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BIOCHEMICAL TESTS
(Oxidase test, Catalase test,
Coagulase test)
Dr. P.B. PRAVEENKUMAR
FIRST YEAR MICROBIOLOGY PG RESIDENT
GOVERNMENT THANJAVUR MEDICAL
COLLEGE
OXIDASE TEST
ā€¢ PRINCIPLE: To determine the presence of
Cytochrome oxidase enzyme which catalyses
the oxidation of reduced cytochrome by
molecular oxygen.
HISTORY
ā€¢ Originally developed to identify all neisseria
species but later used to separate the
Pseudomonadaceae from oxidase(-) of
Enterobacteriaceae.
ā€¢ Mostly G(+) are oxidase(-)
ā€¢ Mostly G(-) will give variable reactions except
ENTEROBACTERIACEAE.
IDENTIFICATION PURPOSE
Oxidase(+)
ā€¢ Moraxella
ā€¢ Neisseria and Vibrio
ā€¢ Plesiomonas shigelloides
(Aeromonas)
ā€¢ All brucella species(Except
two)
ā€¢ All pseudomonas species
(Except one)
ā€¢ Alcaligenes
ā€¢ Branhamella (N. Catarrhalis)
Oxidase(-)
ā€¢ Acinetobacter
ā€¢ Enterobacteriaceae
ā€¢ Brucella neotomae
ā€¢ Brucella ovis
ā€¢ Pseudomonas maltophilia
ā€¢ Yersinia
BACTERIA RESPIRATION
ā€¢ All aerobic bacteria obtain their energy by
respiratory chain(Electron transport chain)
which is responsible for production of various
substrates.
ā€¢ O2 is the final hydrogen acceptor from either
itā€™s water or hydrogen peroxide depending
on bacterial species.
ELECTRON TRANSPORT CHAIN
OXIDASE REMOVES
HYDROGEN USE ONLY
OXYGEN!
ā€¢ All oxidase(+) organisms are either aerobic or
facultative except Vibrio fetus(Campylobacter
pylori) which requires microaerophilic
conditions.
ACCORDING TO GORDON AND
MCLEOD....
ā€¢ Positive oxidase reactions are only limited to
those organisms capable of growing in
presence of oxygen and ability to produce
catalase.
2H2O2 2H2O + O2
OBLIGATE ANAEROBIC
ORGANISMS
ā€¢ Only survive without
oxygen
ā€¢ So lack cytochrome
oxidase activity
ā€¢ DEIBEL AND EVANS
showed this in
Lactobacillus.
NO OXYGEN
SURVIVING...NO
OXIDASE ACTIVITY
STILL WE ARE BELIEVING OXIDASE
ENZYME IS TWO SEPARATE ENTITY????
Previously we will consider that
Neisseria species were thought to
produce indophenol oxidase.......
Pseudomonas species were thought to
produce cytochrome oxidase.......
After spectrophotometric studies
both oxidases are same.............
OTHER NAMES OF CYTOCHROME
OXIDASE
1. Atmungsferment
2. Cytochrome C oxidase
3. Cytochrome Alpha3 oxidase
4. Cytochrome Alpha oxidase
GABY
AND
HADLEY
FOUR BACTERIAL PIGMENTS
ACT AS TERMINAL OXIDASE
ā€¢ Cytochrome oxidase
alpha 1
ā€¢ Cytochrome oxidase
alpha 2
ā€¢ Cytochrome oxidase
alpha 3
ā€¢ Cytochrome O (CO
binding pigment)
ā€¢ Derived by Castor and
Chance by means of
photochemical methods.
ā€¢ A mixture of
cytochrome alpha and
alpha 3 having same
protein.. So complex
formed (Cytochrome c
oxidase/Cytochrome
alphaalpha3 )
CYTOCHROME C OXIDASE
ā€¢ Having two molecules of heme A
ā€¢ Each heme A having one Fe atom which go
and come back between Ferric and Ferrous
ions
Cytochrome-Fe3+ + e- Cytochrome-Fe2+
(Oxidised removal (Reduced gain of
of electrons) electrons)
RESPIRATORY ENZYME
(Important bichemical reaction)
Two reduced cytochrome c + 2H+ + 1/2H2O
Cytochrome C
Oxidase
Two oxidized cytochrome c + H2O
REAGENTS
ā€¢ 1. Kovacā€™s reagent
1% solution of tetramethyl-p-phenylene-
diamine(Less toxic but more expensive
comparing with dimethyl) imparts oxidase(+)
lavender colour initially purplish black
gradually.
Solution is colourless.
REAGENTS (cont.)
ā€¢ 2. Gordon and Mcleodā€™s reagent
ā€¢ 1 to 1.5% dimethyl-p-phenylenediamine
hydrochloride/N,N-dimethyl-p-phenylene
diamine monohydrochloride(HCL)/p-
aminodimethylaniline monohydrochloride)
ā€¢ Solution is light purple.
Why p-aminodimethylaniline oxalate
reagent having advantage over others???
ā€¢ Extremely stable both in powder or solution
forms (Atleast 6 months!!!!)
ā€¢ No black precipitate while comparing with
Hcl combination of Gordonā€™s reagent.
REAGENTS (Cont.)
ā€¢ 3. Gaby and Hadley reagent modified by
Ewing and Johnson/Indophenol oxidase
reagent
ā€¢ Original Nadi reaction from naphthol and
diamine
Reagent A 1% naphthol in 95% Ethyl
alcohol
Reagent B 1% p-aminodimethylaniline
Hcl / dimethyl-p-
phenylenediamine oxalate
Why Gaby and Hadley reagent A
alone is an exception??????
ā€¢ While preparing other reagents we will take 1
gram of reagent in 100 ml of distilled water.
ā€¢ But for this reagent A of Gaby and Hadley we
will take 1 gram of naphthol in 100 ml
solution of 95% ethyl alcohol...........
ā€¢ Warm gently and store it in darker place for 15
minutes before usage.........
REAGENTS(cont.)
ā€¢ 4. Carpenter, Suhrland and Morrison
reagent contains 1% p-aminodimethylaniline
oxalate.
ā€¢ 5. Commercial reagent: Cepti seal Oxidase
reagent
ā€¢ 6. Oxidase impregnated disc (p-
aminodimethylaniline reagent) :
(6a) Difco: Bacto-differentiation discs
(6b) BBL: Taxo N discs
METHODS OF UTILIZATION OF
REAGENT SOLUTIONS
ā€¢ (A) Direct slant procedure (Indophenol
reagent)
*Using nutrient agar slant and incubate it
for 18 to 24 hours.
*Put positive control as Aeromonas
species.
*Add 2 to 3 drops of both reagents A and
B and tilt it.
*Observe for change in colour to blue.
REAGENTS SOLUTIONS (cont.)
ā€¢ (B) Direct plate procedure
*Add 2 to 3 drops of reagent directly to
few suspected colonies alone without flooding
the entire plate.
