ENVIRONMENTAL PROTECTION AGENCY STANDARD METHODS USED BY REGION IX MICROBIOLOGY LABORATORY Laboratory Support Branch 620 Central Avenue, Bldg. 1 Alameda, CA 94501 November, 1973 ------- 11775 Region IX Activities of the Microbiology Section The Microbiology Laboratory has established tests which it can perform. These include: indicator organisms assays (total and fecal coliform, fecal streptococci) by multiple tube dilution and membrane filter techniques; plate counts at 20° and 35°C; pathogen isolation (Salmonella), serology, and fluorescent-antibody scanning. Methodology is attached. Upon request the Section can adapt existing techniques and develop special ones for recovering such organisms as: anaerobic bacteria; photosynthetic bacteria; Pseudomonas sp.; sulfur oxidizers; Klebsiella; and other specific groups. Staff from the Section will also offer technical advice and consultation for review of grants, permits, standards and research proposals, etc. Lectures and training courses in laboratory and field techniques and sample collection have been given by the Section in the past and can be developed or modified upon request. Kathleen G. Shimmin Chief, Microbiology Section ------- TABLE OF CONTENTS PAGE Sample Collection and Chain-of-Custody 1 Determination of Coliform Organisms by Membrane Filter Procedure Total Coliforms 4 Fecal Coliforms 7 Determination of Fecal Streptococcus Organisms by Membrane Filter Procedure using: M-Enterococcus Agar 9 KF Streptococcus Agar 11 Most Probable Number (MPN) Test for the Detection and Enumeration of Coliform and Fecal Coliform Organisms 12 Most Probable Number (MPN) Test for the Detection and Enumeration of Fecal Streptococcus Organisms 16 Estimation of Bacterial Density 18 Gram's Stain Technique 23 IMViC Procedures 24 Procedure for Salmonella Isolation 26 Fluorescent Antibody (FA) Salmonella Screening 31 Serological Grouping of Salmonella 32 Diagram of Slide Agglutination 34 ------- TABLES PAGE *407(1): *407(2) : I. II. MPN Index and 95% Confidence Limits for Various Combinations of Positive and Negative Results when Five 10-ml portions are used MPN Index and 95% Confidence Limits for Various Combinations of Positive and Negative Results when Five 10-ml Portions, Five 1-ml Portions, and Five 0.1-ml Portions are used. Incubation Time and Colonial Appearance for Various Organisms in Selected Media Salmonelleae - Parameters and Biochemical Reactions 20 21 28 29 *Refers to Section Numbers in Standard Methods, 13th Edition, ------- STANDARD PROCEDURES USED BY REGION IX LABORATORY FOR BACTERIOLOGICAL EXAMINATION OF TOTAL AND FECAL COLIFORMS 1. Sample Collection and Chain-of-Custody a. Procedure for collection of samples shall be done in accordance with methods as outlined in Standard Methods for the Examination of Water and Wastewater; 13th Edition. b. Samples should be properly iced immediately after collection (ice bucket or chest). c. Chain-of-custody should be as follows: 1. Two people are required; one as sampler, one as witness. 2. Label on sample container should read: (See Attachment - page 3) Sample Number (Use a self-sticking Sample Description label which will not Time and Date Collected deteriorate in ice chest) Collected by Witnessed by 3. If samples change hands during transport back to laboratory, label or tag should be attached to ice bucket or chest, signed by person and witness to whom custody was given. (See Attachment) 4. Upon delivery to laboratory the technican should make out a receipt stating time and condition samples were received. 5. Before processing, log in time received, time collected, time processed, and processor. This can be done in same log book as results are recorded. 2. Processing a. Do at least duplicate replicate plates for each dilution. b. For unknown water, do at least four dilutions with at least two replicates for each dilution. (A minimum of eight plates per medium per sample.) ------- 3 . Time lapse between sample collection and processing is as follows: a. Seawater 4 hours for Total Coliforms 2 hours for Fecal Coliforms b. Freshwater 6 hours for Total Coliforms 3-4 hours for Fecal Coliforms c. Shellfish 6 hours for Total and Fecal 12 hours maximum Examination of shellfish for total and fecal coliforms should be done according to the procedures recommended in most recent edition of American Public Health Association, Recommended Procedures for the Examination of Seawater and Shellfish. ------- ATTACHMENT SAMPLE BOTTLE LABEL ENVIRONMENTAL PROTECTION AGENCY EAH.'LE UO. PRINT NAME £f!D TITLE OnCHJCtor, GRAIN OF CUSTODY LABEL 'i: 1-1 J ii cc UJ _l S= < CO Ll_ o I < CL co Q I hereby certify that I received this sample and disposed of it as not'.'d fic'ow RECEIVED FriOM DISPOSITION OF SAMPLE DATE RECEIVED TIME RECEIVED SIGNATURE I hovby certify that I obtained this sample ard dispatched it as shov.-n below. PATE OBTAINED " IME OBTAINED 1 SOURCE 1 DATE DISPATCHED TIME DISPATCHED MElHOD OF SHIPMENT SENT TO SIGNATURE CHAIN OF CUSTODY TAG ------- Standard Method used by Region IX, Laboratory THE DETERMINATION OF COLIFORM ORGANISMS BY THE MEMBRANE FILTER PROCEDURE M-ENDO - Total Coliforms I. Preparation of Medium 1. Boil 500 ml. distilled water. 2. Add 1.5% Bacto-Agar (7.5 g) and stir to dissolve. 3. Add 24 g. Difco M-Endo medium and 10 ml of 95% ethanol. Bring to boil to dissolve (keep stirring). DO NOT CONTINUE TO BOIL the medium once boiling point reached. 4. Cool medium slightly and distribute about 5 ml per petri dish (sterile, disposable, 50 x 12 mm). 