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126         SEcTioN ii    Microbiology  ` microbiology—basic bacteriology                                                                                   Microbiology  ` microbiology—basic bacteriology





               Properties of growth
               media                 The same type of media can possess both (or neither) of these properties.
                Selective media      Favors the growth of particular organism while preventing growth of other organisms. Example:
                                       Thayer-Martin agar contains antibiotics that allow the selective growth of Neisseria by inhibiting
                                      the growth of other sensitive organisms.
                Indicator (differential)   Yields a color change in response to the metabolism of certain organisms. Example: MacConkey
                 media                agar contains a pH indicator; a lactose fermenter like E coli will convert lactose to acidic
                                      metabolites Ž color change to pink.



               Special culture requirements
                bUg                  meDia UseD For isolatioN                  meDia coNteNts/otHer
                                                                                            +
                H influenzae         Chocolate agar                            Factors V (NAD ) and X (hematin)
                N gonorrhoeae,       Thayer-Martin agar                        Selectively favors growth of Neisseria by
                 N meningitidis                                                 inhibiting growth of gram ⊕ organisms
                                                                                with Vancomycin, gram ⊝ organisms except
                                                                                Neisseria with Trimethoprim and Colistin,
                                                                                and fungi with Nystatin
                                                                               Very Typically Cultures Neisseria
                B pertussis          Bordet-Gengou agar (Bordet for Bordetella)  Potato extract
                                     Regan-Lowe medium                         Charcoal, blood, and antibiotic

                C diphtheriae        Tellurite agar, Löffler medium
                M tuberculosis       Löwenstein-Jensen medium, Middlebrook
                                       medium, rapid automated broth cultures
                M pneumoniae         Eaton agar                                Requires cholesterol
                Lactose-fermenting   MacConkey agar                            Fermentation produces acid, causing colonies to
                 enterics                                                       turn pink
                E coli               Eosin–methylene blue (EMB) agar           Colonies with green metallic sheen
                Brucella, Francisella,   Charcoal yeast extract agar buffered with   The Ella siblings, Bruce, Francis, a
                 Legionella, Pasteurella   cysteine and iron                    legionnaire, and a pasteur (pastor), built the
                                                                                Sistine (cysteine) chapel out of charcoal and
                                                                                iron.
                Fungi                Sabouraud agar                            “Sab’s a fun guy!”



               Aerobes               Use an O 2 -dependent system to generate ATP.
                                     Examples include Nocardia, Pseudomonas aeruginosa, Mycobacterium tuberculosis, and Bordetella
                                      pertussis.
                                     Reactivation of M tuberculosis (eg, after immunocompromise or TNF-α inhibitor use) has a
                                      predilection for the apices of the lung.






















          FAS1_2019_03-Microbiology.indd   126                                                                         11/14/19   12:19 PM
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