*For Kovacs reagent, colour reaction
within 10 to 15 seconds.
*For Gordon and Mcleodā€™s reagent,
colour reaction within 10 to 30 minutes.
REAGENTS SOLUTIONS (cont.)
ā€¢ (C) Kovacā€™s indirect filter paper method
*Place a 6 square centimetres of
Whatmann No.1 filter paper in a petri dish.
*Add 2 to 3 drops of Kovacā€™s reagent to
the centre of the paper.
*With the usage of platinum wire
inoculating needle smear a loopful of the
suspected colony in paper 3 to 6 cm long.
*Positive reaction within 5 to 10 seconds.
How is it looks like???????
OXIDASE DISCS
ā€¢ (A) Direct plate procedure
*Moisten the impregnated disc with
sterile distilled water.
*Place disc on few suspected colonies in
plate medium.
*Incubation at 35 degrees for 20 to 30
minutes.
*Initially rose to purple but after 30
minutes red to black.
OXIDASE DISCS
ā€¢ (B) Indirect procedure
*Moisten disc with sterile distilled water.
*Place it in a petri dish.
*Add a loopful of colony growing on a
solid medium.
*Positive reaction occurs within seconds.
*Pink to black.
QUALITY CONTROLS
ā€¢ Escherchia coli (ATCC 25922) ā€“ Good
control for negatives
ā€¢ Neisseria, Pseudomonas(ATCC 27853) and
Aeromonas ā€“ Good control for positives
ā€¢ Easily available and no problems when we
maintained as stock cultures.
STORAGE AND REPLACEMENT
ā€¢ Store it in refrigerator and warm it before use.
ā€¢ According to Barry and Bernshon reagents should
be freezed at -20 degree. We have to thaw the
reagent before 3 to 4 hrs of usage.
ā€¢ Once thawed we may use that reagent till one day.
ā€¢ ONLY REFRIGERATED REAGENTS we can
keep it till maximum 14 days.
ā€¢ Regular quality control checks should be done
and discard it if comes as negative.
REAGENT ACTION
Two molecules of oxidized cytochrome c
+
Reagent
Coloured compound
REAGENT ACTION.........
INTERPRETATION FOR
OXIDASE(+)
ā€¢ Pink...............to...........Maroon.............to..........
.......Finally black colour......
ā€¢ Pink colour - Viable, able to subculture
ā€¢ Black colonies ā€“ Non viable
INTERPRETATION FOR
OXIDASE(-)
ā€¢ No colour change in colonies
ā€¢ Only background will be black.
DELAYED OXIDASE TEST
MEANS..........
ā€¢ Within 10 seconds colour formation ā€“ O(+)
ā€¢ Within 10 to 60 seconds colour formation ā€“
Delayed oxidase test
ā€¢ After 60 seconds colour formation ā€“ O(-)
REAGENTS IMPREGNATED
OXIDASE TEST STRIPS
ā€¢ Cytochrome oxidase test strip
ā€¢ Barry and Bernsohn method (Whatmann No.1
filter paper cut down into strips and dry
rapidly)
ā€¢ We can test many number of colonies
simultaneously......
ā€¢ Positive test ā€“ Red colour
Why kovacā€™s reagent more sensitive
than Gordon and Mcleod??????
ā€¢ Ellingsworth first found that Haemophilus
influenzae is negative with Gordon but
positive with Kovacā€™s..........
ā€¢ Reason ā€“ Tetramethyl-p-phenylenediamine is
more sensitive than Dimethyl-p-
phenylenediamine.......
Donā€™t do oxidase test in glucose
containing medium.....Ok....But why??
ā€¢ Because itā€™s fermentation will inhibit oxidase
enzyme activity and results in false negatives.
ā€¢ OTHER FALSE NEGATIVES:
In mixed culture of Pseudomonas and
Neisseria, inhibitory substance produced by
pseudomonas interferes with oxidase
production by Neisseria
FALSE POSITIVES......
ā€¢ Bordetella pertussis may show false(+) when
cultivated in high conc. of blood.
ā€¢ Platinum loop needle may contain trace
amount of iron can catalyse oxidase
reagent.....leads to false positive
Why canā€™t we call kovacā€™s reagent as
simply kovacā€™s reagent????
ā€¢ Because there is also a reagent called kovacā€™s
indole reagent.
ā€¢ So just to avoid the confusions.....
ROLE OF VITAMIN C AND
SUNLIGHT IN KOVACā€™S REAGENT
ā€¢ To avoid auto-oxidation in air, we will add
ascorbic acid in kovacā€™s reagent
ā€¢ Colour of the reagent turns into deep blue if it
exposed to sunlight. So keep it in dark
place......
MODIFIED OXIDASE METHOD
ā€¢ Reagent in Dimethyl sulfoxide (DMSO) 6%
solution used for identification of micrococci
species (Positive reaction within 30 seconds)
OXIDASE TEST IN SINGLE LINE
ā€¢ Oxidase test is an oxidising reaction and
oxygen must reach colonies; after flooding
growth or a portion of growth, tilt slants or
plates to permit the reagent to run, exposing
colonies to air..........
CATALASE TEST
ā€¢ PRINCIPLE: To detect the presence of
enzyme catalase in the bacteria which acts on
Hydrogen peroxide to release oxygen........
PURPOSE AND DIFFERENTIATION
CATALASE(+)
ā€¢ Staphylococcus
ā€¢ Micrococcus
ā€¢ Bacillus
ā€¢ Listeria monocytogenes
ā€¢ Corynebacterium (except
two)
ā€¢ All moraxella species
(except two)
CATALASE(-)
ā€¢ Streptococcus
ā€¢ Clostridium
ā€¢ Erysipelothrix
ā€¢ Corynebacterium pyogenes
ā€¢ Corynebacterium
haemolyticum
ā€¢ Moraxella bovis
ā€¢ Kingella kingae(Moraxella
kingii)
HISTORY AND MECHANISM
The enzyme catalase is present in most
cytochrome containing aerobic and
facultative anaerobic organisms.
Organisms lacking cytochrome system
also lack the catalase.....
According to Doelle, catalase may interfere
with peroxidase enzymes.....
CATALASES AND PEROXIDASES
ā€¢ Peroxidases are plant enzymes but also found
in milk and leucocytes....
ā€¢ Catalases are present in animals and plants.
ā€¢ Iron contained catalases which retain its
oxidized state during enzymatic activity.
ā€¢ According to Burrows and Moulder non iron
containing catalases are also there.....
ā€¢ Dacre and Sharpe ā€“ Strong and Weak
catalases.
Whittenbury Observation
ā€¢ Two types of catalases: Classical Catalase and
Pseudocatalase
ā€¢ Classical Catalase: Which decomposes
Hydrogen peroxide and nonsensitive to acid
conditions.
ā€¢ Pseudocatalase: Which lacks heme prosthetic
group and sensitive to acid pH.
ā€¢ According to Johnston and Delwiche both
types are present in lactic acid organisms.