5. Allow the plates to harden. Pack the plates in an inverted position in a basket and cover with brown paper. Place the basket in the refrigerator. In the dark and under cool conditions the prepared medium can be stored for short periods of time. The prepared plates should be used within a 24 hour period Under no circumstances will the plates be stored for periods of 72 hours or longer. Results from such plates are questionable. II. Testing Procedures 1. All filtrations should be carried out according to the protocol outlined in Section 408, page 678 of Standard Methods, 13th Edition, 1971. 2. Sample volumes to be filtered should be chosen so that at least one membrane filter contains between 20-80 coliform colonies, and not to exceed 200 colonies of all types on the filter. ------- In the absence of previous bacterial data the following are recommended volumes: a. Treated water supplies minimum of 50 ml, 100 ml recommended. b. Untreated water supplies — 5 - 50 ml. c. Unpolluted surface water — 1, 4, 15 and 60 ml (covers range 33-8000) . d. Polluted surface water 0.02, 0.08, 0.15 and 0.5 ml (covers range of 4000 - 40,000). e. Sewage 0.0003, 0.001, 0.003 and 0.01 ml (covers range of 200,000 - 27,000,000 cells/lOOml). 3. The plates containing the membranes are placed in a 35°C incubator in an inverted position. 4. After a period of 24 - 2 hours the plates are removed from the incubator. Coliform colonies are dark red and have a green metallic surface sheen. Non-coliform colonies range from colorless to pink, however, the metallic sheen is absent. Such type colonies should not be included in the coliform count. 5. The characteristic metallic sheen colonies are counted with the aid of a wide-field binocular microscope using 10 or 15 x magnification. For illumination, use a light source directly over the membrane filter so that an image of the light source is reflected off the colony surface into the microscope lens system. (Suitable for this purpose is a Stereozoom Microscope [A/0 or B&L] with a fluorescent illuminator). 6. Select the membranes that have between 20 to 80 coliform colonies and compute the density per 100 ml. The actual colony counts and the calculated density per 100 ml are entered on the data sheet. No of coliform colonies counted x 100 = No f colonies Sample volume filtered xn ml r 100 ml 7. The plates are then placed in metal containers and sterilized in the autoclave. At no time will any culture medium containing bacteria be disposed of first without adequate sterilization. ------- 8- Calculations a. For routine work, at least 3 dilutions of the sample are made. However, when testing water where no previous information is available then it may be necessary to use as many as 4 or 5 dilutions. b. Select the membrane that has between 20-80 coliform colonies and compute the density per 100 ml. c. If several sample volumes have coliform colonies in the range 20-80, then average the counts per 100 ml. d. If all membranes have counts outside the range 20-80, the following procedure should be used: 1. Low counts (below 20 colonies). Calculate the density if 20 colonies were to have been present. Report on this calculation on the data sheet preceded by "<" ("less than"). 2t High counts (above 80 colonies). Calculate the density if 80 colonies were to have been present. Report this calculation on the data sheet preceded by ">" ("greater than"). It must be realized that data reported with "less than" and "greater than" have limited use when strict interpretation of data is required. It does provide some idea as to the relative coliform density of the sample. Most important of all, it shows the need for repeat sampling and adjustment of sample filtration volume so that a membrane with the desired range 20-80 may be obtained. In order to obtain at least one membrane having an acceptable number of colonies, the range of filtration volumes should vary by a factor of 4 or less. Different factors apply to fecal coliform and fecal streptococcus. ------- REGION IX r THE DETERMINATION OF FECAL COLIFORM ORGANISMS BY THE MEMBRANE FILTER TECHNIQUE I. Medium Preparation 1. Rehydrate Bacto-M-FC Broth Base by adding 3.7g in 100 ml distilled water. 2. Add one ml of a rosolic acid solution prepared by dissolving one gram rosolic acid in 100 ml 0.2N NaOh. 3. Add 1.5% Bacto Agar. 4. Dissolve ingredients in a boiling water bath or in "Instatherm" apparatus. 5. Bring to a boil and pour approximately 5 ml into sterile, disposable 50 x 12mm petri dishes. Final reaction of the medium is pH 7.4. 6. Allow the medium to harden. 7. Pack the plates in baskets in the inverted position and place in the refrigerator. 8. Prepared medium "shelf life" is 5-7 days if stored in the refrigerator away from light. 9. The rosolic acid is stable indefinitely in the dry state. In aqueous solution it is stable for two weeks under refrigeration. After this period degradation is evidenced by the change of color (Red to Brown). II. Testing Procedures 1. All filtrations should be carried out according to the protocol outlined in Section 408, page 678 of Standard Methods, 13th Edition, 1971. 2. Sample volumes to be filtered should be chosen so that at least one membrane filter contains between 20-60 fecal coliform colonies. ------- 3. The plates containing the membranes are placed in water-proof plastic bags (Whirl-Pak Bags) and submerged in a 44.5 ± 0.2°C water bath for 24 hours. (Plates should not be held no longer than 20 minutes at ambient temperature after filtration. Immediate introduction of plates into the 44.5°C water bath is recommended). 