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The color change to blue is useful because growth on Simmons' citrate agar is often limited and would be hard to observe if it were not for the color change. Sometimes, it is possible to detect growth on the Simmons' citrate agar without the accompanying color change to blue. This should be scored as a negative for the citrate use test. [12]
The agar contains citrate and ammonium ions (nitrogen source) and bromothymol blue (BTB) as a pH indicator. [2] Bromothymol blue was added in order to reduce false positives. The citrate agar is green before inoculation, and turns blue, because of BTB as a positive test indicator, meaning citrate is utilized.
Inoculating from a broth culture is not recommended because the inoculum would be too heavy. If the organism has the ability to use citrate, the medium usually changes its color from green to blue, though growth on the medium even without colour change is considered a positive result. [1] An observation of no growth is a negative result.
If stronger with the sera adsorbed with guinea-pig kidney, the test is positive. If stronger with the sera adsorbed with ox red cell stroma, the test is negative. If agglutination is absent in both mixtures, the test is negative. A known 'positive' and 'negative' control serum is tested with each batch of test sera. [citation needed]
TSI agar slant results: (from left) preinoculated (as control), P. aeruginosa, E. coli, Salmonella Typhimurium, Shigella flexneri The Triple Sugar Iron (TSI) test is a microbiological test roughly named for its ability to test a microorganism's ability to ferment sugars and to produce hydrogen sulfide. [1]
The positive control should give a large amount of enzyme activity, while the negative control should give very low to no activity. If the positive control does not produce the expected result, there may be something wrong with the experimental procedure, and the experiment is repeated.
In clinical medicine, antibiotics are most frequently prescribed on the basis of a person's symptoms and medical guidelines.This method of antibiotic selection is called empiric therapy, [1] and it is based on knowledge about what bacteria cause an infection, and to what antibiotics bacteria may be sensitive or resistant. [1]
The tube is then incubated at 37 °C for 1.5 hours. If negative, then incubation is continued up to 18 hours. If 'positive' (e.g., the suspect colony is S. aureus), the plasma will coagulate, [8] resulting in a clot (sometimes the clot is so pronounced, the liquid will completely solidify). If 'negative', the plasma remains a liquid.