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Microbiology  229


                pH should be 7.2–7.5. Glucose and reducing   Pasteur pipette transfer 1 or 2 ml of the dilute
                substances such as thioglycollate should not be   suspension to the plate, tip the plate in differ-
                added to media. Blood should be added when   ent directions to wet the whole of its surface.
                testing  Streptococcus pyogenes  or  Pneumococcus   Remove all the excess fluid with the pipette,
                spp. and heated (‘chocolated’) blood should be   partially dry the plate with its lid ajar in the
                used when testing Haemophilus spp. A volume   incubator for up to 30 min or on the bench for
                of 20 ml agar in a standard sized flat-bottomed   an hour and finally apply the discs.
                Petri dish 100 mm in diameter gives a uniform   Spread method: The day of the test, dilute
                layer of agar 3–4 mm deep. Plastic Petri dishes   your liquid cultures back and grow to mid-
                have a fill line. The thickness of the agar should   log phase, around an OD of 0.5 at 600  nm.
                be standardized for quality control.     Alternatively, pick four to five colonies from the
                                                         sub-culture plate, and suspend them in sterile
                                                         broth to an OD 0.5 at 600 nm. Spread 150 µl of
                Test procedure
                                                         the culture evenly throughout the plate using a
                Dry the culture plate in the incubator with the   sterile glass or plastic spreader, or sterile swab.
                lid ajar until its surface is free from visible mois-  Allow any extra liquid to dry on the plate.
                ture. Do not allow the plate to become too dry as   Inoculating the plate evenly is an important
                this will interfere with the diffusion of the anti-  quality control measure for the assay.
                biotic in the medium. Inoculate the bacteria to
                be tested by one of the procedures given below.   Control cultures
                Apply the chosen antibiotic discs at adequate
                spacing (2 cm or more apart) to the surface of   It is occasionally necessary to evaluate the assay
                the plate with sterile fine-pointed forceps and   by checking the result of the test with a standard
                press gently to ensure full contact with the   control organism which has a known sensitivity
                medium and a resultant moistening of the disc.   to specified antibiotics. For example, the Oxford
                It is important to ensure full contact of the disc.   strain of Staphylococcus aureus is a suitable con-
                Incubate immediately for the minimum time   trol for tests against most kinds of antibiotics
                needed for normal bacterial growth, usually for   (except polymyxin). For a ‘control’ for urinary
                18–24 h at 37°C.                         tract cultures an ‘antibiotic-sensitive’ strain of
                                                         E. coli is recommended.

                Inoculation of primary cultures direct
                from specimen                            Reading and interpretation of results
                                                         (see Figure 4.13b)
                •  Swab: Rub a moist swab, well soaked in sam-
                  ple material, evenly over the plate.   The diameters of the zones of inhibition of
                •  Milk or Urine: A loop full (0.95 ml) is rubbed   growth (including the 6 mm diameter  of  the
                  evenly over the plate.                 disc itself) are measured with callipers or by
                                                         viewing the plate against a ruler or ruled screen.
                                                         The measurement of the zones of inhibition can
                From pure sub-culture
                                                         be compared with those published by CSLI.
                                                                                              15
                Flooding: this is done by using 5 ml of saline   Alternately where ‘control strain’ bacteria are
                containing a small amount of bacterial culture   available, determination of sensitivity can be
                such as an overnight broth culture, or a suspen-  made by comparing the zones produced  by each
                sion of a few colonies in broth. With a sterile   drug for the test bacteria with the zones produced







       Vet Lab.indb   229                                                                  26/03/2019   10:25
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