..we assure the students that you will get a basic idea regarding the topic and extra reading can be done from the reference textbooks..
Our Partner Channel
Health & Voyage channel link - https://youtu.be/nzKqRVjlwc0
Qualification
Maneesha M Joseph
MSc MLT (Microbiology)
Assistant Professor
Baby memorial college of allied Health science
Kozhikode
#Methyl Red Test
#Voges-Proskauer Test
#MRVP Procedure
#MRVP Tests
#MR-VP Tests
#VP (Voges Proskaeur) Test
#MR/VP Test
#Methyl red (MR) and Voges-Proskauer (VP)
#Methyl red test in Microbiology
#Medical
#Microbiology
#MR/VP Test malayalam lecturer
#Mallu Medicos Lounge
#MalluMedicosLounge
#MLT
#Channel introduction
#HealthAndVoyage
INDOLE TEST
UREASE TEST
CITRATE TEST
METHYL RED(MR) TEST
VOGES – PROSKAUER(VP) TEST
TRIPLE SUGAR IRON(TSI) TEST
OXIDASE TEST
CATALASE TEST
CATALASE TEST-Principle:-
This test demonstrates presence of catalase enzyme. This enzyme catalyses the release of O2 from H2O2.
catalase
2H2O2 H2O + increase O2
Reagents:- 1) 3% H2O2.
2) 24 hrs cultured organisms
Procedure:-
With sterile wooden stick transfer culture organisms to test tube containing 3% H2O2 and observe for production of effervescence.
It can also be tested directly on growth plate.
Positive Control: Staphylococci.
Negative Control: Streptococci.
False positive reactions:
If culture medium contains catalase enzyme e.g., blood agar, chocolate agar.
If iron wire loop is used
recent microbial techniques & advancement in identifying, cultivating,& handl...Karunanidhan3
I tried to include all techniques & diseases that are included in Pharm D 2nd year microbiology syllabus as per PCI. Do suggest if i have to improve my writing skills, on officialkarunanidhan@gmail.com
Each of the letters in “IMViC” stands for one of these tests. “I” is for indole; “M” is for methyl red; “V” is for Voges-Proskauer, and “C” is for citrate, lowercase “i” is added for the ease of pronunciation. IMViC is an acronym that stands for four different tests
Indole test
Methyl red test
Voges-Proskauer test
Citrate utilization test
ISOLATION AND IDENTIFICATION OF NLF BACTERIA IN VARIOUS SAMPLES.Daisy Saini
IDENTIFICATION AND ISOLATION OF NON-LACTOSE FEREMNTING BACTERIA IN VARIOUS CLINICAL SAMPLES IN A TERTIARY HOSPITAL IN INDIA, INCLUDE BIOCHEMICAL TEST BASE ON THEIR ENZYMATIC ACTIVITY AND GRAPHICAL PRESENTAION OF THEIR DISTRIBUTION ACCORDING TO SEX RATION , AGE GROUP, SAMPLE AND THEIR PROFILE.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Enterobacteriacea i biochemical reaction بكتريا عملي
1. Enterobacteriaceae
Biochemical reactions
By
Dr. Nabil El Aila
Assistant Professor of Molecular Microbiology
Medical Technology Department
Al -Aqsa University
Dr. Nabil El Aila
DiagnosticMicrobiology
2. Lactose Fermentation
• MacConkey Agar contains bile salts and crystal violet, both
inhibitory to Gram-positive bacteria and selects Gram-negative
bacteria, such as E. Coli.
• It also differentiates lactose-fermenting bacteria, such as E.
Coli from non-lactose fermenting bacteria.
• Media and Reagent: MacConkey Agar and neutral red dye
• Method: Streak MAC plate and incubate at 37°C for 2 days.
• Expected results:
– Positive test: Lactose fermentation = Growth and color
change to pink
– Negative test: No lactose fermentation = May or may not
grow and no color change
Dr. Nabil El Aila
Diagnostic Microbiology
3. Results of Lactose Fermentation
Dr. Nabil El Aila
Diagnostic Microbiology
4. IMViC Test
• Indole, Methyl Red, Voges-Prosakaur, Citrate
(IMViC) Tests:
– The following four tests comprise a series of
important determinations that are collectively
called the IMViC series of reactions
– The IMViC series of reactions allows for the
differentiation of the various members of
Enterobacteriaceae.
