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Preparation of Blood Agar Plate Procedure for the Preparation of Blood Agar

Blood agar 1.Suspend 40.0 grams in 1000 ml distilled water or


 Enriched medium often used to grow fastidious deionized water. (depends on the manufacturer)
organisms and to differentiate bacteria based on 2.Heat to boiling to dissolve the medium completely.
their hemolytic properties.
 Differential medium that distinguishes bacterial 3.Sterilize by autoclaving at 15 lbs pressure (121°C)
species by their ability to break down the red for 15 minutes.
blood cells included in the media.
 Used to grow a wide range of pathogens 4.Cool to 45-50°C and aseptically add 5% sheep
particularly those that are more difficult to grow blood. (NOTE: Cooling the agar and warming the
such as Haemophilus influenzae, Streptococcus blood are essential steps in this procedure. Hot agar
pneumoniae and Neisseria species. It is also can damage red blood cells, and cold blood can
required to detect and differentiate hemolytic cause the agar to gel before pouring.)
bacteria, especially Streptococcus species.
 Differential media in allowing the detection of 5.Mix well and pour into sterile Petri plates. Avoid
hemolysis (destroying the RBC) by cytolytic formation of air bubbles. You must have warmed the
toxins secreted by some bacteria, such as certain blood to room temperature at the time of dispensing
strains of Bacillus, Streptococcus, to molten agar base.
Enterococcus, Staphylococcus, and
Aerococcus. 6.Dispense 15 ml amounts to sterile Petri plates
 Usually prepared from Tryptic Soy Agar base aseptically
with 5% Sheep blood. 7.Label the medium with the date of preparation and
 Blood agar is both enriched and differential.
give it a batch number (if necessary).
 About 5% of defibrinated mammalian blood
(human, sheep, or horse) is added to the Trypticase soy agar/Nutrient agar
autoclaved basal media to prepare blood agar
medium.
 Human blood is discouraged because of the
increased possibility of exposure to human
blood-borne pathogens such as HIV or hepatitis.
 Blood Agar is used to grow a wide range of
pathogens particularly those that are more
difficult to grow such as Haemophilus
influenzae, Streptococcus pneumoniae and Storage and Shelf Life
Neisseria species.
 Store below 30°C in tightly closed container and
Composition of Sheep Blood Agar Base the prepared medium at 2-8°C, preferably in
sealed plastic bags to prevent loss of moisture.
The shelf life of thus prepared blood agar is up
to four weeks. Use before expiry date on the
label.
Principle and Interpretation

 Hemolysins are exotoxins produced by bacteria


that lyse red blood cells. The hemolytic reaction
 To the base medium, 5% sterile mammalian can be visualized on blood agar plates observing
(sheep/rabbit or hare/horse) blood is added after through the bright transmitted light.
autoclaving and before pouring onto the plates.  Beta hemolysis is defined by a clear zone of
hemolysis under and around the colonies when
grown on blood agar. The clear zone appears as
a result of the complete lysis of the red blood
cells present in the medium, causing
denaturation of hemoglobin to form colorless
products.
 Other types of bacteria can reduce hemoglobin
to methemoglobin which produces a greenish
zone around the colonies and is called alpha
hemolysis.
 Gamma hemolysis is lacking haemolysis where
no change in the medium is observed.

Principle and Interpretation

 Sheep blood agar base with added sheep blood


was developed to allow maximum recovery of
organisms without interfering with their
haemolytic reactions. Sheep blood agar base was
formulated to be compatible with sheep blood
and give improved haemolytic reactions of
organisms.
 Casein enzymic hydrolysate and yeast extract
provide nitrogen, carbon, amino acids and Preparation of Chocolate Agar Plate
vitamins.
 Chocolate Agar Plate Chocolate agar is
 Peptic digest of animal tissue (PDAT) is the essentially the same as blood agar except that
nitrogen source. during preparation the red blood cells are lysed
 Sodium chloride (NaCl) maintains the osmotic when added to molten agar base.
balance.  As a result, the cell lysis releases intracellular
nutrients such as hemoglobin, hemin (“X”
factor), and the coenzyme nicotinamide adenine
dinucleotide (NAD or “V” factor) into the agar
which is utilized by fastidious bacteria.
 Red blood cell lysis gives the medium a
chocolate-brown coloration when prepared from
which the agar gets its name.
 The most common bacterial pathogens that
require this enriched medium for growth include
Neisseria gonorrhoeae and Haemophilus
species.
Salmonella Typhi on blood agar