4. After incubation, colony counts are made using a wide-field binocular microscope - lOx magnification. Fecal coliform colonies are deep blue in color and may vary from one to three mm in diameter. Non- fecal coliform colonies will appear as pink or colorless type colonies and should not be included in the fecal coliform count. 5. The colony counts are entered on the data sheet and reported per 100 ml. No. of fecal coliform colonies counted x ]_QQ = NO . of colonies Sample volume filtered in ml' por 100 ml. 6. Calculations and selection of sample filtration volumes follow the same, theory as that discussed in the Method, Total Coliform Determination by Membrane Filter Procedure . Exceptions are that the desired range of fecal coliform colonies on the membrane is 20-60, and that fecal coliform counts should be based on filtration volumes varying by a factor of 3 or less. 7. The plates are than placed in metal containers and sterilized in autoclave. At no time will any culture medium containing bacteria be disposed of first without adequate sterilization. ------- THE DETERMINATION OF FECAL STREPTOCOCCI BY THE MEMBRANE FILTER PROCEDURE I. Preparation of Medium 1. Weigh out 21 grams of M-Enterococcus Agar and place in one liter flask. 2. Add 500 ml cold distilled water and bring solution to a boil using "Instatherm" or boiling water bath and remove as soon as agar is in solution. (Do not overheat.) 3, Final pH should be: 7.2 4. Pour approximately 5 ml of the medium into sterile, disposable, 50 x 12 mm petri dishes. 5. Allow the medium to harden. Packthe plates in an inverted position in a basket and cover with brown paper. The prepared plates can be stored in the refrigerator up to four weeks. 6. The filtration of the sample should be carried out according to the methods outlined in the section on Filtering Techniques. 7. Sample volume to be filtered should be chosen so that at least one membrane filter contains between 20-100 fecal streptococcus colonies. 8. The plates containing the membranes are placed in a 35°C incubator in an inverted position. 9. After a period of 48 hours the plates are removed from the incubator. With a wide-field binocular microscope, using 10 or 15x magnification, count all pink, red and purplish-red colonies. Colonies other than these are not fecal streptococci and should not be included in the count. 10. The colony counts are entered on the data sheet and reported per 100 ml. No. of fecal streptococci counted „ inn - M~ f •<= n j- ^ 4 — . jT —, x 1UU = No . of fecal streptococci Sample volume filtered in ml inn i r per 100 ml ------- 10 11. Calculation and selection of sample filtration volumes follow the same principle as that discussed in Method of .Coliform Determination By- Membrane Filter Procedure, except that the desired range of colonies on the membrane is between 20-100 and the counts should be based on filtration volumes varying by a factor of 5 or less. 12. The plates are than placed in metal containers and sterilized in the autoclave and discarded. ------- 11 Standard Methods used by Region IX for the Determination of Fecal Streptococcus by Membrane Filter using Bacto-KF Streptococcus Agar I. Preparation of Medium a. Weigh out 76.4 grams KF Streptococcus agar and place in flask. b. Add 1000 ml cold distilled water and heat to boiling to dissolve completely. c. Dispense in 100 ml amounts or multiples thereof into flasks and sterilize for 10 minutes at 15 Ib pressure (121°C) . d. Cool to 60°C and add one ml Bacto TTC Solution 1%. (Triphenyltetrazolium Chloride 1%) per 100 ml sterile medium. e. Mix to obtain uniform distibution of the TTC. f. Final pH 7.2. g. Pour approximately 5 ml of medium into sterile disposable, 50x12 mm petri dishes. h. Incubate inoculated plates for 48 hours at 35°c. i. Using a dissecting microscope with a magnification of 15 diameters count all colonies showing red or pink center as streptococcus. j. Colony counts are entered on data sheet and reported per 100 ml. k. Calculation: f Number of fecal streptococcus counted n nri f°a , /n nn i Sample volume filtered in ml X 10° = streptococcus/lQQm} 1. Desired range of colonies on membrane is 20-100 and counts should be based on filtration volumes varying by a factor of 5 or less. m. Plates are then placed in metal containers and sterilized in an autoclave. (121°C, 15 Ib pressure for 1/2 hour) . ------- 12 THE MOST PROBABLE NUMBER (MPN) TEST FOR THE DETECTION AND ENUMERATION OF COLIFORM AND FECAL COLIFORM ORGANISMS I. Presumptive Test A. Preparation of medium 1. For 1 ml of sample inoculation: weigh out 35.6g lauryl tryptose broth and add to one liter of distilled water. (For 10 ml of sample inoculation 53.4g per one liter of distilled water). 2. Dissolve ingredients and dispense ten ml of mixture 1 above into test tubes. Dispense 20 ml of 53.4g per one liter mixture into large .test tubes. 3. Insert one Durham gas tube, inverted position, into each tube containing the broth. Place auto- clavable plastic Kaputs on tubes. The double- strength tubes may be coded by closing them with Kaputs of a different color. 4. Sterilize in the autoclave for 12 minutes at 12 Ibs. pressure. B. Procedure 1. The five tube, multiple fermentation technique will be used. 2. Inoculate a series of five tubes in each dilution, In all such analyses, at least 3 dilutions must be used. (Region IX routinely uses 5 dilutions.) 