H2O2 IS TOXIC TO BATERIA......??
ā€¢ Yes of course.....Hydrogen peroxide
accumulation is very much toxic to bacteria.
ā€¢ It is an Oxidative end product of aerobic
breakdown of sugars.
ā€¢ Since itā€™s toxic, bacteria uses itā€™s catalase
enzyme to breakdown H2O2.
CATALASES VS PEROXIDASES
ā€¢ At present, it is believed that peroxidases
more predominates than catalases in
elimination of Hydrogen peroxide.
ā€¢ Optimal pH for catalase activity is 7.0
REAGENTS
ā€¢ 1. Hydrogen peroxide 30%
*Store in a dark bottle
*Keep refrigerated at all times when not
in use.
Reagents (cont.)
ā€¢ 2. Phosphate buffer ā€“ pH 7.0
INGREDIENTS QUANTITY
Potassium dihydrogen
phosphate
1.361grams
Anhydrous Disodium
hydrogen phosphate
1.420 grams
Distilled water 1000 ml of distilled
water
Reagents (cont.)
ā€¢ 3. Tween 80,10%
*Add 1 ml of concentrated tween 80 to a
small volume of distilled water in a 10 ml
volumetric flask
*Polyoxyethylene derivative of sorbitan
mono-oleate; a surface active compound
QUALITY CONTROLS
POSITIVE CONTROLS NEGATIVE CONTROLS
Staphylococcus
(ATCC 25923)
Streptococcus
Blood agar plate (d/t
catalase in RBCs)
Chocolate agar d/t no
RBCs
Note: Hydrogen peroxide should undergo
quality control check daily or immediately
prior to itā€™s use............
ROUTINE CATALASE TESTS
ā€¢ At room temperature 25 degree celsius.
ā€¢ Slide method (Routinely used)
ā€¢ Tube method
SLIDE CATALASE TEST
ā€¢ With an inoculating needle, pick the centre of
an 18 to 24 hour pure colony on glass slide.
ā€¢ Exception is colony from blood agar.
ā€¢ Add a drop of 30% Hydrogen peroxide over
organism on slide.
ā€¢ Observe for immediate bubbling (Gas
liberation) and Discard the slide.
ā€¢ These are DOā€™S IN SLIDE CATALASE
TEST.
DONTā€™S IN SLIDE CATALASE
TEST
ā€¢ Do not reverse the order of procedure
ā€¢ Do not mix the culture and Hydrogen
peroxide (Just add a drop of H2O2 on colony
and then just observe!!!!)
How it looks like???? Here we go!!!!
TUBE CATALASE TEST
ā€¢ Directly add 1 ml of 3% H2O2 to an 18 to 24
hour heavily inoculated pure agar slant culture.
ā€¢ Observe for immediate bubbling(Gas
liberation) and observe.
Tube catalase test
Catalase test for differentiation of Mycobacterium
species (Under controlled pH and temperature)
ā€¢ Perform procedure under bacteriological hood
(Strict aseptic conditions)
ā€¢ Add 0.5 ml of phosphate buffer into sterile
screwcap tube.
ā€¢ Add several loops of Mycobacterium growth
from slant culture 3 to 4 weeks old
ā€¢ Screw cap down loosely.
ā€¢ Incubate for 20 to 30 minutes/In 68 degrees
celsius Water bath.
Catalase test for Mycobacterium
species(Cont.)
ā€¢ Cool at room temperature
ā€¢ Prepare a 1:1 mixture of 10% Tween 80 and
30% H2O2
ā€¢ Add this mixture in cooled suspension
ā€¢ Observe for bubble formation.
ā€¢ Note: ALL MYCOBACTERIUM SPECIES
ARE CATALASE POSITIVE for Routine
catalase test except Isoniazid Resistant
strains.
But whatā€™s the interpretation when we will do under
controlled pH and temperature??
Positive
ā€¢ Mycobacterium avium
Negative
ā€¢ Some J subgroups of III
nonphotochromogens
ā€¢ Mycobacterium kanasasii
ā€¢ Mycobacterium tuberculosis
ā€¢ Mycobacterium bovis
ALTERNATE TESTS
ā€¢ Capillary tube technique (Method of Fung and
Petrishko)
ā€¢ Commercial capillary tubes
ā€¢ 10 ml of 3% Hydrogen peroxide in 50 ml beaker
ā€¢ Touching centre of colony
0 No bubbles
+ Few bubbles
++ Many bubbles
+++ Gas forcing H2O2 to tip of
tube
Disadvantages of capillary tube
method
ā€¢ Vigorous catalase activity (+++) ā€“ Serratia,
Proteus, Providencia
ā€¢ Moderate catalase activity(++) ā€“ Salmonella
ā€¢ Weak catalase activity/Negative catalase
activity - Enterobacteriaceae
Alternate test (cont.)
ā€¢ Cover slip technique (Method of Taylor and
Achanzar)
ā€¢ Primarily used for identification of
Enterobacteriaceae.
TWO METHODS OF INTERPRETATION IN
COVER SLIP METHOD
ā€¢ Frosted appearance of bubbles under cover slip
indicates speed of reaction
ā€¢ Seeing presence or absence of trapped bubbles
ORGANISMS POSITIVE IN 0.5%
COVER SLIP METHOD
ā€¢ Pseudomonas aeruginosa
ā€¢ Serratia
ā€¢ Staphylococcus
ALTERNATE TESTS (cont.)
ā€¢ Colour reaction streak test (Method of
Hanker and Rabin)
ā€¢ For primarily to differentiate staphylococci and
streptococci
REAGENTS
ā€¢ Stock solutions
DOPAMINE
20 mg/ml in 0.2M
Phosphate buffer
P-phenylenediamine
dihydrochloride
1 mg/ml in 0.2M
phosphate buffer
REAGENTS (cont.)
ā€¢ Working reagent
DOPAMINE 1 ml
P-PHENYLENEDIAMINE
DIHYDROCHLORIDE
1 ml
3% H2O2 2 ml
Dimethyl sulfoxide 1 ml
INTERPRETATION OF RESULTS
ā€¢ After streaking pure bacterial colony on clean
slide and add 1 drop of working reagent
ā€¢ Formation of highly coloured purple colour
and it may lasts for days so that results may
be rechecked (Advantage!)
CHEMISTRY OF REAGENT
FOR BOTH
CATALASES
AND
PEROXIDASES
FOR
PEROXIDASES
CRITERIA FOR TAKING CULTURE
IN CATALASE TEST
ā€¢ It should be a pure culture.
ā€¢ It must be performed in heavy inoculum.
Why 70% ethyl alcohol is needed
while handling Hydrogen peroxide??
ā€¢ Just to avoid exposure to skin as painful burns
may occur.
Why gentle shaking needed for
Hydrogen peroxide before usage??
ā€¢ Hydrogen peroxide decomposition increases as
the temperature increases due to dissolved
oxygen.....It may create false positive
reactions.