Purpose:
 Chocolate agar is used to isolate and cultivate fastidious organisms without overgrowth by
fastidious microorganisms such as Neisseria contaminating organisms.
species and Haemophilus species.  Casein and animal tissue digest that provides the
 A chocolate agar is also useful in isolating N. organism with nitrogenous nutrients, amino
gonorrheae from both acute and chronic cases of acids, and other elements essential for the
gonococcal infections. growth of the organisms.
 As Neisseria species are highly sensitive to toxic
Composition of chocolate agar
substances such as fatty acids, hence the
1.Blood agar base- which is the solidifying agent addition of corn starch helps neutralize possible
toxic metabolites, while potassium phosphate
2.Beef/meat extract – which provide sources of nitrogen, helps maintain a uniform pH during growth.
carbon, and vitamins  Sodium chloride maintains osmotic equilibrium
3.pH – which is usually adjusted to 7.3 at 25 °C (or 77 thereby maintaining the integrity of cells.
°F)  Chocolate agar is also considered as a variant of
the blood agar plate, containing red blood cells
4.Peptone – which serves as source of vitamins that have been lysed by slowly heating to 80°C.
5.Sodium chloride – for maintaining a balanced The heat inactivates enzymes which could
physiological environment as obtainable in living otherwise degrade NAD. The added
systems supplements provide the necessary X factor
(from Haemoglobin) and V factor (from Growth
NOTE: Chocolate agar is prepared from molten blood Supplement) required by the fastidious
agar, with only a slight modification in the protocol for organisms.
preparing blood agar.
Modification of Chocolate Agar
Procedure of media preparation
 Thayer-Martin agar: It is used for the selective
 Same as to preparation of BLOOD AGAR but isolation of N. gonorrhoeae and N. meningitidis.
the preparation of chocolate agar is done by Thayer-Martin Media is a chocolate agar
slowly heating the blood agar medium supplemented with vancomycin, nystatin, and
containing red blood cells to a temperature of 80 colistin to inhibit the normal flora, including non
C for initiating RBC lysis. pathogenic Neisseria.
 GC Agar supplemented with hemoglobin and  Chocolate Agar with bacitracin: CAP with
IsoVitaleX Enrichment (in place of yeast bacitracin is a selective medium used to improve
concentrate) provides an improved medium for the primary isolation of H. influenzae from
the isolation of microorganisms specimens containing a mixed flora of bacteria
 Enrichment provides V factor (nicotinamide and/or fungi.
adenine dinucleotide, NAD) for Haemophilus  Chocolate agar with GC base and growth
species supplement: It is a medium that supports the
 Also provides vitamins, amino acids, special growth requirements (hemin and NAD)
coenzymes, dextrose, ferric ions and other needed for the isolation of fastidious organisms,
factors which improve the growth of pathogenic such as H. influenzae, when incubated at 35-
Neisseria 37°C in a 5% CO2 atmosphere
 Chocolate agar with TSA and growth
Principle and interpretation
supplements: It is a medium that supports the
*If a supplement is added on a chocolate agar base, it special growth requirements (hemin and NAD)
would be a perfect growth place for fastidious needed for the isolation of fastidious organisms,
organisms. For the organism to grow, various nutrients such as H. influenzae, when incubated at 35-
are added such as casein and animal tissue, which serves 37°C in a 5% CO2 atmosphere.
as amino acids, nitrogenous nutrients, and other vital
Colony characteristics in chocolate agar
elements for the organism’s growth.
Neisseria meningitidis
 Chocolate Agar Base, with the addition of
supplements, gives excellent growth of the
 Round, large, smooth, convex colorless to grey
colony.
 The colonies appear opaque on the plate with no
obvious medium discoloration.
 The colonies glistened with a defined edge

Neisseria gonorrhoeae

 Pinkish to brownish translucent colonies.


 They have a smooth consistency with a defined
margin.

Haemophilus influenza

 The colonies appear to be non-hemolytic with


opaque cream to grey in color.

Streptococcus pneumoniae

 The chocolate agar plate has small greyish to


greenish colonies with the alpha-hemolysis
zone.

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