3. The portions of the water sample used for inoculating the fermentation tubes will vary with the type water being tested. In general, decimal multiples and sub-multiples of one ml will be used. 4. Incubate the fermentation tubes at 35.0 ± 0.5°C. Examine each tube at the end of 24 ± 2 hours and, if no gas had yet been produced, examine again at the end of48 hours ± three hours. ------- 13 Record the presence or absence of gas formation at each examination of the tubes. The smallest type bubble in the gas tube should be recorded as a positive tube, even though this may appear as trapped air in the tube and not really gas production from the fermentation process. II. Confirmed Test A. Preparation of medium 1. Weigh out 40.Og of Bacto-Brilliant Green Bile 2% and add to one liter of distilled water. 2. Dissolve ingredients and dispense ten ml into each test tube. 3. In the inverted position, insert a Durham gas vial into each test tube. Use Kaput closures to cover the tubes. 4. Sterilize in the autoclave for 12 minutes at 12 Ibs. pressure. Final reaction of the medium is pH 7.2. B. Procedure *1. Using a 24 gauge wire loop, with a loop of 3 mm in diameter, transfer one loopful of the positive, lauryl tryptose broth into a tube of brilliant green bile broth. (If active fermentation appears in the primary fermentation tube before the expiration of the 24 hour period of incubation, it is preferable to transfer to the confirmatory brilliant green bile broth without waiting for the full 24"hour period to elapse.) 2. Incubate the inoculated brilliant green lactose bile broth tube for 48 ± 3 hours at 35° ± 0.5°C. 3. The formation of gas in any amount in the Durham tube, constitutes a positive Confirmed Test. Record all positives and negatives on the data sheet. *As an alternative to transfering with a wire loop, sterilized hardwood applicator sticks (sterilized in dry heat, 1-1/2 hours, 170°C, stored in gloss tubes or syringe-sterilization bags) may be used. Each stick is used once and then dis- carded into a disinfectant-filled discard container. ------- 14 III. Fecal Coliform (MPN) A. Preparation of medium 1. Weigh out 37.0g of Bacto E.G. medium and add to one liter of cold distilled water. 2. Dissolve the ingredients and dispense into test tubes in ten ml amounts. 3. Insert a Durham gas vial into each tube. (In the inverted position.) Use Kaput closures for these tubes. 4. Sterilize in the autoclave for 12 minutes at 12 Ibs. pressure. Final reaction of the medium is pH 6.9. B. Procedure *1. Using a 24 gauge wire loop, with a loop of 3 mm in diameter, transfer one loopful of the positive, lauryl tryptose broth into a tube of E.G. medium. 2. The inoculated tube must be put into a 44.5 -, 0.2°C water bath not later than 20 minutes after initial inoculation. 3. The formation of any amount of gas in the vial at the end of 24 hours constitutes a positive test. At the end of 24 hours the positive and negative results are entered on the data sheet. Readings after 24 hours are invalid. IV. Computing of MPN 1. The number of positive findings of coliform group organisms (Presumptive, Confirmed and Fecal) resulting from multiple-portion, decimal dilution inoculations should be computed and recorded in terms of the "most probable number" (MPN). 2. See MPN and 95% Confidence Limits for Various Combination of Positive Results in Standard Methods, 13th Edition, 1971. *The single-use, sterile, hardwood applicators may be used as an alternative to transferring with a wire loop. ------- 15 V. Schematic Diagram Illustrating Steps in MPN Procedures. Sample Lauryl Tryptose Broth Incubate in air incubator at 35°C ± 0.5°C for 24 hours No gas produced Return to incubator Production of gas Positive Presumptive Test for Coliform Group *- No gas: coliform group absent J, +gas, Positive Presumptive Test for Coliform Group i .. 4- V 1 Brilliant Green Bile Broth Incubate in 35 ± 0.5°C in incubator for 24 hours E.G. Incubate in 44.5 ± 0.2°C water bath for 24 hours. No gas produced return to incubator for another 24 hrs. +Gas Positive Confirmed Test for Coliform Group Mo gas = Fecal coliform group absent + gas v Fecal coli- form group present No gas produced Coliform group absent +Gas: Positive Confirmed Test for Coliform Group ------- 16 THE MOST PROBABLE NUMBER (MPN) TEST FOR THE DETECTION AND ENUMERATION OF FECAL STREPTOCOCCI ORGANISMS I. Presumptive Test A. Preparation of medium 1. For 1 ml of sample inoculation: weigh out 34.7 grams Azide Dextrose Broth and add to one liter (1000 ml) of distilled water (for 10 ml of sample inoculation prepare double-strength medium). 2. Dissolve ingredients and dispense 10 ml of mixture into test tubes for 1 ml sample inoculation. Dis- pense 10 ml of double strength medium into large (18 x 150 mm) test tube for a 10 ml sample inoculum. 3. Place plastic or metal caps on tubes. 4. Sterilize in the autoclave for 15 minutes at 15 pounds pressure (121°C). Final reaction of medium is pH 7.2 25°C. B. Procedure 1. The five-tube, multiple fermentation technique will be used. 2. Inoculate a series of five tubes in each dilution. In all such analyses, at least 3 dilutions must be used (EPA, Region IX routinely uses 5 dilutions). 3. The dilutions of the water sample used for inoculat- ing the fermentation tubes will vary with the type of water being analyzed. Decimal multiples and decimal dilutions of one ml are used. 4. Incubate the inoculated tubes at 35.0 ± 0.5°C. Examine each tube for the presence of turbidity at end of 24 ± two hours. If no definite turbidity is present, reincubate and read again at end of 48 ± three hours. II. Confirmed Test A. Preparation of Medium 1. Weigh out 35.8 grams EVA Broth (Ethyl Violet Azide) and add to 1 liter (1000 ml) distilled water. ------- 17 2. Dissolve and dispense 10 ml portions into test tubes, 3. Sterilize in autoclave for 15 minutes at 15 pounds pressure (121°C). Final reaction of medium pH 7.0 at 25°C. B. Procedure 1. Transfer 3 loopfuls of growth or use a wooden appli- cator to transfer growth from each azide dextrose broth tube to a tube containing 10 ml ethyl violet azide broth. 