COAGULASE TEST
ā€¢ PRINCIPLE: To test the ability of an
organism to clot plasma by the action of
enzyme coagulase(Staphylocoagulase)
USES
ā€¢ To differentiate staphylococcus aureus from
other staphylococcus species.
ā€¢ Used as an indication for virulence or
pathogenicity.
NORMAL MECHANISM
NAMED HYPOTHESIS RELATED
TO COAGULASE TEST
ā€¢ Oginsky and Umbreit
ā€¢ Smith
ā€¢ Burrows and Moulder
ā€¢ Duthrie
ā€¢ Dubos and Hirsch
ā€¢ Soulier, Tager and Zajdel
OGINSKY AND UMBREIT
HYPOTHESIS
ā€¢ Coagulase enzyme may induce alternate
pathway of clotting mechanism either as an
enzyme or or an plasma activator to convert
fibrinogen to fibrin.
SMITH HYPOTHESIS
Coagulase (Prothrombin
like substance) +
Plasma(CRF)
Thrombin like
substance
Fibrinogen
to fibrin
BURROWS AND MOULDER
HYPOTHESIS
ā€¢ Procoagulase + Plasma activator Coagulase
Reason for
clotting of plasma
DUTHRIE HYPOTHESIS
PROCOAGULASE
BOUND
COAGULASE /
CLUMPING
FACTOR
TUBE
COAGULASE
TEST
SLIDE
COAGULASE
TEST
FREE
COAGULASE
TUBE
COAGULASE
TEST
DUBOS AND HIRSCH
HYPOTHESIS
ā€¢ Every step is same as previously mentioned
mechanisms except one thing.........
ā€¢ Here PLASMA/CRF doesnā€™t require
calcium ions to form a clot.
SOULIER,TAGER AND ZAJDEL
HYPOTHESIS
OVERVIEW OF COAGULASE INDUCED FIBRIN
COATING AND ANTIMICROBIAL DRUGS
ā€¢ Basically serum is having bactericidal action
against staphylococcus..........
ā€¢ But when coagulase induced fibrin coated
staphylococcus is present in serum means,
antimicrobial drugs cannot penetrate that
coating......
ā€¢ BUT THIS MECHANISM WE CANNOT
SEEN IN CONS.
HEMOLYSIN PRODUCTION
COWAN All C(+) strains produce
either alpha or beta
hemolysin or both
BURROWS AND MOULDER Either alpha or gamma
hemolysin associated with
coagulase activity
YOUNG AND LEITNER No correlation at all
WECKMAN AND CATLIN Production of
deoxyribonucleases along with
coagulase
ANTIGENIC SUBTYPES
RAMMELKAMP, DUTHRIE AND
ZEN-YOJI
Seven antigenic subtypes
MIALE TYPES A,B,C,D
SMITH TYPES I AND II
REAGENTS
METHOD OF PREPARATION OF
REAGENT
ā€¢ Commercial plasma
ā€¢ Fresh plasma from whole blood
(Centrifugeļƒ Take supernatantļƒ  Store it in
sterile container)
ā€¢ Fresh fibrinogen (Centrifugeļƒ  Take the
precipitate ļƒ  Make up(Dilution) to 5 times of
sterile distilled water)
Why are we adding heparin or EDTA
with plasma in special???
ā€¢ Simply, reason is that citrate utilising
organisms creates delayed coagulase reaction
which leads to false positive coagulase
test(Clot formation).
ā€¢ So by means of adding 5 ml of heparin ļƒ 
inhibit coagulation by citrate utilisationļƒ  Test
is more specific for staphylococcus.
QUALITY CONTROL
ā€¢ Positive quality control ā€“ Staphylococcus
aureus (ATCC 25923)
ā€¢ Negative quality control ā€“ Staphylococcus
epidermidis
PLASMA COAGULABILITY
CHECK
ā€¢ Add one drop of 5% calcium chloride
solution to 0.5ml aliquot of plasma (1:2
dilution) and a clot should form.
STORAGE
ā€¢ Dehydrated plasma vials ļƒ  Refrigerator (4
degree celsius)
ā€¢ Reconstituted plasma vials ļƒ  Freezer (-20
degree celsius)
PLASMA QUALITY CHECK
CRITERIA
ā€¢ CRF/Plasma concentration is highest in human
plasma followed by Pig>Rabbit>Horse>
Bovine>Chicken>Sheep.
MUST CONTAINS SUFFICIENT AMOUNT OF CRF CONCENTRATION AND
FIBRINOGEN
FAIRLY FREE OF FIBRINOLYTIC ACTIVITY (BY MEANS OF
STAPHYLOKINASE ENZYME AND MULLER FACTOR ļƒ PLASMIN)
REASONABLY FREE OF INHIBITORS (PROTEASES)
WHY RABBIT PLASMA IS PREFERRED
OVER HUMAN PLASMA??
ā€¢ Clot is firm and itā€™s rate of coagulation is faster
(Rabbit plasma)
ā€¢ Antibodies in human plasma will inhibit
coagulase production by staphylococcus.
Why dilution of human plasma
preferred??
ā€¢ Because bacteriostatic action against
staphylococcus is eliminated by dilution of
human plasma......
Why diabetics more prone to infections
caused by staphylococcus???
ā€¢ Yearsly and Carter proved that a slight
increase in coagulase activity in diabetic
plasma over human plasma...
ā€¢ So we should control diabetics as much as
possible with the help of insulin/OHA.
SLIDE COAGULASE TEST
ā€¢ Place a drop of distilled water in glass slide.
ā€¢ Emulsify it using heavy suspension of 18 to
24 hour culture of staphylococcus
ā€¢ Gently mix with small loop of fresh human
plasma and mixture should be homogenous.
ā€¢ Set up positive and negative controls in same
slide
ā€¢ Observe for clump formation
INTERPRETATION
TUBE COAGULASE TEST
INTERPRETATION
(A) POSITIVE TEST: Clot or distinct fibrin
threads formed.
Complete clot: Clot throughout tube.
Partial clot: Clot doesnā€™t extend throughout
fluid column.
(B) NEGATIVE TEST: No clot formation,
suspension remains homogenous.
RAPID TEST: Staph strip
ā€¢ Strips impregnated with lyophilized rabbit
plasma with EDTA
ā€¢ Results of both screening and tube tests with
as single inoculum
ALTERNATE TESTS
1. Pour plate coagulase test
Method of Parisi, Baldwin and Sottile
* Detects coagulase production
* BHI or YETS agar (Trypticase soy broth) and
0.3% yeast extract
* Plasma preferably swine pig plasma;
Alternatively rabbit.
Correlation with standard test tube(Excellent)
* No plasma ā€“ Parisi recommended not to use
plasma
ALTERNATE TESTS (cont.)
2. Tube coagulase thermonuclease test
Method of Barry, Lachica and Atchison
* Detects free coagulase and heat stable
nuclease
* BHI broth, EDTA plasma and DNA agar
TDA technique (Toluidine Blue
Deoxyribonucleic acid)
* Correlation with standard tube test.