Dr. Nabil El Aila
Diagnostic Microbiology
5. IMViC: Indole test
Principle
Certain microorganisms can metabolize
tryptophan by tryptophanase
The enzymatic degradation leads to the
formation of pyruvic acid, indole and ammonia
The presence of indole is detected by addition
of Kovac's reagent.
Tryptophane
amino acids
Tryptophanase
Indole + Pyurvic acid + NH3
Kovac’s Reagent
Red color in upper Dr. Nabil El Aila organic layer`
Diagnostic Microbiology
6. IMViC: Indole test
Method:
Inoculate the test organism into tryptophane
broth
Incubate at 37°C for 24 hours
After incubation interval, add 1 ml Kovacs
reagent which contain 4 (p) – dimethylamino
benzaldehyde, shake the tube gently and read
immediately
Dr. Nabil El Aila
DiagnosticMicrobiology
7. IMViC: Indole test
Result:
A bright pink color in the top
layer indicates the presence of
indole
The absence of color means that
indole was not produced i.e.
indole is negative
Significance:
Used in the differentiation of
genera and species. e.g. E. coli (+)
from Klebsiella (-).
Positive test
e.g. E. coli
Negative test
e.g. Klebsiella
Dr. Nabil El Aila
DiagnosticMicrobiology
8. IMViC test
Methyl Red-Voges Proskauer (MR-VP) Tests
• Different bacteria convert dextrose and glucose to pyruvate
using different metabolic pathways.
• Some of these pathways produce unstable acidic products
which quickly convert to neutral compounds.
• Some organisms use the butylene glycol pathway, which
produces neutral end products, including acetoin and 2,3-
butanediol.
• Other organisms use the mixed acid pathway, which produces
acidic end products such as lactic, acetic, and formic acid. These
acidic end products are stable and will remain acidic.
9. IMViC test
Methyl Red-Voges Proskauer (MR-VP) Tests
Glucose
Principle
Acidic pathway
Mixed acids
pH less than 4.4
Methyl Red
indicator
Red color
MR positive
E. coli
Or Neutral pathway
Acety methyl carbinol
(ACETOIN)
Barrit’s A (a-naphthol)
Barrit;s B (40% KOH)
Pink color
VP positive
Klebsiella
10. IMViC: Methyl red
Principle:
• Methyl red test is used to identify enteric bacteria based on
their pattern of glucose metabolism.
• If they use mixed acid pathway and produce acidic products,
then they are called methyl-red-positive.
• If they use butylene glycol pathway and produce neutral end
products, then they are called methyl-red-negative
Dr. Nabil El Aila
Diagnostic Microbiology
11. IMViC: Methyl red
• Method:
• Inoculate 10ml portion of the MR-VP medium and incubate at
37°C for 2-5 days.
• After incubation, transfer 2.5 ml of inoculate to another tube
and add five drops of methyl red.
• Roll between the palms of hands to disperse methyl red.
Dr. Nabil El Aila
Diagnostic Microbiology
12. IMViC: Methyl red
• Results:
– Positive test: acids + methyl red = red solution
– Negative test: neutral end products + methyl red =
yellow color
• Significance:
This test is used to differentiate
Enterobacteriacaceae species
espcially E. coli and E. aerogens
Dr. Nabil El Aila
Diagnostic Microbiology
13. IMViC: VOGES-PROSKAUER TEST
Principle:
• It is used to identify enteric bacteria based on their pattern of
glucose metabolism.
• The enterics that produce neutral end-products, such as acetoin
are detected by VP test.
• Its presence is used as indicator of 2,3 butylene glycol
Fermentation
• The detection of acetoin in alkaline pH is accomplished by
alpha-Naphthol reagent.
Dr. Nabil El Aila
Diagnostic Microbiology
14. IMViC: VOGES-PROSKAUER TEST
• Method:
• Inoculate medium and incubate at 37°C for 48 hours.
• After incubation, transfer 2.5 ml of inoculate to another tube
and add six drops of Barritt’s Reagent A (contains alpha-naphthol)
and two drops of Barritt’s Reagent B(contains
KOH).
• Gently mix and let it sit for 10-15 minutes to allow time for
color development.