2. Do not discard positive tubes (presumptive). Hold in the incubator. 3. Incubate the inoculated tubes for 24 hours at 35 i 0.5°C. The presence of fecal streptococci is indi- cated by formation of a purple button at the bottom of the tube or by a very dense turbidity. 4. Record all positive tubes. Discard those tubes. 5. If no growth (purple button or heavy tubidity) appears in ethyl violet azide in 24 hours, reinocu- late the tubes with an additional 3 loopfuls (or use wooden applicator) from the original positive azide broth cultures and reincubate for another 24 hours. 6. Record results. C. Computing and Recording MPN Same as with computation of total and fecal coliform organisms. ------- 18 STANDARD METHODS, APHA, 13th EDITION 407 D. ESTIMATION OF BACTERIAL DENSITY 1. Precision of Fermentation Tube Test It is desirable to bear in mind that unless a large number of portions of sample are examined, the precision of the fermentation tube test is rather low. For example, even when the sample contains 1 coliform organism per milliliter, about 37% of 1-ml tubes may be expected to yield negative results because of irregular distribution of the bacteria in the sample. When five tubes, each with 1 ml of sample are employed under these conditions, a completely negative result may be expected less than 1% of the time. Even when five fermentation tubes are employed, the precision of the results obtained is not of a high order. Consequently, great caution must be exercised when interpreting, in terms of sanitary significance, the coliform results obtained from the use of a few tubes with each dilution of sample, especially when the number of samples from a given sampling point is limited. 2. Computing and Recording of MPN The number of positive findings of coliform group organisms (either presumptive, confirmed or completed) resulting from multiple-portion decimal-dilution plantings should be computed as the combination of positives and recorded in terms of the Most Probable Number (MPN). The MPN, for a variety of planting series and results, is given in Tables 407(1) through (6).* Included in these tables are the 95% confidence limits for each MPN value determined. The quantities indicated at the heads of the columns relate more specifically to finished waters. The values may be used in computing the MPN in larger or smaller portion plantings in the following manner: If, instead of portions of 10, 1.0 and 0.1 ml, a combination of portions of 100, 10 and 1 ml is used, the MPN is recorded as 0.1 times the value given in the applicable table. *Since Region IX routinely uses the five tube MPN procedure, only Table 407(1), and 407(2) from Standard Methods 13th Ed. are included in this manual. ------- 19 If, on the other hand, a combination of corresponding portions at 1.0, 0.1 and 0.01 ml is planted, record 10 times the value shown in the table; if a combination of portions of 0.1, 0.01 and 0.001 ml is planted, record 100 times the value shown in the table; and so on for other combinations. When more than three dilutions are employed in a decimal series of dilutions, the results from only three of these are used in computing the MPN. To select the three dilutions to be employed in determining the MPN index, taking the system of five tubes of each dilution as an example, the highest dilution which gives positive results in all five portions tested (no lower dilution giving any negative results) and the next succeeding higher dilutions should be chosen. The results at these three volumes should then be used in computing the MPN index. In the examples given below, the significant dilution results are shown in boldface. The number in the numerator represents positive tubes; that in the denominator, the total tubes planted; the combination of positives simply represents the total number of positive tubes per dilution: Example 1 ml 0.1 ml 0.01 ml 0.001 ml Combination of positives (a) (b) (c) 5/5 5/5 0/5 5/5 4/5 1/5 2/5 2/5 0/5 0/5 0/5 0/5 5-2-0 5-4-2 0-1-0 In c, the first three dilutions should be taken, so as to throw the positive result in the middle dilution. When a case such as shown below in line d arises, where a positive occurs in a dilution higher than the three chosen according to the rule, it should be incorporated in the result for the highest chosen dilution, as in e: Example 1 ml O.lml 0.01ml ~n .001 ml Combination of pOSitiVes (d) (e) 5/5 5/5 3/5 3/5 1/5 2/5 1/5 -] 0/5 j 5-3-2 When it is desired to summarize with a single MPN value the results from a series of samples, the geometric mean, the arithmetic mean, or the median may be used. ------- 20 TABLE 407(1): MPN INDEX AND 95% CONFIDENCE LIMITS FOR VARIOUS COMBINATIONS OF POSITIVE AND NEGATIVE RESULTS WHEN FIVE 10-ML PORTIONS ARE USED No. of Tubes Giving Positive Reaction out of 5 of 10 ml Each 0 1 2 3 4 5 MPN Index per 100 ml <2.2 2.2 5.1 9.2 16. >16. 