ALTERNATE TESTS (cont.)
3. Coagulase-mannitol agar plate test
* Detects free and bound coagulase
* Mannitol fermentation
* Contents: Human blood plasma and
Mannitol
* Disadvantage: Too many false positives
THANK YOU

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OXIDASE, CATALASE, COAGULASE TESTS.pptx

  • 1. BIOCHEMICAL TESTS (Oxidase test, Catalase test, Coagulase test) Dr. P.B. PRAVEENKUMAR FIRST YEAR MICROBIOLOGY PG RESIDENT GOVERNMENT THANJAVUR MEDICAL COLLEGE
  • 2. OXIDASE TEST ā€¢ PRINCIPLE: To determine the presence of Cytochrome oxidase enzyme which catalyses the oxidation of reduced cytochrome by molecular oxygen.
  • 3. HISTORY ā€¢ Originally developed to identify all neisseria species but later used to separate the Pseudomonadaceae from oxidase(-) of Enterobacteriaceae. ā€¢ Mostly G(+) are oxidase(-) ā€¢ Mostly G(-) will give variable reactions except ENTEROBACTERIACEAE.
  • 4. IDENTIFICATION PURPOSE Oxidase(+) ā€¢ Moraxella ā€¢ Neisseria and Vibrio ā€¢ Plesiomonas shigelloides (Aeromonas) ā€¢ All brucella species(Except two) ā€¢ All pseudomonas species (Except one) ā€¢ Alcaligenes ā€¢ Branhamella (N. Catarrhalis) Oxidase(-) ā€¢ Acinetobacter ā€¢ Enterobacteriaceae ā€¢ Brucella neotomae ā€¢ Brucella ovis ā€¢ Pseudomonas maltophilia ā€¢ Yersinia
  • 5. BACTERIA RESPIRATION ā€¢ All aerobic bacteria obtain their energy by respiratory chain(Electron transport chain) which is responsible for production of various substrates. ā€¢ O2 is the final hydrogen acceptor from either itā€™s water or hydrogen peroxide depending on bacterial species.
  • 7. OXIDASE REMOVES HYDROGEN USE ONLY OXYGEN! ā€¢ All oxidase(+) organisms are either aerobic or facultative except Vibrio fetus(Campylobacter pylori) which requires microaerophilic conditions.
  • 8. ACCORDING TO GORDON AND MCLEOD.... ā€¢ Positive oxidase reactions are only limited to those organisms capable of growing in presence of oxygen and ability to produce catalase. 2H2O2 2H2O + O2
  • 9. OBLIGATE ANAEROBIC ORGANISMS ā€¢ Only survive without oxygen ā€¢ So lack cytochrome oxidase activity ā€¢ DEIBEL AND EVANS showed this in Lactobacillus. NO OXYGEN SURVIVING...NO OXIDASE ACTIVITY
  • 10. STILL WE ARE BELIEVING OXIDASE ENZYME IS TWO SEPARATE ENTITY???? Previously we will consider that Neisseria species were thought to produce indophenol oxidase....... Pseudomonas species were thought to produce cytochrome oxidase....... After spectrophotometric studies both oxidases are same.............
  • 11. OTHER NAMES OF CYTOCHROME OXIDASE 1. Atmungsferment 2. Cytochrome C oxidase 3. Cytochrome Alpha3 oxidase 4. Cytochrome Alpha oxidase GABY AND HADLEY
  • 12. FOUR BACTERIAL PIGMENTS ACT AS TERMINAL OXIDASE ā€¢ Cytochrome oxidase alpha 1 ā€¢ Cytochrome oxidase alpha 2 ā€¢ Cytochrome oxidase alpha 3 ā€¢ Cytochrome O (CO binding pigment) ā€¢ Derived by Castor and Chance by means of photochemical methods. ā€¢ A mixture of cytochrome alpha and alpha 3 having same protein.. So complex formed (Cytochrome c oxidase/Cytochrome alphaalpha3 )
  • 13. CYTOCHROME C OXIDASE ā€¢ Having two molecules of heme A ā€¢ Each heme A having one Fe atom which go and come back between Ferric and Ferrous ions Cytochrome-Fe3+ + e- Cytochrome-Fe2+ (Oxidised removal (Reduced gain of of electrons) electrons)
  • 14. RESPIRATORY ENZYME (Important bichemical reaction) Two reduced cytochrome c + 2H+ + 1/2H2O Cytochrome C Oxidase Two oxidized cytochrome c + H2O
  • 15. REAGENTS ā€¢ 1. Kovacā€™s reagent 1% solution of tetramethyl-p-phenylene- diamine(Less toxic but more expensive comparing with dimethyl) imparts oxidase(+) lavender colour initially purplish black gradually. Solution is colourless.
  • 16. REAGENTS (cont.) ā€¢ 2. Gordon and Mcleodā€™s reagent ā€¢ 1 to 1.5% dimethyl-p-phenylenediamine hydrochloride/N,N-dimethyl-p-phenylene diamine monohydrochloride(HCL)/p- aminodimethylaniline monohydrochloride) ā€¢ Solution is light purple.
  • 17. Why p-aminodimethylaniline oxalate reagent having advantage over others??? ā€¢ Extremely stable both in powder or solution forms (Atleast 6 months!!!!) ā€¢ No black precipitate while comparing with Hcl combination of Gordonā€™s reagent.
  • 18. REAGENTS (Cont.) ā€¢ 3. Gaby and Hadley reagent modified by Ewing and Johnson/Indophenol oxidase reagent ā€¢ Original Nadi reaction from naphthol and diamine Reagent A 1% naphthol in 95% Ethyl alcohol Reagent B 1% p-aminodimethylaniline Hcl / dimethyl-p- phenylenediamine oxalate
  • 19. Why Gaby and Hadley reagent A alone is an exception?????? ā€¢ While preparing other reagents we will take 1 gram of reagent in 100 ml of distilled water. ā€¢ But for this reagent A of Gaby and Hadley we will take 1 gram of naphthol in 100 ml solution of 95% ethyl alcohol........... ā€¢ Warm gently and store it in darker place for 15 minutes before usage.........
  • 20. REAGENTS(cont.) ā€¢ 4. Carpenter, Suhrland and Morrison reagent contains 1% p-aminodimethylaniline oxalate. ā€¢ 5. Commercial reagent: Cepti seal Oxidase reagent ā€¢ 6. Oxidase impregnated disc (p- aminodimethylaniline reagent) : (6a) Difco: Bacto-differentiation discs (6b) BBL: Taxo N discs
  • 21. METHODS OF UTILIZATION OF REAGENT SOLUTIONS ā€¢ (A) Direct slant procedure (Indophenol reagent) *Using nutrient agar slant and incubate it for 18 to 24 hours. *Put positive control as Aeromonas species. *Add 2 to 3 drops of both reagents A and B and tilt it. *Observe for change in colour to blue.
