28. Tests in Microbiology Lab
For lab technician students, microbiology tests are essential to develop
practical skills in diagnosing infections, understanding microbial
cultures, and conducting various diagnostic procedures. Here are some
common Microbiology tests that should be covered:
29. Tests in Microbiology Lab
1. Gram Staining
2. Acid-Fast Staining (Ziehl-Neelsen Staining)
3. Culture Media Tests
4. Antibiotic Sensitivity Testing (Kirby-Bauer Disc Diffusion)
5. Biochemical Tests
6. Urine Culture
7. Blood Culture
8. Stool Culture
9. Microscopy of Wet Mount Preparation
10. ELISA (Enzyme-Linked Immunosorbent Assay)
11. DNA Testing (PCR - Polymerase Chain Reaction)
12. Hemolysis Test on Blood Agar
31. Preparation of Microscopic slide
Preparing a slide for viewing microorganisms, especially for techniques
like acid-fast staining, involves a few careful steps to ensure clear
observation. Here’s a general step-by-step guide for preparing a slide for
microscopic examination:
32. Procedure
• 1. Clean the Slide:
• Start with a clean, dry glass slide.
• If necessary, wipe it with ethanol and a lint-free tissue to remove any dust, oils, or
fingerprints.
• 2. Prepare the Specimen Smear:
• Bacterial Specimen: Use an inoculating loop to pick a small sample of bacteria (from a
culture plate or liquid culture) and spread it thinly on the slide. If using a liquid sample like
sputum, place a drop on the slide and spread it evenly.
• Tissue or Sample: For solid tissues or larger samples, use a scalpel or needle to obtain a
very thin section. Place a small piece on the slide and press it down gently.
33. 3. Air Dry:
• Allow the smear to air dry completely. Avoid using heat at this stage, as it can cause artifacts in the sample.
4. Heat Fixation:
• Once dry, pass the slide quickly through the flame of a Bunsen burner (3–5 times) with the smear side
facing up. This step:
• Kills the organisms
• Fixes them to the slide to prevent washing off during staining
• Preserves the shape of cells
Note: Be careful not to overheat, as this can distort the cells.
5. Staining (Optional):
• After fixation, apply the desired stain to the slide based on the type of observation you need:
• Simple Stain: For a basic view, use stains like methylene blue.
• Gram Stain: For bacterial classification, use crystal violet, iodine, alcohol (decolorizer), and safranin.
• Acid-Fast Stain (Ziehl-Neelsen): Use carbol fuchsin, acid-alcohol as a decolorizer, and methylene blue as a
counterstain to view acid-fast bacilli.
• Fluorescent Stain: For more sensitive detection, fluorochrome stains like auramine-rhodamine can be used.
34. 6. Rinse and Dry:
• Gently rinse the slide with distilled water to remove excess stain. Blot
dry with absorbent paper, avoiding smudging or disturbing the smear.
7. Microscopic Examination:
• Place the slide on the microscope stage, start with a low magnification
to locate the specimen, and switch to higher magnifications as needed.
• For oil immersion (usually at 1000x), add a drop of immersion oil to
the slide and carefully adjust the focus.
36. 1. Gram staining
• Gram staining is a differential staining technique that is used for microscopic
examination of bacteria.
• In differential staining, specimen is subjected to a series of stains (dyes) in which
different organisms are stained differently so that they can be distinguished from
each other.
• Gram staining differentiates bacteria into two groups; Gram positive and Gram
negative
• It was developed by Hans Christian Gram in 1884 and modified by Hucker in 1921.
37. • Gram-positive bacteria retain the primary dye, crystal violet (CV), following
the application of the mordant, iodine.
• Mordant is a substance that increases the cells’ affinity for a stain.
• The iodine and crystal violet form a complex (CV-I) within the
peptidoglycan. When a decolorizer is applied to the cells, the CV-I complex
remains within the cell, making it appear dark purple to blue.
• In Gram-negative cells, following the application of the crystal violet and
iodine, the CV-I complexes are not trapped within the peptidoglycan.
Principal
38. • Application of the acid-alcohol decolorizer dehydrates the outer
cellular membrane, and also dissolves the lipids leaving holes in the
membrane and effectively washing or removing the CV-I complex
from the cells.
• The cells appear colorless. Therefore, a counter stain, safranin, is
applied, to make the cells distinctly visible (either red or pink).
39. Gram-negative bacteria are surrounded by a thin peptidoglycan cell wall,
which itself is surrounded by an outer membrane containing
lipopolysaccharide.