95% Confidence Limits Lower 0 0.1 0.5 1.6 3.3 8.0 Upper 6.0 12.6 19.2 29.4 52.9 Infinite Formula* for MFN Calculation: MPN/100 ml = Numbfir Positive Tubes x 100 ? Knuscrip I o in x (>nl s triple negative tubes) in all tubes) *From Thomas, H.A. Jr. 19^2. Bacterial densities from fermentation tube tests. JAW/A 3-'4:572. ------- 21 TABLE 407 (2): MPN INDEX AND 95% CONFIDENCE LIMITS FOR VARIOUS COMBINATIONS OF POSITIVE AND NEGATIVE RESULTS WHEN FIVE 10-ML PORTIONS, FIVE 1-ML PORTIONS AND FIVE 0.1-ML PORTION ARE USED No. of Tubes Giving Positive Reaction out of 5 of 10 ml Each 0 0 0 0 1 1 1 1 1 2 2 2 2 2 2 3 3 3 3 3 3 3 4 4 4 4 4 4 5 of 1 ml Each 0 0 1 2 0 0 1 1 2 0 0 1 1 2 3 0 0 1 1 2 2 3 0 0 1 1 1 2 5 of 0.1 ml Each 0 1 0 0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 1 0 1 0 0 1 0 1 2 0 MPN Index per 100 ml < 2 2 2 4 2 4 4 6 6 5 7 7 9 9 12 8 11 11 14 95% Confidence Limits Lower < 0.5 < 0.5 <0.5 < 0.5 < 0.5 < 0.5 < 0.5 < 0.5 < 0.5 1 1 2 2 3 1 2 2 4 14 | 4 17 17 13 17 17 21 26 22 5 5 3 5 5 7 9 7 Upper 7 7 11 7 11 11 15 15 13 17 17 21 21 28 19 25 25 34 34 46 46 31 46 46 63 78 67 Continued on page 22 ------- 22 (Cont'd. from page 21) ABLE 407(2): MPN INDEX AND 95% CONFIDENCE LIMITS FOR VARIOUS COMBINATIONS F POSITIVE AND NEGATIVE RESULTS WHEN FIVE 10-ML PORTIONS, FIVE 1-ML PORTIONS AND FIVE 0.1-ML PORTION ARE USED No. of Tubes Giving Positive Reaction out of : of 10 il Each 4 4 4 4 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 *-f 5 5 5 of 1 ml Each 2 3 3 4 0 0 0 1 1 1 2 2 2 3 3 3 3 4 4 4 4 4 5 5 5 5 5 5 5 of 0.1 ml Each 1 0 1 0 0 1 2 0 1 2 0 •I 2 0 1 2 3 0 1 2 3 4 0 1 2 3 4 5 MPN Index per 100 ml 26 27 33 34 23 31 43 33 46 63 49 70 94 79 110 140 180 130 170 220 230 350 240 350 540 920 1600 >2400 95% Confidence Limits Lower 9 9 11 12 7 11 15 11 16 21 17 23 28 25 31 37 44 35 43 57 90 120 68 120 180 300 640 Upper 78 80 93 93 70 89 110 93 120 150 130 170 220 190 250 340 500 300 490 700 850 1,000 750 1,000 1,400 3,200 5,800 ------- 23 GRAMS STAIN 1. Using a clean slide, make a thin smear of the culture on the slide. 2. Air dry 3. Heat fix by passing slide briefly through flame. 4. Add gentian violet dye - let stand one minute. Rinse with tap water. Rinse with Gram's iodine. 5. Add Gram's iodine - let stand one minute. Drain slide, 6. Add decolorizer - let stand 10-15 seconds. Rinse with water. Rinse with Safranin. 7. Add Safranin dye to counterstain - one minute. Rinse with tap water. Blot dry with paper towel. View slide under microscope. Gram-positive organisms appear blue-violet; gram- negative bacteria retain only the counterstain, appearing red when Safranin is counterstain. ------- 24 IMViC PROCEDURES (Standard Methods, 13th Ed.) Be sure to use a pure culture for all IMViC inoculations. Indole production from tryptophane broth 1. Prepare Medium: Add 10.0 g. tryptone (or trypticase) to 1 liter distilled water. Distribute in 5 ml portions into screw-capped test tubes. Autoclave at 120°C for 15 minutes. 2. Prepare reagent: Dissolve 5 g. paradimethylaminobenzaldehyde in 75 ml isoamyl (or normal amyl) alcohol, ACS grade. Add 25 ml concentrated hydrochloric acid (perform this operation under a hood if possible or else in a room with good ventilation). The reagent should turn yellow. Final pH should be less than 6.0. 3. Procedure: Inoculate 5 ml medium. Incubate at 35 ± 0.5°C for 24 ± 2 hours. Add 0.2-0.3 ml reagent and shake tube. Let stand for 10 minutes. 4. Results: Dark red color in surface layer = (+) for indole. Yellow (Color of reagent) color in surface layer = (-) for indole. Orange color in surface layer = (±) reaction. Methyl Red Test 1. Prepare Medium: Add 17 g. MR-VP Broth Base (or equivalent) to 1 liter distilled water. Heat slightly to dissolve. Distribute 10-ml portions into screw-capped test tubes. Autoclave at 121°C for 12-15 minutes. 2. Prepare reagent: Dissolve 0.1 g. methyl red dye in 300 ml 95% ethyl alcohol Dilute to 500 ml total volume with distilled water. 3. Procedure: Inoculate 10-ml medium. Incubate at 35°C for 5 days. ------- 25 After incubation, pipette 5 ml culture into a clean test tube. Add 5 drops (about 0.25 ml) methyl red reagent. 4. Results: Distinct red color = (+) methyl red. Distinct yellow color = (-) methyl red. Mixed shade = questionable results. Voges-Proskauer Test 1. Prepare medium: The same tube of MR-VP broth inoculated for the methyl red tests may be used for the Voges-Proskauer test as well. 2. Prepare reagents: Naphthol solution: Dissolve 5 g. purified naphthol (melting point 92.5 or higher) in 100 ml absolute ethyl alcohol. Solution should be prepared fresh each day. Potassium Hydroxide solution: Dissolved 40 g. KOH in 100 ml distilled water. 3. Procedure: Inoculate 5 ml medium. Incubate at 35 + 0.5°C for 48 hours. Pipette 1 ml culture into a clean test tube. Add to ' this 0.6 ml naphthol solution and 0.2 ml KOH solution. 4. Results: Pink to crimson color develops in 2-4 hours = (+) for V-P. Sodium Citrate Test 1. Prepare mediums Add 24.2 g. Simmons Citrate Agar to 1 liter distilled water. Mix thoroughly. Heat with frequent agitation until medium" boils for one minute. Distribute into screw-capped test tubes. Autoclave at 121°C for 15 minutes. Cool tubes in slanted position. 2. Procedure: Inoculate the medium with a straight needle, using both a stab and a streak. Incubate 48 hours at 35 + 0.5°C. 3. Results: Growth on the medium with a blue color (usually) = (+) for citrate utilization. No growth = (-) test. ------- 26 PROCEDURE FOR SALMONELLA ISOLATION (for shellfish or sediment modifications see note following Serological Grouping) Water Samples, Filtration 1. Set up filter system. Millipore assembly may be used. Substitute filter pad for actual filter grid. On top of pad (with funnel in place) add one inch of diatomaceous earth (Celite or equivalent). Add sterile buffered water to saturate Celite column. 2. Filter one liter sample. 3. Add filter pad plus diatomaceous earth to enrichment broth. Repeat filtration procedure for each flask of enrichment broth (a total of six filtrations for two broths and three tempera- tures) . Enrichment 1. Two enrichment broths (tetrathionate and selenite) should be used at each of three different temperatures (37°, 41.5°, 43°C) . In case of limited laboratory capability the 43°C incuba- tion may be omitted. 