  • 22. REAGENTS SOLUTIONS (cont.) ā€¢ (B) Direct plate procedure *Add 2 to 3 drops of reagent directly to few suspected colonies alone without flooding the entire plate. *For Kovacs reagent, colour reaction within 10 to 15 seconds. *For Gordon and Mcleodā€™s reagent, colour reaction within 10 to 30 minutes.
  • 23. REAGENTS SOLUTIONS (cont.) ā€¢ (C) Kovacā€™s indirect filter paper method *Place a 6 square centimetres of Whatmann No.1 filter paper in a petri dish. *Add 2 to 3 drops of Kovacā€™s reagent to the centre of the paper. *With the usage of platinum wire inoculating needle smear a loopful of the suspected colony in paper 3 to 6 cm long. *Positive reaction within 5 to 10 seconds.
  • 24. How is it looks like???????
  • 25. OXIDASE DISCS ā€¢ (A) Direct plate procedure *Moisten the impregnated disc with sterile distilled water. *Place disc on few suspected colonies in plate medium. *Incubation at 35 degrees for 20 to 30 minutes. *Initially rose to purple but after 30 minutes red to black.
  • 26. OXIDASE DISCS ā€¢ (B) Indirect procedure *Moisten disc with sterile distilled water. *Place it in a petri dish. *Add a loopful of colony growing on a solid medium. *Positive reaction occurs within seconds. *Pink to black.
  • 27.
  • 28. QUALITY CONTROLS ā€¢ Escherchia coli (ATCC 25922) ā€“ Good control for negatives ā€¢ Neisseria, Pseudomonas(ATCC 27853) and Aeromonas ā€“ Good control for positives ā€¢ Easily available and no problems when we maintained as stock cultures.
  • 29. STORAGE AND REPLACEMENT ā€¢ Store it in refrigerator and warm it before use. ā€¢ According to Barry and Bernshon reagents should be freezed at -20 degree. We have to thaw the reagent before 3 to 4 hrs of usage. ā€¢ Once thawed we may use that reagent till one day. ā€¢ ONLY REFRIGERATED REAGENTS we can keep it till maximum 14 days. ā€¢ Regular quality control checks should be done and discard it if comes as negative.
  • 30. REAGENT ACTION Two molecules of oxidized cytochrome c + Reagent Coloured compound
  • 32. INTERPRETATION FOR OXIDASE(+) ā€¢ Pink...............to...........Maroon.............to.......... .......Finally black colour...... ā€¢ Pink colour - Viable, able to subculture ā€¢ Black colonies ā€“ Non viable
  • 33. INTERPRETATION FOR OXIDASE(-) ā€¢ No colour change in colonies ā€¢ Only background will be black.
  • 34. DELAYED OXIDASE TEST MEANS.......... ā€¢ Within 10 seconds colour formation ā€“ O(+) ā€¢ Within 10 to 60 seconds colour formation ā€“ Delayed oxidase test ā€¢ After 60 seconds colour formation ā€“ O(-)
  • 35. REAGENTS IMPREGNATED OXIDASE TEST STRIPS ā€¢ Cytochrome oxidase test strip ā€¢ Barry and Bernsohn method (Whatmann No.1 filter paper cut down into strips and dry rapidly) ā€¢ We can test many number of colonies simultaneously...... ā€¢ Positive test ā€“ Red colour
  • 36. Why kovacā€™s reagent more sensitive than Gordon and Mcleod?????? ā€¢ Ellingsworth first found that Haemophilus influenzae is negative with Gordon but positive with Kovacā€™s.......... ā€¢ Reason ā€“ Tetramethyl-p-phenylenediamine is more sensitive than Dimethyl-p- phenylenediamine.......
  • 37. Donā€™t do oxidase test in glucose containing medium.....Ok....But why?? ā€¢ Because itā€™s fermentation will inhibit oxidase enzyme activity and results in false negatives. ā€¢ OTHER FALSE NEGATIVES: In mixed culture of Pseudomonas and Neisseria, inhibitory substance produced by pseudomonas interferes with oxidase production by Neisseria
  • 38. FALSE POSITIVES...... ā€¢ Bordetella pertussis may show false(+) when cultivated in high conc. of blood. ā€¢ Platinum loop needle may contain trace amount of iron can catalyse oxidase reagent.....leads to false positive
  • 39. Why canā€™t we call kovacā€™s reagent as simply kovacā€™s reagent???? ā€¢ Because there is also a reagent called kovacā€™s indole reagent. ā€¢ So just to avoid the confusions.....
  • 40. ROLE OF VITAMIN C AND SUNLIGHT IN KOVACā€™S REAGENT ā€¢ To avoid auto-oxidation in air, we will add ascorbic acid in kovacā€™s reagent ā€¢ Colour of the reagent turns into deep blue if it exposed to sunlight. So keep it in dark place......
  • 41. MODIFIED OXIDASE METHOD ā€¢ Reagent in Dimethyl sulfoxide (DMSO) 6% solution used for identification of micrococci species (Positive reaction within 30 seconds)
  • 42. OXIDASE TEST IN SINGLE LINE ā€¢ Oxidase test is an oxidising reaction and oxygen must reach colonies; after flooding growth or a portion of growth, tilt slants or plates to permit the reagent to run, exposing colonies to air..........
  • 43. CATALASE TEST ā€¢ PRINCIPLE: To detect the presence of enzyme catalase in the bacteria which acts on Hydrogen peroxide to release oxygen........
  • 44. PURPOSE AND DIFFERENTIATION CATALASE(+) ā€¢ Staphylococcus ā€¢ Micrococcus ā€¢ Bacillus ā€¢ Listeria monocytogenes ā€¢ Corynebacterium (except two) ā€¢ All moraxella species (except two) CATALASE(-) ā€¢ Streptococcus ā€¢ Clostridium ā€¢ Erysipelothrix ā€¢ Corynebacterium pyogenes ā€¢ Corynebacterium haemolyticum ā€¢ Moraxella bovis ā€¢ Kingella kingae(Moraxella kingii)
  • 45. HISTORY AND MECHANISM The enzyme catalase is present in most cytochrome containing aerobic and facultative anaerobic organisms. Organisms lacking cytochrome system also lack the catalase..... According to Doelle, catalase may interfere with peroxidase enzymes.....
  • 46. CATALASES AND PEROXIDASES ā€¢ Peroxidases are plant enzymes but also found in milk and leucocytes.... ā€¢ Catalases are present in animals and plants. ā€¢ Iron contained catalases which retain its oxidized state during enzymatic activity. ā€¢ According to Burrows and Moulder non iron containing catalases are also there..... ā€¢ Dacre and Sharpe ā€“ Strong and Weak catalases.
  • 47. Whittenbury Observation ā€¢ Two types of catalases: Classical Catalase and Pseudocatalase ā€¢ Classical Catalase: Which decomposes Hydrogen peroxide and nonsensitive to acid conditions. ā€¢ Pseudocatalase: Which lacks heme prosthetic group and sensitive to acid pH. ā€¢ According to Johnston and Delwiche both types are present in lactic acid organisms.