Gram-positive bacteria lack an outer membrane but are surrounded by
layers of peptidoglycan many times thicker than is found in the Gram-
negatives. Threading through these layers of peptidoglycan are long
anionic polymers, called teichoic acids.
46. Common Shapes of Bacteria
• Coccus - spherical or round
• Bacillus – rod shaped
• Spiral - curve, spiral, or twisted
49. Bacteria arrangements
• Bacteria can also have different arrangements of cells. So the common
bacterial Cell Arrangements are:
• Diplo - cells remain in pairs after dividing.
• Strepto - cells remain in chains after dividing.
• Tetrad - cells remain in groups of four and divide in two planes.
• Sarcinae - cells remain in groups of eight and divide in three planes.
• Staphylo - cells remain in clusters and divide in multiple planes
52. 2. Acid-fast bacilli (AFB)
• Acid-fast bacilli (AFB) refer to bacteria that are resistant to
decolorization by acids during staining procedures, particularly the
Ziehl-Neelsen or Kinyoun acid-fast stain.
• This property is mainly due to the high lipid content (particularly
mycolic acid) in their cell walls.
• The term "acid-fast" means these bacteria can retain the primary stain
(carbolfuchsin) even after being treated with an acid-alcohol solution,
which removes the stain from non-acid-fast cells.
57. 3. Culture Media Tests
Types of Media:
•Nutrient Agar: General-purpose media for bacterial growth.
•MacConkey Agar: Selective for Gram-negative bacteria and differentiates
lactose fermenters.
•Blood Agar: Used for detecting hemolysis (alpha, beta, gamma).
•Procedure: Inoculate specimens on media and incubate at optimal
temperatures.
59. 4. Antibiotic Sensitivity Testing (Kirby-
Bauer Disc Diffusion)
Purpose: To determine bacterial susceptibility to antibiotics.
Procedure: Discs containing antibiotics are placed on bacterial lawns
on agar plates.
Result Interpretation: Zones of inhibition around discs indicate
sensitivity or resistance.
73. 5. Biochemical Tests
1) Catalase Test:
Purpose: To detect the presence of the catalase enzyme.
Procedure: Adding hydrogen peroxide to bacteria. Bubbling indicates a
positive result.
74. 5. Biochemical Tests
2) Coagulase Test:
Purpose: Differentiates Staphylococcus aureus (coagulase-positive)
from other staphylococci.
Procedure: Mixing bacteria with plasma to check for clot formation.
75. 5. Biochemical Tests
3) Oxidase Test:
Purpose: To identify bacteria producing cytochrome c oxidase (e.g.,
Pseudomonas).
Procedure: Oxidase reagent turns purple when positive.
76. 6. Urine Culture
Purpose: Diagnose urinary tract infections (UTIs).
Procedure: Inoculate urine on agar plates and check for colony growth.
Result Interpretation: Significant growth indicates infection; colony
count is important.
77. 7. Blood Culture
Purpose: Detect bacteremia (presence of bacteria in blood).
Procedure: Blood samples are inoculated into bottles containing media
and incubated.
Result Interpretation: Growth of organisms indicates a bloodstream
infection.
79. 8. Stool Culture
Purpose: Identify enteric pathogens (e.g., Salmonella, Shigella).
Procedure: Stool is plated on selective media like MacConkey and
XLD agar.
Result Interpretation: Pathogens show specific colony characteristics
(color, shape).
81. 9. Microscopy of Wet Mount Preparations
Purpose: Observe motility or structure of organisms, such as protozoa
or fungi.
Procedure: Place a drop of liquid specimen on a slide and observe
under a microscope.
83. 10. ELISA (Enzyme-Linked
Immunosorbent Assay)
Purpose: Detect antigens or antibodies (e.g., in viral infections like
hepatitis or HIV).
Procedure: Sample is tested in microplate wells, and color change
indicates a positive result.
84. 11. DNA Testing (PCR - Polymerase Chain
Reaction)
Purpose: Detect specific genetic material of microorganisms.
Procedure: Amplifies DNA sequences to diagnose infections like
tuberculosis or COVID-19.
85. 12. Hemolysis Test on Blood Agar
Purpose: To identify types of hemolysis produced by bacteria,
especially Streptococcus species.
Result Interpretation:
•Alpha hemolysis: Greenish zone (partial hemolysis).
•Beta hemolysis: Clear zone (complete hemolysis).
•Gamma hemolysis: No hemolysis.