2. Incubate 18-24 hours at appropriate temperature. Isolation 1. From the enrichment flask make streak plates and plates for impression smears onto Brilliant Green and XLD agars (reincubate enrichment broth). Incubate plates at same temperature as for flasks. 2. Time of incubation for streak plates is indicated in Table 1. Impression smears should be made on slides after 2-4 hours incubation. 3. Smears should be stained and examined as indicated in fluorescent-antibody staining directions. If no fluorescing cells (3+, 4+) are found, sample may be said to contain no Salmonellae. If fluorescing cells are present, continue isolation procedure (steps 4-5); streaking from enrichment broths may be repeated after 2 and 3 days incubation (or up to the point at which no Salmonella-like colonies are recovered). 4. From each medium select isolated colonies of Salmonella-like appearance (consult Table 1) and restreak until pure cultures are obtained. Incubate at 37°C. 5. Inoculate isolates into differential media in order indicated. Differential Tests 1. Using a single colony, inoculate 1/2 into a Triple Sugar Iron slant and the other 1/2 into urea agar. Incubate at 37°C (times are indicated in Table 1). 2. Those isolates with Salmonella-like reactions in both TSI and urea should be inoculated into the following: Brilliant Green ------- 27 and XLD agar plates (streak); SIM (stab); Lysine Decarboxylase; Nutrient Agar. Use material from the TSI slant for these inoculations. Incubate at 37°C for times indicated in Table 1. Serological Grouping 1. Isolates displaying a Salmonella-like pattern in differential media may be grouped according to their somatic antigens. This agglutination reaction may be lost when cultures are not freshly isolated. 2. To prime the isolate for the agglutination test, inoculate it into a Brain Heart Infusion slant (or broth). Incubate 24 hours at 37°C. 3. Repeat step 2 at least once or twice, ending up with a fresh BHI slant. 4. Perform slide agglutination tests as indicated in directions accompanying Difco Salmonella 0 Antisera. Perform the agglu- tination test for each of the sets of antisera (Sets A-l, A, B, C, D, E, F, G). 5. Final typing for 0 and H antigens may be done at a convenient typing center (California State Public Health, Berkeley). MODIFICATIONS FOR SEDIMENT OR SHELLFISH SAMPLES Sediment 1. Omit filtration procedure. 2. Inoculate sediment directly into enrichment broth. For oily sample, use 1 gm. For other material, use 10 gin. 3. Proceed as directed through outline. Shellfish 1. Omit filtration procedure. 2. As directed in Recommended Procedures for the Examination of Sea Water and Shellfish (1970) , weigh 100 gm (approximately) of~~ shellfish meat and liquor and add an equal weight of buffered dilution water. Grind in a blender about 2 minutes. Pipet 20 ml into each enrichment flask. 3. Proceed as directed through outline. ------- 28 Table 1: Incubation Time and Colonial Appearance for Various Organisms in Selected Media Medium Brilliant Green Incubation (Hours) 48 Colonial Appearance Salmonella Shigella Proteus Coliforms pinkish with red background green green XLD Lysine 24 Decarboxylase Indole Motility Urease TSI-slant -butt -H2S 24 24 24 24 18-4 red with red yellow yellow black ctr. +(purple) -(yellow) - +,- Al AG Al A A AG A AG A = acid production (indicator turns yellow) Al = alkaline reaction (indicator turns red) G = gas formation (bubbles appear in agar) Rapid Procedure - In addition to and supplement of Table 1: Omit Indole, Motility, Urease, TSI, lysine decarboxylase Inoculate Improved Enterotube. Instructions in use of Enterotube accompany package. The Enterotube is prepared by Roche Diagnostics, Division of Hoffmann - La Roche, Inc., Nutley, New Jersey, 07110. Table II shows parameters and biochemical reactions for Salmonelleae (Salmonella, Arizona, Citrobacter). ------- 29. TABLE II SALMONELLEAE Parameters and Biochemical Reactions TEST OR SUBSTRATE SALMONELLEAE Salmonella Arizona Citrobacter Indol Methyl Red Voges - Proskauer Simmons' Citrate Hydrogen Sulfide (TSI) Urease KCN Motility Gelatin (22°C) Lysine Decarboxylase Arginine Dihydrolase Ornithine Decarboxylase Phenylalanine Deaminase Malonate Gas From Glucose Lactose Sucrose Mannitol Dulcitol Salicin ( + ) or + + or (+) + or - w d d d d d d (Continued next page) ------- (Continued) 30. - TABLE II SALMONELLEAE Parameters and Biochemical Reactions TEST OR SUBSTRATE Adonitol Inositol Sorbitol Arabinose Raf f inose Rhamnose SALMONELLEAE Salmonella d + + (D - + Arizona - - + + - + Citrobacter - + + d + (1) S_. typhi, S. cholerae-suis, S. enteritidis bioser. Paratyphi A and Pullorum, and a few otheFs ordinarily do not ferment dulcitol promptly. s. cholerae~suis does not ferment arabinose, +, 90 percent or more positive in 1 or 2 days. -, 90 percent or more negative, d, different biochemical types [+,(+),-]. (+), delayed positive. + or -, majority of cultures positive. - or +, majority negative, w, weakly positive reaction. Compiled by Difco Laboratories, Detroit, Michigan ------- * 31 Standard Method used by Region IX Laboratory FA - SALMONELLA SCREENING 1. From colony or agar slant, make light saline suspension. (Use fresh agar slant culture and suspend in a small amount of solution made by mixing 0.85 g NaCl to 100ml distilled water. 2. Prepare smears of this suspension on clear glass FA slides (1.0 to 1.1 mm thick). 