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Enteric Key Biochemical Reaction Review Biochemical reactions ...

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<strong>Enteric</strong> <strong>Key</strong> <strong>Biochemical</strong> <strong>Reaction</strong> <strong>Review</strong><br />

<strong>Biochemical</strong> <strong>reactions</strong> when Motility is not available (multi‐test systems)<br />

The purpose of this document is to focus your studying on the organisms that you are to identify by<br />

phenotypic and biochemical <strong>reactions</strong>. The identification schemes in this document do not contain the<br />

complete list of common biochemical <strong>reactions</strong> for these organisms; these are abbreviated ways to narrow<br />

down your choices and chose the most probable organism. Please reference your Enterobacteriaceae lecture<br />

notes for a complete listing of biochemical <strong>reactions</strong>.<br />

Enterobacteriaceae (Gram negative rods)<br />

How is this defined? What is true about these organisms?<br />

Gram‐negative rod<br />

Growth on MacConkey<br />

Oxidase Negative (in most cases)<br />

Glucose fermenter<br />

Nitrate positive<br />

Lactose‐Fermenting, Gram‐Negative Rods (Pink growth on MacConkey Agar)<br />

KIA reaction: A/A or yellow/yellow with or without H2S<br />

Common choices:<br />

Escherichia coli, Klebsiella species, Enterobacter species, Citrobacter freundii<br />

What is the first reaction to look at when identifying a Lactose Fermenting GNR (Pink on the MAC)?<br />

Citrate/VP negative<br />

Citrate negative/VP negative: Escherichia coli or Citrobacter freundii<br />

Next reaction: Indole<br />

Indole positive: Escherichia coli<br />

Indole negative: Citrobacter freundii<br />

Usually H2S positive<br />

Citrate positive: Klebsiella species, Enterobacter species or Citrobacter freundii<br />

Next reaction (if motility result is not available): ODC (ornithine decarboxylase)<br />

ODC positive : Enterobacter species or Citrobacter freundii<br />

Next reaction: LDC<br />

LDC negative:<br />

Enterobacter cloacae: VP positive<br />

Citrobacter freundii : VP negative<br />

LDC positive:<br />

Enterobacter aerogenes<br />

ODC negative: Klebsiella species or Citrobacter freundii<br />

Next reaction: LDC<br />

LDC positive:<br />

Klebsiella pneumoniae: Indole negative (non‐motile)<br />

Klebsiella oxytoca: Indole positive (non‐motile)<br />

LDC negative:<br />

Citrobacter freundii (usually H2S positive)<br />

Non‐lactose fermenting, Gram‐Negative Rods (Clear growth on the MacConkey Agar)<br />

KIA reaction: K/A or red/yellow with or without H2S<br />

Most common choices:<br />

Proteus species, Morganella morganii, Providencia species, Salmonella species, Shigella species,<br />

Serratia species, Citrobacter species


What is the first reaction to look at when identifying a Non‐Lactose Fermenting GNR?<br />

LDA/TDA reaction (deaminates lysine or amino acid tryptophan)<br />

LDA/TDA positive<br />

Proteus mirabilis<br />

Proteus vulgaris<br />

Morganella morganii<br />

Providencia species<br />

Next reaction: H2S<br />

H2S positive<br />

Proteus mirabilis: Strongly urease positive, indole negative, ODC positive<br />

Proteus vulgaris: Strongly urease positive, indole positive, ODC negative<br />

H2S negative<br />

Morganella morganii: urease positive, indole positive, ODC positive<br />

Providencia species<br />

LDA/TDA negative<br />

Salmonella species<br />

Shigella species<br />

Shigella sonnei<br />

Serratia species<br />

Citrobacter freundii<br />

Citrobacter koseri<br />

Next reaction: H2S<br />

H2S positive<br />

Salmonella species: LDC positive (ONPG negative)<br />

Citrobacter freundii: LDC negative (ONPG positive)<br />

H2S negative<br />

Shigella species<br />

Shigella sonnei<br />

Serratia species<br />

Citrobacter species<br />

Next reaction: ODC<br />

ODC negative<br />

Shigella species: ONPG and LDC negative (non‐motile)<br />

Citrobacter freundii: ONPG positive and LDC negative<br />

ODC positive<br />

Shigella sonnei: ONPG positive, LDC negative (non‐motile)<br />

Serratia species: ONPG positive, LDC positive<br />

Citrobacter freundii: ONPG positive, LDC negative, indole negative

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