  • 48. H2O2 IS TOXIC TO BATERIA......?? ā€¢ Yes of course.....Hydrogen peroxide accumulation is very much toxic to bacteria. ā€¢ It is an Oxidative end product of aerobic breakdown of sugars. ā€¢ Since itā€™s toxic, bacteria uses itā€™s catalase enzyme to breakdown H2O2.
  • 49. CATALASES VS PEROXIDASES ā€¢ At present, it is believed that peroxidases more predominates than catalases in elimination of Hydrogen peroxide. ā€¢ Optimal pH for catalase activity is 7.0
  • 50. REAGENTS ā€¢ 1. Hydrogen peroxide 30% *Store in a dark bottle *Keep refrigerated at all times when not in use.
  • 51. Reagents (cont.) ā€¢ 2. Phosphate buffer ā€“ pH 7.0 INGREDIENTS QUANTITY Potassium dihydrogen phosphate 1.361grams Anhydrous Disodium hydrogen phosphate 1.420 grams Distilled water 1000 ml of distilled water
  • 52. Reagents (cont.) ā€¢ 3. Tween 80,10% *Add 1 ml of concentrated tween 80 to a small volume of distilled water in a 10 ml volumetric flask *Polyoxyethylene derivative of sorbitan mono-oleate; a surface active compound
  • 53. QUALITY CONTROLS POSITIVE CONTROLS NEGATIVE CONTROLS Staphylococcus (ATCC 25923) Streptococcus Blood agar plate (d/t catalase in RBCs) Chocolate agar d/t no RBCs Note: Hydrogen peroxide should undergo quality control check daily or immediately prior to itā€™s use............
  • 54. ROUTINE CATALASE TESTS ā€¢ At room temperature 25 degree celsius. ā€¢ Slide method (Routinely used) ā€¢ Tube method
  • 55. SLIDE CATALASE TEST ā€¢ With an inoculating needle, pick the centre of an 18 to 24 hour pure colony on glass slide. ā€¢ Exception is colony from blood agar. ā€¢ Add a drop of 30% Hydrogen peroxide over organism on slide. ā€¢ Observe for immediate bubbling (Gas liberation) and Discard the slide. ā€¢ These are DOā€™S IN SLIDE CATALASE TEST.
  • 56. DONTā€™S IN SLIDE CATALASE TEST ā€¢ Do not reverse the order of procedure ā€¢ Do not mix the culture and Hydrogen peroxide (Just add a drop of H2O2 on colony and then just observe!!!!)
  • 57. How it looks like???? Here we go!!!!
  • 58. TUBE CATALASE TEST ā€¢ Directly add 1 ml of 3% H2O2 to an 18 to 24 hour heavily inoculated pure agar slant culture. ā€¢ Observe for immediate bubbling(Gas liberation) and observe.
  • 60. Catalase test for differentiation of Mycobacterium species (Under controlled pH and temperature) ā€¢ Perform procedure under bacteriological hood (Strict aseptic conditions) ā€¢ Add 0.5 ml of phosphate buffer into sterile screwcap tube. ā€¢ Add several loops of Mycobacterium growth from slant culture 3 to 4 weeks old ā€¢ Screw cap down loosely. ā€¢ Incubate for 20 to 30 minutes/In 68 degrees celsius Water bath.
  • 61. Catalase test for Mycobacterium species(Cont.) ā€¢ Cool at room temperature ā€¢ Prepare a 1:1 mixture of 10% Tween 80 and 30% H2O2 ā€¢ Add this mixture in cooled suspension ā€¢ Observe for bubble formation. ā€¢ Note: ALL MYCOBACTERIUM SPECIES ARE CATALASE POSITIVE for Routine catalase test except Isoniazid Resistant strains.
  • 62. But whatā€™s the interpretation when we will do under controlled pH and temperature?? Positive ā€¢ Mycobacterium avium Negative ā€¢ Some J subgroups of III nonphotochromogens ā€¢ Mycobacterium kanasasii ā€¢ Mycobacterium tuberculosis ā€¢ Mycobacterium bovis
  • 63. ALTERNATE TESTS ā€¢ Capillary tube technique (Method of Fung and Petrishko) ā€¢ Commercial capillary tubes ā€¢ 10 ml of 3% Hydrogen peroxide in 50 ml beaker ā€¢ Touching centre of colony 0 No bubbles + Few bubbles ++ Many bubbles +++ Gas forcing H2O2 to tip of tube
  • 64. Disadvantages of capillary tube method ā€¢ Vigorous catalase activity (+++) ā€“ Serratia, Proteus, Providencia ā€¢ Moderate catalase activity(++) ā€“ Salmonella ā€¢ Weak catalase activity/Negative catalase activity - Enterobacteriaceae
  • 65. Alternate test (cont.) ā€¢ Cover slip technique (Method of Taylor and Achanzar) ā€¢ Primarily used for identification of Enterobacteriaceae.
  • 66.
  • 67. TWO METHODS OF INTERPRETATION IN COVER SLIP METHOD ā€¢ Frosted appearance of bubbles under cover slip indicates speed of reaction ā€¢ Seeing presence or absence of trapped bubbles
  • 68. ORGANISMS POSITIVE IN 0.5% COVER SLIP METHOD ā€¢ Pseudomonas aeruginosa ā€¢ Serratia ā€¢ Staphylococcus
  • 69. ALTERNATE TESTS (cont.) ā€¢ Colour reaction streak test (Method of Hanker and Rabin) ā€¢ For primarily to differentiate staphylococci and streptococci
  • 70. REAGENTS ā€¢ Stock solutions DOPAMINE 20 mg/ml in 0.2M Phosphate buffer P-phenylenediamine dihydrochloride 1 mg/ml in 0.2M phosphate buffer
  • 71. REAGENTS (cont.) ā€¢ Working reagent DOPAMINE 1 ml P-PHENYLENEDIAMINE DIHYDROCHLORIDE 1 ml 3% H2O2 2 ml Dimethyl sulfoxide 1 ml
  • 72. INTERPRETATION OF RESULTS ā€¢ After streaking pure bacterial colony on clean slide and add 1 drop of working reagent ā€¢ Formation of highly coloured purple colour and it may lasts for days so that results may be rechecked (Advantage!)
  • 73. CHEMISTRY OF REAGENT FOR BOTH CATALASES AND PEROXIDASES FOR PEROXIDASES
  • 74. CRITERIA FOR TAKING CULTURE IN CATALASE TEST ā€¢ It should be a pure culture. ā€¢ It must be performed in heavy inoculum.
  • 75. Why 70% ethyl alcohol is needed while handling Hydrogen peroxide?? ā€¢ Just to avoid exposure to skin as painful burns may occur.
