MEDIUM COMPONENTS PRIMARY PURPOSE Alkaline Peptone 0.5-1.0% NaCl For Vibrio spp. Water Potato-glycerol-based medium with 15-20% Bordet-Gengou defibrinated blood. Contaminants inhibited by For Bordetella pertussis agar methicillin Bismuth sulfite and brilliant green inhibits gram Bismuth sulfite positive bacteria, most lactose-fermenting For isolation of Salmonella agar (BSA) intestinal normal flora and Shigella spp. Ferrous sulfate detects H2S production Contains Brain and beef hear which provides For cultivation of non- Brain Heart nutrients; peptones, glucose, NaCl and buffers are fastidious and moderately Infusion (BHI) also added fastidious microorganisms Yeast extract, agar, -ketoglutarate, and salts Buffered charcoal- supplemented with L-cysteine enhance recovery yeast extract of Legionella; activated charcoal absorbs toxic For Legionella spp. (BCYE) agar compounds; ferric pyrophosphate which provides iron; HCl and ACES buffer are also added Casein medium Contains casein For Actinomycetes Cetrimide (cetyltrimethyl ammonium Selects Pseudomonas Cetrimide agar bromide/CTAB) aeruginosa in specimens (pseudosel agar) Magnesium chloride and potassium sulfate with mixed flora stimulate pyocyanin production Brucella Agar-based since it contains Na bisulfite enhances recovery of microaerophiles by lowering redox potential; Contains 10% sheep blood plus antibiotics: vancomycin to inhibit gram positive cocci, Campy-blood agar trimethoprim to inhibit swarming strains of For Campylobacter spp. Proteus, polymyxin B to inhibit gram negative bacilli, amphotericin B to inhibit fungi and yeasts, cefoperazone (cephalothin is previously used) inhibits Pseudomonas and Enterobacteriaceae Cefoperazone, Blood-supplemented enrichment medium plus Vancomycin, antibiotics For Campylobacter spp. Amphotericin Cefoperazone (inhibit growth of most gram- (CVA) medium negative bacteria) Vancomycin (inhibits gram-positive bacteria) Amphotericin (inhibits yeast) For Yersinia spp.; Cefsulodin- Peptone base with yeast extract, mannitol, and Yersinia enterocolitica show Irgasan- bile salts bulls eye colonies; Novobiocin (CIN) Antibiotics: Cefsulodin, Irgasan and Novobiocin may be useful for isolation of agar Indicators: Neutral red and Crystal violet Aeromonas pp. For fastidious organisms Peptone base, enriched with solution of 2% Chocolate agar such as Haemophilus and hemoglobin or isovitalex pathogenic Neisseria spp. Columbia Colistin- Columbia agar base with 10 mg colistin per liter, Nalidixic acid For gram-positive cocci 15 mg nalidixic acid per liter, and 5% sheep blood (CNA) agar Cycloserine and cefoxitin inhibit the growth of intestinal normal flora; Fructose to check for fermentation; and neutral Cycloserine- red as pH indicator For Clostridium difficile Cefoxitine- VARIATION: uses mannitol instead of fructose and yellow colonies Fructose Agar bromthymol blue instead of neutral red; egg yolk suspension can also be added to detect lecithinase and lipase activity Infusion agar with 5% sheep blood. Reduction of Cystine-tellurite For C. diphtheriae (black potassium tellurite by C.diphtheriae produces blood agar colonies with brown halos) black colonies Sodium citrate and Sodium desoxycholate inhibits most non pathogenic enteric bacilli and gram positive organism; Desoxycholate For isolation of enteric Lactose to detect fermentation Citrate Agar pathogens Ferric ammonium citrate to detect H2S production SHOULD NOT BE AUTOCLAVED For Isolation and Eosin methylene Peptone base with lactose and sucrose. Eosin and differentiation of lactose- blue (EMB) agar methylene blue as indicators fermenting and non-lactose (Levine) fermenting enteric bacilli Fletcher Semi- Rabbit serum and hemoglobin For Leptospira solid medium Peptone base broth with glucose and mannitol. Selective (enrichment) Gram-negative Sodium citrate and sodium desoxycholate act as medium for enteric broth (GN) inhib pathogens itory agents Differential, selective Peptone base agar with bile salts, lactose, sucrose medium for isolation and Hektoen enteric and salicin, and ferric ammonium citrate. differentiation of Salmonella agar (HEA) Indicators include bromthymol blue and acid and Shigella spp. from other fuchsin gram-negative enteric bacilli Determines whether an High carbohydrate and Low peptone content Hugh-Leifson organism is oxidative, Bromthymol blue as pH indicator OF Medium fermentative or (alk = blue; acid = yellow) biochemically inert Lactose and glucose (10:1 ratio); Phenol red as pH indicator; For determination of glucose Kliglers Iron Agar Peptone as carbon or nitrogen source; or lactose fermentation, gas Sodium thiosulfate and ferric ammonium sulfate and H2S production as sulfur source and H2S indicator; known as Modified Todd-Hewitt broth; Peptones, yeast extract, dextrose; Lim Broth For Streptococcus agalactiae Colistin and Nalidixic acid inhibits gram negative organisms Enhances metachromatic Loeffler High serum content and eggs to detect proteolytic granule formation of Coagulated Serum activity Corynebacterium Slant diphtheriae Potato flour, egg and glycerol as nutrient source and as detoxifying agent; Asparagine for maximum production of niacin; Malachite green inhibits growth of other bacteria medium should be kept away from light since Lowenstein-Jensen malachite green is light sensitive; For Mycobacterium spp. Medium GRUFT MODIFICATION: addition of penicillin and nalidixic acid to make it selective, and RNA to increase rate of isolation PETRAN & VERA MODIFICATION: cyclohexamide, lincomycin and nalidixic acid are added Peptone base with lactose. Isolation and differentiation Gram-positive organisms inhibited by crystal of lactose-fermenting and MacConkey agar violet and bile salts. non-lactose fermenting Neutral red as indicator enteric bacilli Peptone base, mannitol, and phenol red indicator. Selective isolation of Mannitol salt agar Salt concentration of 7.5% inhibits most bacteria staphylococci Selective isolation of gram- Phenyl ethyl Nutrient agar base. Phenyl ethanol inhibits positive cocci and anaerobic alcohol (PEA) agar growth of gram-negative organisms gram-negative bacilli Charcoal agar supplemented with horse blood, Regan Lowe For Bordetella pertussis cephalexin, and amphotericin B Peptone base with lactose, ferric citrate, and Salmonella- For Salmonella and Shigella sodium citrate. Neutral red as indicator; inhibition Shigella (SS) agar spp. of coliforms by brilliant green and bile salts Peptone and soy protein base agar with yeast Nonselective medium for the Schaedler agar extract, dextrose, and buffers. Addition of hemin, recovery of anaerobes and L-cystine, and 5% blood enriches for anaerobes aerobes Peptone base broth. Sodium selenite toxic for Selenite broth For Salmonella spp. most Enterobacteriaceae Peptone and soy protein base agar with lysed horse blood. Vancomycin inhibits gram-positive Skirrow agar For Campylobacter spp. organisms; polymyxin B and trimethoprim inhibit most gram-negative organisms Streptococcal Contains crystal violet, colistin, and trimethoprim For S. pyogenes and S. selective agar sulfamethoxazole in 5% sheep blood agar base agalactiae (SSA) Peptone base broth. Bile salts and sodium Tetrathionate For Salmonella and Shigella thiosulfate inhibit gram-positive organisms and broth spp. Enterobacteriaceae Pancreatic digest of casein, soy broth, glucose Supports growth of Thioglycollate enrich growth of most microorganisms; anaerobes, aerobes, broth Thioglycollate, cystine and sodium sulfite act as microaerophilic and reducing agents; fastidious microorganisms Potassium tellurite For Corynebacterium Tinsdale Agar Cystine diphtheriae (black colonies Thiosulfate with brown halo) Peptone base agar with yeast extract, sucrose (to detect fermentation); ferric citrate and sodium thiosulfate to detect H2S Thiosulfate production; citrate-bile salt Na citrate, bile salts (10% oxgall) and Na For Vibrio sp/ sucrose (TCBS) thiosulfate inhibit gram positive bacteria and agar gram negative rods; Bromthymol blue acts as indicator (alk = green; ac = yellow) An enrichment broth for streptococci, Todd-Hewitt broth supplemented with nalidixic acid and gentamicin For S. agalactiae in female supplemented or colistin for greater selectivity thioglycollate and genital specimens with antibiotics agar reduce redox potential Enrichment broth used for All-purpose enrichment broth that can support Trypticase soy subculturing various the growth of many fastidious and non-fastidious broth bacteria from primary agar bacteria plates Yeast extract agar with lysine, xylose, lactose, Isolation and differentiation Xylose lysine sucrose, and ferric ammonium citrate; of Salmonella and Shigella desoxycholate Sodium desoxycholate inhibits gram-positive spp. from other gram- (XLD) agar organisms negative enteric bacilli phenol red as indicator