Dr. Nabil El Aila
Diagnostic Microbiology
15. IMViC: VOGES-PROSKAUER TEST
• Results:
– Positive test: acetoin + alpha-naphthol + KOH = red color
– Negative test: alpha-naphthol +KOH = copper color
• Significance:
This test is used to differentiate
Enterobacteriacaceae species
espcially E. coli and E. aerogens
Dr. Nabil El Aila
Diagnostic Microbiology
16. IMViC: CITRATE TEST
Principle:
Citrate Na2CO3
Alkaline,↑pH
Pyruvate CO2 + Na + H2O
Simmone’s Citrate media
Contains Citrate as a sole of C source
Bromothymol blue
Positive test
Dr. Nabil El Aila
Diagnostic Microbiology
17. IMViC: CITRATE TEST
• Principle:
• Citrate is an organic molecule that can be utilized by bacteria
that produce the enzyme citrase.
• Citrase is produced by some bacteria such as E. aerogenes but
not by others like E. Coli
• Method:
• Inoculate the test organism onto a slant containing Simmon
Citrate agar.
• Simmon’s Citrate Agar contains sodium citrate (carbon
source), pH indicator—bromthymol blue.
• Incubate at 37°C for 24 hours.
Dr. Nabil El Aila
Diagnostic Microbiology
18. IMViC: CITRATE TEST
• Results:
– Positive test: Growth and color changes to blue
– Negative test: No growth and color remains green
• Significance:
• This test is used to help differentiate
species of the family Enterobacteriaceae.
• It is selective for bacteria that has
the ability to consume citrate as
its sole source of carbon
Dr. Nabil El Aila Positive Negative
Diagnostic Microbiology
19. Urease Test
Principle
• Urea agar contains urea and phenol red
• Urease is an enzyme that catalyzes the conversion of urea
to CO2 and NH3
• Ammonia combines with water to produce ammonium
hydroxide, a strong base which ↑ pH of the medium.
• ↑ in the pH causes phenol red r to turn a deep pink. This is
indicative of a positive reaction for urease
Urea Urease
CO2 + NH3
H2O
NH4 OH ↑ in pH
Phenol Red
Pink
Positive test
Method
Streak a urea agar tube with the organism
incubate at 37°C for 24 h
20. Urease Test
• Result
• Positive test: production of alkaline
end products = pinkish red color
• Negative test: No color change
• Significance:
• Differentiate salmonella and shigella
which are urease negative from
urease positive Non pathogens.
• Proteus, klebsiella and some
citrobacter species are urease
positive
• Helicobater pylori is also
Urease positive
Negative test Positive test
Dr. Nabil El Aila
DiagnosticMicrobiology
21. Motility Test
• Principle:
• Motility Test Media is a semi-solid agar designed to
demonstrate motility by diffusion.
• This is not a biochemical test, but it can distinguish bacteria. It
determines presence of flagella.
• Method:
• Inoculate a semi-solid nutrient medium by stabbing 2 cm
into the center of the medium
• Inoculate at 37C° for 24-48 hours.
Dr. Nabil El Aila
DiagnosticMicrobiology
22. Motility Test
• Expected results:
– Positive test: Growth spread away from the line of
inoculation = motile
– Negative test: Growth only occurred at the line of
inoculation = Non-motile
• Significance:
• This test is used for the differentiation
of microorganisms on the basis of
motility.
Dr. Nabil El Aila
Diagnostic Microbiology
23. H2S Production
• Principle:
• Bacteria use enzyme cysteine desulfurase to hydrolyze the amino
acid cysteine, forming hydrogen sulfide as end-product.
• To test for hydrogen sulfide production, a medium with a sulfur-containing
compound and iron salts is inoculated and incubated. If
the sulfur is reduced and hydrogen sulfide is produced, it will
combine with the iron salt to form a visible black ferric sulfide (FeS)
in the tube
• Media and Reagent: SIM tube (sulphide, Indole and Motility) with
cysteine and ferrous sulfate (detects H2S)
• Method: Inoculate the media and incubate at 37°C for 24-48 hours.
Dr. Nabil El Aila
Diagnostic Microbiology
24. H2S Production
• Expected Results:
– Positive Test: H2S production = Black
– Negative Test: No H2S production = No blackening of medium
• Significance:
• This test is used to determine the ability
to reduce sulfur into H2S.
• Differentiate species of the family
Enterobacteriaceae.
• Identifying unknown organisms such as
certain Proteus and salomenella
Dr. Nabil El Aila Negative Positive
Diagnostic Microbiology