  • 76. Why gentle shaking needed for Hydrogen peroxide before usage?? ā€¢ Hydrogen peroxide decomposition increases as the temperature increases due to dissolved oxygen.....It may create false positive reactions.
  • 77. COAGULASE TEST ā€¢ PRINCIPLE: To test the ability of an organism to clot plasma by the action of enzyme coagulase(Staphylocoagulase)
  • 78. USES ā€¢ To differentiate staphylococcus aureus from other staphylococcus species. ā€¢ Used as an indication for virulence or pathogenicity.
  • 80. NAMED HYPOTHESIS RELATED TO COAGULASE TEST ā€¢ Oginsky and Umbreit ā€¢ Smith ā€¢ Burrows and Moulder ā€¢ Duthrie ā€¢ Dubos and Hirsch ā€¢ Soulier, Tager and Zajdel
  • 81. OGINSKY AND UMBREIT HYPOTHESIS ā€¢ Coagulase enzyme may induce alternate pathway of clotting mechanism either as an enzyme or or an plasma activator to convert fibrinogen to fibrin.
  • 82. SMITH HYPOTHESIS Coagulase (Prothrombin like substance) + Plasma(CRF) Thrombin like substance Fibrinogen to fibrin
  • 83. BURROWS AND MOULDER HYPOTHESIS ā€¢ Procoagulase + Plasma activator Coagulase Reason for clotting of plasma
  • 85. DUBOS AND HIRSCH HYPOTHESIS ā€¢ Every step is same as previously mentioned mechanisms except one thing......... ā€¢ Here PLASMA/CRF doesnā€™t require calcium ions to form a clot.
  • 87. OVERVIEW OF COAGULASE INDUCED FIBRIN COATING AND ANTIMICROBIAL DRUGS ā€¢ Basically serum is having bactericidal action against staphylococcus.......... ā€¢ But when coagulase induced fibrin coated staphylococcus is present in serum means, antimicrobial drugs cannot penetrate that coating...... ā€¢ BUT THIS MECHANISM WE CANNOT SEEN IN CONS.
  • 88. HEMOLYSIN PRODUCTION COWAN All C(+) strains produce either alpha or beta hemolysin or both BURROWS AND MOULDER Either alpha or gamma hemolysin associated with coagulase activity YOUNG AND LEITNER No correlation at all WECKMAN AND CATLIN Production of deoxyribonucleases along with coagulase
  • 89. ANTIGENIC SUBTYPES RAMMELKAMP, DUTHRIE AND ZEN-YOJI Seven antigenic subtypes MIALE TYPES A,B,C,D SMITH TYPES I AND II
  • 91. METHOD OF PREPARATION OF REAGENT ā€¢ Commercial plasma ā€¢ Fresh plasma from whole blood (Centrifugeļƒ Take supernatantļƒ  Store it in sterile container) ā€¢ Fresh fibrinogen (Centrifugeļƒ  Take the precipitate ļƒ  Make up(Dilution) to 5 times of sterile distilled water)
  • 92. Why are we adding heparin or EDTA with plasma in special??? ā€¢ Simply, reason is that citrate utilising organisms creates delayed coagulase reaction which leads to false positive coagulase test(Clot formation). ā€¢ So by means of adding 5 ml of heparin ļƒ  inhibit coagulation by citrate utilisationļƒ  Test is more specific for staphylococcus.
  • 93. QUALITY CONTROL ā€¢ Positive quality control ā€“ Staphylococcus aureus (ATCC 25923) ā€¢ Negative quality control ā€“ Staphylococcus epidermidis
  • 94. PLASMA COAGULABILITY CHECK ā€¢ Add one drop of 5% calcium chloride solution to 0.5ml aliquot of plasma (1:2 dilution) and a clot should form.
  • 95. STORAGE ā€¢ Dehydrated plasma vials ļƒ  Refrigerator (4 degree celsius) ā€¢ Reconstituted plasma vials ļƒ  Freezer (-20 degree celsius)
  • 96. PLASMA QUALITY CHECK CRITERIA ā€¢ CRF/Plasma concentration is highest in human plasma followed by Pig>Rabbit>Horse> Bovine>Chicken>Sheep. MUST CONTAINS SUFFICIENT AMOUNT OF CRF CONCENTRATION AND FIBRINOGEN FAIRLY FREE OF FIBRINOLYTIC ACTIVITY (BY MEANS OF STAPHYLOKINASE ENZYME AND MULLER FACTOR ļƒ PLASMIN) REASONABLY FREE OF INHIBITORS (PROTEASES)
  • 97. WHY RABBIT PLASMA IS PREFERRED OVER HUMAN PLASMA?? ā€¢ Clot is firm and itā€™s rate of coagulation is faster (Rabbit plasma) ā€¢ Antibodies in human plasma will inhibit coagulase production by staphylococcus.
  • 98. Why dilution of human plasma preferred?? ā€¢ Because bacteriostatic action against staphylococcus is eliminated by dilution of human plasma......
  • 99. Why diabetics more prone to infections caused by staphylococcus??? ā€¢ Yearsly and Carter proved that a slight increase in coagulase activity in diabetic plasma over human plasma... ā€¢ So we should control diabetics as much as possible with the help of insulin/OHA.
  • 100. SLIDE COAGULASE TEST ā€¢ Place a drop of distilled water in glass slide. ā€¢ Emulsify it using heavy suspension of 18 to 24 hour culture of staphylococcus ā€¢ Gently mix with small loop of fresh human plasma and mixture should be homogenous. ā€¢ Set up positive and negative controls in same slide ā€¢ Observe for clump formation
  • 101.
  • 104.
  • 105. INTERPRETATION (A) POSITIVE TEST: Clot or distinct fibrin threads formed. Complete clot: Clot throughout tube. Partial clot: Clot doesnā€™t extend throughout fluid column. (B) NEGATIVE TEST: No clot formation, suspension remains homogenous.
  • 106. RAPID TEST: Staph strip ā€¢ Strips impregnated with lyophilized rabbit plasma with EDTA ā€¢ Results of both screening and tube tests with as single inoculum
  • 107. ALTERNATE TESTS 1. Pour plate coagulase test Method of Parisi, Baldwin and Sottile * Detects coagulase production * BHI or YETS agar (Trypticase soy broth) and 0.3% yeast extract * Plasma preferably swine pig plasma; Alternatively rabbit. Correlation with standard test tube(Excellent) * No plasma ā€“ Parisi recommended not to use plasma
  • 108. ALTERNATE TESTS (cont.) 2. Tube coagulase thermonuclease test Method of Barry, Lachica and Atchison * Detects free coagulase and heat stable nuclease * BHI broth, EDTA plasma and DNA agar TDA technique (Toluidine Blue Deoxyribonucleic acid) * Correlation with standard tube test.
  • 109. ALTERNATE TESTS (cont.) 3. Coagulase-mannitol agar plate test * Detects free and bound coagulase * Mannitol fermentation * Contents: Human blood plasma and Mannitol * Disadvantage: Too many false positives