3. Air dry the smears - then fix for 2 minutes in Kirkpatrick's Fixative. Rinse briefly in 95% ethanol. Allow to dry. Do not blot. 4. Cover the fixed smears with one drop of Salmonella polyvalent OH conjugate. (use 1:8 dilution of the conjugate) *5. Place slides in a moist chamber to prevent evaporation of the staining reagent. After 30 minutes, wash away excess reagent by dipping slide into buffered saline (pH 7.5 - 8.0). 6. Place slide in second bath of buffered saline for 10 minutes. 7. Remove slides, rinse in distilled H-p) and allow to drain dry. 8. Place a small drop of mounting fluid on the smear and cover with a No. 1 coverslip. Examine under fluorescence scope, using UG-1 (2 mm) primary filter and GG-9 (1 mm) ocular filter. A combination of BG-12 (3mm) and OG-1 (1 mm) will also give satisfactory results. Kirkpatrick's Fixative 60 ml absolute ethanol 30 ml chloroform 10 ml formalin ^Buffered Saline: Bacto-FA Buffer Dried, prepared by Difco Laboratories is recommended. Instructions for preparation accompany the package. F. Brezenski Region II ------- 32 TECHNIQUES USED BY REGION IX FOR SEROLOGICAL GROUPING OF SALMONELLA 1. After completion of Differential Test, choose an isolated colony from Brilliant Green Agar and/or XLD plates which were streaked from Triple Sugar Iron slant (to obtain well isolated colonies it may be necessary to re-streak several times). 2. From Brilliant Green Agar and/or XLD plates, pick well isolated Salmonella-like colony. Inoculate it into Brain Heart Infusion broth. Incubate 24 hours at 37°C. 3. Repeat priming of isolate by transferring a loopful of Brain Heart Infusion (BHI) broth culture into a fresh tube of BHI broth. After 3-4 transfers, inoculate onto BHI slant. Make two slants (always keep one for stock). 4. Perform slide agglutination test (see also page 27 Salmonella Procedures, Serological Grouping, Step 4). a. Prepare a dense suspension of organism from fresh 18- hour BHI slant in 0.5 ml of 0.85% sodium chloride solution. Suspension should be homogeneous and at least as concentrated as that of Bacto McFarland Barium Sulfate Standard #10 (which corresponds to 3xl09 cells/ml). b. Using alcohol-cleaned slide mark slide into 4 sections 1 cm square. Using wax penciL mark heavily (form continuous lines) to avoid spilling from one section to another. c. Place one drop ( use capillary pipet with rubber bulb) of 0.05 ml of the Bacto-Salmonella 0 Antiserum Poly within one square. d. To the square next to antiserum, place one drop of 0.85% sodium chloride solution (This serves as negative control) . e. Using a clean inoculating loop, transfer a loopful (0.05 ml) of bacterial suspension in 0.85% sodium chloride prepared in step a and gently mix to emulsify thoroughly- f. Transfer another loopful of bacterial suspension to section containing antiserum. g. Gently rock the slide 1-2 minutes watching for agglutination, (Using a small inverted fluorescent lamp aids in detecting agglutination process.) ------- 33 Positive agglutination is rapid. Delayed agglutination (over 2 minutes) or partial agglutination should be considered negative. 5. If culture reacts with Bacto-Salmonella 0 Antiserum Poly (step g) but does not react with the specific Salmonella 0 Antiserum groups, it should be checked with Bacto-Salmonella Vi Antiserum by same method as described above. If the culture does not agglutinate with Salmonella Vi antiserum, the culture may be regarded as not of the Salmonella genus. If the culture does react with the Vi antiserum, proceed as follows: a. Heat the culture suspension in a boiling water bath for 10 minutes, cool. b. After cooling the heated culture should be re-tested with the desired individual Salmonella O antiserum groups and the Salmonella Vi antiserum. 6. If the organism does not react with the Vi antiserum after heating, it is ready to be confirmed by a Public Health Laboratory or typing center. a. Send a pure culture slant. b. List all parameters which were performed and results obtained. Send along with culture slant. c. It is preferable to deliver culture to Public Health Laboratory; however, if this cannot be done, the culture (in a screw-capped tube) should be carefully packed inside a metal screw cap tube and then into a mailing tube properly labelled and sent as registered mail. Attachment: Diagram of slide agglutination ------- 34 Diagram of slide agglutination Frosted Culture # "0" Antiseri: A-l (1) n 0) (2) (4) (Example) Wa5c pencil enclosure .Sl,ide__Se_ction Drop to contain #1 #2 #3 Antiserum alone Antiserum + 0.85% NaCl Bacterial Suspension in 0.85% NaCl #4 Bacterial Suspension in 0.85% NaCl + Antiserum ------- in advance. Medium for fecal coliforms (mFC) may be stored for 5 to 7 days. 2. Membrane-filter technique a) Advantages; confirmed results within 24 hours; test may be done entirely in field (media is not autoclaved); permanent record of results; less space necessary than for tubes. b) Limitations; suitable filtration volume must be selected; high turbidity interferes; large numbers of non-coliform inhibit appearance of coliforms; colonies must be recognized and counted; some percentage of counts should be verified by tube testing. 3. Multiple-tube technique a) Advantages: media may (must) be prepared in advance; positive test is easy to read; less interference from turbidity and large numbers of non-coliforms (than is the case with membrane filter technique). b) Limitations; media cannot be prepared in field/- confirmed results require a minimum of 48 hours and a maximum of 96 hours incubation; a large amount of storage and incubator space is required (as compared to that necessary for membrane filters) . -15- ------- |