What is the definition of “Sterile Pyuria
The presence of significant pyuria (pus cells) in a urine sample that shows no growth in a routine culture.
List 5 common causes of sterile pyuria
-Renal tuberculosis.
-Recent antibiotic therapy.
-Non-gonococcal urethritis (e.g., Chlamydia).
-Neoplasia of the renal tract.
-Viral infection (e.g., Adenovirus).
Q: Compare CLED agar and MacConkey’s agar based on their pH indicator and the resulting color for lactose fermenters.
-CLED agar
-Type :selective indicator medium
-Sugar: lactose
- Indicator: bromothymol blue
- (yellow with acidity due lactose
fermentation)
- deep green to blue in
alkaline pH.
-MacConkey’s agar
-selective indicator medium:
-Sugar: lactose
-Indicator : neutral red
-(pink with acidity due lactose
fermentation)
- pale yellow in alkaline
PH
Describe the colony appearance of the following bacteria on CLED agar:
-E. coli
-Klebsiella species
-Proteus species
-P. aeruginosa
-E. coli: Yellow (lactose-fermenting) colonies.
-Klebsiella: Large, mucoid, yellow (lactose-fermenting) colonies.
-Proteus: Translucent green to blue-grey colonies (non-lactose fermenting).
-P. aeruginosa: Green colonies.
Which of the common Gram-negative urinary pathogens is Oxidase positive?
Pseudomonas
Which two organisms are Urease positive, and which is Urease negative? (From E. coli, Klebsiella, Proteus)
-Urease Positive: Proteus, Klebsiella.
-Urease Negative: E. coli.
Which organism is Citrate positive, and which is Citrate negative? (From E. coli, Klebsiella)
-Citrate Positive: Klebsiella.
-Citrate Negative: E. coli
Which organism produces a red ring in the Indole test
E. coli
Which organism produces a yellow ring in the Indole test
Klebsiella
Provide the expected results and characteristic colors for E. coli, Klebsiella, and Proteus in the following tests: Oxidase, Urease, Citrate, Indole.
-E. coli:
-Oxidase: Negative (No color change)
-Urease: Negative (Remains yellow)
-Citrate: Negative (Remains green)
-Indole: Positive (Red ring formation)
-Klebsiella:
-Oxidase: Negative (No color change)
-Urease: Positive (Turns pink/fuchsia)
-Citrate: Positive(Turns blue)
-Indole: Negative (Remains yellow)
-Proteus:
-Oxidase: Negative (No color change)
-Urease: Strongly Positive (Rapidly turns bright pink/fuchsia)
Mannitol salt agar
Which test differentiates Staphylococcus
aureus from other staphylococci?
Coagulase test
What are the two characteristic features of Staphylococcus aureus seen in a Gram stain from a pus sample?
Describe the appearance of S. aureus colonies on Blood Agar
What is the key test that differentiates the entire Staphylococcus genus from Streptococcus?
-The Catalase test
-(Staphylococci are positive; Streptococci are negative).
What is the single most important test to differentiate S. aureus from other staphylococci (like S. epidermidis)?
-The Coagulase test
-(S. aureus is positive; other staph are negative)
What is the name of the enrichment broth used for V. cholerae, and what is its characteristic growth?
-Alkaline Peptone Water; it forms a surface pellicle
What is the selective indicator medium for V. cholerae, and what is the appearance of the colonies?
-TCBS (Thiosulphate Citrate Bile Sucrose) agar; colonies are yellow due to sucrose fermentation.
What is the appearance of V. cholerae on MacConkey’s agar
-Pale, colorless colonies (Lactose Non-Fermenter - LNF)
-Oxidase: Positive
-String test: Positive
-Indole test: Positive
What is the final confirmatory test for identifying epidemic-causing V. cholerae strains?
-Latex agglutination test using specific antiserum for serogroups O1 and O139.
What is the name of the enrichment broth used for Shigella
Selenite broth
What is the appearance of Shigella colonies on MacConkey’s or SS agar
-Pale, colorless colonies (Lactose Non-Fermenter - LNF)
Q: Compare the selective media used for V. cholerae vs. Shigella
-V. cholerae: TCBS agar.
-Shigella: SS (Salmonella-Shigella) agar.